SCIENCE
At the forefront of this evolving field is the remarkable Dr Nimesha Cheruku, an accomplished alumna of Sri Ramachandra Medical College and Research Institute, and The University of Texas at Dallas.
In the dynamic area of surgical advancements, Intraoperative Neuromonitoring (IONM) is an emerging technique, that ensures patient safety and revolutionizing surgical outcomes.
At the forefront of this evolving field is the remarkable Dr Nimesha Cheruku, an accomplished alumna of Sri Ramachandra Medical College and Research Institute, and The University of Texas at Dallas. Her journey reflects unwavering dedication and relentless pursuit of knowledge, which has shaped her into a leading person in the domain of IONM.
With over 12 years of experience, Dr Cheruku has not only embraced the profound intricacies of IONM but has also been a passionate advocate for extending its reach. She has shared her wealth of knowledge through various speaker presentations, with a notable one titled "Introduction to Intraoperative Neuromonitoring in Spine Surgery" which garnered immense interest at the International Conference on Neuroscience and Neurology in Dubai.
She defines IONM as a comprehensive study conducted during surgery, monitoring the patient's nervous system through electrodes and electro-physiological recordings. This technique allows for early intervention by identifying neural insults intraoperatively, minimizing or eliminating irreversible damage to the neurological structure. The goal is to prevent postoperative neurologic deficits, including paralysis and loss of function, by identifying insults to the nervous system in real time and enabling immediate corrective actions.
The field of IONM has witnessed substantial advancements over the past two decades, thanks to the dedication of professionals like Dr. Cheruku. Today, IONM serves not only to predict but also to prevent injuries to the nervous system during high-risk neurosurgical procedures. Dr. Cheruku's tireless efforts in spreading awareness about IONM have underlined its significance for both patients and surgeons. Her expertise emphasizes that utilizing a multimodality approach during surgery aids in the early recognition of neurological insults and contributes to favorable surgical outcomes.
One of the prominent areas where Dr. Cheruku's expertise shines is in the realm of Lateral Lumbar Interbody Fusion (LLIF), a minimally invasive approach that offers shorter hospital stays and minimal recovery time. The most common postoperative complications for these procedures are thigh weakness, loss of sensation in the legs, and even paralysis.
To ensure the utmost protection during this procedure, Dr Cheruku advocates for a multi-modality approach, incorporating Somatosensory Evoked Potentials (SSEP)- monitor the electrical potentials recorded from the somatosensory cortex in response to stimulation of a peripheral nerve, Motor Evoked Potentials (MEP)- monitor the descending motor pathways from the motor cortex to the peripheral muscles, EMG (electromyography)- real-time recording of selective nerve root function specific to a muscle, Spontaneous EMG(spEMG)- muscle activity without stimulation, and Triggered EMG- muscle activity with stimulation.
EMG and triggered EMG help in identifying a safe pathway to the disc space. Per Dr Cheruku, though Free run or Spontaneous Electromyography (spEMG) and triggered EMG are commonly used during these procedures, the IONM protocol must be expanded to include Somatosensory evoked potentials (SSEP) from Saphenous nerve on the surgical side, Peroneal nerve SSEP on the non-surgical side in addition to Ulnar and Posterior Tibial Nerve SSEP, Motor Evoked Potentials (MEP) from at least two muscles of the quadriceps and adductors in addition to the other lower lumbar muscles.
This aids in protecting the nerves at risk from patient positioning and steps of the procedure, helping to prevent debilitating postoperative complications. She has shared her knowledge about the neuromonitoring protocol for the LLIF procedure at the 63rd ASET Annual Conference in KY, USA, and at the Global Congress on Spine and Spinal Disorders in UAE.
Furthermore, her contributions extend to Spinal Cord Stimulator (SCS) implant procedures. Dr Cheruku's emphasis on midline placement of SCS leads, guided by IONM using SSEPs, MEPs, and EMG, has proven crucial in identifying and preventing permanent neurological damage. This also highlighted the importance of identifying the physiological midline as opposed to the anatomical midline to identify the specific location of pain and to provide adequate pain management to the patients.
Though SSEPs and EMG have been shown to be significant in these procedures over the years, Dr. Cheruku has shown that MEPs also play a significant role.
Through her expertise and innovative approaches, she has significantly enhanced the accuracy and reliability of neuromonitoring for these procedures.
Beyond her technical prowess, Dr Nimesha Cheruku stands as a staunch advocate for patient safety within the neuromonitoring domain. Her dedication to research and numerous publications in the field have directly influenced patient care, elevating surgical outcomes and enhancing patient safety. Driven by a profound passion for improving surgical outcomes and patient well-being, Dr Cheruku exemplifies excellence in patient care.
Dr Nimesha Cheruku's relentless commitment and pioneering work in the field of Intraoperative Neuromonitoring have elevated surgical practices, ensuring safer procedures and improved patient experiences. Her contributions continue to inspire and educate aspiring healthcare professionals, leaving a noteworthy impression on the ever-evolving landscape of IONM.
This is Ratan Tata's manager Shantanu Naidu's dream car, it costs over Rs...
Karan Johar voices Basanti in Twinkle Khanna’s Go Noni Go but there's a twist
Amid divorce rumours with Abhishek Bachchan, Aishwarya Rai calls him best...: 'He can...'
Iskcon temple in Tirupati gets bomb threat, 4th hoax mail in 3 days
Bank Holiday October 29 Tuesday: Are banks closed on Dhanteras? Know here
Mukesh Ambani's Jio 'Diwali Dhamaka': Know superhit plans with voucher benefits for just Rs...
Delhi-NCR news: Thick layer of smog covers Delhi, AQI remains in 'very poor' category
Mukesh Ambani's wife Nita Ambani launches new project for 1 lakh women and children, will provide...
Pune to get four new Vande Bharat Trains, check routes, stoppages, fares here
Meet IRS Officer, whose father worked as security guard, cracked UPSC in first attempt with AIR...
Meet Humaira Mushtaq, trailblazing racer from J-K making waves in motorsports
'VIP thief': Woman driving BMW caught stealing flower pot in Noida, video goes viral
Meet woman who lives in 50 crore house, wear shoes worth 2000000, net worth Rs 60000000, she is...
Viral video: Little girl’s adorable dance to Shraddha Kapoor’s cham cham' impresses internet, watch
Bigg Boss 18: Nyra Banerjee gets evicted from Salman Khan-hosted show in double elimination week
Emerging Teams Asia Cup 2024 Final: Afghanistan A beat Sri Lanka A by 7 wickets to lift maiden title
'Big loss': Australian head coach reacts to Mohammed Shami's absence from Border-Gavaskar Trophy
Viral video: Man claims to finds dead lizard floating in beer bottle in Telangana, watch
'Example of India's crumbling infrastructure...': LoP Rahul Gandhi over stampede in Bandra terminus
Diwali 2024: Exact date, shubh muhurat of Lakshmi Puja, Govardhan Puja and Bhai Dooj; know here
'There was no response from....': S Jaishankar criticises Congress over Mumbai 26/11 attacks
Hoax bomb threats to Indian flights continue, 50 flights disrupted today
'There will be cracks in team': Ex-India star issues stern warning following Pune Test defeat
'Suno Lawrence Bishnoi...': Man threatens gangster in viral video, backs Salman Khan, WATCH
Who is Gursimran Kaur? 19- year old Indian woman found dead in Canada's Walmart oven
UP: Taj Mahal engulfed in thick haze as pollution rises in Agra, pics surface online
Sonam Kapoor dazzles in rust lehenga with unique soil and clay body ornament at Diwali party
Diljit Dosanjh's ‘Dil-Luminati’ tour breaks concert records in India as it becomes…
This is what Ratan Tata expected in Noel Tata in order to succeed him as Tata Sons Chairman
‘True Hero’: Zomato delivery agent with no hands becomes inspires internet
UP: 10 hotels in Lucknow receive bomb threats via email, sender demands Rs 46 lakh ransom
'Aishwarya Rai in my arms': Old Vivek Oberoi video clip goes viral amid divorce rumours
Pakistan T20I, ODI squads for Australia, Zimbabwe tours announced; captain not yet revealed
THIS Indian state recorded highest number of stubble-burning cases, it’s not Punjab, Haryana
Mumbai engulfed in layer of smoke as AQI dips to 'poor' ahead of Diwali festival
Meet superstar who was only 15 when romantically paired with 55 year old star, the film was...
Mohammed Shami drops first reaction after BCCI leaves out star pacer from Team India's BGT squad
Ghaziabad to Kanpur in 5 hours? 380 km expressway to connect 9 UP districts, will be completed by...
Zomato's specially-abled delivery agent's unstoppable spirit melts hearts online, watch viral video
Salman Khan announces Da-bangg Tour in Dubai amid death threats, fans say 'Tiger Zinda Hai'
World’s most polluted city has AQI of 700, it’s not Delhi, Mumbai, Bengaluru
Will Vande Bharat sleeper train outclass Rajdhani Express? Here's all you need to know
Rama Ekadashi 2024: Know date, history, vrat rituals, shubh muhurat, and significance
Meet filmmaker allegedly slapped by Shah Rukh Khan, gave big flops with Akshay Kumar, Salman Khan
Why lifts have mirrors? Reason will surprise you
Delhi chokes amid rising air pollution, AQI crosses 400 at...
Gujarati is now third most-spoken Indian language in THIS country, not US, UK, Australia, it is...
NASA Alert: Giant 500-foot asteroid, as big as a skyscraper is approaching Earth tomorrow at...
Chinese woman calls Indian food ‘dirty’, changes her mind after..., watch viral video
5-20-30 rule to lose belly fat: Know benefits, risks and a step-by-step guide
ISRO chief reveals launch dates for upcoming missions: Gaganyaan, Chandrayaan-4 likely in…
J-K: Terrorist hideout busted in Poonch; two grenades, three Pakistani mines recovered