Neuroguard Neuromonitoring Innovations

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All-in-One Neurological Services

At Neuroguard Neuromonitoring, we provide specialized intraoperative neuromonitoring (IONM) services to enhance patient safety and surgical precision. Our expertise spans multiple surgical disciplines, ensuring optimal neurological function during complex procedures.

Spinal Procedures

We offer neuromonitoring for a wide range of spinal surgeries, including cervical, thoracic, and lumbar procedures. Our services support scoliosis correction, spinal instrumentation, total disc replacement, discectomy, and laminectomy. We also assist in advanced surgical approaches such as XLIF, PLIF, LLIF, OLIF, and ALIF, as well as spinal cord stimulator placement, helping to minimize the risk of nerve damage and postoperative complications.

Neurosurgical Procedures

Our neuromonitoring services play a crucial role in neurosurgical operations, including craniotomies for brain tumor removal, microvascular decompression, awake craniotomies, and skull base surgeries such as acoustic neuroma removal. We also provide support for spinal cord tumor resections, tethered cord release, rhizotomy, and deep brain stimulator implantation, ensuring precise neural protection throughout the procedures.

Otolaryngology (ENT) Procedures

For ear, nose, and throat (ENT) surgeries, we provide neuromonitoring for thyroidectomy and parathyroidectomy, as well as parotidectomy, submandibular gland removal, and neck dissections. By carefully monitoring nerve function, we help reduce the risk of nerve injury during delicate head and neck surgeries.

Neurotology Procedures

Our team specializes in neuromonitoring for intricate neurotology procedures, including tympanoplasty, mastoidectomy, canalplasty, cochlear implants, and atresiaplasty. We also support endolymphatic mastoid shunts, auditory brainstem implants, and microvascular decompression. Additionally, we assist in the removal of acoustic neuromas and other skull base tumors, ensuring the highest level of patient safety.

Vascular Procedures

We provide essential neuromonitoring support for vascular surgeries such as brain aneurysm and aortic aneurysm procedures, carotid endarterectomy, arteriovenous malformation (AVM) and fistula treatments, and transcatheter aortic valve replacement (TAVR). Our services help surgeons mitigate the risk of neurological complications such as strokes.

Orthopedic Procedures

Our neuromonitoring services extend to orthopedic surgeries, including acetabular fracture repairs, arthroscopy revisions, open and internal fixation procedures, and joint replacements. We also support limb lengthening and deformity correction surgeries, ensuring nerve integrity throughout these interventions.

Peripheral Nerve Procedures

For peripheral nerve surgeries, we provide monitoring for brachial plexus procedures, nerve release surgeries, carpal tunnel revisions, and peripheral tumor removals. By closely monitoring nerve function, we help surgeons avoid inadvertent nerve damage and improve patient outcomes.

Urological Procedures

We support urological surgeries, including prostate procedures and pelvic floor surgeries, by providing real-time neuromonitoring to protect neural structures and enhance surgical precision.

Facial Nerve Monitoring

Ionm of facial nerve plays a crucial role in locating and preserving the nerve during procedures with risks of facial nerve injury. Facial nerve monitoring is usually done in procedures such as acoustic neuroma, skull base surgeries , pariotidectomy, microvascular decompression for hemifacial spasm among others with risks of facial nerve injury. Monitoring of facial nerve improves surgical outcome by avoiding facial nerve drop, a very devastating outcome post operatively

Medical Equipment and Consumables Supply

We understand the critical role that reliable medical equipment and quality consumables play in delivering exceptional healthcare. We are proud to offer a robust supply service for medical equipment and consumables, tailored to meet the specific needs of hospitals, surgical centers, and specialist clinics across Kenya and the region

Neurosurgical Drill Leasing

We offer short- and long-term leasing of high-performance neurosurgical drills, enabling healthcare providers to access advanced surgical tools without the burden of full equipment purchase. We are cost-effective hence eliminating the high upfront capital expense of purchasing neurosurgical drills. Get access to the latest technology, lease state-of-the-art, fully maintained equipment suited for cranial and spinal procedures.

Our Commitment

We Will Always Provide The Best Service For your Health

We are dedicated to delivering the highest standard of intraoperative neuromonitoring services to ensure patient safety and optimal surgical outcomes. We prioritize professionalism, integrity, and precision in every procedure, giving both patients and surgeons the confidence they need.

Over 300 Surgeries Monitored

Our expertise has contributed to thousands of safe and effective surgeries.

24/7 Coverage

We provide round-the-clock neuromonitoring support, ensuring immediate response and assistance when needed.

Book Your Intraoperative Neuromonitoring Appointment Today!

Ensure surgical precision and patient safety with our advanced neuromonitoring services. Schedule your appointment today and let our expert team support you with real-time monitoring for better surgical outcomes.

IONM Modalities

We specialize in multi-modality intraoperative neurophysiological monitoring (IONM) — a critical approach that combines several techniques to ensure optimal surgical outcomes and patient safety. By monitoring multiple neurological pathways in real-time, we help surgeons reduce the risk of nerve damage and improve surgical precision. This comprehensive approach allows us to detect and alert the surgical team to any neural compromise as it happens.

Somatosensory Evoked Potential (SSEPs)

SSEPs measure the electrical activity of sensory pathways in response to external stimuli, typically electrical stimulation applied to peripheral nerves. Changes in SSEPs can indicate potential damage to the spinal cord or peripheral nerves during surgery

Motor Evoked Potentials (MEPs)

MEPs assess the integrity of motor pathways by eliciting electrical responses in muscles following direct cortical or spinal cord stimulation. Changes in MEPs can signal potential damage to the motor cortex or spinal cord.

lectroencephalography (EEG)

EEG monitors the electrical activity of the brain by placing electrodes on the scalp. Intraoperative EEG helps assess cerebral function and detect abnormalities that may arise during surgery, such as ischemia or seizures.

Brainstem Auditory Evoked Potentials (BAEPs)

BAEPs measure electrical responses in the auditory pathway following auditory stimuli. They are particularly useful in monitoring procedures near the brainstem, helping identify potential damage to auditory and brainstem functions.

Facial Nerve Monitoring

In surgeries involving the facial nerve, such as those addressing tumors or acoustic neuromas, parotidectomy and maxillofacial procedures, facial nerve monitoring involves measuring muscle responses to stimulation of the facial nerve. This helps prevent inadvertent such as facial paralysis during such surgeries.

Train-of-Four (TOF)

TOF is used to assess neuromuscular transmission when neuromuscular blocking agents (NMBA) are given to block musculoskeletal activity. By assessing the depth of neuromuscular blockade, peripheral nerve stimulation signal transmission will not be affected and this will provide reliable neurological data for the patient.

Direct Electrical Cortical Stimulation(DECS) / Cortical Mapping

Cortical mapping is a diagnostic procedure that involves the identification and localization of functional areas within the cerebral cortex by the use a special probe (monopolar or bipolar) which discharges small stimulation current as we observe functional areas of the brain . This process is crucial for understanding brain functions and planning neurosurgical interventions, such as tumor resection or epilepsy surgery.

Direct Epidural Waves (D-Waves)

D-wave (Direct waves) are Motor Evoked Potentials (MEPs) generated by a single transcranial stimulation and captured by attaching an epidural recording electrode caudal to the vulnerable area. D-wave recordings, in conjunction with other modalities such as MEPs and SSEPs, provide a comprehensive assessment of spinal pathway functioning during surgery especially in spinal cord tumor resection.

Electromyography (EMG)

EMG records the electrical activity of muscles. In neuromonitoring, it is often used to assess the function of peripheral nerves and muscles during surgeries that involve nerve manipulation, such as spinal or peripheral nerve surgeries. In electromyography, we have two types: Free-run EMG is defined as continuous monitoring performed throughout the surgery. Stimulus-triggered EMG is frequently used to aid placement of pedicle screws and involves the use of a handheld monopolar probe controlled by the surgeon. Stimulus-triggered EMG assesses pedicle integrity (i.e., if a screw has breached the pedicle wall posing a risk to the nerve root). Both techniques can be used to monitor lumbar, thoracic and cervical fusion procedures, in addition to cranial nerve function to detect nerve root injury.

FAQ's

Frequently asked questions

We understand that intraoperative neuromonitoring (IONM) may be new to many patients and healthcare providers. That’s why we’ve compiled answers to some of the most common questions about our services, technology, and benefits. Explore our FAQ section to learn more, and feel free to reach out if you need further assistance!

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What is intraoperative neuromonitoring (IONM)?

IONM is a specialized technique used during surgery to monitor the nervous system in real time. It helps reduce the risk of neurological complications by providing critical feedback to surgeons, ensuring patient safety.

Why is neuromonitoring important during surgery?

What types of surgeries benefit from IONM?

How does the neuromonitoring process work?

Is neuromonitoring covered by insurance?

How do I schedule an appointment or request IONM services?

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