Providing surgeon’s with real time information.

Our range of services cover procedures that potentially place the patient’s neurological structures at risk. For each procedure, our clinical team will work with you to tailor a specific monitoring strategy that will provide comprehensive coverage for the structures at risk.

NEUROSURGERY:

Spine (Cervical, Thoracic, Lumbar, Scoliosis), Acoustic Neuroma, Tumor removal, Microvascular Decompression, Spinal Cord untethering, Aneurysm

ORTHOPEDIC SURGERY:

Total Knee Replacement, Total Hip Replacement, Hip Arthroscopy, Arthroscopic Rotator Cuff repair, Shoulder ORIF

INTERVENTIONAL RADIOLOGY:

Aneurysm coiling

VASCULAR SURGERY:

Aortic Aneurysm Repair, Carotid Endarterectomy

ENT:

Aortic Aneurysm Repair, Carotid Endarterectomy

EPIOM provides a premier neuromonitoring service in the San Antonio

Our team approach to patient care is what sets us apart, working side by side with the same surgeons and anesthesiologists.

SURGICAL MONITORING

Craniotomy

  • Excision of primary and secondary neoplasia from supratentorial and infratentorial locations (including CPA locations for schwannomas)
  • Microvascular decompression procedures
  • Intracerebral aneurysm and AVM surgery
  • Glomus tumor resection and jugular foramen procedures including skull base surgery
  • Arnold Chiari Malformations

Funtional Neurosurgery (supervision of Doctoral Neurophysiologists in the OR is directly by the Neurosurgeon)

  • Deep brain stimulation for Parkinsonism, tremors, dystonias and other movement disorders

Other Procedures on Extracranial and Intracranial Arteries

  • Carotid endarterectomy
  • EC-IC bypass procedures

Interventional Procedures

  • Embolization of intracranial and extracranial/spinal arteriovenous malformations
  • Embolization of intracranial and extracranial/spinal aneurysms
  • Endovascular chemotherapy
  • Reperfusion with t-PA and other lytic agents
  • Endovascular atherothrombectomy
  • Intracranial and extracranial stent placement
  • Angioplasty of intracranial and extracranial vessels

Spinal Procedures

  • Intradural abscess or neoplasm resection
  • Drainage and marsupialization of cysts including syrinxes
  • Procedures on the Cauda Equina including removal of lipomas, and cord untethering
  • Monitoring spinal cord stimulator placement
  • Spinal AVM surgery

Cranial and Peripheral Nerve Procedures

  • Tumor resection including schwannomas/sarcomas of cranial/peripheral nerves
  • Exploration of brachial plexus
  • Exploration of post-traumatic peripheral nerves- anastomosis procedures

Neuromonitoring Has Become Part Of The Standard Of Care For Surgeries That Place Elements Of The Nervous System At Risk.

Physicians interested in IONM should start with the literature and see what’s out there–there’s enough literature supporting the use of IONM. I would then encourage them to start using the modality in cases to see its benefits and determine if it alters their surgical techniques. IONM’s another tool to maximize patient safety.

– FRANK FICHTEL, MD
TEXAS NEUROSCIENCES INSTITUTE