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Neurophysiology in neurosurgery. A modern intraoperative approach
  1. X Liu,
  2. T Z Aziz

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    Edited by Vedran Deletis and Jay L Shils (Pp 469, $125.00). Published by Academic Press, California, 2002. ISBN 0-12-209036-5

    This book comprises 17 chapters contributed by 24 authors. It has clearly benefited from most of the chapters being written in a more or less homogenous style and formed into seven parts based mainly on surgical procedures: motor evoked potentials/neurophysiological base; intraoperative neurophysiology (ION) of the spinal (spinal cord monitoring); ION of peripheral nerves, nerve roots and plexuses; ION of cranial nerve and brainstem; ION of supratentorial procedures; ION during stereotactic neurosurgery for movement disorders; and ION and anaesthesia management. Most of the chapters cover the background of methodology, description of the surgical procedure, and the related neurophysiological procedure, personal experience, and case reports, which gives a balanced theoretical and practical view on the topic of each chapter. The interdisciplinary approach taken in this book will ensure it has a wide range of readers across “neurosurgery, neurology, orthopaedic surgery, neurophysiology, anesthesiology, interventional radiology, and biomedical engineering”.

    Chronic deep brain stimulation or neuromodulation has extended the role of clinical neurophysiology beyond its traditional diagnostic role. This new field is touched upon briefly in the part on ION during stereotactic neurosurgery. An interesting feature of this book is that it is accompanied by a CD that certainly enhances its value. Cross references are given at the end of the corresponding chapter rather than in the list of contents in the book, and at the front page of the display.

    In conclusion, it is an authoritative review of intraoperative neurophysiology much weighted on the motor system for a wide range of surgical procedures. Perhaps, in its present form, those hoping for a more systematically informed discussion on intraoperative neurophysiology of the sensory system may feel slightly disappointed.

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