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Intraoperative neurophysiological monitoring (IONM) or intraoperative neuromonitoring is the use of electrophysiological methods such as electroencephalography (EEG), electromyography (EMG), and evoked potentials to monitor the functional integrity of certain neural structures (e.g., nerves, spinal cord and parts of the brain) during surgery.
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[6] [7] [8] The test is non-invasive and can be performed in an outpatient clinic or hospital setting. The nerve conduction study is often combined with needle electromyography. The Department of Health and Human Services Inspector General recently identified the use of NCSs without a needle electromyography at the same time a sign of ...
EMG testing has a variety of clinical and biomedical applications. Needle EMG is used as a diagnostics tool for identifying neuromuscular diseases, [5] or as a research tool for studying kinesiology, and disorders of motor control. EMG signals are sometimes used to guide botulinum toxin or phenol injections into muscles. Surface EMG is used for ...
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Clinical neurophysiology, is a broader field that includes EEG, intraoperative monitoring, nerve conduction studies, EMG and evoked potentials. [10] The American Board of Psychiatry and Neurology provides certification examination in clinical neurophysiology. The American Board of Electrodiagnostic Medicine provides certification in EDX ...
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