Intraoperative neurophysiological monitoring in surgery for intramedullary spinal cord lesions – workflow, setup and outcomes
Live data from continuous intraoperative neurophysiological monitoring, expertly interpreted in the OR, could potentially be used to make surgical and anesthesiologic adjustments with the goal of minimizing the risk of negative neurological outcomes. Significant associations were found between decreased or lost IONM signals and poorer sensorimotor function and mMC score at short- and long-term follow-up. Implementation of the IONM workflow is suggested in all intramedullary surgery.
Authors
- Davit Sargsyan (ORCID: https://orcid.org/0000-0003-1594-6715)
- Victor E. Staartjes (ORCID: https://orcid.org/0000-0003-1039-2098)
- Erik Edström (ORCID: https://orcid.org/0000-0002-8781-1169)
- G. Margaryan
- Tomas Majing
- Alexander Fletcher‐Sandersjöö (ORCID: https://orcid.org/0000-0002-3558-3045)
- Victor Gabriel El-Hajj (ORCID: https://orcid.org/0000-0001-9479-761X)
- Aman Singh (ORCID: https://orcid.org/0000-0001-6972-5032)
- Henrik Frisk (ORCID: https://orcid.org/0000-0001-7317-1554)
- Adrian Elmi‐Terander (ORCID: https://orcid.org/0000-0002-3776-6136)
- Ali Buwaider (ORCID: https://orcid.org/0009-0000-1966-7911)
- Jonas K. E. Persson
- Oscar Persson
Institutions
- Uppsala University (SE)
- Johnson & Johnson (United States) (US)
- Karolinska University Hospital (SE)
- University of Zurich (CH)
- Örebro University (SE)
- Karolinska Institutet (SE)
- University Hospital of Zurich (CH)
Publication Details
- Journal
- Acta Neurochirurgica
- Published
- 2025-10-24
- DOI
- https://doi.org/10.1007/s00701-025-06697-z
- Citations
- 1
- Primary Topic
- Intraoperative Neuromonitoring and Anesthetic Effects
- Type
- article
- Field-Weighted Citation Impact
- 2.01