Monitoring across a wide spectrum of procedures
Procedure Types
Brain Surgery
Cranial
- Supratentorial & skull-base tumour resection
- Posterior fossa & brainstem tumours
- Acoustic neuroma / vestibular schwannoma
- Intracranial aneurysm clipping
- Arteriovenous malformation (AVM) excision
- Microvascular decompression
Functional
- Awake craniotomy with speech & motor mapping
- Epilepsy surgery with ECoG
- Eloquent-cortex tumour resection
- Chiari malformation decompression
Spine Surgery
Cervical
- Anterior cervical discectomy & fusion (ACDF)
- Cervical corpectomy with instrumentation
- Posterior cervical decompression & fusion
- Laminoplasty
Thoracic
- Scoliosis & kyphosis deformity correction
- Thoracic corpectomy & fusion
- Spinal cord tumour / AVM
- Thoracic laminectomy with instrumentation
Lumbar & Sacral
- TLIF / PLIF / lateral interbody fusion
- Pedicle screw fixation
- Minimally invasive spine surgery
- Tethered cord release
- Sacral tumour excision
Other Specialties
ENT / Head & Neck
- Thyroidectomy (recurrent laryngeal nerve)
- Parotidectomy (facial nerve)
- Mastoidectomy & cochlear implant
- Skull-base surgery
Vascular & Cardiothoracic
- Carotid endarterectomy
- Thoracoabdominal aortic aneurysm repair
- Procedures under hypothermic circulatory arrest
Orthopaedic & Peripheral Nerve
- Brachial plexus exploration & repair
- Peripheral nerve decompression & repair
- Hip & limb deformity surgery
What we monitor
Comprehensive IONM Services
A complete multimodal toolkit, selected for each case in consultation with the operating surgeon and anaesthetist.
Evoked Potentials
- TcMEP — Transcranial Motor Evoked Potentials
- SSEP — Somatosensory Evoked Potentials
- BAEP — Brainstem Auditory Evoked Potentials
- VEP — Visual Evoked Potentials
- D-wave Monitoring
EMG & Nerve Monitoring
- EMG — Free-run & Triggered Electromyography
- Direct Nerve Monitoring
- Pedicle Screw Stimulation
Brain Mapping
- Direct Cortical Stimulation
- Direct Subcortical Stimulation
- Motor Mapping
- Speech Mapping
- Awake Craniotomy Monitoring
EEG & ECoG
- EEG — Electroencephalography
- ECoG — Electrocorticography
Surgical specialties we support
Neurosurgery
Brain tumours, aneurysms, AVMs, skull-base and posterior fossa surgery, epilepsy and awake craniotomy.
Spinal Surgery
Deformity correction, instrumented fusions, intramedullary tumours, tethered cord and minimally invasive spine.
Vascular Surgery
Carotid endarterectomy and aortic procedures where cerebral or spinal cord perfusion is at risk.
Orthopaedic Surgery
Scoliosis, hip and limb procedures with risk to the spinal cord or peripheral nerves.
Cardiovascular Surgery
Thoracoabdominal aortic repair and procedures requiring cerebral and cord monitoring.
Otolaryngology (ENT)
Thyroid, parotid, mastoid and skull-base surgery with facial and recurrent laryngeal nerve monitoring.