Arle Jeffrey E, Shils Jay L
Department of Neurosurgery, The Lahey Clinic, Tufts University School of Medicine, 41, Mall Road, Burlington, MA 01867, United States.
Neurophysiol Clin. 2007 Dec;37(6):449-55. doi: 10.1016/j.neucli.2007.09.010. Epub 2007 Oct 22.
Intraoperative monitoring (IOM) adds new information to intraoperative surgical decision-making. When presented clearly and accurately, it can help guide decision processes during the procedure, but can be a detriment overall if the information is inaccurate or misleading. Troubleshooting abilities and vigilance of the IOM staff play a large role in bolstering the level of trust a surgeon develops in IOM. Additionally, a surgeon may impart his own interpretation and experience with this new information that can undermine or enhance its impact on the case. In this article, we explore these issues with IOM in general and as they relate to the special context of DBS for movement disorders.
