


ABOUT
ABOUT
Real-time neuromonitoring helps protect your nervous system during surgery, providing critical data to support surgical precision and safety.
Signal Neuro specializes in intraoperative neuromonitoring or intraoperative neurophysiological monitoring (IONM), which encompasses the monitoring and mapping of the nervous system during surgery. IONM is utilized during ENT (head & neck), neurosurgical, orthopedic, peripheral nerve, and vascular surgeries that involve significant risk to the brain, spinal cord, and/or peripheral nerves. Various modalities are used to continuously collect and record data during the procedure to help prevent and minimize potential injury and reduce post-operative deficits. IONM is ordered by your surgeon and is dependent upon the type of procedure and your medical history.

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Neck Dissection
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Thyroidectomy
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Parathyroidectomy
-
Mastoidectomy
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Cochlear Implantation
-
Parotidectomy
-
Submandibular Gland Excision
-
Tympanoplasty
1
HEAD & NECK

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Spinal Decompression
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Fusions
-
Tumor Removal
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Scoliosis
2
SPINE

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Brain Tumor Removal
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Aneurysm Repair
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AVM Resection
-
Cranial Bypass Surgery
3
BRAIN

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Carotid Endarterectomy
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Carotid Body Tumor Removal
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Aortic Aneurysm Repair
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Thoracic Outlet Surgery
4
VASCULAR
COMPREHENSIVE NEUROMONITORING
PROCEDURES
COMPREHENSIVE NEUROMONITORING
Head
& Neck
-
Neck Dissection
-
Thyroidectomy
-
Parathyroidectomy
-
Mastoidectomy
-
Cochlear Implantation
-
Parotidectomy
-
Submandibular Gland Excision
-
Tympanoplasty

COMPREHENSIVE NEUROMONITORING
Spine
-
Spinal Decompression
-
Fusions
-
Tumor Removal
-
Scoliosis

COMPREHENSIVE NEUROMONITORING
Brain
-
Brain Tumor Removal
-
Aneurysm Repair
-
AVM Resection
-
Cranial Bypass Surgery

COMPREHENSIVE NEUROMONITORING
Vascular
-
Carotid Endarterectomy
-
Carotid Body Tumor Removal
-
Aortic Aneurysm Repair
-
Thoracic Outlet Surgery

COMPREHENSIVE NEUROMONITORING
Head
& Neck
-
Neck Dissection
-
Thyroidectomy
-
Parathyroidectomy
-
Mastoidectomy
-
Cochlear Implantation
-
Parotidectomy
-
Submandibular Gland Excision
-
Tympanoplasty

COMPREHENSIVE NEUROMONITORING
Spine
-
Spinal Decompression
-
Fusions
-
Tumor Removal
-
Scoliosis

COMPREHENSIVE NEUROMONITORING
Brain
-
Brain Tumor Removal
-
Aneurysm Repair
-
AVM Resection
-
Cranial Bypass Surgery

COMPREHENSIVE NEUROMONITORING
Vascular
-
Carotid Endarterectomy
-
Carotid Body Tumor Removal
-
Aortic Aneurysm Repair
-
Thoracic Outlet Surgery


Head
& Neck
Neck Dissection
Thyroidectomy
Parathyroidectomy
Mastoidectomy
Cochlear Implantation
Parotidectomy
Submandibular Gland Excision
Tympanoplasty

Spine
Spinal Decompression
Fusions
Tumor Removal
Scoliosis

Brain
Brain Tumor Removal
Aneurysm Repair
AVM Resection
Cranial Bypass Surgery

Vascular
Carotid Endarterectomy
Carotid Body Tumor Removal
Aortic Aneurysm Repair
Thoracic Outlet Surgery
COMPREHENSIVE NEUROMONITORING

Electromyography (EMG)
Cranial Nerve EMG
Somatosensory Evoked Potentials (SSEPs)
Transcranial Motor Evoked Potentials (TcMEPs)
Sensory & Motor Brain Mapping
Spinal Cord Mapping
Brainstem Auditory Evoked Responses (BAER)
Electroencephalography (EEG)
Triggered EMG/Direct Nerve Stimulation
Neuromuscular Junction Testing/ Train of Four
Pedicle Screw Testing
MODALITIES

Electromyography (EMG)
Cranial Nerve EMG
Somatosensory Evoked Potentials (SSEPs)
Transcranial Motor Evoked Potentials (TcMEPs)
Sensory & Motor Brain Mapping
Spinal Cord Mapping
Brainstem Auditory Evoked Responses (BAER)
Electroencephalography (EEG)
Triggered EMG/Direct Nerve Stimulation
Neuromuscular Junction Testing/ Train of Four
MODALITIES
ON THE DAY OF YOUR SURGERY
Real-time insights for better outcomes.
On the day of your surgery, an IONM technologist will:
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Visit you in pre-op.
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Explain the neuromonitoring process.
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Answer any questions you or your family may have.
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Collaborate with your surgical team to ensure the monitoring plan aligns with the procedure’s goals.
In the operating room, recording and stimulating electrodes are applied to your body to continuously record data from your nervous system. This data can help assess the functional integrity of the nervous system tissue or nerves being monitored. The surgeon can use this data and information for decision making during your procedure.
The neuromonitoring is typically supervised remotely through telemedicine technology by a neurologist or physician with additional training in neurophysiology.