Intraoperative Neuromonitoring for Peripheral Nerve Surgery

J Hand Surg Am. 2023 Apr;48(4):396-401. doi: 10.1016/j.jhsa.2022.11.022. Epub 2023 Jan 7.

Abstract

Intraoperative neuromonitoring is a valuable surgical resource that can assist in decision-making during peripheral nerve surgery using real-time electrophysiologic data. By stimulating a nerve and recording action potentials from a point on the nerve ("nerve action potential") or from a muscle ("triggered electromyography"), nerve lesions can be localized and the extent of nerve damage evaluated. The purpose of this article is to provide an overview of the role, indications, and techniques of intraoperative neuromonitoring of peripheral nerve injuries.

Keywords: Intraoperative neuromonitoring; peripheral nerve; peripheral nerve surgery.

Publication types

  • Review

MeSH terms

  • Action Potentials
  • Electromyography
  • Humans
  • Intraoperative Complications / surgery
  • Monitoring, Intraoperative* / methods
  • Neurosurgical Procedures*
  • Peripheral Nerve Injuries* / surgery
  • Peripheral Nerves / surgery