{"id":16727,"date":"2023-03-13T13:27:06","date_gmt":"2023-03-13T12:27:06","guid":{"rendered":"https:\/\/neurologiaclinica.es\/units\/intraoperative-monitoring-unit\/"},"modified":"2025-04-16T17:29:23","modified_gmt":"2025-04-16T15:29:23","slug":"intraoperative-monitoring-unit","status":"publish","type":"page","link":"https:\/\/neurologiaclinica.es\/en\/units\/intraoperative-monitoring-unit\/","title":{"rendered":"Intraoperative Monitoring Unit"},"content":{"rendered":"\t\t
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Intraoperative Monitoring Unit<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\t\tDr. Mar\u00eda del Mar Santiago Sanz\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t<\/a>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t
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Neurophysiologist.
\nIntraoperative Neurophysiological Monitoring Unit <\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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WHAT <\/strong>MONITORING IS<\/strong>\u00d3<\/strong>N NEUROPHYSIOLOGY<\/strong>\u00d3<\/strong>GIC INTRAOPERATIVE MONITORING?<\/strong><\/p>

It is a set of techniques used in a standardized way, during surgical procedures in which the different nerve structures are at risk of injury. MNIO is performed in an individualized manner, depending on the particularities of the patient as well as the surgical procedure, and in a complete manner, for which different neurophysiological techniques are used, which is known as multimodal MNIO. Multimodality integrates monitoring<\/strong> as a technique of control and continuous functional evaluation of the nerve structures and mapping<\/strong> as a technique of identification and localization of nerve and non-nerve anatomical structures. <\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\u00bf<\/span><\/b><\/span>CU<\/span><\/b><\/span>\u00c1<\/span><\/b><\/span>HAT ARE OUR <\/span><\/b><\/span>OBJECTIVES?<\/span><\/b><\/span><\/b><\/p>

The main objective of the MNIO is to <\/span><\/span>preserve<\/span>r<\/span><\/b><\/span> <\/b>anatomical integrity<\/span><\/span>\u00f3<\/span><\/span>mica <\/span><\/span>y <\/span><\/span>functional of the nervous system and its components<\/span><\/span>. <\/span><\/span>Injuries that occur can be caused by surgical maneuvers, such as<\/span><\/span>\u00fa<\/span><\/span>The<\/span><\/span>\u00ed <\/span><\/span>as physiological events<\/span><\/span>\u00f3<\/span><\/span>The use of the product in the production<\/span><\/span>\u00f3<\/span><\/span>The nerve structures.<\/span><\/span><\/p>

In some cases, the distortion of the<\/span><\/span>\u00f3<\/span><\/span>n anat<\/span><\/span>\u00f3<\/span><\/span>The surgeon is faced with an unforeseeable challenge, and the interpretation of the surgical technique is fundamental.<\/span><\/span>\u00f3<\/span><\/span>The real-time monitoring of the monitored variables to modify the operating strategy.<\/span><\/span>\u00fa<\/span><\/span>and, in its absence, to support<\/span><\/span>\u00ed<\/span><\/span>to more efficient maneuvering.<\/span><\/span>\u00e1<\/span><\/span>The most aggressive treatments with the certainty of avoiding subsequent sequelae. Therefore, the identification of the <\/span><\/span>\u00f3<\/span><\/span>n anatomical<\/span><\/span>\u00ed<\/span><\/span>The anatomy and function of a nerve structure and its integrity is a desirable goal of MNIO.<\/span><\/span><\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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The surgeon must know, to the best of his knowledge, how to<\/span>\u00f3<\/span>The surgeon must know, as closely as possible, the prognosis of the patient.<\/span>\u00f3<\/span>The surgeon must know, as closely as possible, the short and long term prognosis that is estimated when alterations occur during surgery.<\/span>\u00ed<\/span>a. In this way, postoperative management is adapted to each patient in the most appropriate way.<\/span>\u00e1<\/span>more effectively.<\/span> <\/span><\/p>

Recognize <\/span><\/b>and avoid <\/span><\/b> injury<\/span><\/span>\u00f3<\/span>The nervous system. Enabling the surgeon to change his strategy and anticipate the lesion. <\/span>Irreversible damage<\/span>.<\/span> <\/span><\/p>

Confirm<\/span><\/b> <\/b>that the strategy will<\/span>\u00fa<\/span>The surgical technique is appropriate. Encouraging the surgeon to perform a <\/span>intervention<\/span>\u00f3<\/span>n m<\/span><\/span>\u00e1<\/span>s <\/span>or, on the contrary, to limit it.<\/span> <\/span><\/p>

Document<\/span><\/b> the exact moment at which an injury occurs.<\/span>\u00f3<\/span>possible<\/span>possible <\/span>irreversible<\/span>with <\/span>2 advantages:<\/span><\/p>

\u25cf <\/span><\/span>The retrospective understanding of the mechanisms of the injury<\/span><\/b>\u00f3<\/span><\/b>n<\/span><\/b><\/p>

\u25cf <\/span><\/span>The adjustment of the quir strategy<\/span><\/b>\u00fa<\/span><\/b>The adjustment of the surgical strategy in the future<\/span><\/b><\/p>

<\/span><\/b>“<\/span>Predict<\/span><\/b>“<\/span><\/b> the <\/span>pron<\/span>\u00f3<\/span>stico neurological<\/span>\u00f3<\/span>gic prognosis, improving the clinical management<\/span>\u00ed<\/span>postoperative clinical management of the patient.<\/span> <\/span><\/p>

One objective of the MNIO that we must not forget is the source of information for the<\/span>\u00f3<\/span>It is a source of information for new studies.<\/span>s<\/span> research studies.<\/span>\u00f3<\/span>and advances <\/span>in the <\/span>\u00e1<\/span>and advances in the medical field.<\/span>\u00e9<\/span>medical surgery<\/span>\u00fa<\/span>rgical.<\/span><\/p>

The quality of care of this service must be<\/span> be at the highest level<\/span><\/span>\u00e1<\/span>The quality of care in this service must be at the highest national and international competitive level, and the MNIO, with its high performance, must be able to provide the highest quality of care. <\/span>\u00f3<\/span>The MNIO with optimal performance guarantees this purpose.<\/span>\u00f3<\/span>sito.<\/span><\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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MNIO is indicated in surgeries in which there is a risk of involvement of the central nervous system and the peripheral nervous system both directly as in spinal tumors, and indirectly in arteriovenous malformations, for example.<\/p>\n

We have extensive experience in both pediatric and adult care, so care is comprehensive and not limited in this regard.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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The following is a list of the most frequent pathologies and procedures for which MNIO is indicated and which could be treated by our team:<\/p>\n

Cirug<\/strong>\u00ed<\/strong>Brain surgery<\/strong><\/p>\n