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Advancing Intraoperative Neurophysiological Monitoring With Human Reflexes.

Jongsuk Choi1, Alba Díaz-Baamonde2, María de Los Ángeles Sánchez Roldán3

  • 1Department of Neurology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.

Journal of Clinical Neurology (Seoul, Korea)
|March 4, 2024
PubMed
Summary

Human reflexes, like brainstem and spinal reflexes, offer insights into nervous system function. Continuous monitoring during surgery aids in assessing neurological integrity and improving patient outcomes.

Keywords:
brainstem reflexesintraoperative neurophysiological monitoringspinal reflexes.

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Area of Science:

  • Neuroscience
  • Surgical Monitoring

Background:

  • Human reflexes are automatic motor responses to sensory stimuli.
  • Reflexes provide insights into the functioning of the brainstem and spinal cord.
  • Brainstem and spinal reflexes are crucial for assessing neurological integrity.

Purpose of the Study:

  • To describe current techniques for monitoring human reflexes.
  • To highlight the clinical significance of reflex monitoring in surgery.
  • To discuss methodological considerations for surgical safety and patient outcomes.

Main Methods:

  • Monitoring of brainstem reflexes (e.g., blink reflex, laryngeal adductor reflex).
  • Monitoring of spinal reflexes (e.g., soleus H reflex, sacral reflexes).
  • Real-time assessment of nervous system integrity during surgical procedures.

Main Results:

  • Reflex monitoring provides continuous feedback without disrupting surgery.
  • Reflexes offer motor and sensory information on nerve fiber and nuclei integrity.
  • Continuous intraoperative monitoring can improve surgical outcomes.

Conclusions:

  • Human reflex monitoring is valuable for intraoperative assessment.
  • These techniques enhance surgical safety and patient care.
  • Advancements in reflex monitoring can revolutionize neurosurgery.