Services for Interventional Neurophysiology

Interventional Neurophysiology at UC San Diego includes surgical and critical care neurophysiology services in many areas of the hospitals. Find out more about interventional neurophysiology.

Surgical Neurophysiology Services

The goal of surgical neurophysiology is to prevent catastrophic complications in brain and spine surgeries (strokes, paraplegia, etc); however, nervous tissue can be protected in many sites throughout the body.

Surgical neurophysiologic techniques can also provide unseen functional information about nervous pathways to actively assist in surgical resection, as in epilepsy and brain tumor surgeries.

Services include:

  • Electromyography (EMG), live feed and evoked, including cranial nerve coverage
  • Somatosensory evoked potentials (SEP)
  • Motor evoked potentials (MEP)
  • Electroencephalography (EEG) and electrocorticography (ECoG)
  • Auditory evoked potentials (BAEP)
  • Awake craniotomy for functional evaluations (language, motor, sensory, memory testing)
  • Other specialized services as requested

For more background, refer to:

  • Kinney GA and Slimp JC. Intraoperative neurophysiological monitoring technology: recent advances and evolving uses. Expert Rev Med Devices 2007; 4:33-41.
  • Sutter M, Eggspuehler A, Muller A, and Dvorak J. Multimodal intraoperative monitoring: an overview and proposal of methodology based on 1,017 cases. Eur Spine J 2007; Suppl 2:S153-161.

Intensive Care Neurophysiology Services

ICU neurophysiology provides for the prognostic evaluation of the critically injured patients' nervous system, or surveillance against subtle seizures that may go unseen without continuous electroencephalographic monitoring of brainwave function

Services include:

  • Continuous electroencephalography (CEEG)
  • Neurocritical care neurophysiological survey for comatose patients (SEP, MEP, EEG, BAEP)
  • Electro-cerebral silence EEG

For more background, refer to:

  • References: Hirsch LJ. Brain Monitoring: The Next Frontier of ICU Monitoring. J Clin Neurophysiol 2004; 21:305-306.
  • Carter BG and Butt W. Are somatosensory evoked potentials the best predictor of outcome after severe brain injury? A systematic review. Intensive Care Med 2005; 31:765-775.

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