V,,,,,,. 1929 Hans Berger,, Dawson. 1976, Dr. Drake Dr. Peerless, Dr. Barnett 1979 2 fellow 1980 Havard Dr. Chiappa Evoked potentials. Dr. Drake,. 1981,,,, conference. 1981 7 Nicolet. 1983 9 21~24 Tulsa, Oklahoma Dr. Grundy Evoked potential monitoring,.
VI 1986 15, 2006,,. 14 chapter. 30.,, event related potentials.,.. 50%..,, chapter..
VII.,,,. 2012. 2
VIII Gook-KI Kim, M.D., Ph.D. (), (), Sang-Beom Kim, M.D., Ph.D. () QC Sung Min Kim, M.D., Ph.D. Jun Seok Koh, M.D., Ph.D. () Dong Hwan Kim, M.D., Ph.D. () () Young Hoon Kim, M.D. () `
IX Chae-Yong Kim, M.D., Ph.D. (). ASNO, SNO, ASCO, AANS Joo Pyung Kim, M.D., Ph.D. () Choon Soo Kim, M.T. () () Sang Woong Moon M.D., Ph.D. () Moon Suh Park, M.D., Ph.D. () () () Jae Seung Bang, M.D. () Chong Woo Bae, M.D., Ph.D. () JKMS, JKMA Kyung Sun Song, M.D. ()
X Hee Sup Shin, M.D. () Seung Hwan Lee, M.D., Ph.D. () Young Jin Lee, M.D. () Seung Geun Yeo, M.D., Ph.D (),, 3, The Open Otolaryngology Journal & JMSR Seung Don Yoo, M.D., Ph.D. () QC Eun Hye Lee, M.D. () Young Jin Lim M.D., Ph.D. (, )
XI Jin Woo Chang, M.D., Ph.D. () Yang Whan Jeon M.D., Ph.D. () (1985) (1999) (19992001) Sa Jun Chung, M.D., PhD. () () () () Marquis Whos Who in the World 2011 2012 Nomination American Biographical Institute 2011 2012 Nomination Seok Keun Choi, M.D., Ph.D. () Young Kyoo Choi, M.D., Ph.D. () Dae-Jean Jo M.D., PhD. ()
XII Contents V VIII Chapter 1 1 Principles of Evoked Potentials 1 2 5 6 7 Chapter 2 9 Methodology and Techniques of Evoked Potentials (median nerve) 9 (posterior tibial nerve) 11 14 14 (brainstem auditory evoked potential) 17 (cognitive evoked potential, P300) 19 (motor evoked potential) 20 (intraoperative evoked potential monitoring) 22
XIII Chapter 3 29 Interpretation and References of Evoked Potentials 29 (visual evoked potentials, VEP) 30 (brainstem auditory evoked potentials, BAEP) 33 (somatosensory evoked potentials, SSEP) 36 (motor evoked potential, MEP) 41 (cognitive evoked potentials, CEP) 42 Chapter 4 47 Visual Evoked Potentials(VEP) 47 48 52 55 61 66 Chapter 5 69 Brainstem Auditory Evoked Potentials(BAEP) (anatomy and function of auditory system) 70 80 (auditory brainstem response, ABR) brainstem auditory evoked potentials, BAEP 87
XIV Chapter 6 91 Somatosensory Evoked Potentials(SEP) 91 100 103 106 107 108 Chapter 7 111 Motor Evoked Potentials(MEP) 111 112 118 (motor evoked potential using transcranial magnetic stimulation) 120 123 Chapter 8 127 Brainstem Auditory Evoked Potentials in Children 127 128 BAEP 130 BAEP 139
XV Chapter 9 145 EventRelated Potentials 145 149 154 155 157 P300 159 162 164 Chapter 10 169 Anesthesia and Evoked Potential (evoked potential) 169 177 178 Chapter 11 187 Intraoperative Evoked Potential Monitoring during Cerebral Aneurysm Surgery 187 (SSEP) 188 190 (MEP) 197 200 202
XVI Chapter 12 205 Monitoring of Spinal Cord Function Intraoperatively Using Motor and Somatosensory Evoked Potentials 205 (Intramedullary spinal cord tumor) 209 213 Chapter 13 217 Intraoperative Evoked Potential Monitoring during Brain Tumor Surgery 217 (supratentorial tumor) 217 (infratentorial tumor) 224 (awake surgery) 229 Chapter 14 237 Intraoperative Evoked Potential Monitoring during Functional Neurosurgery 237 1. (auditory evoked potential, AEP) 237 2. (somatosensory evoked potential, SEP) 239 3. (motor evoked potential, MEP) 241 4. (visual evoked potential, VEP) 242 5. (facial EMG) 243 6. (electroencephalography, EEG) (electrocorticography, EcoG) 244 7. (cortical electrical stimulation) 248 INDEX 251
2 CHAPTER Methodology and Techniques of Evoked Potentials 1 (active) antecubital fossa(), (reference) ulnar groove(), 23 cm. 2 (), 1020 (FPZ). 3 2 (), (FPZ). 4 C3'C4'(), C3C4 2 cm, (FPZ). 3 Kohm. (low filter) 30 Hz, (high filter) 1,500 Hz (analysis time) 50 msec, (stimulation duration) 100 msec, (sensitivity) 20 uv,., () () 23 cm. (twitching) 1020%,. 5.1
10 1 Antecubital(), Ulnar groove(), 2 Brachial plexus(), FPZ( ), 3 Cervical II(), FPZ(), 4 C3'C4'(), FPZ(). (ground) 10 cm., (averaging) 500, (artifact), (amplitude). (EMG), (EKG), (EEG) (60 Hz),. 4 22.
11 1 midpopliteal fossa(), medial knee 23 cm. 2 4 (L4 spinous process)(), 2 (L2 spinous process)() 3 12 (T12 spinous process)(), 10 (T10 spinous process)()
14 (peroneal nerve), (sural nerve), (pudendal nerve) 1. Cz'(), FPZ(), Reference (FPZ) 4. 1020 O1, Oz, O2, (Fpz), Cz(vertex). 4 O1, Oz, O2 T5T6, Oz (inion) 5 cm, O1, O2 Oz 5 cm, T5T6 O1, O2 5 cm. 1 Hz, 250 Hz 250 msec, 100 msec, 20 uv,. 31 (fullfield) (check size). 1.9, (averaing) 400,. 70100 cm,
15. (amplitude) (latency),,. 1020 O1, Oz, O2, T56, Cz(vertex). 4 O1, Oz, O2 T5T6, Oz (inion) 5 cm O1, O2 Oz 5 cm, T5T6 O1, O2 5 cm.
18 1 1 A1 Cz A2, A2 Cz A1.. 150 Hz, 3,000 Hz 10 msec, 100 msec, 11.1, 10 uv,. (stimulation mode), click, (threshold) 60 db,,,, 7075 db,
19 510 db.. (white noise) 60 db,. 1, 60 db 510 db. M1, M2. 28. 1020 Fz, Cz, Pz,, (A1, A2), (M1, M2). 1 Fz A1A2 Fpz 2 Cz A1A2 Fpz 3 Pz A1A2 Fpz 0.5~1 Hz, 100~200 Hz 750 msec, 100 msec, 50 uv,. (frequent) 1,000 Hz 80%, (rare) 2,000 Hz, 7080 db (count). P300,.,. 29.
22 (magnetic coil). 211.,, 1020 C3', C4', Cz'
23, Fpz. (collodion) (needle electrode). 30 Hz, 1,500 Hz, ( 5 Hz, 250 Hz) 50 msec, 100 msec, 100 msec, 20 uv,. 2(200%),. 5.1 Hz, 300500... (temporary clip) ( 50% 10% ), (permanet clip),. 13. 10%.,,.,. (permanet clip) 3060.
26.. (Epilepsy), (aneurysm clip), (cardiac pacemaker), (deep brain stimulation electrode), (spinal cord stimulator), (cochlear implant) 1. Significance of Evoked Potential. 198922 169173. 2.,,,,,. 198615 865874.
27 3.. 2007 9106 111. 4.,,,,,. 199928498508. 5.. 2003 6... 2006 7.,,,,,,. 200130281288. 8.. 9. Brantberg K, Bergenius J, Tribukait A Vestibularevoked myogenic potentials in patients with dehiscence of the superior semicircular canal. Acta Otolaryngol. 1999119 633640. 10. Chiappa KH Evoked Potentials on Clinical Medicine. LippincottRaven 1997 11. Chusid JG Correlative Neuroanatomy and Functional Neurology. Maruzen Asian Edition 45 12. Misulis Spehlmanns Evoked Potential Primer, 3rd ed. Woburn Butterworth Heinemann. 2001 13. Osburn LL A guide to the performance of transcranial electrical motor evoked potentials. Part 1. Basic concepts, recording parameters, special considerations, and application. Am J Electroneurodiagnostic Technol. 2006 4698158.