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SYLLABUS
Spring 2007
COURSE: ACN & HCS 6373-1, AUD 7371 INTRAOPERATIVE
NEUROPHYSIOLOGIC MONITORING PART I
Instructor: Aage R. Moller Ph.D.
E-mail: AMOLLER@UTDALLAS.EDU
Class text:
Møller, A.R.: Intraoperative Neurophysiologic Monitoring, 2nd Edition. Humana Press
Inc 2006. ISBN 1-58829-703-9
Note: the instructor is providing this book at a discounted price.
Supplementary readings:
Gray’s Anatomy
Grading:
1. Midterm Exam: Covers the first section to February 27th,
2. Final Exam April 24th
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Intraoperative Neurophysiologic Monitoring ACN & HCS 6373 Spring 2007
General objectives:
Students will:
1. Understand the purpose and general principle of intraoperative
neurophysiological monitoring for reducing the risk of postoperative
neurological deficits and for guiding the surgeon in specific neurosurgical
operations.
2. Get to know the anatomy of sensory and motor systems that can be monitored
during neurosurgical, orthopedic, and otolaryngological operations
3. Understand the general principles for generation of electrical potentials by
nerves, nuclei and muscles
4. Know the general principles of electrophysiologic recordings of different kinds
of electrical potentials from the nervous system and from muscles
5. Understand the difference between far field and near field evoked potentials
6. Understand different ways to stimulate neural tissue
7. Understanding how such recordings can provide information about changes in
function of sensory and motor systems
8. Learn to interpret changes in neuroelectric potentials as signs of injuries to
nerves and nuclei
9. Understand how recording of neuroelectric potentials can assist surgeons in
some surgical operations
10. Understand the principles for recordings from deep brain structures for guiding
implantation of stimulating electrodes or for making selective lesions
Course layout:
Intraoperative neurophysiologic monitoring makes it possible to detect surgically
induced injuries before they reach a level where permanent neurologic deficits occur
and that can reduce the risk of neurological deficits as complications to operations
that involve nervous tissue. Interpretation of such recordings requires knowledge
about the physiology and anatomy of the systems involved, and how the recorded
electrical potentials change as a result of injuries.
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Intraoperative Neurophysiologic Monitoring ACN & HCS 6373 Spring 2007
The course includes neuroanatomy of sensory and motor systems, the basis for
generation of neuroelectric potentials and it describes the practical aspects of
recording and interpreting neuroelectric data in the clinic and in the operating room.
Description of the use of electrical and magnetic stimulation of the brain and motor
nerves for testing of motor system is also included. Recordings of auditory,
somatosensory, and visual evoked potentials are described. The effect of different
pathologies on these sensory evoked potentials is discussed.
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Intraoperative Neurophysiologic Monitoring ACN & HCS 6373 Spring 2007
OUTLINE
2. Generation of near field evoked potentials from nuclei and fiber tracts.
A. Responses to transient stimuli
B. Responses to continuous stimuli
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Intraoperative Neurophysiologic Monitoring ACN & HCS 6373 Spring 2007
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Intraoperative Neurophysiologic Monitoring ACN & HCS 6373 Spring 2007
12/3/06
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