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Neurophysiologic intraoperative monitoring (IOM) is used during surgeries in which there is risk of injury to the nervous system. Many neurophysiologic modalities, including EEG, EMG, nerve conduction, and brainstem auditory evoked potentials, somatosensory evoked potentials (SEP), and motor evoked potentials (MEP), are routinely used for IOM. A recent guideline on IOM noted that SEP and MEP monitoring in spinal surgeries is effective in predicting an increased risk of neurologic complications.1 However, there remains concern that IOM is overused, not necessary, and adds to expense of surgery.2
Footnotes
Study funding: No targeted funding reported.
Disclosure: Dr. Husain has served on Scientific Advisory Boards for Sage Pharma, Marinus Pharma, UCB Pharma, and Jazz Pharma; has received funding for travel and/or speaker honoraria from UCB Pharma and Jazz Pharma; has served as Editor of Journal of Clinical Neurophysiology; receives publishing royalties from Demos Publishing for A practical Approach to Neurophysiologic Intraoperative Monitoring; is employed by the Veterans Affairs Medical Center; has served on Speakers' Bureaus for UCB Pharma and Jazz Pharma; performs NIOM as part of his practice at Duke University Medical Center, Durham, NC; and has received research support from UCB Pharma and the American Epilepsy Society. Go to Neurology.org for full disclosures.
- © 2015 American Academy of Neurology
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