The “state of the art” of intraoperative neurophysiological monitoring: An Italian neurosurgical survey
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...
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Elsevier
2024-01-01
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| Series: | Brain and Spine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772529424000523 |
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| author | Riccardo Antonio Ricciuti Fabrizio Mancini Giusy Guzzi Daniele Marruzzo Alessandro Dario Alessandro Della Puppa Alessandro Ricci Andrea Barbanera Andrea Talacchi Andreas Schwarz Antonino Germanò Antonino Raco Antonio Colamaria Antonio Santoro Riccardo Boccaletti Carlo Conti Carlo Conti Nunzia Cenci Christian Cossandi Claudio Bernucci Corrado Lucantoni Giovanni Battista Costella Diego Garbossa Donato Carlo Zotta Federico De Gonda Felice Esposito Flavio Giordano Giancarlo D'Andrea Gianluca Piatelli Gianluigi Zona Giannantonio Spena Giovanni Tringali Giuseppe Barbagallo Carlo Giussani Maurizio Gladi Andrea Landi Angelo Lavano Letterio Morabito Luciano Mastronardi Marco Locatelli Michele D'Agruma Michele Maria Lanotte Nicola Montano Orazio Santo Santonocito Angelo Pompucci Raffaele de Falco Franco Randi Sara Bruscella Ivana Sartori Francesco Signorelli Luigino Tosatto Roberto Trignani Vincenzo Esposito Gualtiero Innocenzi Sergio Paolini Vincenzo Vitiello Michele Alessandro Cavallo Francesco Sala |
| author_facet | Riccardo Antonio Ricciuti Fabrizio Mancini Giusy Guzzi Daniele Marruzzo Alessandro Dario Alessandro Della Puppa Alessandro Ricci Andrea Barbanera Andrea Talacchi Andreas Schwarz Antonino Germanò Antonino Raco Antonio Colamaria Antonio Santoro Riccardo Boccaletti Carlo Conti Carlo Conti Nunzia Cenci Christian Cossandi Claudio Bernucci Corrado Lucantoni Giovanni Battista Costella Diego Garbossa Donato Carlo Zotta Federico De Gonda Felice Esposito Flavio Giordano Giancarlo D'Andrea Gianluca Piatelli Gianluigi Zona Giannantonio Spena Giovanni Tringali Giuseppe Barbagallo Carlo Giussani Maurizio Gladi Andrea Landi Angelo Lavano Letterio Morabito Luciano Mastronardi Marco Locatelli Michele D'Agruma Michele Maria Lanotte Nicola Montano Orazio Santo Santonocito Angelo Pompucci Raffaele de Falco Franco Randi Sara Bruscella Ivana Sartori Francesco Signorelli Luigino Tosatto Roberto Trignani Vincenzo Esposito Gualtiero Innocenzi Sergio Paolini Vincenzo Vitiello Michele Alessandro Cavallo Francesco Sala |
| author_sort | Riccardo Antonio Ricciuti |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-5b3fc420fad246f08f6c9566cc0124f3 |
| institution | OA Journals |
| issn | 2772-5294 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brain and Spine |
| spelling | doaj-art-5b3fc420fad246f08f6c9566cc0124f32025-08-20T02:35:39ZengElsevierBrain and Spine2772-52942024-01-01410279610.1016/j.bas.2024.102796The “state of the art” of intraoperative neurophysiological monitoring: An Italian neurosurgical surveyRiccardo Antonio Ricciuti0Fabrizio Mancini1Giusy Guzzi2Daniele Marruzzo3Alessandro Dario4Alessandro Della Puppa5Alessandro Ricci6Andrea Barbanera7Andrea Talacchi8Andreas Schwarz9Antonino Germanò10Antonino Raco11Antonio Colamaria12Antonio Santoro13Riccardo Boccaletti14Carlo Conti15Carlo Conti16Nunzia Cenci17Christian Cossandi18Claudio Bernucci19Corrado Lucantoni20Giovanni Battista Costella21Diego Garbossa22Donato Carlo Zotta23Federico De Gonda24Felice Esposito25Flavio Giordano26Giancarlo D'Andrea27Gianluca Piatelli28Gianluigi Zona29Giannantonio Spena30Giovanni Tringali31Giuseppe Barbagallo32Carlo Giussani33Maurizio Gladi34Andrea Landi35Angelo Lavano36Letterio Morabito37Luciano Mastronardi38Marco Locatelli39Michele D'Agruma40Michele Maria Lanotte41Nicola Montano42Orazio Santo Santonocito43Angelo Pompucci44Raffaele de Falco45Franco Randi46Sara Bruscella47Ivana Sartori48Francesco Signorelli49Luigino Tosatto50Roberto Trignani51Vincenzo Esposito52Gualtiero Innocenzi53Sergio Paolini54Vincenzo Vitiello55Michele Alessandro Cavallo56Francesco Sala57Neurosurgery, Ospedale Belcolle, Viterbo, ItalyNeurosurgery, Azienda Ospedaliera di Perugia, Perugia, ItalyNeurosurgery, AOU Ospedaliero Mater Domini di Catanzaro, ItalyNeurosurgery, Ospedale Belcolle, Viterbo, ItalyNeurosurgery, ASST Settelaghi, Varese, ItalyClinic of Neurosurgery, AOU Careggi, Firenze, ItalyNeurosurgery, Ospedale Civile San Salvatore, L'Aquila, ItalyDepartment of Neurosurgery, AON SS. Antonio e Biagio e Cesare Arrigo H, Alessandria, ItalyUnit of Neurosurgery, AO San Giovanni Addolorata, Roma, ItalyUnit of Neurosurgery, Azienda Sanitaria Alto Adige, ItalyUnit of Neurosurgery, AOU Policlinico G. Martino di Messina, ItalyNeurosurgery Clinic, Azienda Ospedaliera Sant’Andrea, Roma, ItalyUnit of Neurosurgery, Azienda Ospedaliera Policlinico Riuniti Foggia, Foggia, ItalyNeurosurgery Clinic, Azienda Ospedaliera Universitaria, La Sapienza Policlinico Umberto I° Roma, Roma, ItalyUnit of Neurosurgery, AOU Sassari, Sassari, ItalyUnit of Neurosurgery, Azienda Ospedaliera S. Maria, Terni, ItalyUnit of Neurosurgery, ARNAS G.Brotzu, Cagliari, ItalyNeurosurgery, Azienda Ospedaliera di Perugia, Perugia, ItalyUnit of Neurosurgery, AOU Maggiore Della Carità di Novara, Novara, ItalyUnit of Neurosurgery, ASST Papa Giovanni XXIII, Bergamo, ItalyUnit of Neurosurgery, Ospedale “Mazzini” ASL Teramo, ItalyUnit of Neurosurgery, Ospedale Civile SS Annunziata, Taranto, ItalyNeurosurgery Clinic, AOU Città Della Salute e Della Scienza di Torino, ItalyNeurosurgery, Ospedale Civile di Pescara, ItalyNeurosurgery, ASST Valtellina e Alto Lario, Sondrio, ItalyNeurosurgery Clinic, A.O.U. Policlinico Federico II - Università Degli Studi di Napoli, ItalyUnit of Pediatric Neurosurgery, Meyer Children's Hospital IRCCS, Firenze, Italy; University of Florence, ItalyNeurosurgery, Ospedale Spaziani Frosinone, ItalyNeurosurgery, IRCCS Gaslini, Genova, ItalyNeurosurgery Clinic, IRCCS Policlinico San Martino, Genova, ItalyNeurosurgery, Fondazione IRCCS Policlinico San Matteo, Pavia, ItalyNeurosurgery, ARNAS Civico Palermo, ItalyNeurosurgery Clinics, Policlinico “G. Rodolico- San Marco”, Catania, ItalyNeurosurgery Clinic, IRCCS Fondazione Ospedale San Gerardo Dei Tintori di Monza, Università Bicocca, Milano, ItalyNeurosurgery Clinic, Azienda Ospedaliero-Universitaria, Ospedali Riuniti di Ancona, ItalyNeurosurgery Clinic, Azienda Ospedaliera Universitaria di Padova, ItalyNeurosurgery, AOU Ospedaliero Mater Domini di Catanzaro, ItalyNeurosurgery, AO Marche Nord, Pesaro, ItalyNeurosurgery, Ospedale San Filippo Neri, Roma, ItalyNeurosurgery Clinic, Fondazione IRCCS Ospedale Maggiore Policlinico di Milano, Università Degli Studi di Milano, ItalyNeurosurgery, ASO Santa Croce e Carle, Cuneo, ItalyUnit of Functional Neurosurgery, AOU Città Della Salute e Della Scienza di Torino, ItalyNeurosurgery Clinic, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, ItalyNeurosurgery, Azienda USl Toscana Nordovest, Ospedale di Livorno, ItalyNeurosurgery, Ospedale Santa Maria Goretti, Latina, ItalyNeurosurgery, Ospedale Santa Maria Delle Grazie di Pozzuoli, Napoli, ItalyNeurosurgery, Ospedale Pediatrico Bambino Gesù, Roma, ItalyNeurosurgery, AORN Sant'Anna e San Sebastiano, Caserta, ItalyUnit of Epilepsy Neurosurgery, ASST GOM Niguarda, Milano, ItalyClinic of Neurosurgery, Policlinico Universitario Bari, Bari, ItalyNeurosurgery, Ospedale Bufalini Cesena, ItalyNeurosurgery, Ospedali Riuniti di Ancona, ItalyNeurosurgery, IRCCS Neuromed - Pozzilli, Isernia, ItalyNeurosurgery, IRCCS Neuromed - Pozzilli, Isernia, ItalyNeurosurgery, IRCCS Neuromed - Pozzilli, Isernia, ItalyNeurosurgery, Ospedale San Giovanni Bosco Napoli, ItalyNeurosurgery, Ospedale Sant’Anna, Ferrara, ItalyNeurosurgery Clinic, Azienda Ospedaliera Universitaria di Verona, Verona, Italy; Corresponding author.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.http://www.sciencedirect.com/science/article/pii/S2772529424000523IOMAwake surgeryEloquent areasPEMPESBrain tumors |
| spellingShingle | Riccardo Antonio Ricciuti Fabrizio Mancini Giusy Guzzi Daniele Marruzzo Alessandro Dario Alessandro Della Puppa Alessandro Ricci Andrea Barbanera Andrea Talacchi Andreas Schwarz Antonino Germanò Antonino Raco Antonio Colamaria Antonio Santoro Riccardo Boccaletti Carlo Conti Carlo Conti Nunzia Cenci Christian Cossandi Claudio Bernucci Corrado Lucantoni Giovanni Battista Costella Diego Garbossa Donato Carlo Zotta Federico De Gonda Felice Esposito Flavio Giordano Giancarlo D'Andrea Gianluca Piatelli Gianluigi Zona Giannantonio Spena Giovanni Tringali Giuseppe Barbagallo Carlo Giussani Maurizio Gladi Andrea Landi Angelo Lavano Letterio Morabito Luciano Mastronardi Marco Locatelli Michele D'Agruma Michele Maria Lanotte Nicola Montano Orazio Santo Santonocito Angelo Pompucci Raffaele de Falco Franco Randi Sara Bruscella Ivana Sartori Francesco Signorelli Luigino Tosatto Roberto Trignani Vincenzo Esposito Gualtiero Innocenzi Sergio Paolini Vincenzo Vitiello Michele Alessandro Cavallo Francesco Sala The “state of the art” of intraoperative neurophysiological monitoring: An Italian neurosurgical survey Brain and Spine IOM Awake surgery Eloquent areas PEM PES Brain tumors |
| title | The “state of the art” of intraoperative neurophysiological monitoring: An Italian neurosurgical survey |
| title_full | The “state of the art” of intraoperative neurophysiological monitoring: An Italian neurosurgical survey |
| title_fullStr | The “state of the art” of intraoperative neurophysiological monitoring: An Italian neurosurgical survey |
| title_full_unstemmed | The “state of the art” of intraoperative neurophysiological monitoring: An Italian neurosurgical survey |
| title_short | The “state of the art” of intraoperative neurophysiological monitoring: An Italian neurosurgical survey |
| title_sort | state of the art of intraoperative neurophysiological monitoring an italian neurosurgical survey |
| topic | IOM Awake surgery Eloquent areas PEM PES Brain tumors |
| url | http://www.sciencedirect.com/science/article/pii/S2772529424000523 |
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