Multimodal intraoperative neurophysiological monitoring, tailored to each procedure and patient.
Multimodal monitoring enhances accuracy — each technique interrogates a different pathway, and together they leave far fewer blind spots. Below are some of our core modalities; we select and combine techniques to suit each procedure and patient.
Continuous recording of cortical electrical activity to track cerebral function and perfusion.
Spontaneous and triggered recordings from muscles to detect nerve root and cranial nerve irritation.
Assessing the integrity of the sensory pathways from the limbs through the spinal cord to the cortex.
Transcranial stimulation to verify the function of the descending motor pathways in real time.
Recording of the descending corticospinal volley via an epidural or subdural electrode — a direct measure of motor tract integrity, particularly valuable in intramedullary spinal cord surgery.
We apply further techniques as each case requires. Tell us about your procedure and we'll tailor the monitoring plan.