Abstract
Diverse electrophysiological studies, including evoked potential, electromyography, and nerve conduction studies, are currently used in the operating room to spare the function of the spinal cord during surgery. Here, we dealt with the basic principles, advantages, and limitations of each electrophysiological study.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Rutkove SB. Introduction to volume conduction. Clinical neurophysiology primer. p. 43.
Available from https://cdn.ymaws.com/www.asnm.org/resource/resmgr/docs/INTRAOPERATIVE_MONITORING_US.pdf.
Minahan R, et al. Anterior spinal cord injury with preserved neurogenic’motor’evoked potentials. Clin Neurophysiol Off J Int Fed Clin Neurophysiol. 2001;112(8):1442.
Burke D, et al. Trial-to-trial variability of corticospinal volleys in human subjects. Electroencephalogr Clin Neurophysiol. 1995;97(5):231.
Taniguchi M, Cedzich C, Schramm J. Modification of cortical stimulation for motor evoked potentials under general anesthesia: Technical description. Neurosurgery. 1993;32(2):219.
Kim D-G, et al. Intraoperative motor-evoked potential disappearance versus amplitude-decrement alarm criteria during cervical spinal surgery: A long-term prognosis. J Clin Neurol (Seoul, Korea). 2017;13(1):38.
Jin S, et al. Multimodal intraoperative monitoring during intramedullary spinal cord tumor surgery. Acta Neurochir. 2015;157(12):2149.
Kim J, et al. Effect of peripheral nerve tetanic stimulation on the inter-trial variability and accuracy of transcranial motor-evoked potential in brain surgery. Clin Neurophysiol Off J Int Fed Clin Neurophysiol. 2016;127(5):2208.
Kothbauer K. Intraoperative neurophysiologic monitoring for intramedullary spinal-cord tumor surgery. Neurophysiol Clin/Clin Neurophysiol. 2007;37(6):407.
Ulkatan S, et al. Monitoring of scoliosis surgery with epidurally recorded motor evoked potentials (D wave) revealed false results. Clin Neurophysiol Off J Int Fed Clin Neurophysiol. 2006;117(9):2093.
Preston DC, Shapiro BE. Electromyography and neuromuscular disorders E-book: Clinical-electrophysiologic correlations (Expert Consult-Online and Print). Elsevier Health Sciences; 2012.
Harper C, Daube J. Facial nerve electromyography and other cranial nerve monitoring. J Clin Neurophysiol Off Publ Am Electroencephalogr Soc. 1998;15(3):206.
Layzer R. Neuromyotonia and myokymia.
Skinner S, et al. Electromyography detects mechanically-induced suprasegmental spinal motor tract injury: Review of decompression at spinal cord level. Clin Neurophysiol Off J Int Fed Clin Neurophysiol. 2009;120(4):754.
Galbraith J, Thibault L, Matteson D. Mechanical and electrical responses of the squid giant axon to simple elongation. J Biomech Eng. 1993;115(1):13.
Hahn A, et al. Neuromyotonia in hereditary motor neuropathy. J Neurol Neurosurg Psychiatry. 1991;54(3):230.
Gunnarsson T, et al. Real-time continuous intraoperative electromyographic and somatosensory evoked potential recordings in spinal surgery: Correlation of clinical and electrophysiologic findings in a prospective, consecutive series of 213 cases. Spine. 2004;29(6):677.
Deletis V, et al. Intraoperative identification of the corticospinal tract and dorsal column of the spinal cord by electrical stimulation. J Neurol Neurosurg Psychiatry. 2018;89(7):754.
Glassman S, et al. A prospective analysis of intraoperative electromyographic monitoring of pedicle screw placement with computed tomographic scan confirmation. Spine. 1995;20(12):1375.
Gandhi R, Curtis C, Cohen-Gadol A. High-resolution direct microstimulation mapping of spinal cord motor pathways during resection of an intramedullary tumor. J Neurosurg Spine. 2015;22(2):205.
Deletis V, et al. Letter to the Editor: Electrical activity in limb muscles after spinal cord stimulation is not specific for the corticospinal tract. J Neurosurg Spine. 2017;26(2):267.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Kim, SM. (2021). Electrophysiological Study Including EP, EMG, NCS. In: Chung, C.K. (eds) Surgery of Spinal Cord Tumors Based on Anatomy. Springer, Singapore. https://doi.org/10.1007/978-981-15-7771-0_17
Download citation
DOI: https://doi.org/10.1007/978-981-15-7771-0_17
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-15-7770-3
Online ISBN: 978-981-15-7771-0
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)