Use of transcranial motor-evoked potentials to provide reliable intraoperative neuromonitoring for the Charcot–Marie–Tooth population undergoing spine deformity surgery

2021 ◽  
Author(s):  
Jeffrey Peck ◽  
Kiley Poppino ◽  
Steven Sparagana ◽  
Patricia Rampy ◽  
Spencer Freeman ◽  
...  
Keyword(s):  
Evoked Potentials ◽  
Motor Evoked Potentials ◽  
Intraoperative Neuromonitoring ◽  
Spine Deformity ◽  
Charcot Marie Tooth ◽  
Transcranial Motor Evoked Potentials

scholarly journals Intraoperative neuromonitoring in spine deformity surgery: modalities, advantages, limitations, medicolegal issues – surgeons’ views

2020 ◽  
Vol 5 (1) ◽  
pp. 9-16 ◽  
Author(s):  
Mirza Biscevic ◽  
Aida Sehic ◽  
Ferid Krupic
Keyword(s):  
Spinal Cord ◽  
Evoked Potentials ◽  
Motor Evoked Potentials ◽  
Dorsal Column ◽  
Intraoperative Neuromonitoring ◽  
Spine Deformity ◽  
Medial Lemniscus ◽  
Motor Pathways ◽  
Sensory Pathways ◽  
Permanent Neurological Deficit

In spine deformity surgery, iatrogenic neurologic injuries might occur due to the mechanical force applied to the spinal cord from implants, instruments, and bony structures, or due to ischemic changes from vessel ligation during exposure and cord distraction/compression during corrective manoeuvres. Prompt reaction within the reversible phase (reducing of compressive/distractive forces) usually restores functionality of the spinal cord, but if those forces continue to persist, a permanent neurological deficit might be expected. With monitoring of sensory pathways (dorsal column–medial lemniscus) by somatosensory-evoked potentials (SSEPs), such events are detected with a sensitivity of up to 92%, and a specificity of up to 100%. The monitoring of motor pathways by transcranial electric motor-evoked potentials (TceMEPs) has a sensitivity and a specificity of up to 100%, but it requires avoidance of halogenated anaesthetics and neuromuscular blockades. Different modalities of intraoperative neuromonitoring (IONM: SSEP, TceMEP, or combined) can be performed by the neurophysiologist, the technician or the surgeon. Combined SSEP/TceMEP performed by the neurophysiologist in the operating room is the preferable method of IONM, but it might be impractical or unaffordable in many institutions. Still, many spine deformity surgeries worldwide are performed without any type of IONM. Medicolegal aspects of IONM are different worldwide and in many cases some vagueness remains. The type of IONM that a spinal surgeon employs should be reliable, affordable, practical, and recognized by the medicolegal guidelines. Cite this article: EFORT Open Rev 2020;5:9-16. DOI: 10.1302/2058-5241.5.180032

Efficacy of Intraoperative Neuromonitoring Using Transcranial Motor-Evoked Potentials for Degenerative Cervical Myelopathy

Spine ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Masahiro Funaba ◽  
Tsukasa Kanchiku ◽  
Go Yoshida ◽  
Shiro Imagama ◽  
Shigenori Kawabata ◽  
...  
Keyword(s):  
Evoked Potentials ◽  
Cervical Myelopathy ◽  
Motor Evoked Potentials ◽  
Intraoperative Neuromonitoring ◽  
Transcranial Motor Evoked Potentials ◽  
Degenerative Cervical Myelopathy

scholarly journals Transesophageal versus transcranial motor evoked potentials to monitor spinal cord ischemia

2016 ◽  
Vol 151 (2) ◽  
pp. 509-517 ◽  
Author(s):  
Kazumasa Tsuda ◽  
Norihiko Shiiya ◽  
Daisuke Takahashi ◽  
Kazuhiro Ohkura ◽  
Katsushi Yamashita ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Evoked Potentials ◽  
Motor Evoked Potentials ◽  
Spinal Cord Ischemia ◽  
Transcranial Motor Evoked Potentials

3:35 Can currently used electrical stimulators reliably obtain transcranial motor-evoked potentials?

2002 ◽  
Vol 2 (5) ◽  
pp. 92
Author(s):  
Purnendu Gupta ◽  
Steve Roth ◽  
Ramo Nunez ◽  
Todd Wetzel ◽  
Frank Phillips ◽  
...  
Keyword(s):  
Evoked Potentials ◽  
Motor Evoked Potentials ◽  
Transcranial Motor Evoked Potentials

The use of transcranial motor-evoked potentials, somatosensory-evoked potentials and free-run electromyography for proper placement of paddle leads in chronic pain

2020 ◽  
Vol 34 (4) ◽  
pp. 465-469
Author(s):  
José F. Paz ◽  
María del Mar Santiago Sanz ◽  
María Victoria Paz-Domingo ◽  
María Luisa Gandía-González ◽  
Susana Santiago-Pérez ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Evoked Potentials ◽  
Somatosensory Evoked Potentials ◽  
Motor Evoked Potentials ◽  
Transcranial Motor Evoked Potentials

scholarly journals Fentanyl‐induced suppression of transcranial Motor Evoked Potentials (tcMEPs)

2016 ◽  
Vol 4 (2) ◽  
pp. 116-119
Author(s):  
Orhan Bican ◽  
Jaime Lopez ◽  
Charles Cho ◽  
Viet Nguyen ◽  
Scheherazade Le ◽  
...  
Keyword(s):  
Evoked Potentials ◽  
Motor Evoked Potentials ◽  
Transcranial Motor Evoked Potentials
Sign in / Sign up

Export Citation Format

Share Document