title: Intraoperative neurophysiological monitoring in peripheral nerve surgery: Technical description and experience in a centre.
abstract: BACKGROUND
  Intraoperative neurophysiological monitoring has experienced a spectacular development in the past 20 years, particularly in the fields of neurosurgery and spine surgery. it has become a useful, almost indispensable, tool in preventing nerve damage during surgery. The aim of this article is to describe the intraoperative technique and analyze its results in the field of peripheral nerve surgery.
  
  
  OBJECTIVE
  To describe the usefulness of a technique in peripheral nerve surgery, the technique used and the experience in a centre.
  
  
  METHODS
  A retrospective study was conducted on 30 cases of peripheral nerve surgery performed in this centre from 2009 to 2013, using the intraoperative monitoring technique.
  
  
  RESULTS
  Of the total of 13 peripheral nerve tumors recorded, there were 11 excellent results and 2 good results, one temporary hypoesthesia and one with almost complete sensory, except for motor, recovery. Traumatic injury was recorded in 17 cases, of which 6 required performing a graft, and the remaining 11 cases only neurolysis was performed, with complete motor and sensory recovery.
  
  
  CONCLUSIONS
  Intraoperative neurophysiological monitoring is a useful tool in the secondary surgery of peripheral nerve injury and the intraneural tumor pathology.
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario de Canarias, La Laguna, Tenerife, España; Facultad de Medicina, Universidad de La Laguna, La Laguna, Tenerife, España. Electronic address: herrera42@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Herrera-Pérez
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario de Canarias, La Laguna, Tenerife, España.
authors.forename: A
authors.initials: A
authors.lastname: Oller-Boix
authors.affiliation: Unidad de Monitorización Neurofisiológica Intraoperatoria, Servicio de Neurofisiología Clínica, Hospital Universitario de Canarias, La Laguna, Tenerife, España.
authors.forename: P J
authors.initials: PJ
authors.lastname: Pérez-Lorensu
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario de Canarias, La Laguna, Tenerife, España.
authors.forename: J
authors.initials: J
authors.lastname: de Bergua-Domingo
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario de Canarias, La Laguna, Tenerife, España.
authors.forename: S
authors.initials: S
authors.lastname: Gonzalez-Casamayor
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario de Canarias, La Laguna, Tenerife, España.
authors.forename: F
authors.initials: F
authors.lastname: Márquez-Marfil
authors.affiliation: Servicio de Radiodiagnóstico, Hospital Universitario de Canarias, La Laguna, Tenerife, España.
authors.forename: L
authors.initials: L
authors.lastname: Díaz-Flores
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario de Canarias, La Laguna, Tenerife, España; Facultad de Medicina, Universidad de La Laguna, La Laguna, Tenerife, España.
authors.forename: J L
authors.initials: JL
authors.lastname: Pais-Brito
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000517:prevention & control*; D064795:Intraoperative Neurophysiological Monitoring / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009442:Neurilemmoma / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000009:adverse effects* / Q000379:methods; D059348:Peripheral Nerve Injuries / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D010524:Peripheral Nervous System Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: Intraoperative neurophysiological monitoring; Monitorización neurofisiológica intraoperatoria; Nervio periférico; Neurogenic tumors of peripheral nerve; Neuromas traumáticos; Peripheral nerve; Schwannoma; Traumatic neuroma; Tumores neurogénicos de nervio periférico