The RNOH will remain the UK’s leading specialist orthopaedic hospital, further enhancing its international profile for 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 utilised 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 potentialsFigure 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

Head of Clinical Neurophysiology:
Emma Carter

Technologists:
Karen Plumb
Gemma Cannon
Amy Todd
Mary Curtis
Holly Franklin
Dipendra Yadav
Lisa Griffiths
Mahamudul Hasan

Contact details

Direct line:
020 8909 5449

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