Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

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

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: Taylor & Francis Country of Publication: England NLM ID: 8800054 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-046X (Electronic) Linking ISSN: 02688697 NLM ISO Abbreviation: Br J Neurosurg Subsets: MEDLINE
    • بيانات النشر:
      Publication: 2015-: Abingdon, Oxfordshire : Taylor & Francis
      Original Publication: Abingdon, Oxfordshire : Carfax Pub. Co., c1987-
    • الموضوع:
      Chronic Pain*/therapy ; Evoked Potentials, Motor*; Electromyography ; Evoked Potentials, Somatosensory ; Humans ; Monitoring, Intraoperative
    • نبذة مختصرة :
      Introduction: As an alternative to those patients who cannot be performed an awake spinal cord stimulation (SCS) or had been percutaneously implanted with poor pain relief outcomes, neurophysiological monitoring through transcranial motor evoked potentials (MEPs), somatosensory-evoked potentials (SSEPs) and free-run electromyography (EMG) under general anesthesia allows the correct placement of surgical leads and provide objective responses. Methods: An initial series of 15 patients undergoing SCS implantation for chronic pain. Physiologic midline was determined with 32-channel NIM-Eclipse System equipment. During neurophysiological monitoring, MEPs, SSEPs, EMG and CMAPs were recorded. Results: MEPs, SSEPs, and EMG were able to target spinal cord physiological midline during SCS to all patients. Physiologic midline was deviated in 53% patients. No warning events in SSEPs, MEPs, or EMG were recorded in any patient. Conclusions: Bilateral CMAPs recording allows placement of paddle leads in physiological midline, obtaining an accurate coverage, pain relief and avoid unpleasant or ineffective stimulation postoperatively. While these neurophysiological techniques are generally used to provide information on the state of the nervous system and prevent neurological injury risks during SCS, our work has shown that can accurate direct lead placement.
    • Contributed Indexing:
      Keywords: Neuropathic pain; compound muscle action potentials; general anesthesia; laminectomy; spinal cord stimulation
    • الموضوع:
      Date Created: 20200430 Date Completed: 20210129 Latest Revision: 20210129
    • الموضوع:
      20250114
    • الرقم المعرف:
      10.1080/02688697.2020.1759777
    • الرقم المعرف:
      32347125