Comparison of Intraoperative Motor Evoked Potentials Monitoring with Direct Cranial Stimulation by Peg-Screw and Transcranial Stimulation by Corkscrew for Supratentorial Surgery

被引:1
作者
Kanaya, Kohei [1 ]
Goto, Tetsuya [1 ]
Horiuchi, Tetsuyoshi [1 ]
Hongo, Kazuhiro [1 ]
机构
[1] Shinshu Univ, Sch Med, Dept Neurosurg, Matsumoto, Nagano, Japan
关键词
Corkscrew electrode; Motor evoked potentials; Motor threshold; Peg-screw electrode; Transcranial electrical stimulation; ELECTRICAL-STIMULATION; ANEURYSM SURGERY; TUMOR SURGERY; ELECTRODE; RESECTION;
D O I
10.1016/j.wneu.2019.04.039
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
OBJECTIVE: Corkscrew (CS) electrodes are usually used for transcranial electrical stimulation (TES) in the intraoperative monitoring of motor evoked potentials (MEP). Direct cranial stimulation with peg-screw (PS) electrodes can elicit MEP. The present study investigated the difference in the initial threshold between PS and CS electrodes for intraoperative MEP monitoring. METHODS: We retrospectively analyzed TES-MEP monitoring for supratentorial surgery in 72 patients. Of these 72 patients, 44 were monitored with PS and CS electrodes (PS/CS group) and 28 were monitored with CS and CS electrodes (CS/CS group). TES was used to deliver electrical stimulation by a train of 4-pulse anodel constant current stimulation. The initial threshold in each electrode was checked and analyzed. RESULTS: In the PS/CS group, the initial threshold with the PS electrode was 38.3 +/- 15.1 mA (mean +/- standard deviation) on the affected side, and the initial threshold with the CS electrode was 51.4 +/- 13.9 mA on the unaffected side. The initial threshold with the PS electrode was significantly lower than that with the CS electrode (P = 0.0001). In the CS/CS group, the initial threshold was 56.2 +/- 16.5 mA on the affected side and 62.1 +/- 18.6 mA on the unaffected side, with no statistically significant difference (P = 0.23). CONCLUSION: The initial threshold to elicit MEP was significantly lower with the PS electrode than with the CS electrode. A PS electrode can be used as a feasible stimulation electrode for TES-MEP.
引用
收藏
页码:E1044 / E1050
页数:7
相关论文
共 50 条
[41]   Bite injuries caused by transcranial electrical stimulation motor-evoked potentials' monitoring: incidence, associated factors, and clinical course [J].
Yata, Sachiko ;
Ida, Mitsuru ;
Shimotsuji, Hiroko ;
Nakagawa, Yosuke ;
Ueda, Nobuhiro ;
Takatani, Tsunenori ;
Shigematsu, Hideki ;
Motoyama, Yasushi ;
Nakase, Hiroyuki ;
Kirita, Tadaaki ;
Kawaguchi, Masahiko .
JOURNAL OF ANESTHESIA, 2018, 32 (06) :844-849
[42]   Predictive Value and Safety of Intraoperative Neurophysiological Monitoring With Motor Evoked Potentials in Glioma Surgery [J].
Krieg, Sandro M. ;
Shiban, Ehab ;
Droese, Doris ;
Gempt, Jens ;
Buchmann, Niels ;
Pape, Haiko ;
Ryang, Yu-Mi ;
Meyer, Bernhard ;
Ringel, Florian .
NEUROSURGERY, 2012, 70 (05) :1060-1070
[43]   Basic Principles and Recent Trends of Transcranial Motor Evoked Potentials in Intraoperative Neurophysiologic Monitoring [J].
Tsutsui, Shunji ;
Yamada, Hiroshi .
NEUROLOGIA MEDICO-CHIRURGICA, 2016, 56 (08) :451-456
[44]   Crossover Phenomena in Motor Evoked Potentials During Intraoperative Neurophysiological Monitoring of Cranial Surgeries [J].
Gonzalez, Andres A. ;
Akopian, Vahe ;
Lagoa, Iria ;
Shilian, Parastou ;
Parikh, Pooja .
JOURNAL OF CLINICAL NEUROPHYSIOLOGY, 2019, 36 (03) :236-241
[45]   Intraoperative Transcranial Motor-evoked Potential Stimulation Does Not Seem to Cause Seizures [J].
Burbridge, Mark A. ;
Nguyen, Viet ;
Min, Jung Gi ;
Jaffe, Richard A. ;
Ahuja, Brian ;
Shah, Amit D. ;
Lee, Leslie H. ;
Cho, Charles ;
Sandoval, Breanna ;
Lopez, Jaime R. .
JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY, 2021, 33 (04) :351-355
[46]   The Utility of Transcranial Electrical Stimulation Motor Evoked Potential Monitoring in Predicting Postoperative Supplementary Motor Area Syndrome and Motor Function Recovery [J].
Di, Long ;
Tiefenbach, Jakov ;
Mccarthy, David J. ;
Sedighim, Shaina ;
Dagal, Arman ;
Blandino, Carlos F. ;
Luther, Evan M. ;
Lu, Victor M. ;
Ivan, Michael E. ;
Komotar, Ricardo J. ;
Eichberg, Daniel G. ;
Shah, Ashish H. .
WORLD NEUROSURGERY, 2024, 183 :E892-E899
[47]   Trapezius Motor Evoked Potentials From Transcranial Electrical Stimulation and Transcranial Magnetic Stimulation: Reference Data, Characteristic Differences and Intradural Motor Velocities in Horses [J].
Journee, Sanne Lotte ;
Journee, Henricus Louis ;
Berends, Hanneke Irene ;
Reed, Steven Michael ;
Bergmann, Wilhelmina ;
de Bruijn, Cornelis Marinus ;
Delesalle, Catherine John Ghislaine .
FRONTIERS IN NEUROSCIENCE, 2022, 16
[48]   Motor Evoked Potentials Improve Targeting in Deep Brain Stimulation Surgery [J].
Nikolov, Petyo ;
Heil, Verena ;
Hartmann, Christian J. ;
Ivanov, Nikola ;
Slotty, Philipp J. ;
Vesper, Jan ;
Schnitzler, Alfons ;
Groiss, Stefan Jun .
NEUROMODULATION, 2021, :888-894
[49]   Intra-operative monitoring of lower extremity motor-evoked potentials by direct cortical stimulation [J].
Maruta, Yuichi ;
Fujii, Masami ;
Imoto, Hirochika ;
Nomura, Sadahiro ;
Oka, Fumiaki ;
Goto, Hisaharu ;
Shirao, Satoshi ;
Yoshikawa, Kouichi ;
Yoneda, Hiroshi ;
Ideguchi, Makoto ;
Suehiro, Eiichi ;
Koizumi, Hiroyasu ;
Ishihara, Hideyuki ;
Kato, Shoichi ;
Kajiwara, Koji ;
Suzuki, Michiyasu .
CLINICAL NEUROPHYSIOLOGY, 2012, 123 (06) :1248-1254
[50]   Motor potentials evoked by transcranial magnetic stimulation: interpreting a simple measure of a complex system [J].
Spampinato, Danny Adrian ;
Ibanez, Jaime ;
Rocchi, Lorenzo ;
Rothwell, John .
JOURNAL OF PHYSIOLOGY-LONDON, 2023, 601 (14) :2827-2851