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Neuro Alert's Services

During IONM, Neuro Alert provides a multi-modality approach to monitoring, including the following:

  • SSEP – Somatosensory Evoked Potentials
  • TcMEP – Transcranial Motor Evoked Potentials
  • EMG – Free running Electromyography
  • T-EMG – Triggered- or Evoked- Electromyography (Pedicle Screw Stimulation, Direct Nerve Stimulation, etc.)
  • Motor Cranial Nerve Monitoring
  • BAER – Brainstem Auditory Evoked Reponses
  • EEG - Electroencephalography
  • ECOG - Electrocorticography
  • Cortical Mapping (Sensory, Motor, Language)
  • Brainstem Nuclei Mapping
  • Spinal Reflexes
  • CNAP – Compound Nerve Action Potentials
  • VEP – Visual Evoked Potentials
Procedures Monitored Include:
  • Spinal Cord Stimulator Placement
  • Spinal Decompression and/or Fusion
  • Scoliosis Correction
  • Minimally Invasive Surgery (MIS)
  • Tethered Cord Release
  • Selective Rhizotomy
  • Spinal Tumor and Vascular Malformation Procedures
  • Brain Tumor and Vascular Malformation Procedures
  • Brainstem Tumor and Vascular Malformation Procedures
  • Acoustic Nerve and Cochlear procedures
  • Facial Nerve Procedures
  • Microvascular Decompression
  • Peripheral Nerve and Plexus Procedures
  • Acetabulum and Pelvic Procedures
  • Interventional Radiology Procedures
  • Carotid Endarterectomy
  • Vascular Procedures
  • Cardiac Procedures
  • Thyroidectomy
  • Parotidectomy

Neuro Alert IONM Process and Workflow

Neuro Alert’s Surgical Neurophysiologists arrive early and introduce themselves to the patients and their families, conduct an interview, and monitor pre-position baselines of evoked potentials in the operating room. Our technologists follow all required hospital policies and procedures communicated to them. Once in the operating room our technologists, under constant supervision of remote reading physicians, monitor the most complex surgeries such as spinal deformity correction, brainstem and brain mapping, and cardiovascular procedures. Neuro Alert technologists remain in constant, real-time communication with Neuro Alert’s board-certified reading physicians.

Real-time remote neuromonitoring allows Neuro Alert’s technologists to confer with our remote reading physicians to alert the surgical team of any changes in the neuromonitoring parameters, potentially avoiding any permanent postoperative neurological deficits. All communication between our technologists and remote reading physicians, as well as all the observations of the on-site technologist, are recorded on an event list, time stamped, sent directly to the surgeon within 48 hours, and stored according to HIPAA compliance regulations.

For our clients’ peace of mind, our scheduling team provides rapid response, 24-hour support, 365 days a year. Clients can also take advantage of our convenient online booking along, with easy scheduling and verification processes.