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Volume 8, Issue 2 (Suppl) J Neurol Neurophysiol
ISSN: 2155-9562 JNN, an open access journal Neurology 2017
March 27-29, 2017
Page 44
Notes:
conferenceseries.com
March 27-29, 2017 Madrid, Spain
11th World Congress on
Neurology and Therapeutics
Intra-operative neurophysiologic monitoring: Current advance and future potential
Intraoperative Neurophysiologic Monitoring (IONM) has been a very dynamic and evolving field in the last few decades,
surgeries that were considered inoperable before, due to its consequences of neurological deficits, become more operable.
Subtle and safe excision of many brain and spinal cord tumors became routine due to multiple advances including
intraoperative neurophysiological monitoring and mapping. Surgeons’ decisions become more enlightened and informed due
to multimodalities that give a complete set of information about the function of the sensory, motor and even the autonomic
nervous system during surgery. Vigorous wake up test during scoliosis became almost obsolete due to IONM, clipping versus
coiling, shunting versus non-shunting and many other neurovascular intraoperative decisions become more informed due to
the presence of that amount of information from IONM. Functional mapping can be done pre and intra operative as well, giving
more confidence to surgeon with every scalpel move that he is working on the right direction, ensuring safety and integrity of
the neural tracts and functions under monitoring. The future of integrating more modalities is unfolding rapidly; integrating
Transcranial Doppler with EEG, SSEPs and even functional reserve testing is being developed, giving clearer picture of the
dynamic changes in neurovasculature in addition to the electrophysiological changes. The development of dry electrodes and
caps can give the neurophysiologist enormous channels and contacts with brain in a shorter and more efficient time during
surgeries. The future of neurophysiology can change and change the future of humanity with advancing in Brain Computer
Interfaces (BCIs), where the boundaries between neural cells and computer circuits slowly disappear.
Biography
Elamir Elsherif is a Neurophysiologist Physician. He has completed his MD from Ain Shams University in Cairo. He did his training in Neurophysiology in Kings County
Hospital in Brooklyn, New York. He completed the American Board of Neurophysiologic Monitoring program in Chicago. Currently, he is a Consultant of Intra-operative
Neuro-monitoring and the Director of Neurosonology Lab at King Fahd Medical City. He is interested in Cortical Mapping, Neuromodulation and Brain Computer Interfaces.
Elamir Elsherif
King Fahd Medical City, Saudi Arabia
Elamir Elsherif, J Neurol Neurophysiol 2017, 8:2 (Suppl)