Clinical neurophysiology practice
A practical framework for interpreting intraoperative electrophysiological signals in acoustic neuroma surgery
Door Li J, Liu Q, Yuan X en 1 anderen.
Inhoud in het Engels
Abstract
Objective
To develop a practical, stepwise framework for interpreting intraoperative neurophysiological signals to predict facial nerve outcomes after acoustic neuroma surgery.
Methods
This methodological report synthesizes evidence from three IONM modalities: facial motor evoked potentials (FMEPs), direct electrical stimulation (DES), and free-running electromyography (EMG). Key predictive parameters, threshold values, sensitivity, specificity, and technical limitations were extracted from published meta-analyses, systematic reviews, and prospective cohort studies. These parameters were then organized chronologically into a stepwise interpretation framework according to their typical intraoperative use.