Comparing Motor-Evoked Potential Characteristics of NEedle versus suRFACE Recording Electrodes during Spinal Cord Monitoring-The NERFACE Study Part I.

intraoperative neurophysiological monitoring muscle recorded transcranial electrical stimulation motor evoked potentials signal-to-noise ratio subcutaneous needle recording electrode surface recording electrode volume conduction

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
10 Feb 2023
Historique:
received: 21 12 2022
revised: 25 01 2023
accepted: 07 02 2023
entrez: 25 2 2023
pubmed: 26 2 2023
medline: 26 2 2023
Statut: epublish

Résumé

Muscle-recorded transcranial electrical stimulation motor-evoked potentials (mTc-MEPs) are used to assess the spinal cord integrity. They are commonly recorded with subcutaneous needle or surface electrodes, but the different characteristics of mTc-MEP signals recorded with the two types of electrodes have not been formally compared yet. In this study, mTc-MEPs were simultaneously recorded from the tibialis anterior (TA) muscles using surface and subcutaneous needle electrodes in 242 consecutive patients. Elicitability, motor thresholds, amplitude, area under the curve (AUC), signal-to-noise ratio (SNR), and the variability between mTc-MEP amplitudes were compared. Whereas amplitude and AUC were significantly higher in subcutaneous needle recordings (

Identifiants

pubmed: 36835940
pii: jcm12041404
doi: 10.3390/jcm12041404
pmc: PMC9965447
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Maria C Gadella (MC)

Department of Neurosurgery, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.
Department of Anaesthesiology, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.

Sebastiaan E Dulfer (SE)

Department of Neurosurgery, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.

Anthony R Absalom (AR)

Department of Anaesthesiology, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.

Fiete Lange (F)

Department of Neurology, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.

Carola H M Scholtens-Henzen (CHM)

Department of Neurology, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.

Rob J M Groen (RJM)

Department of Neurosurgery, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.

Frits H Wapstra (FH)

Department of Orthopaedics, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.

Christopher Faber (C)

Department of Orthopaedics, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.

Katalin Tamási (K)

Department of Neurosurgery, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.
Department of Epidemiology, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.

Marko M Sahinovic (MM)

Department of Anaesthesiology, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.

Gea Drost (G)

Department of Neurosurgery, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.
Department of Neurology, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.

Classifications MeSH