Introduction: Intraoperative Neurophysiological Monitoring (IOM) is widely used in neurosurgery but specific guidelines are lacking. Therefore, we can assume differences in IOM application between Neurosurgical centers. Research question: The section of Functional Neurosurgery of the Italian Society of Neurosurgery realized a survey aiming to obtain general data on the current practice of IOM in Italy. Materials and methods: A 22-item questionnaire was designed focusing on: volume procedures, indications, awake surgery, experience, organization and equipe. The questionnaire has been sent to Italian Neurosurgery centers. Results: A total of 54 centers completed the survey. The annual volume of surgeries range from 300 to 2000, and IOM is used in 10-20% of the procedures. In 46% of the cases is a neurologist or a neurophysiologist who performs IOM. For supra-tentorial pathology, almost all perform MEPs (94%) SSEPs (89%), direct cortical stimulation (85%). All centers perform IOM in spinal surgery and 95% in posterior fossa surgery. Among the 50% that perform peripheral nerve surgery, all use IOM. Awake surgery is performed by 70% of centers. The neurosurgeon is the only responsible for IOM in 35% of centers. In 83% of cases IOM implementation is adequate to the request. Discussion and conclusions: The Italian Neurosurgical centers perform IOM with high level of specialization, but differences exist in organization, techniques, and expertise. Our survey provides a snapshot of the state of the art in Italy and it could be a starting point to implement a consensus on the practice of IOM.
The “state of the art” of intraoperative neurophysiological monitoring: An Italian neurosurgical survey / Ricciuti, Riccardo Antonio; Mancini, Fabrizio; Guzzi, Giusy; Marruzzo, Daniele; Dario, Alessandro; Puppa, Alessandro della; Ricci, Alessandro; Barbanera, Andrea; Talacchi, Andrea; Schwarz, Andreas; Germanò, Antonino; Raco, Antonino; Colamaria, Antonio; Santoro, Antonio; Boccaletti, Riccardo; Conti, Carlo; Conti, Carlo; Cenci, Nunzia; Cossandi, Christian; Bernucci, Claudio; Lucantoni, Corrado; Costella, Giovanni Battista; Garbossa, Diego; Zotta, Donato Carlo; De Gonda, Federico; Esposito, Felice; Giordano, Flavio; D'Andrea, Giancarlo; Piatelli, Gianluca; Zona, Gianluigi; Spena, Giannantonio; Tringali, Giovanni; Barbagallo, Giuseppe; Giussani, Carlo; Gladi, Maurizio; Landi, Andrea; Lavano, Angelo; Morabito, Letterio; Mastronardi, Luciano; Locatelli, Marco; D'Agruma, Michele; Lanotte, Michele Maria; Montano, Nicola; Santonocito, Orazio Santo; Pompucci, Angelo; de Falco, Raffaele; Randi, Franco; Bruscella, Sara; Sartori, Ivana; Signorelli, Francesco; Tosatto, Luigino; Trignani, Roberto; Esposito, Vincenzo; Innocenzi, Gualtiero; Paolini, Sergio; Vitiello, Vincenzo; Cavallo, Michele Alessandro; Sala, Francesco. - In: BRAIN AND SPINE. - ISSN 2772-5294. - 4:(2024). [10.1016/j.bas.2024.102796]
The “state of the art” of intraoperative neurophysiological monitoring: An Italian neurosurgical survey
Marruzzo, Daniele;Dario, Alessandro;Raco, Antonino;Santoro, Antonio;Conti, Carlo;Conti, Carlo;Giordano, Flavio;D'Andrea, Giancarlo;Barbagallo, Giuseppe;Locatelli, Marco;Randi, Franco;Paolini, Sergio;Vitiello, Vincenzo;
2024
Abstract
Introduction: Intraoperative Neurophysiological Monitoring (IOM) is widely used in neurosurgery but specific guidelines are lacking. Therefore, we can assume differences in IOM application between Neurosurgical centers. Research question: The section of Functional Neurosurgery of the Italian Society of Neurosurgery realized a survey aiming to obtain general data on the current practice of IOM in Italy. Materials and methods: A 22-item questionnaire was designed focusing on: volume procedures, indications, awake surgery, experience, organization and equipe. The questionnaire has been sent to Italian Neurosurgery centers. Results: A total of 54 centers completed the survey. The annual volume of surgeries range from 300 to 2000, and IOM is used in 10-20% of the procedures. In 46% of the cases is a neurologist or a neurophysiologist who performs IOM. For supra-tentorial pathology, almost all perform MEPs (94%) SSEPs (89%), direct cortical stimulation (85%). All centers perform IOM in spinal surgery and 95% in posterior fossa surgery. Among the 50% that perform peripheral nerve surgery, all use IOM. Awake surgery is performed by 70% of centers. The neurosurgeon is the only responsible for IOM in 35% of centers. In 83% of cases IOM implementation is adequate to the request. Discussion and conclusions: The Italian Neurosurgical centers perform IOM with high level of specialization, but differences exist in organization, techniques, and expertise. Our survey provides a snapshot of the state of the art in Italy and it could be a starting point to implement a consensus on the practice of IOM.File | Dimensione | Formato | |
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