Intraoperative neurophysiological monitoring indications
Multimodal intraoperative neuromonitoring (IONM) is recommended as an effective way to avoid permanent neurologic injury during surgical procedures 1).
A meta-analysis was not possible due to the heterogeneity of the studies.
Eighteen recommendations were issued and will support the adequate use of the IONM 2).
During the last 20 years several less-invasive anterior approaches to the lumbar spine have become standard, including the extreme Lateral retroperitoneal transpsoas approach. Although it is associated with a lower risk of vascular injury compared with anterior midline approaches, neuromonitoring is considered mandatory to avoid neurologic complications.
Somatosensory evoked potentials indications
Intraoperative Neurophysiological Monitoring in Spine Surgery
Intraoperative neurophysiological monitoring for Skull base tumor surgery
Intraoperative monitoring for microvascular decompression
Epilepsy surgery
1)
Grosland JO, Todd MM, Goldstein PA. Neuromonitoring in the ambulatory anesthesia setting: a pro-con discussion. Curr Opin Anaesthesiol. 2018 Dec;31(6):667-672. doi: 10.1097/ACO.0000000000000654. PMID: 30124541.
2)
Maza-Krzeptowsky LC, Romero-Esquiliano G, Ramírez-Segura EH, Obieta-Cruz E,
Vega-Sosa A, Cárdenas-Mejía A, Juan-Orta DS, Castillo-Herrera M, Aguilar-Castillo
SJ, Ávila-Ordóñez MU, Cordero-Guzmán LM, Escobar-Cedillo RE, Fraire-Martínez MI,
Franco-Lira MO, González-Jaime JJ, Paz-Navarro CE, Ramos-Peek JN,
Shkurovich-Bialik P, Silva-Cerecedo P, Tello-Valdés CA, Zavala-Reina ÁA,
López-Rodríguez J, Sosa-García O. [Implementation of intraoperative
neurophysiologic monitoring in children and adults in secondary and tertiary
health care facilities]. Cir Cir. 2018;86(2):132-139. doi:
10.24875/CIRU.M18000021. Spanish. PubMed PMID: 29809190.