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Application of electrophysiological monitoring in neurosurgery

Báo Sài Gòn Giải phóngBáo Sài Gòn Giải phóng26/08/2023


SGGP

People's Hospital 115 has successfully applied the electrophysiological monitoring system in neurosurgery on 2 patients with the support of Dr. Gulaev Evgeny, Ivanovo Neurological Institute (Russian Federation).

The first case is a female patient (62 years old, living in Ba Ria - Vung Tau province) who suffered from hemifacial spasm for 8 years, and had been treated with many methods but without success. At People's Hospital 115, the patient was successfully operated on for hemifacial spasm with the support of electrophysiology during surgery. Immediately after regaining consciousness, the left hemifacial spasm completely disappeared, and there were no complications after surgery.

The second case is a male patient (63 years old, living in Dong Nai province), who 2 years ago had spinal screw surgery to treat multi-level spinal stenosis from lumbar L3 to sacral S1 at the front line. Doctors performed the surgery using Neuronavigation Brain Lab combined with electrophysiological stimulation during the surgery. Immediately after surgery, the patient had a significant improvement in the feeling of pain and numbness in both legs, was able to walk and continued to receive additional physical therapy.

According to Dr. Nguyen Van Tuan, Head of the Department of Neurosurgery, People's Hospital 115, in the world , the technique of monitoring neurophysiology during surgery is widely used, but in Vietnam it is not yet popular.

This new technique helps protect patients from nerve damage, reduces the risk of complications during surgery and improves post-operative outcomes thanks to the ability to fully control the central and peripheral nervous systems during surgery.



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