Royal National Orthopaedic Hospital, NHS Trust

The Royal National Orthopaedic Hospital aims to be the specialist orthopaedic hospital of choice by providing outstanding patient care, research and education.

Clinical Neurophysiology

Range Of Services

Intra-operative Spinal Cord Monitoring (SCM)
Sensory Evoked Potentials (SEPs)
Motor Evoked Potentials (MEPs)

SCM is utilized for most surgical spinal procedures including: anterior release (+/- instrumentation), posterior fusion, ALIF/PLIF/TLIF, cervical surgery, fracture fixation, vertebrectomy, osteotomy.

These techniques act as an early warning system to detect spinal cord compromise during surgery, helping the surgical team prevent or minimise iatrogenic damage.

A graph of Intra-operative sensory evoked potentials

Figure 1. Intra-operative sensory evoked potentials (stimulating left and right tibial nerves at the popliteal fossae, recording from an electrode inserted into the epidural space).

Intra-operative Brachial Plexus Recordings
Provide information for analysis of lesions of the brachial plexus and assesses the quality of nerve roots during exploratory brachial plexus surgery.

Somatosensory Evoked Potentials (SSEPs)
Clinical diagnostic assessment of the peripheral and central nervous system sensory pathway.

Electromyography Clinics (EMGs)
Nerve Conduction Studies (NCS)
Carpal Tunnel Diagnostic Clinics
Kinesiological Electromyography Studies

Members of the Department

Consultant Neurologist Clinical Lead:
Dr. J. Cowan

General Manager:
Claire Eusden

Senior Technologist:
Emma Carter

Technologists:
Karen Plumb
Gemma Cannon
Amy Boutal
Dale Darbyshire
Mary Curtis

Contacts

Direct Line:
0208 909 5449

Address:
Clinical Neurophysiology Department
Royal National Orthopaedic Hospital, Stanmore
Brockley Hill
Middlesex
HA7 4LP

 

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