keyword
https://read.qxmd.com/read/38317488/temporal-analysis-of-postoperative-outcomes-with-or-without-intraoperative-motor-evoked-potentials-and-somatosensory-evoked-potentials-monitoring-for-intracranial-meningioma-surgery
#21
JOURNAL ARTICLE
Na Il Shin, Hye Jin Hong, Young Il Kim, Il Sup Kim, Jae Hoon Sung, Sang Won Lee, Seung Ho Yang
BACKGROUND: This study aimed to retrospectively assess results of intracranial meningioma surgery with or without intraoperative neuromonitoring (IONM) in a single institution. METHODS: Two cohorts (a historical cohort and a monitoring cohort) were collected for the analysis. Before IONM was introduced, a total of 107 patients underwent intracranial meningioma operation without IONM from January 2000 to December 2008 by one neurosurgeon (historical cohort). After IONM was introduced, a total of 99 patients with intracranial meningioma were operated under IONM between November 2018 and February 2023 by two neurosurgeons (monitoring cohort)...
January 2024: Brain Tumor Research and Treatment
https://read.qxmd.com/read/38307198/application-of-intraoperative-neurophysiological-monitoring-ionm-for-preventing-dysphagia-after-anterior-cervical-surgery-a-prospective-study
#22
JOURNAL ARTICLE
Chen Yu, Luo Chunmei, Li Qin, Song Caiping
OBJECTIVE: To evaluate the clinical value of intraoperative nerve monitoring (IONM) for dysphagia after anterior cervical surgery with and without IONM. METHOD: A prospective, randomized, controlled study was conducted on 46 patients who underwent anterior cervical spine surgery by an experienced orthopaedic surgeon. Twenty-three patients who underwent anterior cervical surgery did not undergo IONM (non-IONM group), while the other 23 patients who underwent anterior cervical surgery did ("IONM group")...
January 31, 2024: World Neurosurgery
https://read.qxmd.com/read/38306643/intraoperative-neuromonitoring-potentials-and-evidence-of-preserved-neuronal-circuitry-below-the-anatomical-and-functional-level-in-patients-with-complex-spinal-dysraphism-undergoing-detethering-reoperations
#23
JOURNAL ARTICLE
Margaret McGrath, Sananthan Sivakanthan, Sharon Durfy, Amy Lee, Samuel Browd, Jason S Hauptman, Richard G Ellenbogen, Gregory A Kinney, Jeffrey G Ojemann, Hannah E Goldstein
OBJECTIVE: Spina bifida represents one of the most common birth defects, occurring in approximately 1-2 children per 1000 live births worldwide. The functional level of patients with spina bifida is highly variable and believed to be correlated with the anatomical level of the lesion. The variable clinical picture is well established, but the correlation with anatomical level and intraoperative neuromonitoring (IONM) data has not been investigated. Furthermore, the potential for preserving function beyond the apparent clinical level has also not been investigated...
February 2, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38285275/diagnostic-utility-of-different-types-of-somatosensory-evoked-potential-changes-in-pediatric-idiopathic-scoliosis-correction-surgery
#24
REVIEW
Vamsi Krishna Gorijala, Rajiv P Reddy, Katherine M Anetakis, Jeffrey Balzer, Donald J Crammond, Varun Shandal, Jeremy D Shaw, Michelle R Christie, Parthasarathy D Thirumala
PURPOSE: To evaluate the diagnostic accuracy of intraoperative somatosensory evoked potential (SSEP) monitoring and types of SSEP changes in predicting the risk of postoperative neurological outcomes during correction surgery for idiopathic scoliosis (IS) in the pediatric age group (≤ 21 years). METHODS: Database review was performed to identify literature on pediatric patients with IS who underwent correction with intraoperative neuromonitoring...
January 29, 2024: European Spine Journal
https://read.qxmd.com/read/38273786/feasibility-of-saphenous-nerve-somatosensory-evoked-potential-intraoperative-monitoring-during-lumbar-spine-surgery-early-results
#25
JOURNAL ARTICLE
Sydney Rucker, Nishtha Singh, Eric Mai, Tomoyuki Asada, Pratyush Shahi, Kristin Mercado, Dora Leung, Sravisht Iyer, Ronald Emerson, Sheeraz A Qureshi
STUDY DESIGN: Retrospective review. OBJECTIVE: Assess the feasibility of saphenous nerve somatosensory evoked potentials (SN-SSEP) monitoring in lumbar spine surgeries. BACKGROUND CONTEXT: SN-SSEPs have been proposed for detecting lumbar plexus and femoral nerve injury during lateral lumbar surgery where tibial nerve (TN)SSEPs alone are insufficient. SN-SSEPs may also be useful in other types of lumbar surgery, as stimulation of SN below the knee derives solely from the L4 root and provides a means of L4 monitoring, whereas TN-SSEPs often do not detect single nerve root injury...
January 26, 2024: Spine
https://read.qxmd.com/read/38240816/predictive-value-of-facial-motor-evoked-potential-and-electromyography-for-facial-motor-function-in-vestibular-schwannoma-surgery
#26
JOURNAL ARTICLE
Kathrin Machetanz, Martin Roegele, Marina Liebsch, Linda Oberle, Eliane Weinbrenner, Mykola Gorbachuk, Sophie S Wang, Marcos Tatagiba, Georgios Naros
PURPOSE: Intraoperative neuromonitoring (IONM) aims to preserve facial nerve (FN) function during vestibular schwannoma (VS) surgery. However, current techniques such as facial nerve motor evoked potentials (FNMEP) or electromyography (fEMG) alone are limited in predicting postoperative facial palsy (FP). The objective of this study was to analyze a compound fEMG/FNMEP approach. METHODS: Intraoperative FNMEP amplitude and the occurrence of fEMG-based A-trains were prospectively determined for the orbicularis oris (ORI) and oculi (OCU) muscle in 322 VS patients...
January 19, 2024: Acta Neurochirurgica
https://read.qxmd.com/read/38232584/cost-benefit-analysis-of-intraoperative-neuromonitoring-for-cardiac-surgery
#27
JOURNAL ARTICLE
Bhav Jain, Faraan O Rahim, Parthasarathy D Thirumala, Michael L McGarvey, Jeffrey Balzer, Raul G Nogueira, David N van der Goes, Adam de Havenon, Ibrahim Sultan, John Ney
BACKGROUND: Intraoperative neuromonitoring (IONM) can detect large vessel occlusion (LVO) in real-time during surgery. The aim of this study was to conduct a cost-benefit analysis of utilizing IONM among patients undergoing cardiac surgery. METHODS: A decision-analysis tree with terminal Markov nodes was constructed to model functional outcome, as measured via the modified Rankin Scale (mRS), among 65-year-old patients undergoing cardiac surgery. Our cost-benefit analysis compares the use of IONM (electroencephalography and somatosensory evoked potential) against no IONM in preventing neurological complications from perioperative LVO during cardiac surgery...
January 12, 2024: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/38221840/assessing-neurologic-complications-in-thoracic-three-column-osteotomy-a-clinical-application-of-a-novel-mri-based-classification-approach
#28
JOURNAL ARTICLE
Yuan-Shun Lo, Ben-Long Shi, Erh-Ti Ernest Lin, Chen-Wei Yeh, Chun-Hao Tsai, Hsien-Te Chen, Ze-Zhang Zhu, Yong Qiu
STUDY DESIGN: Retrospective comparative study. OBJECTIVE: To investigate the occurrence of neurologic complications in patients undergoing thoracic three-column osteotomy (3CO) utilizing an MRI-based classification that assesses spinal cord shape and the presence of cerebrospinal fluid (CSF) at the curve apex, and evaluate its prognostic capacity for postoperative neurologic deficits. SUMMARY OF BACKGROUND DATA: Recent advancements in correction techniques have improved outcomes for severe spinal deformity patients undergoing 3CO...
January 15, 2024: Spine
https://read.qxmd.com/read/38206297/the-impact-of-intraoperative-neural-monitoring-during-papillary-thyroid-cancer-surgery-on-completeness-of-thyroidectomy-and-thyroglobulin-response-a-propensity-score-matched-study
#29
JOURNAL ARTICLE
Yalin Iscan, Berke Sengun, Irem Karatas, Hasan Berke Atalay, Ismail Cem Sormaz, Semen Onder, Gulcin Yegen, Hulya Hacisahinogullari, Fatih Tunca, Yasemin GilesSenyurek
BackgroundIntraoperative neural monitoring (IONM) has been utilized for a variety of thyroid pathologies, including papillary thyroid carcinoma (PTC). Remnant thyroid tissue following total thyroidectomy (TT) in patients with PTC is associated with increased recurrence. The aim of this study is to investigate whether the use of IONM in PTC surgery has an impact on the completeness of thyroidectomy.MethodsRetrospectively, patients with preoperative diagnosis of PTC, who underwent TT in a tertiary center were reviewed...
January 11, 2024: Acta Chirurgica Belgica
https://read.qxmd.com/read/38201539/multimodal-intraoperative-neurophysiological-monitoring-in-intramedullary-spinal-cord-tumors-a-10-year-single-center-experience
#30
JOURNAL ARTICLE
Maria Pia Tropeano, Zefferino Rossini, Andrea Franzini, Gabriele Capo, Simone Olei, Mario De Robertis, Daniela Milani, Maurizio Fornari, Federico Pessina
OBJECTIVE: The study aimed at evaluating the efficacy and the ability of D-wave monitoring combined with somatosensory evoked potentials (SSEPs) and motor evoked potentials (MEPs) to predict functional outcomes in intramedullary spinal cord tumor (IMSCT) surgery. METHODS: Between December 2011 and December 2020, all patients harboring IMSCT who underwent surgery at our institution were prospectively collected in a surgical spinal registry and retrospectively analyzed...
December 25, 2023: Cancers
https://read.qxmd.com/read/38171486/an-overview-of-recent-advances-in-anterior-cervical-decompression-and-fusion-surgery
#31
JOURNAL ARTICLE
Marco Battistelli, Filippo Maria Polli, Quintino Giorgio D'Alessandris, Manuela D'Ercole, Alessandro Izzo, Alessandro Rapisarda, Nicola Montano
Anterior cervical diskectomy and fusion (ACDF) has evolved significantly in the last few years with the aim of enhancing effectiveness and safety while reducing hospitalization and healthcare-related costs. Transitioning from iliac crest autografts to allografts minimizes donor-site complications like pain, infections, and hematoma. Allograft options, such as polyetheretherketone (PEEK) and tantalum, vary in their osteoinductive properties and elastic modulus, influencing fusion rates, time, and the rate of subsidence...
December 29, 2023: Surgical Technology International
https://read.qxmd.com/read/38159987/evaluation-of-intraoperative-neural-monitoring-during-thoracoscopic-surgery-for-esophageal-cancer
#32
JOURNAL ARTICLE
Shigeru Lee, Yushi Fujiwara, Ken Gyobu, Tatsuro Tamura, Takahiro Toyokawa, Yuichiro Miki, Mami Yoshii, Hiroaki Kasashiima, Tatsunari Fukuoka, Masatsune Shibutani, Harushi Osugi, Kiyoshi Maeda
BACKGROUND/AIM: Recurrent laryngeal nerve paralysis (RLNP) induces aspiration pneumonia and reduces the patient's quality of life. To decrease the incidence of RLNP, we performed intraoperative neural monitoring (IONM) during thoracoscopic surgery for esophageal cancer and evaluated its usefulness. PATIENTS AND METHODS: A total of 737 consecutive patients who underwent thoracoscopic surgery for esophageal cancer were enrolled in this study. Between May 1995 and March 2016, thoracoscopic esophagectomies were performed using video-assisted thoracoscopic surgery (VATS) with a small incision, whereas from April to June 2023, we used positive pressure pneumothorax with port placement only [minimum invasive esophagectomy (MIE)]...
January 2024: Anticancer Research
https://read.qxmd.com/read/38153448/methods-and-principles-of-the-intraoperative-neurophysiologic-monitoring-in-neurosurgery
#33
JOURNAL ARTICLE
Michele Di Domenico, Diana Viola, Alessandro Izzo, Manuela D'Ercole, Francesco Signorelli, Nicola Montano, Massimiliano Visocchi
Intraoperative neurophysiologic monitoring (IONM) is an innovation introduced in neurosurgery in the past decades. It aims to support and guide the neurosurgeon to obtain the best surgical result possible, preventing the occurrence of neurological deficits. The somatosensory evoked potentials (SSEP) assess the integrity of the sensory pathways monitoring the dorsal column-medial lemniscus pathway during spine and cerebral surgery. Motor evoked potentials (MEPs) provide information on the integrity of the motor pathway monitoring the efferent motor pathways from the motor cortex to the muscle through corticospinal (or corticobulbar) tracts...
2023: Acta Neurochirurgica. Supplement
https://read.qxmd.com/read/38149147/multimodal-intraoperative-neurophysiological-monitoring-in-cranial-and-spinal-tumour-surgeries-a-descriptive-observational-study
#34
JOURNAL ARTICLE
Sangeeta Gupta, Saquib A Siddiqui, Upasna Sinha, Gaurav Gupta
Intraoperative neurophysiological monitoring (IONM) involves monitoring the functional integrity of critical brain regions and pathways as well as identifying and preserving functionally viable neural tissues (mapping) during surgery using electrophysiological techniques. Multimodality combines various neurophysiological techniques to optimise diagnostic effectiveness and to improve the outcomes of the surgeries. The present study is a case series with comprehensive and illustrative descriptions of the neurophysiological changes in five neuromonitored cases of cranial and spinal cord tumour surgeries conducted with a multimodal approach...
November 2023: Curēus
https://read.qxmd.com/read/38130395/intraoperative-cricothyroid-muscle-electromyography-may-contribute-to-the-monitorization-of-the-external-branch-of-the-superior-laryngeal-nerve-during-thyroidectomy
#35
JOURNAL ARTICLE
Nurcihan Aygun, Mehmet Taner Unlu, Mehmet Kostek, Ozan Caliskan, Adnan Isgor, Mehmet Uludag
BACKGROUND: In thyroid surgery, both the recurrent laryngeal nerve (RLN) and external branch of the superior laryngeal nerve (EBSLN) should be preserved for maintaining the vocal cord functions. We aimed to evaluate whether EMG of the CTM applied after the superior pole dissection provided additional informative data to the IONM via ETT or not, regarding the EBSLN function. METHODS: The prospectively collected data of the patients, who have undergone thyroidectomy with the use of IONM for the exploration of both the RLN and EBSLN between October 2016 and March 2017, were evaluated retrospectively...
2023: Frontiers in Endocrinology
https://read.qxmd.com/read/38129344/continuous-intraoperative-neuromonitoring-of-the-facial-nerve-predicts-postoperative-facial-palsy-in-parotid-surgery-a-prospective-study
#36
JOURNAL ARTICLE
Petar Stanković, Stephan Hoch, Boris A Stuck, Thomas Wilhelm
PURPOSE: Facial palsy (FP) is the most significant complication of parotidectomy. Currently, the use of intermittent intraoperative neuromonitoring (iIONM) in parotid surgery facilitates nerve detection, which is paramount to nerve protection. Continuous IONM (cIONM), as applied in thyroid surgery, enables real-time information on electrophysiological nerve status through continuous nerve stimulation, thereby allowing consequent amplitude analysis. To date, the application of cIONM in parotid surgery has not been noted in literature...
December 21, 2023: European Archives of Oto-rhino-laryngology
https://read.qxmd.com/read/38113562/clinical-utility-of-intraoperative-direct-wave-monitoring-in-patients-with-pre-operative-motor-deficits-case-series
#37
JOURNAL ARTICLE
Shyam Duvuru, Vivek Sanker, Maneeth Mylavarapu, Sejal Lund, Rahul Jena, Tirth Dave
INTRODUCTION AND IMPORTANCE: D-wave (Direct waves) are Motor Evoked Potentials (MEPs) generated by a single transcranial stimulation and captured by attaching an epidural recording electrode caudal to the vulnerable area. Intraoperative neurophysiologic monitoring (IONM) is widely used in neurosurgery to recognize important neurological structures but can be challenging in the pediatric population due to incomplete neural development. CASE PRESENTATION: Case 1: A 48-year-old female presented to the outpatient department with complaints of difficulty walking for the past six months, numbness and weakness in bilateral lower limbs with recurrent falls for the past 1 month...
December 15, 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38095022/clinical-validation-of-nervetrend-versus-conventional-i-ionm-mode-of-nim-vital-in-prevention-of-recurrent-laryngeal-nerve-events-during-bilateral-thyroid-surgery-a-randomized-controlled-trial
#38
RANDOMIZED CONTROLLED TRIAL
Marcin Barczyński, Aleksander Konturek
BACKGROUND: The aim of this study was to test the hypothesis that use of NerveTrend™ mode of intermittent neuromonitoring (i-IONM) during thyroidectomy may identify and prevent impending recurrent laryngeal nerve (RLN) injury. METHODS: A randomized clinical trial. The primary outcome was prevalence of RLN injury on postoperative day 1. In NerveTrend™ group the i-IONM stimulator was used for trending of amplitude and latency changes from initial vagal electromyographic baseline to tailor surgical strategy...
March 2024: Head & Neck
https://read.qxmd.com/read/38091118/preventative-strategies-for-low-anterior-resection-syndrome
#39
JOURNAL ARTICLE
H Brock, L Lambrineas, H I Ong, W Y Chen, A Das, A Edsell, D Proud, E Carrington, P Smart, H Mohan, A Burgess
BACKGROUND: A common and debilitating complication of low anterior resection for rectal cancer is low anterior resection syndrome (LARS). As a multifactorial entity, LARS is poorly understood and challenging to treat. Despite this, prevention strategies are commonly overlooked. Our aim was to review the pathophysiology of LARS and explore current evidence on the efficacy and feasibility of prophylactic techniques. METHODS: A literature review was performed between [1st January 2000 to 1st October 2023] for studies which investigated preventative interventions for LARS...
December 13, 2023: Techniques in Coloproctology
https://read.qxmd.com/read/38089613/recurrent-laryngeal-never-monitoring-versus-non-monitoring-in-parathyroid-surgery
#40
JOURNAL ARTICLE
Yongliang Mu, Xuehai Bian, Junjie Yang, Yang Li, Yushuai Zhang, Gianlorenzo Dionigi, Yishen Zhao, Hui Sun
BACKGROUND: Although intraoperative neural monitoring (IONM) is well established in thyroid surgery, it is less commonly analyzed in parathyroid operations. This study presents the results of IONM for primary and secondary hyperparathyroidism surgery. METHODS: We retrospectively assessed 270 patients with primary hyperparathyroidism (PHPT), 53 patients with secondary hyperparathyroidism (SHPT), and 300 patients with thyroid cancer from June 2010 to June 2022 in one hospital in China...
2023: Frontiers in Endocrinology
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