intraoperative neurophysiological monitoring


Summary: The systematic checking of the condition and function of a patient's CENTRAL NERVOUS SYSTEM during the course of a surgical operation.

Top Publications

  1. Tobin M, Birk D, Rangwala S, Siemionow K, Schizas C, Neckrysh S. T-1 pedicle subtraction osteotomy for the treatment of rigid cervical kyphotic deformity: report of 4 cases. J Neurosurg Spine. 2017;27:487-493 pubmed publisher
    ..The authors review the relevant literature and provide a novel, less risky, and potentially more corrective approach for treating cervical deformities. ..
  2. Legatt A, Emerson R, Epstein C, Macdonald D, Deletis V, Bravo R, et al. ACNS Guideline: Transcranial Electrical Stimulation Motor Evoked Potential Monitoring. J Clin Neurophysiol. 2016;33:42-50 pubmed publisher
  3. van t Klooster M, van Klink N, Zweiphenning W, Leijten F, Zelmann R, Ferrier C, et al. Tailoring epilepsy surgery with fast ripples in the intraoperative electrocorticogram. Ann Neurol. 2017;81:664-676 pubmed publisher
    ..These findings hold for different tailoring approaches. FRs can thus be used for tailoring epilepsy surgery with repeated intraoperative ECoG measurements. Ann Neurol 2017;81:664-676. ..
  4. Freyschlag C, Kerschbaumer J, Pinggera D, Bacher G, Mur E, Thome C. Structured Evaluation of Glioma Patients by an Occupational Therapist-Is Our Clinical Examination Enough?. World Neurosurg. 2017;103:493-500 pubmed publisher
    ..Routine clinical examination and neuropsychological evaluation fail to detect mild deficits in sensory function, reactivity, and apraxia, which may have a serious impact on patients' ability to return to their normal lives and work. ..
  5. Fedele T, Ramantani G, Burnos S, Hilfiker P, Curio G, Grunwald T, et al. Prediction of seizure outcome improved by fast ripples detected in low-noise intraoperative corticogram. Clin Neurophysiol. 2017;128:1220-1226 pubmed publisher
    ..Prediction of seizure outcome was improved by the optimal integration of low-noise EEG and unsupervised FR detection. Accurate, automated and fast FR rating is essential for consideration of FR in the intraoperative setting. ..
  6. Gutkowska O, Martynkiewicz J, Mizia S, Bąk M, Gosk J. Results of Operative Treatment of Brachial Plexus Injury Resulting from Shoulder Dislocation: A Study with A Long-Term Follow-Up. World Neurosurg. 2017;105:623-631 pubmed publisher
    ..The outcomes of surgical treatment are good, and the risk of intra- and postoperative complications is low. ..
  7. Cornips E, Habets J, van Kranen Mastenbroek V, Bos H, Bergs P, Postma A. Anterior Transthoracic Surgery with Motor Evoked Potential Monitoring for High-Risk Thoracic Disc Herniations: Technique and Results. World Neurosurg. 2017;105:441-455 pubmed publisher
    ..Maximal TDH AP diameter, SCO, SCC, (sub)total calcification, and ISC correlate with lower extremity MEP signal deterioration. In experienced hands, TMD with MEPm support is a safe, efficient procedure for high-risk TDHs. ..
  8. Jahangiri F, Sheryar M, Al Behairy Y. Early detection of pedicle screw-related spinal cord injury by continuous intraoperative neurophysiological monitoring (IONM). Neurodiagn J. 2014;54:323-37 pubmed
    ..In this case, the patient would have been paralyzed post-operatively without the use of IONM. ..
  9. Fedele T, Schönenberger C, Curio G, Serra C, Krayenbühl N, Sarnthein J. Intraoperative subdural low-noise EEG recording of the high frequency oscillation in the somatosensory evoked potential. Clin Neurophysiol. 2017;128:1851-1857 pubmed publisher
    ..undergoing tumor surgery in the central region, subdural strip electrodes were placed for intraoperative neurophysiological monitoring. We recorded the somatosensory evoked potential (SEP) simultaneously by custom-made LNA and by ..

More Information


  1. Zhao H, Zhang X, Zhang Y, Tang Y, Zhu J, Wang X, et al. Results of Atypical Hemifacial Spasm with Microvascular Decompression: 14 Case Reports and Literature Review. World Neurosurg. 2017;105:605-611 pubmed publisher
    ..Most of the cases of AHFS studied here were caused by neurovascular conflict in zone IV of the facial nerve distal to the root entry zone. MVD surgery is the first choice treatment for AHFS. ..
  2. Thomas B, Guo D. The Diagnostic Accuracy of Evoked Potential Monitoring Techniques During Intracranial Aneurysm Surgery for Predicting Postoperative Ischemic Damage: A Systematic Review and Meta-Analysis. World Neurosurg. 2017;103:829-840.e3 pubmed publisher
  3. Dionigi G, Frattini F. Staged thyroidectomy: time to consider intraoperative neuromonitoring as standard of care. Thyroid. 2013;23:906-8 pubmed publisher
  4. Barzilai O, Lidar Z, Constantini S, Salame K, Bitan Talmor Y, Korn A. Continuous mapping of the corticospinal tracts in intramedullary spinal cord tumor surgery using an electrified ultrasonic aspirator. J Neurosurg Spine. 2017;27:161-168 pubmed publisher
    ..Microsurgical resection of IMSCTs is currently considered the primary treatment modality. Intraoperative neurophysiological monitoring (IONM) has been shown to aid in maximizing tumor resection and minimizing neurological ..
  5. Lawson McLean A, Frank S, Staribacher D, Kalff R, Reichart R. Biplanar Fluoroscopy-Guided Percutaneous Lead Implantation for Spinal Cord Stimulation: Technical Note. World Neurosurg. 2017;105:760-764 pubmed publisher
    ..This arrangement correlated with a reduction in surgery duration without increasing total radiation exposure, representing a practical and safe adjustment to current practice. ..
  6. Al Qurayshi Z, Kandil E, Randolph G. Cost-effectiveness of intraoperative nerve monitoring in avoidance of bilateral recurrent laryngeal nerve injury in patients undergoing total thyroidectomy. Br J Surg. 2017;104:1523-1531 pubmed publisher
    ..Use of IONM is cost-effective in patients undergoing bilateral thyroid surgery. ..
  7. Efrati S, Bolotin G, Levi L, Zaaroor M, Guralnik L, Weksler N, et al. Optimization of Endotracheal Tube Cuff Pressure by Monitoring CO2 Levels in the Subglottic Space in Mechanically Ventilated Patients: A Randomized Controlled Trial. Anesth Analg. 2017;125:1309-1315 pubmed publisher
    ..Thus, the use of automatic cuff pressure control based on subglottic measurements of CO2 levels is an effective method for ETT cuff pressure optimization. The method is safe and can be easily utilized with any intubated patient. ..
  8. Zhou Q, Li M, Yi L, He B, Li X, Jiang Y. Intraoperative neuromonitoring during brain arteriovenous malformation microsurgeries and postoperative dysfunction: A retrospective follow-up study. Medicine (Baltimore). 2017;96:e8054 pubmed publisher
    ..Moreover, a larger sample size is required to demonstrate the usefulness of IONM during awake craniotomies. ..