The clinical practice of intraoperative neurophysiological monitoring in Shanghai Huashan Hospital

Abstract

Intraoperative neurophysiological monitoring (IONM) is the gold standard of the intraoperative functional brain mapping. It employs various electrophysiological methods such as awake craniotomy, intraoperative somatosensory and motor evoked potentials monitoring, intraoperative cortical stimulation and sub⁃cortical stimulation to accurately map the cortical and sub⁃cortical nervous pathways so that the continuous assessment and real ⁃ time protection of the functional integrity of certain neural structures can be achieved during surgery. Based on decades of clinical practice, the Department of Neurosurgery of Shanghai Huashan Hospital has set up an "IONM clinical practice guideline" used in the institute. The clinical practice guideline covers technical and operation standards of IONM in all kinds of common neurosurgery diseases and does improve the clinical efficacy in neurosurgical procedures. DOI：10.3969/j.issn.1672⁃6731.2012.06.007

Keywords

• Electrophysiology
• Monitoring, intraoperative
• Brain diseases
• Neurosurgical procedures
• Reference standards