Intraoperative Neuromonitoring (IOM)

describes different procedures, where the integrity of nerves and neural paths or brain function is monitored during surgical interventions.

Intraoperative Neuromonitoring

IOM is performed during interventions where motor or sensory nerves are at  risk. IOM helps the surgeon to identify and thus to protect nerve structures.

There are two methods of intraoperative monitoring:

1. Continuous Monitoring:

e. g. by optic and acoustic continuous EMG monitoring of motor nerves or by continuous monitoring of latency and amplitude of evoked potentials.

2. Localisation Techniques

e. g. electrical stimulation and identification of motor nerves, and recording of muscle answer potential (MAP) or direct cortical stimulation and identification motor and eloquent areas (motor or speech mapping) as well as identification of the central sulcus with phase reversal SEP.   

Following factors play a major role:

  1. communication with the operator
  2. correct interpretation of neurophysiological information
  3. correct equipement

inomed offers not only the appropriate products but also adequate trainings in courses and workshops.

For further information, click on the following links:  

Devices for Intraoperative Neuromonitoring

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Modulable IOM system for intraoperative neurophysiological monitoring for different surgical fields >

NeMo NeuroMonitor

High-end Neuromonitor for universal applications in surgery with EMG, AEP and SEP functions  >

Compact nerve monitor with 4 or 8 channels for daily use in OR >

Show all products for intraoperative neuromonitoring >

 

Application Fields for Intraoperative Neuromonitoring

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Neuromonitoring during Surgery

  • Thyroid Surgery
  • Carotid Surgery
  • Mediastinoscopy
  • Thoracoabdominal Aorta Aneurysm Surgery (TAAA)
  • Perineal Anal Plastic during Paediatric Surgery

Neuromonitoring in Ear, Nose and Throat Medicine (ENT)

  • Parotid Surgery
  • Acoustic Neurinoma
  • Thyroid Surgery
  • Larynx Diagnosis

Neuromonitoring in General Neurosurgery

  • Cerebral Aneurysm
  • Interventions in Supratentorial Areas
  • Interventions at the Posterior Cranial Fossa
  • Acoustic Neurinoma
  • Spinal Tumors and Malformations
  • Plexus Surgery
  • Spinal Column Stabilisation
  • Dreztomy
  • Selective Dorsal Rhizotomy
  • Epilepsy

Neuromonitoring during Spinal Surgery

  • Surgery of the Vertebral Column
  • Opened and Percutaneous Pedicle Screw Placement
  • Minimally Invasive Surgery of Intervertebral Discs