Seoul National University Children's Hospital announced Tuesday that it achieved 1,000 cases of intraoperative neurophysiological monitoring during pediatric neurosurgery, the first institution in the nation to do so.
Intraoperative neurophysiological monitoring (IONM) is a technique aimed at reducing the risk of neurological deficits after operations that involve the nervous system, such as brain or spinal surgery. The use of IONM is to detect injuries before they become so severe that they cause deficits after the operation. IONM has reduced the risk of muscle weakness, paralysis, hearing loss, and other loss of normal body functions.
Recently, small-scale multichannel neurophysiology surveillance equipment has been widely used in many hospitals. However, during pediatric neurosurgery, it’s hard to obtain neural signals due to the nature of the patient.
|The Seoul National University Children's Hospital achieved a record of treating 1,000 cases of intraoperative neurophysiological monitoring during pediatric neurosurgery.|
Seoul National University Children's Hospital introduced IONM in 2011 and has studied and developed various examination methods. It is important to cooperate with an anesthesiologist who carries out particular anesthesia methods for nerve signals to come out well as well physiatrists who are responsible for analyzing nerve impulses and signals, the hospital said.
"There have been many changes and developments in the surveillance of neuropsychiatry during surgery," said Professor Kim Ki-won김기원 of the Department of Rehabilitation Medicine. "I think cumulative experiences are the result of smooth cooperation, not just results."
Professor Kim has recently published a method of “spinal cord reflex surveillance during pediatric dysplasia surgery” in the Journal of Neurosurgery by the American Association of Neurological Surgeons. Although it’s difficult to observe spherical cortical reflexes in children under three years of age, the study suggests a method of finding stable signals.
"The ultimate goal for medical staff is to minimize the side effects after surgery," said Professor Wang Kyu-chang왕규창 of the Department of Pediatric Neurosurgery. “We hope that we will be able to pass on our experience and technology to other doctors in the future.”