Using Transcranial Magnetic Stimulation to Evaluate the Motor Pathways After an Intraoperative Spinal Cord Injury and to Predict the Recovery of Intraoperative Transcranial Electrical Motor Evoked Potentials: A Case Report

被引：1

作者：

Grover, Helen J. ^{[1
]}

Thornton, Rachel ^{[1
]}

Lutchman, Lennel N. ^{[2
]}

Blake, Julian C. ^{[1
,3
]}

机构：

[1] Norfolk & Norwich Univ Hosp, Dept Clin Neurophysiol, Colney Lane, Norwich NR7 4UY, Norfolk, England

[2] Norfolk & Norwich Univ Hosp, Dept Trauma & Orthopaed, Norwich, Norfolk, England

[3] UCL Inst Neurol, MRC Ctr Neuromuscular Dis, London, England

来源：

JOURNAL OF CLINICAL NEUROPHYSIOLOGY | 2016年 / 33卷 / 03期

关键词：

Transcranial electrical motor evoked potentials; Transcranial Magnetic stimulation motor evoked potentials; Intraoperative neuromonitoring; TETANIC STIMULATION; FACILITATION; AMPLITUDES; ANESTHESIA; MUSCLES; NERVE;

D O I：

10.1097/WNP.0000000000000200

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The authors report a case of unilateral loss of intraoperative transcranial electrical motor evoked potentials (TES MEP) associated with a spinal cord injury during scoliosis correction and the subsequent use of extraoperative transcranial magnetic stimulation to monitor the recovery of spinal cord function. The authors demonstrate the absence of TES MEPs and absent transcranial magnetic stimulation responses in the immediate postoperative period, and document the partial recovery of transcranial magnetic stimulation responses, which corresponded to partial recovery of TES MEPs. Intraoperative TES MEPs were enhanced using spatial facilitation technique, which enabled the patient to undergo further surgery to stabilize the spine and correct her scoliosis. This case report supports evidence of the use of extraoperative transcranial magnetic stimulation to predict the presence of intraoperative TES responses and demonstrates the usefulness of spatial facilitation to monitor TES MEPs in a patient with a preexisting spinal cord injury.

引用

页码：E8 / E11

页数：4

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