Sponsored by

Surgical Neuromonitoring Associates, Inc.in conjunction with Allegheny General HospitalPittsburgh, Pennsylvania

A L L E G H E N Y G E N E R A L H O S P I T A L

Techniques in IntraoperativeNeurophysiologic Monitoring

A Personal, Hands-On Intensive TrainingCourse with Actual Surgical Case Experienceand One-On-One Practical Tutorials

Course Director

Jack E. Wilberger Jr., M.D.Professor of NeurosurgeryDrexel University College of MedicineChairman, Department of NeurosurgeryAllegheny General HospitalPittsburgh, Pennsylvania

Faculty

Gary W. Schurman, Au.D., D-ABNM, CNIMPaul A. Lobaugh, Ph.D., D-ABNM, CNIMSophia G. Panagis, M.A., CNIMJennifer M. Swider, M.A., CNIMKamela D. Morgan, M.P.T., CNIMJames J. Patla, B.S.E., CNIMSamantha J. Kincel, M.S., CNIMJustin W. Morris, M.S., CNIMJustin M. Deardorff, B.S.

Accreditation

The American Society of ElectroneurodiagnosticTechnologists has granted ASET ContinuingEducation [ACE] credits for this program. Suchcrediting, however, should not be construed byprogram participants as an endorsement of any typeof instruments or supplies mentioned or involved in these presentations.

Laboratory sessions will give attendees sufficienttime to satifactorily complete the course objectives.However, as a sponsor of the course, AlleghenyGeneral Hospital does not certify the competency of any individual.

Location

Allegheny General Hospital320 East North AvenuePittsburgh, Pennsylvania 15212-4772

An Overview

Intraoperative monitoring applications have expandedrapidly in recent years. Where we once could onlyassess sensory spinal cord function, we can now pro-vide reliable information on cranial nerves, nerveroots, intracranial and extracranial vessels, and spinalcord motor tracts.

Our course is designed to teach effective and provenmethods of intraoperative neurophysiologic moni-toring. Each student should have a general under-standing of anatomy and physiology, electrophysiology,operating room guidelines and computer literacy.

Intraoperative neurophysiologic monitoring skillsare built through experience. Therefore, this trainingcourse is predominantly spent in the operating roomduring surgery. Fortunately, our large volume ofcases allows us to spend the necessary one-on-onetutoring in the operating room, which complimentsthe classroom instruction. Thus, the goal is to pro-vide practical art with theoretical science. We intendfor the successful participant to leave this course andapply these modalities immediately in their facility.

The following modalities and their applications canbe selected for this hands-on course.* We do notexpect the course participants to become highlyproficient neuromonitorists. Rather, we intend forthe participant to attain a level of competence whichwill provide a base of knowledge from which tobuild.

* Due to constant changes in the surgical schedule,we cannot guarantee a specific number of surgical procedures will be performed during the workshop.

Optional Courses

The following modalities can be selected from:

Somatosensory Evoked Potentials (SSEP)Sensory preservation for:■ spinal tumors, trauma and deformity■ brain tumors, aneurysms

Transcranial Electric Motor Evoked Potentials (tceMEP)Motor preservation for:■ spinal tumors, trauma and deformity

Auditory Evoked Potentials (AEP)Hearing preservation for:■ skull base, middle fossa, brainstem tumors■ microvascular decompression of cranial nerves

Electromyographic Recordings (EMG)Nerve root preservation for:■ pedicle screws■ spinal tumors■ tethered cord

Electroencephalogram Recordings (EEG)Cortical preservation for:■ carotid endarterectomies (cortical ischemia)■ brain aneurysms (burst suppression)

Recurrent Laryngeal MonitoringCranial nerve X preservation for:■ thyroidectomies■ microvascular decompression■ high anterior cervical exposures

Facial Nerve MonitoringCranial nerve VII preservation for:■ microvascular decompression of hemi-facial

spasms (lateral spread)■ parotidectomies■ skull base tumors