The Neurodiagnostic Journal最新文献

{"title":"<i>The Neurodiagnostic Journal</i> QuizSeptember 2026 Vol. 66, No. 3.","authors":"","doi":"10.1080/21646821.2026.2713928","DOIUrl":"https://doi.org/10.1080/21646821.2026.2713928","url":null,"abstract":"","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"66 3","pages":"214-216"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Effectiveness Study of Bipolar and Linked Quadripolar Techniques for Eliciting Transcranial Motor Evoked Potentials.","authors":"Joseph Haddad, Karl E Minges, Yanice V Méndez-Fernández, Justin Paul, Scott Sanderson, David Bomback, Joshua Marcus, Paul Wright, Justin W Silverstein","doi":"10.1080/21646821.2026.2671520","DOIUrl":"10.1080/21646821.2026.2671520","url":null,"abstract":"<p><strong>Introduction: </strong>Linked Quadripolar Stimulation (LQP) is a recent adaptation of transcranial electric motor evoked potential stimulation, with proposed advantages over traditional Bipolar (BP) stimulation. This study aims to comprehensively compare BP and LQP stimulation to validate the efficacy of LQP.</p><p><strong>Methods: </strong>BP and LQP stimulation were performed on 30 patients undergoing anterior cervical discectomy and fusion. A comprehensive assessment involved conducting four trials for each technique on each patient. An Accelerometer placed over the right masseter region recorded movement. A Mann-Whitney U test and Pearson Correlation Coefficient were used to quantitatively compare patient movement, compound muscle action potential (CMAP) response amplitude, and area under the curve (AUC) values.</p><p><strong>Results: </strong>TCMEP recordings were successfully obtained from the entire sample. No statistical significance was found between patient movement, amplitude, or area under the curve (AUC) between BP and LQP stimulation. A weak correlation was found between patient movement and stimulation intensity for both techniques. A strong correlation was found between amplitude and AUC values.</p><p><strong>Conclusion: </strong>Patient movement and stimulation parameters showed similar outcomes between BP and LQP. LQP did not demonstrate reduced movement compared to BP stimulation. This study contributes valuable insights into the effectiveness of BP and LQP stimulation in anterior cervical discectomy and fusion surgery.</p>","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":" ","pages":"193-205"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simulation-Based Neurodiagnostic Team Training for Critically Ill Patients with External Ventricular Drains: Design, Implementation, and Outcomes.","authors":"Natalia Yevpak, Minna Masor, Bonnie Satinover","doi":"10.1080/21646821.2026.2699026","DOIUrl":"https://doi.org/10.1080/21646821.2026.2699026","url":null,"abstract":"<p><p>Simulation‑based training is increasingly used in healthcare; a review of the literature revealed no published studies describing structured simulation‑based training programs for neurodiagnostic technologists. This study introduces a high‑fidelity simulation curriculum designed to improve technical skills, clinical reasoning, and interdisciplinary communication during continuous EEG (cEEG) setup in critically ill adult and pediatric patients with external ventricular drains (EVDs). Using two standardized scenarios, learners practiced pre‑procedure coordination with nursing staff, safe electrode placement near neurosurgical sites, response to vital‑sign changes, and management of alarm events. Training followed best‑practice simulation frameworks, including structured pre‑briefing and PEARLS debriefing. Participants reported increased confidence, better workflow understanding, and improved communication with nursing teams. The curriculum addresses a critical gap in neurodiagnostic education by providing a realistic, safe environment to rehearse high‑risk neurocritical care procedures. Although single‑site and limited in scale, early results support simulation as an effective tool for enhancing safety, preparedness, and team performance in EVD‑dependent cEEG monitoring.</p>","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"66 3","pages":"149-162"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ABRET Neurodiagnostic Credentialing and Accreditation.","authors":"","doi":"10.1080/21646821.2026.2715939","DOIUrl":"https://doi.org/10.1080/21646821.2026.2715939","url":null,"abstract":"","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"66 3","pages":"218-223"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Operationalizing Best Practices: Strategic Hybrid Staffing Solutions to Meet Mandated Monitoring Ratios.","authors":"Benjamin Harper, Kira Bennett","doi":"10.1080/21646821.2026.2688609","DOIUrl":"https://doi.org/10.1080/21646821.2026.2688609","url":null,"abstract":"<p><p>This report outlines a strategic hybrid staffing model developed by a large hospital's Neurodiagnostics department to meet their newly mandated continuous, real-time long-term monitoring (LTM) requirements. Faced with recruitment constraints and an urgent need to transition from a limited-service model to 24/7 model with a 4:1 patient-to-technologist monitoring standard, the department implemented several operational adjustments. Included changes to department operations were staggering of existing in-house shifts for optimal overlap, adding targeted midshifts, and integrating a contracted remote monitoring vendor. The adjustments resulted in an increase in patient safety, increased total study capacity to 15 concurrent studies, while optimizing reimbursement and addressing staff burnout and resource limitations.</p>","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"66 3","pages":"206-211"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multimodal Novel Recurrent Laryngeal Nerve Monitoring Techniques in Anterior Cervical Spine Surgery: Initial Experience and Proof of Concept.","authors":"Justin W Silverstein, Matthew T Carr, Grace Huang, Seth Kaplan, Brett Miles, John Caridi, Jonathan Oren","doi":"10.1080/21646821.2026.2668193","DOIUrl":"10.1080/21646821.2026.2668193","url":null,"abstract":"<p><p>Injury to the recurrent laryngeal nerve (RLN) during anterior cervical spine surgery is an uncommon yet impactful sequela. This study evaluates the feasibility and intraoperative behavior of laryngeal adductor reflex (LAR) and motor-evoked potentials with vocalis recordings (MEP-VC) during anterior cervical spine surgery. LAR and MEP-VC were employed for 13 patients undergoing anterior cervical spine surgery. LAR alerts were issued when clinically correlated reductions in amplitude, typically ≥20% in previously stable, non-habituating recordings, and/or temporal dispersion of the LAR waveform occurred. MEP-VC alerts were issued for a ≥50% isolated decrease in amplitude or any amplitude reduction that occurred concurrently with an LAR amplitude decline. LAR alerts were observed in five surgeries, with four showing recovery to baseline. In one case, with no LAR recovery, this patient demonstrated post-operative hoarseness. Conversely, another case showed persistent MEP-VC deterioration, despite LAR recovery following the intervention. This patient exhibited right vocal fold paralysis, diagnosed with incomplete glottic closure by an otolaryngologist. All other patients exhibited no RLN deficits post-surgery. Our proof-of-concept study demonstrates the feasibility of LAR and MEP-VC monitoring and suggests that these modalities may provide physiologically relevant information regarding RLN function during anterior cervical spine surgery.</p>","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":" ","pages":"163-178"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147975639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Calendar of Events September-November 2026.","authors":"","doi":"10.1080/21646821.2026.2713926","DOIUrl":"https://doi.org/10.1080/21646821.2026.2713926","url":null,"abstract":"","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"66 3","pages":"217"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Analysis of the Response Time to the Push Button in the Epilepsy Monitoring Unit.","authors":"Sukriye Damla Kara, Sydney Bhopatkar, Daniel T Trussell, Seth Lirette, Caleb Bloodworth, Sarah Harris, Madeline Griffin, Allan Brooks, Newlon Gillihan, Simranjit Kaur, Olga Selioutski","doi":"10.1080/21646821.2026.2659990","DOIUrl":"10.1080/21646821.2026.2659990","url":null,"abstract":"<p><p>The National Association of Epilepsy Centers mandates that epilepsy monitoring unit (EMU) patient observers must always be present to minimize risk of patient injury during admissions. To comply with this requirement, our staffing model and workflow were adjusted accordingly. Upon activation of the event button, rather than attending to EMU patients in person, the patient observer responded verbally through the room's speaker system and subsequently contacted nursing staff via a Vocera™ device. This study evaluates the efficiency of this model by measuring the time between event button (PB) activation, observer response, and subsequent evaluation by either nursing staff or physicians. We retrospectively reviewed video EEG files for all available PBs on EMU patients admitted between January 1 and December 31, 2023, and calculated the intervals between PB activation, patient observer's response, and in-person attendance by the health care provider. Patient demographics and event details were examined for statistical differences. Of 129 admissions (402 PBs), the median observer response time was 15 seconds, which increased with age (14 s, 16 s, and 20 s for <45, 45-64, and ≥65 yo, respectively; <i>p</i> = .027). The average time for a nurse or a physician to physically attend to the patient was 94 s (range, 4 to 1808 s). The average observer's response to psychogenic non-epileptic seizures (PNES) was faster (10 s) than responses to epileptic seizures (14 s), accidents (15 s), and other events (17 s) (<i>p</i> < .001). There was no difference in response time between sexes (<i>p</i> = .870) or races (<i>p</i> = .197). Although patient observer response time was short, only 15% of PBs were seizure-related, while > 50% were accidental. These findings highlight the need to critically evaluate EMU staffing models to maintain compliance with the safety requirements, improve the accuracy of seizure detection, and to meet overall goals of EMU evaluation.</p>","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":" ","pages":"179-192"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative Lower Extremity SSEP Absence from Over-Tightened Safety Strap: Case Report.","authors":"Taylor White, Emma Morley, Callan Broderick, Olivia Fisher","doi":"10.1080/21646821.2026.2643816","DOIUrl":"10.1080/21646821.2026.2643816","url":null,"abstract":"<p><p>Somatosensory evoked potentials (SSEPs) are used in spinal surgeries to monitor the functional integrity of dorsal column medial lemniscal pathways. Changes to waveform amplitudes can be due to surgical manipulation, in addition to many outside factors. We describe a posterior lumbar decompression/fusion case in which lower extremity (LE) SSEPs were performed and deteriorated bilaterally. These changes were found to be related to a safety strap traversing the posterior thighs that was excessively tight, causing neurological dysfunction. After loosening the strap, SSEP amplitudes and latencies returned to baseline parameters. This observation demonstrates the importance of careful patient positioning and application of external restraints. Numerous reports have described upper extremity (UE) positioning issues, but there are few that detail LE positioning issues. Intraoperative neuromonitoring (IONM) clinicians should be aware of various potential effects of improper positioning on IONM data and be vigilant in recognizing these instances.</p>","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":" ","pages":"124-137"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ABRET Neurodiagnostic Credentialing and Accreditation.","authors":"","doi":"10.1080/21646821.2026.2661185","DOIUrl":"https://doi.org/10.1080/21646821.2026.2661185","url":null,"abstract":"","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"66 2","pages":"143-147"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}