There are many things we find important to the world of healthcare and neuromonitoring. Here we post helpful information for our patients, hospitals, and surgeons.
By Admin on August 17, 2023
In the realm of medical challenges, schwannomas stand as a unique adversary. These rare tumors develop from cells within the peripheral nervous system and can exert pressure on peripheral nerves, potentially leading to a range of sensory and motor symptoms. When the need arises, surgical intervention becomes paramount, demanding a meticulous approach to minimize risks. Enter neuromonitoring – a crucial ally that ensures the functional integrity of peripheral nerves during these intricate procedures.
By Admin on July 21, 2023
Looking for a comprehensive resource to help your #patients understand Intraoperative Neurophysiological Monitoring? This video is the perfect resource.
By Admin on July 17, 2023
Imagine facing a neurological challenge that turns your world upside down. The condition facing you is characterized by a labyrinth of abnormal vessels, weaving intricate connections between arteries and veins. Within this intricate tapestry, there's a notable absence of the usual intervening brain tissue, creating a structure that eerily resembles a bird's nest.
By Admin on June 01, 2023
So how can our patient find relief? By separating the blood vessel from the nerve and adding some cushioning to keep them separated permanently, a surgical team can perform a microvascular decompression, as was the plan for this patient. The abnormal muscle response that causes the twitch can be detected by intraoperative neuromonitoring (IONM), helping the surgical team identify the blood vessel and nerve responsible and when the abnormal response is resolved.
By Admin on May 01, 2023
For one 46 year old male patient, the potential consequences of undergoing the prescribed surgical intervention meant risking paralysis. The patient was living with severe arm and neck pain as a result of both a central and foraminal stenosis. In addition to the patient’s radiculopathy, he was also experiencing spondylosis. While the patient’s condition was non-myelopathic, progression of his condition risked a future development of herniated disks and bone spurs.
By Admin on May 01, 2023
A 69 year old female presented with right peroneal neuropathy and right lower leg atrophy. After completing physical therapy, she noticed pronounced aching in her leg and her gait became abnormal resulting in a limp known as “foot drop” and lost feeling in her lower right leg.
By Admin on April 01, 2023
Without SSEP monitoring, the surgeon may not have identified the plaque. The result could have caused a stroke by blocking blood flow in the brain, but thankfully was avoided.
By Admin on April 01, 2023
In order for the surgeon to reach the spine during an OLIF procedure, they have to create a surgical corridor between the psoas muscle and the peritoneum. This corridor is then held open using retractors so that the surgeon can access the affected parts of the patient’s spine and alleviate their symptoms. However, if incorrectly placed, the retractors used to hold the corridor open can create a risk of nerve compression or damage during the procedure.
By Admin on March 01, 2023
Motor evoked potentials (MEP) are important for monitoring the descending or motor pathway and without them and neuromonitoring in general being utilized for this procedure, the patient may have suffered motor deficits as a direct result of the placement of the cage.
By Admin on March 01, 2023
To ensure the safety and efficacy of the procedure, various monitoring techniques, such as somatosensory evoked potentials (SSEPs), motor evoked potentials (MEPs), electromyography (EMG), train-of-four (TOF/TO4), and nerve conduction velocity testing, were employed during the surgery.
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