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Intraoperative Neuromonitoring

Intraoperative Neuromonitoring

Spinal Procedures

  • Spinal Procedures: Cervical, Thoracic, and Lumbar
  • Spinal Instrumentation Cases, Total Disk Replacement, Scoliosis Correction,
    Discectomy, Laminectomy, Corpectomy, and Decompressions

Neurosurgical Procedures

  • Craniotomies: Brain Tumor, Microvascular Decompression,
    Acoustic Neuroma, and Skull Base Procedures
  • Sensory/Motor Cortex Mapping, Language Mapping, and Awake Craniotomy
  • Spinal Cord Tumor, Tethered Cord, and Rhizotomy

Otolaryngology (ENT) and Neurotology Procedures

  • Thyroidectomy and Parathyroidectomy
  • Parotidectomy, Submandibular Gland Removal, and Neck Dissection
  • Tympanoplasty, Mastoidectomy, Cochlear Implants

Vascular Procedures

  • Carotid Endartectomy
  • Brain Aneurysm and Aortic Aneurysm
  • Arteriovenous Malformation and Arteriovenous Fistula

Peripheral Nerve Procedures

  • Brachial Plexus, Nerve Release, Carpal Tunnel Revision, and Peripheral Tumor Removal
  • Acetabular (Hip) Fractures and Hip Arthroplasty Revisions
  • Sensory and Motor Re-innervation
intraoperative neuromonitoring MRI
intraoperative neuromonitoring MRI

Modalities Monitored

Cervical
*Brainstem Pathways & Spinal Cord
*SSEP, MEP, EEG, EMG

Thoracic/Thoracolumbar
*Spinal Cord & Lumbar Nerve Roots
*SSEP, MEP, EEG, EMG, tEMG

Lumbar/Sacral
*Lumbar/Sacral Nerve Roots & Spinal Cord Pathways
*SSEP, EEG, EMG, tEMG

Aneurysm
*Aneurysm feeder arteries, Cortex, and Vertebrobasilar System
*EEG, BAER, SSEP, MEP

Acoustic Neuroma
*Facial Nerve, Motor Cortex, and Language Area of Brain (Wernicke/Broca)
*BAER, EMG, tEMG, speech mapping

Arteriovenous Malformation (AVM)
*Brainstem Pathways, Involved Arteries, Cortical Structures
*EEG, MEP, SEP

Brain Tumor Removal
*Cranial Nerves, Motor/Sensory Cortex, and Language Areas
*BAER, EMG, tEMG SSEP, EEG, Cortical/ Motor Mapping, Speech Mapping

Cerebellopontine Angle Tumor (CPA)
*Cranial Nerves (near CPA), Brainstem Pathways
*BAER, EMG, tEMG, SEP,

Temporal Lobe Surgery
*Cranial Nerves
*EEG

Microvascular Decompression Facial and Trigeminal
*Facial, Trigeminal, and Other Associated Cranial Nerves
*BAER, EMG

Optic Nerve Tumor Removal
*Optic Nerve
*VEP

Parotidectomy Facial Nerve
*EMG, tEMG

Thyroidectomy/Parathyroidectomy
*RLN (Recurrent Laryngeal Nerve)
*EMG, tEMG

Tympanomastoidectomy
*Facial Nerve
*EMG, tEMG

Carotid Endarterectomy
*Cortex, Middle Cerebral Artery, Brainstem Pathways
*SSEP, EEG

Cardiopulmony Bypass
*Cortex
*SSEP, EEG

Aortic Aneurysm Repair
*Cortical Structures and Brainstem Pathways
*SSEP, MEP

Carotid Tumor Removal
*Cortex, Middle Cerebral Artery, Brainstem Pathway
*SSEP, EEG

Hip Related Procedures
*Sciatic Nerve
*SSEP, EMG

Peripheral Nerves
*Associated Mixed Nerves
*SSEP, EMG, Temg