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 July 03, 2024
C5 palsy is a neurological complication affecting 5-10% of patients after cervical decompression surgery and while it was not able to be avoided in this surgery, quick action and acute awareness of all nerve functioning was able to protect the patient’s right arm despite similar MEP responses detected in the left arm.
By Admin on July 03, 2024
This case underscores the significance of intraoperative monitoring techniques like t-EMG in optimizing surgical precision and ensuring patient safety. By leveraging advanced technologies and techniques, surgeons can minimize the risk of complications and improve outcomes for patients undergoing lumbar spine surgery.
By Admin on July 03, 2024
During the procedure, stimulation of the dilator revealed a concerning response in the left quadriceps muscles, indicating a heightened sensitivity to nerve stimulation. Recognizing the potential risks associated with proceeding as planned, the surgical team swiftly adjusted course. Instead of XLIF, the surgeon opted for Transforaminal Lumbar Interbody Fusion (TLIF). TLIF provides better visualization, access to the nerve roots and allows decompression while avoiding the lumbar plexus.
By Admin on June 03, 2024
In the realm of spine surgery, the use of intraoperative neuromonitoring (ION) has become a crucial component in safeguarding patient outcomes. This advanced technology, which involves monitoring the functional integrity of neural structures during surgery, aims to prevent neurological deficits by providing real-time feedback to surgeons. However, as with any medical intervention, the implementation and interpretation of IONM are not without risks. A recent study, leveraging data from the Westlaw Edge legal research service, delved into the intricacies of malpractice litigation related to intraoperative neuromonitoring, revealing significant trends and implications for spine surgeons.
By Admin on June 03, 2024
Intraoperative neuromonitoring (IONM) is revolutionizing surgery by providing real-time insights that help prevent neurological injuries during procedures. This technology offers immediate feedback to surgeons and anesthesiologists, significantly enhancing patient safety. However, despite its critical role, IONM remains out of reach for many patients worldwide, especially in low-income regions.
By Admin on February 29, 2024
This case involves a 64 year-old-female patient who presented with chronic lower back pain and pain in the left buttocks region.
By Admin on February 29, 2024
Without the proactive measures taken during this surgery, the patient's positioning could have led to left-sided ulnar neuropathy or brachial plexopathy postoperatively. The case underscores how baseline signals, coupled with vigilant neuromonitoring, act as early warning systems, enabling surgeons to intervene promptly and mitigate potential nerve damage during ACDF procedures.
By Admin on November 05, 2023
Epilepsy, a neurological disorder characterized by recurring seizures, can cast a dark shadow on a person's life. For those who haven’t found relief through anti-epileptic medications, epilepsy surgery holds promise for transforming their quality of life. Neuromonitoring, with its cutting-edge techniques like cortical mapping, plays a pivotal role in ensuring successful outcomes.
By Admin on October 05, 2023
The key to performing the delicate procedure of lumbar spine tumor removal lies in ensuring as much of the tumor is removed as possible while also preserving the healthy parts of the spine. Intraoperative Neurophysiological Monitoring (IONM) can provide surgical teams with the data to make more informed decisions in the operating room.
By Admin on October 05, 2023
In this tethered cord release surgery, within the operating room, several neuromonitoring techniques came together to safeguard the spinal cord's integrity and provide the opportunity for a positive outcome. Those techniques included, Somatosensory Evoked Potentials (SSEPs), Motor Evoked Potentials (MEPs), Spontaneous Electromyography (sEMG), the Bulbocavernosus Reflex (BCR), and the H-Reflex joined forces.
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