Intraoperative neurophysiological monitoring (IONM) in neurosurgery: A critical appraisal of established practices, ongoing controversies, and future trajectories
Yu’e Sun, Fei Xu, Nazneen Sudhan, Fuhai Ji, Ke Peng, Xiaqing Ma · 2026
Read Intraoperative neurophysiological monitoring (IONM) in neurosurgery: A critical appraisal of established practices, ongoing controversies, and future trajectories by Yu’e Sun, Fei Xu, Nazneen Sudhan, Fuhai Ji, Ke Peng, Xiaqing Ma (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13197767.txt.
Description
Yu'e Sun and co-authors take stock of the live monitoring that guards the nervous system during brain and spine surgery. Electrodes watch motor and sensory signals while the surgeon works, warning when a cut threatens movement or feeling. The review weighs what is settled practice, what is still argued, and where the field is heading.
Good results rest on two pillars, they say: combined signal monitoring and an anesthesia style built on intravenous drugs with careful muscle relaxation. The method cuts nerve damage in spine deformity, tumor, and hearing-nerve surgeries. Yet alarms are often false, and turning a signal dip into the right action stays hard. The authors look ahead to artificial intelligence dashboards that predict trouble instead of merely reporting it, while urging common standards and team-wide training.
Catalog record
| CREATOR | Yu’e Sun, Fei Xu, Nazneen Sudhan, Fuhai Ji, Ke Peng, Xiaqing Ma |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 52 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |