Foundations of Clinical Neurophysiology
Foundations of Clinical Neurophysiology
Jeffrey R. Balzer, Ph.D.: Course Director
balzerjr@upmc.edu
412-648-9779
Tuesday and Thursday, 3:30-5:00 pm
Jannetta Conference Room: PUH 4th Floor, B Wing, Department Neurosurgery
Text: “Intraoperative Neurophysiological Monitoring” 2nd Edition, Möller
Lecture Topic Lecturer
1. Course Overview Dr. Balzer
o What is Clinical Neurophysiology? (08/28/07)
2 Basic Electrical Concepts & Instrumentation Dr. Sclabassi
o Conduction (08/30/07)
o Impedance and Resistance
o Capacitance and Inductance
o Amplification and Filtering of Electrical
Signals
o Signal Averaging
3 Functional Neuroanatomy Dr. Habeych
o Brain (09/04/07)
o Brainstem
o Spinal Cord
o Cerebrovasculature
o Cranial Nerves
o Brachial Plexus/Peripheral Nerves
4 Functional Neurophysiology Dr. Balzer
o Cerebral Metabolism (09/06/07)
o Cerebral Blood Flow
o AVD02
o Autoregulation
o CSF Dynamics
o Blood-Brain Barrier
5 Cerebral Electrical Activity Dr. Sclabassi
o Electrical Activity of Neurons (09/11/07)
o Synaptic Transmission
o Electroencephalogram
o Sensory Evoked Potentials
o Motor Evoked Potentials
6 Neuropathophysiology Dr. Balzer
o Injury and Neuronal Responses (09/13/07)
o Cellular Homeostasis
o Ischemia
o Excitatory Amino Acids
7 Techniques for Electroencephalographic Recording Dr. Crammond
o Electrodes (09/18/07)
o International “Ten-Twenty” System
o Equipment
8 Basic Scalp Electroencephalography Dr. Haybech
o Origin of EEG (09/20/07)
o Technical Considerations
o EEG and Anesthesia
o EEG and Surgical Procedures
o Computer Processed EEG
9 Electrocorticography Dr. Balzer
o Use in Epilepsy Surgery (09/25/07)
o Technical Aspects of ECoG and Stimulation
o Awake Craniotomy
o Anesthetic Considerations
10 Intraoperative Evoked Potentials Dr. Balzer
o Neurophysiologic Basis (09/27/07)
o Instrumentation
o Technical Standards
11 Somatosensory Evoked Potentials Dr. Crammond
o Placement of Electrodes (10/02/07)
o Sensory Tracts
o Stimulating Electrodes
o Phase Reversal
o Clinical Indications for SSEP Recording
12 Brainstem Auditory Evoked Potentials Dr. Crammond
o Placement of Electrodes (10/04/07)
o Recording Parameters
o Auditory Pathways/Obligate Waves
o Clinical Indications for BAEP Recording
13 Visual Evoked Potentials Dr. Crammond
o Stimulating and Recording (10/09/07)
o Visual Pathways
o Clinical Indications for VEP Recording
o Electroretinogram (ERG)
14 Motor Evoked Potentials Dr. Balzer
o Stimulating and Recording (10/11/07)
o Neurogenic vs. Myogenic
o Transcranial Electrical Stimulation
o Motor Pathways
o Clinical Indications for MEP Recording
o Anesthetic Considerations
October 16, 2007: MIDTERM EXAMINATION
15 Intraoperative Electromyography (EMG) Dr. Balzer
o Basic Principles of EMG (10/18/07)
o Recording EMG
o Free-Running EMG
o Stimulus-Evoked EMG
o Alarm Criteria
16 Intraoperative Facial Nerve Monitoring Dr. Balzer
o Monitoring Methods (10/23/07)
o Electrode Placement
o Discharge Patterns
o Hemifacial Spasm
o Clinical Indications
17 Other Cranial Nerve EMG Dr. Habeych
o Extra-ocular Muscle EMG (10/25/07)
o Trigeminal Nerve EMG
o Lower Cranial Nerve EMG
18 Nerve Root Monitoring in the Spine Dr. Balzer
o Free-Run vs. Stimulus-Evoked EMG (10/30/07)
o Pedicle Screw EMG
o Cervical EMG
o Thoracic EMG
o Lumbosacral EMG
19 Deep Brain Stimulation Dr. Crammond
o Anatomy (11/01/07)
o Physiology
o Micro-Electrode Recording
o Guiding the Surgical Placement
20 Anesthesia and Evoked Potentials Dr. Balzer
o Halogenated Anesthesia (11/06/07)
o Intravenous Anesthetics
o Effects on Evoked Potentials
o Effects on EMG
21 Transcranial Doppler Dr. Balzer
o Cerebrovascular Anatomy (11/08/07)
o Anatomical Anomalies
o Techniques and Examination
o Clinical Application
22 Magnetoencephalography (MEG) Dr. Sclabassi
o Principles (11/13/07)
o Techniques and Examination
o Clinical Application
23 Cerebral Oximetry Dr. Balzer
o Principles (11/15/07)
o Techniques and Examination
o Clinical Application
24 ICP/AVD02 and Closed Head Injury Dr. Okonkwo
o Principles (11/20/07)
o Pathophysiology
o Evoked Potentials and Prediction of Outcome
Thanksgiving Break: No Class 11/22/07
25 Quantification of Cerebral Blood Flow Dr. Balzer
o Laser Doppler Techniques (11/27/07)
o Bedside Xe133
o Xe-CT
26 Radiology and Imaging Dr. Horowitz
o Reading a C-Spine X-Ray (11/29/07)
o CT
o MRI
o Angiography
27 General Principles of Data Interpretation Dr. Balzer
o Near-Field and Far-Field Potentials (12/04/07)
o Potentials with Multiple Sources
o Abnormalities During Monitoring
o General Alarm Criteria
28 Intraoperative Monitoring: Case Reviews All Faculty
o Spine (12/06/07)
o Vascular
o Cranial/Tumor
o Awake Craniotomy
o Cranial/Microvascular Decompression
o Brachial Plexus/Peripheral Nerve
o Deep Brain Stimulation/Microelectrode Recording
December 15, 2007: FINAL PAPER DUE
If you have a disability for which you are or may be requesting an accommodation, you are encouraged to contact both your instructor and Disability Resources and Services, 216 William Pitt Union, 412-648-7890 (412-383-7355 (TTY)), as early as possible in the term. DRS will verify your disability and determine reasonable accommodations for this course.
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.