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July 26, 2026The Egyptian Journal of Neurology Psychiatry and NeurosurgeryOpen Access

The usefulness of multimodal intraoperative neurophysiologic monitoring during brain or spine surgeries

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Authors

MIMohamed Hassan ImamWEWaleed Fawzy ElsaadanyMHMarwa Mohamed Hassan

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Overview

Prospective study evaluates multimodal monitoring effectiveness in preventing neurological deficits in surgeries, indicating its value.

Key Points

  • To assess the effectiveness of multimodal intraoperative neurophysiologic monitoring (mIONM) during brain and spine surgeries.
  • Prospective observational cohort study with 50 patients aged ≥ 12 years undergoing cranial or spinal surgery.
  • Monitored somatosensory evoked potentials, transcranial motor evoked potentials, and electromyography based on surgical indication.
  • Primary outcome was new postoperative neurological deficit within 72 hours.
  • High sensitivity of 97.73% for combined SSEP, MEP, and EMG in predicting neurological outcomes.
  • Specificity measured at 83.33% for the same modalities.
  • Strong predictive values for combined mIONM modalities regarding postoperative deficits.

Cite This Study

Imam et al. (2026) studied this question.

synapsesocial.com/papers/6a65a7b4d3aea3239cd7856dhttps://doi.org/10.1186/s41983-026-01207-z
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Intraoperative Neurophysiological Monitoring in Neurosurgery2024 · 67 citations
  2. 2Accuracy of Intraoperative Neuromonitoring in the Diagnosis of Intraoperative Neurological Decline in the Setting of Spinal Surgery—A Systematic Review and Meta-Analysis2024 · 32 citations
  3. 3Intraoperative Neuromonitoring in Spine Surgery2023 · 4 citations
  4. 4The Cutoff Amplitude of Transcranial Motor Evoked Potentials for Transient Postoperative Motor Deficits in Intramedullary Spinal Cord Tumor Surgery2014 · 63 citations
  5. 5Exploring the utility of neuro-monitoring in neurosurgery2021 · 3 citations