Intraoperative Monitoring of Motor-Evoked Potentials in Children Undergoing Spinal Surgery
- 1 April 2007
- journal article
- clinical trial
- Published by Wolters Kluwer Health in Spine
- Vol. 32 (8) , 911-917
- https://doi.org/10.1097/01.brs.0000259836.84151.75
Abstract
Clinical case series. To study the combined use of modifications of stimulation methods and adjustments of anesthetic regimens on the reliability of motor-evoked potential (MEP) monitoring in a large group of children undergoing spinal surgery. Monitoring of MEPs is advocated during spinal surgery, but systematic data from children are sparse. A total of 134 consecutive procedures in 108 children 6 years and in 86% (18 of 21) in children <6 years of age. Combining spatial facilitation with a TES protocol improved monitoring of corticospinal motor pathways during spinal surgery in children. A ketamine-based anesthetic technique was preferred in children <6 years of age.Keywords
This publication has 32 references indexed in Scilit:
- Amplitudes and Intrapatient Variability of Myogenic Motor Evoked Potentials to Transcranial Electrical Stimulation During Ketamine/N2O- and Propofol/N2O-Based AnesthesiaJournal of Neurosurgical Anesthesiology, 2002
- Low Dose Propofol as a Supplement to Ketamine-Based Anesthesia During Intraoperative Monitoring of Motor-Evoked PotentialsSpine, 2000
- Influence of Isoflurane on Myogenic Motor Evoked Potentials to Single and Multiple Transcranial Stimuli during Nitrous Oxide/Opioid AnesthesiaNeurosurgery, 1998
- Motor-evoked potential monitoringCurrent Opinion In Anesthesiology, 1997
- Magnetic stimulation of motor cortex in children: maturity of corticospinal pathway and problem of clinical applicationBrain & Development, 1997
- Somatosensory evoked potential spinal cord monitoring reduces neurologic deficits after scoliosis surgery: results of a large multicenter surveyElectroencephalography and Clinical Neurophysiology/Evoked Potentials Section, 1995
- Effects of Droperidol, Pentobarbital, and Ketamine on Myogenic Transcranial Magnetic Motor-evoked Responses in HumansNeurosurgery, 1994
- Low Concentrations of Isoflurane Abolish Motor Evoked Responses to Transcranial Electrical Stimulation During Nitrous Oxide/Opioid Anesthesia in HumansAnesthesia & Analgesia, 1991
- Postoperative neurological deficits may occur despite unchanged intraoperative somatosensory evoked potentialsAnnals of Neurology, 1986
- Postoperative paraplegia with preserved intraoperative somatosensory evoked potentialsJournal of Neurosurgery, 1985