Intraoperative Neuromonitoring in Peripheral Nerve Stimulation.

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Title: Intraoperative Neuromonitoring in Peripheral Nerve Stimulation.
Authors: Annaev, Zinat S. (AUTHOR), Jackson, Adam F. (AUTHOR), Slavin, Konstantin V. (AUTHOR)
Source: Neurodiagnostic Journal. Dec2025, Vol. 65 Issue 4, p308-323. 16p.
Subjects: Peripheral nervous system physiology, Treatment of epilepsy, Electrotherapeutics, Somatosensory evoked potentials, Neurophysiology, Decision making in clinical medicine, Intraoperative monitoring, Electromyography, Transcutaneous electrical nerve stimulation, Pain management, Sleep apnea syndromes, Mental depression
Abstract: Peripheral nerve stimulation (PNS) is defined as the application of electric stimulation to the peripheral nervous system and to a specific nerve. For the most part, the goal of PNS has been treatment of pain. Later, PNS use expanded to indications other than pain including epilepsy and depression, which involves stimulation of the vagus nerve, sleep apnea with stimulation of the hypoglossal nerve, respiratory insufficiency, involving phrenic nerve stimulation, and many others. The overarching peripheral neuromodulation approach involves three modalities: conventional PNS, which implies direct placement of stimulating electrode leads over the affected peripheral nerve(s); percutaneous PNS, which implies insertion of stimulating electrode leads near the target nerve with appropriate guidance; and peripheral nerve field stimulation, which requires placement of electrode leads to stimulate smaller nerves and nerve endings in the affected target area. Monitoring peripheral nerves during surgery through electrophysiological methods is a highly valuable option, offering crucial real-time information to the surgical team. While preoperative testing provides helpful data for decision-making, intraoperative neurophysiological monitoring (IONM) fills in gaps that cannot be addressed by preoperative studies. IONM assesses the nervous system during surgery to prevent potential damage to critical neurological structures. It serves the next main purposes: detecting and minimizing iatrogenic injuries, mapping nervous structures to identify the target nerve, and assessing the functionality of the nerve. In this article we review currently available information about the utilization of IONM during PNS procedures. [ABSTRACT FROM AUTHOR]
Copyright of Neurodiagnostic Journal is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Intraoperative Neuromonitoring in Peripheral Nerve Stimulation.
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  Data: <searchLink fieldCode="AR" term="%22Annaev%2C+Zinat+S%2E%22">Annaev, Zinat S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jackson%2C+Adam+F%2E%22">Jackson, Adam F.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Slavin%2C+Konstantin+V%2E%22">Slavin, Konstantin V.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Neurodiagnostic+Journal%22">Neurodiagnostic Journal</searchLink>. Dec2025, Vol. 65 Issue 4, p308-323. 16p.
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  Data: <searchLink fieldCode="DE" term="%22Peripheral+nervous+system+physiology%22">Peripheral nervous system physiology</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+of+epilepsy%22">Treatment of epilepsy</searchLink><br /><searchLink fieldCode="DE" term="%22Electrotherapeutics%22">Electrotherapeutics</searchLink><br /><searchLink fieldCode="DE" term="%22Somatosensory+evoked+potentials%22">Somatosensory evoked potentials</searchLink><br /><searchLink fieldCode="DE" term="%22Neurophysiology%22">Neurophysiology</searchLink><br /><searchLink fieldCode="DE" term="%22Decision+making+in+clinical+medicine%22">Decision making in clinical medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Intraoperative+monitoring%22">Intraoperative monitoring</searchLink><br /><searchLink fieldCode="DE" term="%22Electromyography%22">Electromyography</searchLink><br /><searchLink fieldCode="DE" term="%22Transcutaneous+electrical+nerve+stimulation%22">Transcutaneous electrical nerve stimulation</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+management%22">Pain management</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+apnea+syndromes%22">Sleep apnea syndromes</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Peripheral nerve stimulation (PNS) is defined as the application of electric stimulation to the peripheral nervous system and to a specific nerve. For the most part, the goal of PNS has been treatment of pain. Later, PNS use expanded to indications other than pain including epilepsy and depression, which involves stimulation of the vagus nerve, sleep apnea with stimulation of the hypoglossal nerve, respiratory insufficiency, involving phrenic nerve stimulation, and many others. The overarching peripheral neuromodulation approach involves three modalities: conventional PNS, which implies direct placement of stimulating electrode leads over the affected peripheral nerve(s); percutaneous PNS, which implies insertion of stimulating electrode leads near the target nerve with appropriate guidance; and peripheral nerve field stimulation, which requires placement of electrode leads to stimulate smaller nerves and nerve endings in the affected target area. Monitoring peripheral nerves during surgery through electrophysiological methods is a highly valuable option, offering crucial real-time information to the surgical team. While preoperative testing provides helpful data for decision-making, intraoperative neurophysiological monitoring (IONM) fills in gaps that cannot be addressed by preoperative studies. IONM assesses the nervous system during surgery to prevent potential damage to critical neurological structures. It serves the next main purposes: detecting and minimizing iatrogenic injuries, mapping nervous structures to identify the target nerve, and assessing the functionality of the nerve. In this article we review currently available information about the utilization of IONM during PNS procedures. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Neurodiagnostic Journal is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/21646821.2025.2568818
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      – Code: eng
        Text: English
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        PageCount: 16
        StartPage: 308
    Subjects:
      – SubjectFull: Peripheral nervous system physiology
        Type: general
      – SubjectFull: Treatment of epilepsy
        Type: general
      – SubjectFull: Electrotherapeutics
        Type: general
      – SubjectFull: Somatosensory evoked potentials
        Type: general
      – SubjectFull: Neurophysiology
        Type: general
      – SubjectFull: Decision making in clinical medicine
        Type: general
      – SubjectFull: Intraoperative monitoring
        Type: general
      – SubjectFull: Electromyography
        Type: general
      – SubjectFull: Transcutaneous electrical nerve stimulation
        Type: general
      – SubjectFull: Pain management
        Type: general
      – SubjectFull: Sleep apnea syndromes
        Type: general
      – SubjectFull: Mental depression
        Type: general
    Titles:
      – TitleFull: Intraoperative Neuromonitoring in Peripheral Nerve Stimulation.
        Type: main
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            NameFull: Annaev, Zinat S.
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            NameFull: Jackson, Adam F.
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            NameFull: Slavin, Konstantin V.
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            – D: 01
              M: 12
              Text: Dec2025
              Type: published
              Y: 2025
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