METHOD FOR INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING OF MOTOR AND LANGUAGE ZONES OF BRAIN
2019-08-06
专利权人ALMAZOV NAT MEDICAL RES CENT (ALMA-Non-standard)
申请日期2019-08-06
专利号RU2716507-C1
成果简介NOVELTY - Invention refers to medicine, namely neurosurgery, neurophysiology, neurology, and can be used for neurophysiological monitoring of functionally significant brain areas during neurosurgical operations. Recording electrodes for intraoperative mapping are installed in muscle-targets: orbicularis oris, biceps brachii, triceps brachii, extensor digitorum, abductor pollicis brevis, abductor digiti minimi, vastus lateralis, gastrocnemius, tibialis anterior, abductor hallucis contralateral to involved hemisphere, electrodes are additionally installed in muscle-targets of orofacial area: palatopharyngeus, lingua, submandibularis area. Total intravenous anesthesia (TIVA) is carried out with propofol 56 mg/kg/h in combination with opioid analgesic fentanyl 5.0 mcg/kg/h. A dura mater is opened in an operative intervention area, and the cerebral cortex is tested with a monopolar electrode, the boundaries of the motor and speech zones are determined. That is followed by resection of volume formation with simultaneous testing of subcortical structures with a monopolar electrode fixed on a surgical aspirator. If motor responses appear, this zone is considered to be functionally significant and is bypassed in resection of volume formation. USE - Medicine. ADVANTAGE - Method of treating enables to reduce the percentage of adverse reactions on the part of the patient and reduce the length of surgical treatment, reducing the number of hemodynamic and infectious complications in the postoperative period ensured by the possibility to perform the intraoperative neurophysiological monitoring of motor-speech centers of the dominant hemisphere cerebrum without the patient's awakening. 1 cl, 4 dwg, 2 ex
IPC 分类号A61B-017/00 ; A61B-005/0492 ; A61B-005/05
国家俄罗斯
专业领域医药卫生
语种英语
成果类型专利
文献类型科技成果
条目标识符http://119.78.100.226:8889/handle/3KE4DYBR/23273
专题中国科学院新疆生态与地理研究所
作者单位
ALMAZOV NAT MEDICAL RES CENT (ALMA-Non-standard)
推荐引用方式
GB/T 7714
ZHAROVA E N,GULYAEV D A,SAVVINA I A,et al. METHOD FOR INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING OF MOTOR AND LANGUAGE ZONES OF BRAIN. RU2716507-C1[P]. 2019.
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