Argos NeuroMonitoring offers the following services:

Brainstem Auditory Evoked Potentials - BAER
Cranial Nerve Monitoring
Electromyography – Free Run EMG
Triggered EMG – for Pedicle Screw Placement
Electroencephalogram – EEG
Facial Nerve Monitoring
Cortical SSEP
Somatosensory Evoked Potential – SSEP
ECOcH
Laryngeal Nerve Monitoring
VEP
Direct Nerve Stimulation
Trans-Cranial Motor Evoked Potentials – TcMEP
Motor Evoked Potentials - MEP

Types of Surgery that require IONM:

Neurosurgery
Orthopedic Spine Surgery
Otolaryngology
Cardiothoracic Surgery
Vascular Surgery
Peripheral Nerve

Based on information in the scientific literature, it is recommended that coverage be provided for intraoperative neruophysiological testing for the following types of surgery. This list is not all inclusive, as there are other types of surgery that could require the use of intraoperative monitoring.

• Surgery of the aortic arch, its branch vessels, or thoracic aorta, including carotid artery surgery, when there is risk of cerebral ischemia
• Resection of epileptogenic brain tissue or tumor
• Resection of brain tissue close to the primary motor cortex and requiring brain mapping
• Protection of cranial nerves:
• Resection of cranial nerves
• Microvascular decompressive surgeries (ex. Trigeminal neuralgia surgery)
• Skull base surgery in the vicinity of the cranial nerves, and surgeries of the foramen magnum
• Cavernous sinus tumors
• Oval of round window graft
• Endolymphatic shunt for Meniere’s disease
• Vestibular section for vertigo
• Correction of scoliosis or deformity of spinal cord involving traction on the cord
• Protection of spinal cord where work is performed in close proximity to cord as in the placement or removal of old hardware or where there have been numerous interventions
• Spinal instrumentation requiring pedicle screws or distraction
• Decompressive procedures on the spinal cord or cauda equina carried out for myelopathy or claudication where function of spinal cord or spinal nerves is at risk
• Spinal cord tumors
• Neuromas of peripheral nerves of brachial plexus, when there is risk to major sensory or motor nerves
• Surgery or embolization for intracranial arterio-venous malformations
• Surgery for arterio-venous malformation of spinal cord
• Cerebral vascular aneurysms
• Arteriography, during which there is a test occlusion of the carotid artery
• Circulatory arrest with hypothermia
• Distal aortic procedures when there is risk of ischemia to spinal cord
• Leg lengthening procedures when there is traction on sciatic nerve or other nerve trunks
• Surgery as a result of traumatic injury to spinal cord/brain
• Deep brain stimulation