Intra-Operative NeuroMonitoring (IONM) Services

• Brain Aneurysms
  
• Brainstem Tumours
  
• Cortical Tumours
  
• Microvascular Decompression of V and VII Cranial Nerves
  
• Acoustic Neuromas
  
• Rhizotomy Procedures
  
• Arnold-Chiari Malformations
  
• Spinal cord Stimulator Placement
  
• Epilepsy Cortical Lesioning Procedure

• Cervical Fusion
  
• Lumbar Fusion
  
• Thoracic Fusion
  
• Peripheral Nerve Exploration and Repair
  
• Spinal Cord Tumors
  
• Spinal Deformity
  
• Scoliosis
  
• Kyphosis

• Acetabular Fractures
  
• Total Hip Replacement and Revision

• Carotid Endarterectomy
  
• Abdominal Aortic Aneurysm
  
• Descending and Ascending Aortic Aneurysms

• Thyroid and Parathyroid Procedures

• Transcranial Motor Evoked Potentials
  
• Somatosensory Evoked Potentials
  
• Electroencephalography
  
• Triggered EMG
  
• Free-run EMG

• Cortical Mapping
  
• Auditory Evoked Potentials
  
• Visual Evoked Potentials
  
• D and I Wave Recording

IONM promotes early warning of neural function should it become impaired or injured. This allows the surgeon to initiate immediate intervention. It can be helpful in identifying distorted anatomy from tumours, lesions and degenerative disease. IONM can also be useful during intubation and positioning of patients with spinal instability. Another benefit of IONM is the ability to assess anaesthesia depth as well as whether the patient has systemic complications.