The impact of intraoperative neuromonitoring (IONM) on surgical strategy in bilateral thyroid diseases: is it worth the effort?

This lecture, presented by Dr. Bashar Katirji from the University Hospitals Cleveland Medical Center, will focus on and discuss Nerve Conduction Studies (NCS). Dr. Katirji will highlight NCS amplitudes and stress on the importance and pitfalls of accurate studies and measurements. He will also present several real-life cases emphasizing amplitude values and using side to side comparison in arriving at the correct diagnosis. This lecture will also discuss the importance of motor and sensory amplitudes in localization, diagnosis and prognosis.
Learning objectives

Upon completion, attendees will gain knowledge about:

• Discuss nerve conductions and highlighting amplitudes
• Present several cases with emphasis on amplitudes
• Discuss the importance of CMAP and SNAP amplitudes in localization, diagnosis and prognosis

Course introduction:
Epilepsy surgery continues to be an important therapeutic option for some patients and during this lecture Dr. Mark Quigg will review criteria for epilepsy surgery, phase 1 non-invasive and phase 2 invasive evaluations, surgical treatments (traditional and minimally invasive alternatives), and outcomes.

Learning Objectives:
At the conclusion of this seminar the participants will be able to:

• Recognize appropriate candidates for epilepsy surgery evaluation
• Know the process of multidisciplinary evaluation for epilepsy surgery
• Identify types of surgery available
• Know the outcomes from important prospective and retrospective trials of epilepsy surgery