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Surgical motor for neurosurgery
In neurosurgery, the motor evoked potentials (MEPs) are assessed prior to and during surgery. Direct cortical stimulation has significant advantages over tcMEP monitoring. The procedure does not require interruption during surgery, and the superficial currents used in DCS are free of false negatives or injury. It also has less risk of side effects. It is safe and has many advantages over tcMEP monitoring.
The D4000 Drive System 1 is a computerized electric instrument system with drills and accessories. The D4000 can cut bone and soft tissue. The D4000 has an irrigation system and two handpieces can be attached to the unit simultaneously. It is controlled by a foot pedal or touch screen. This allows surgeons to monitor the patient and make adjustments as necessary. It can be operated by both hands. The D4000 Drive System 1 is safe, easy to use, and reliable.
The D4000 Drive System 1 is an electric instrument system with a wide range of tools and accessories. The D4000 is capable of cutting bone and soft tissues. It has a sterile fluid irrigation system and can be connected to two handpieces. It can be controlled by handpiece, touch screen, and foot pedal. It is used in a variety of neurosurgery procedures, including pediatric and adult patients.
A combination of DTI-FT and nTMS can produce better SENSE than standard tractography. The data from a somatotopic reconstruction can be used to assess the spatial correlation between motor fibers and lesions. Furthermore, the data can be used to guide the surgeon during lesion resection and DES. The somatotopic reconstruction can also be used to evaluate the effects of the surgery on motor neurons.
The DcMEP technique offers a safe, continuous, and precise mapping of the motor cortex. In addition, the dcMEP technique can be used for tumor-related surgery, where the MEPs help identify the motor cortex. The data obtained by the dcMEP are important for neurosurgical treatment planning and monitoring. The DcMEP mapping is essential for the success of the surgery. It also helps doctors to determine whether the operation is causing any residual neurological damage.
nTMS enhances the surgical planning of patients with neurosurgical pain. This technique increases the likelihood of complete tumor resection and lessens the risk of surgery-related paresis. The procedure is more effective when the patient is aware of the risks and is willing to undergo it. The DTMS can reduce the pain medication. Moreover, nTMS allows the surgeon to remove the entire tumor while maintaining the vital functions of the patient.
During Dc-MEP monitoring, the surgeon applies a small electrical current to the exposed surface of the brain. The effect is observed even if the patient does not express any verbal response. The affected muscle part will contract. These contractions can be visually observed or detected by electromyography. During surgery, the MEPs will be monitored until the patient's motor function recovers. The MEPs will remain normal after the surgery.