Nom anglais: Intraoperative Neurophysiological Monitoring
Descriptor UI:D064795
Tree Number:E04.510.500
Termes MeSH sélectionnés :
Interrupted Time Series Analysis
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"name": "Diagnostic",
"headline": "Diagnostic sur Monitorage neurophysiologique peropératoire",
"description": "Qu'est-ce que le monitorage neurophysiologique ?\nQuand est-il utilisé en chirurgie ?\nQuels types de signaux sont surveillés ?\nComment est-il réalisé ?\nQui effectue le monitorage ?",
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"@type": "Question",
"name": "Qu'est-ce que le monitorage neurophysiologique ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "C'est une méthode de surveillance de l'activité électrique du cerveau et des nerfs pendant la chirurgie."
}
},
{
"@type": "Question",
"name": "Quand est-il utilisé en chirurgie ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il est utilisé lors d'interventions à risque élevé de lésions nerveuses, comme la chirurgie de la colonne vertébrale."
}
},
{
"@type": "Question",
"name": "Quels types de signaux sont surveillés ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signaux électriques des nerfs, des muscles et du cerveau sont surveillés pour détecter des anomalies."
}
},
{
"@type": "Question",
"name": "Comment est-il réalisé ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des électrodes sont placées sur la peau ou à l'intérieur du corps pour enregistrer l'activité électrique."
}
},
{
"@type": "Question",
"name": "Qui effectue le monitorage ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un neurophysiologiste ou un anesthésiste formé en monitorage neurophysiologique s'en charge."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent une lésion nerveuse ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Engourdissements, faiblesse musculaire ou douleurs peuvent signaler une lésion nerveuse."
}
},
{
"@type": "Question",
"name": "Comment le monitorage aide-t-il à détecter des symptômes ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il permet de repérer des changements dans l'activité électrique qui peuvent précéder des lésions."
}
},
{
"@type": "Question",
"name": "Quels signes d'alerte sont surveillés ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des modifications des potentiels évoqués ou des réponses musculaires sont des signes d'alerte."
}
},
{
"@type": "Question",
"name": "Peut-on prévenir des symptômes avec ce monitorage ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, en identifiant rapidement les problèmes, les chirurgiens peuvent ajuster leur technique."
}
},
{
"@type": "Question",
"name": "Quels symptômes peuvent persister après la chirurgie ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs ou des engourdissements peuvent persister, nécessitant une évaluation post-opératoire."
}
},
{
"@type": "Question",
"name": "Comment le monitorage aide-t-il à prévenir les lésions ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il permet de détecter les signes de stress nerveux pendant la chirurgie, permettant des ajustements."
}
},
{
"@type": "Question",
"name": "Quelles sont les meilleures pratiques pour le monitorage ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Utiliser des électrodes de qualité et former le personnel sont des pratiques essentielles."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque de lésion nerveuse ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'âge, les antécédents de chirurgie et certaines conditions médicales augmentent le risque."
}
},
{
"@type": "Question",
"name": "Comment préparer un patient pour le monitorage ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Informer le patient sur la procédure et s'assurer qu'il n'a pas de contre-indications."
}
},
{
"@type": "Question",
"name": "Quelle est l'importance de l'équipe chirurgicale ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une communication efficace entre l'équipe chirurgicale et le neurophysiologiste est cruciale."
}
},
{
"@type": "Question",
"name": "Comment le monitorage influence-t-il le traitement chirurgical ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il permet d'ajuster la technique chirurgicale en temps réel pour éviter des lésions nerveuses."
}
},
{
"@type": "Question",
"name": "Quels traitements sont possibles après une lésion nerveuse ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "La rééducation, la physiothérapie et parfois la chirurgie corrective peuvent être nécessaires."
}
},
{
"@type": "Question",
"name": "Le monitorage peut-il réduire le besoin de traitements ultérieurs ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, en prévenant les lésions, il peut réduire le besoin de traitements post-opératoires."
}
},
{
"@type": "Question",
"name": "Quels médicaments peuvent être utilisés après une lésion ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques et des anti-inflammatoires sont souvent prescrits pour gérer la douleur."
}
},
{
"@type": "Question",
"name": "Comment évaluer l'efficacité du traitement post-opératoire ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests neurologiques et des évaluations fonctionnelles sont utilisés pour mesurer l'amélioration."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir avec le monitorage ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des infections, des irritations cutanées ou des réactions allergiques aux électrodes peuvent survenir."
}
},
{
"@type": "Question",
"name": "Comment gérer une complication pendant la chirurgie ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il est essentiel d'évaluer rapidement la situation et d'ajuster la technique chirurgicale."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles fréquentes ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications sont rares, mais leur gestion est essentielle pour la sécurité du patient."
}
},
{
"@type": "Question",
"name": "Quelles sont les conséquences d'une lésion nerveuse non détectée ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Cela peut entraîner des douleurs chroniques, une faiblesse ou des troubles fonctionnels permanents."
}
},
{
"@type": "Question",
"name": "Comment minimiser les complications ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une préparation adéquate et un monitorage attentif pendant la chirurgie sont essentiels."
}
},
{
"@type": "Question",
"name": "Quels patients sont à risque élevé de lésions nerveuses ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les patients ayant des antécédents de chirurgie ou des maladies neurologiques sont à risque."
}
},
{
"@type": "Question",
"name": "Comment l'âge influence-t-il le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les patients plus âgés ont souvent une récupération nerveuse plus lente, augmentant le risque."
}
},
{
"@type": "Question",
"name": "Les maladies préexistantes augmentent-elles le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des conditions comme le diabète ou l'arthrite peuvent augmenter le risque de lésions nerveuses."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'expérience du chirurgien ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un chirurgien expérimenté peut réduire le risque de lésions nerveuses grâce à une technique précise."
}
},
{
"@type": "Question",
"name": "Comment le type de chirurgie affecte-t-il le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines chirurgies, comme celles de la colonne vertébrale, présentent un risque plus élevé de lésions."
}
}
]
}
]
}
Type II odontoid fracture, classified by Anderson and D'Alonzo, is the most common traumatic injury to the odontoid process. Surgical management of this lesion is particularly challenging in underreso...
Over 42 000 Australians live with a stoma, and this number increases annually. Pregnancy in stoma patients is a rare but complex condition and there is limited published literature regarding surgical ...
Data was retrospectively obtained on women of childbearing age, with a stoma, who had been pregnant and birthed in the last nine years at the Royal Brisbane and Women's Hospital between January 2014 t...
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This report describes the characteristics and outcomes of 18 heavily pretreated patients with multiple myeloma (MM) who were subsequently treated with selinexor. This is a case series of 18 patients w...
Homozygous variants of Calcium Voltage-Gated Channel Subunit Alpha1 S (CACNA1S) gene mutation were previously identified as causes of periodic paralysis and congenital early-onset myopathy, while it c...
Calcium Voltage-Gated Channel Subunit Alpha1 S (CACNA1S) gene mutation has been linked to various neuromuscular conditions in recent years. Congenital myopathy with core-like features is one of the ca...
Chylothorax is the accumulation of lymphatic fluid (chyle) within the pleural space. There are multiple causes, including traumatic and non-traumatic mechanisms. Trauma can cause disruption of the tho...
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We found that diagnostic cerebral angiography performed at our ASC was safe and effective for patient care. In addition, all survey respondents (71.6% of those provided the survey) reported highest le...
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Complete Freund's adjuvant was used to induce RA in rats. Chinmedomics strategy, which included metabolomics, serum pharmacochemistry of TCM, molecular docking, western blotting and qPCR, was applied ...
In the early stages of treatment, TS quickly reduced joint swelling and the arthritis score index and regulated pathways such as arachidonic acid metabolism and purine metabolism. TW increases the reg...
ESSF has a good therapeutic effect on RA. TS focus on rapid swelling reduction in the early stages of RA, TW focus on the recovery of immune organ function, and FW can be used for bone recovery in the...