Giuseppe Maria Della Pepa, Michele Di Domenico, Giovanni Maria Ceccarelli, Benedetta Burattini, Grazia Menna, Alessandro Rapisarda, Diana Viola, Salvatore Marino, Pier Paolo Mattogno, Alessandro Olivi, Francesco Doglietto
BACKGROUND AND OBJECTIVES: The balance between a comprehensive intraoperative-neuromonitoring (IONM) for both upper and lower limb while ensuring the reliability of motor-evoked potentials (MEPs) is paramount in motor area surgery. It's commonly hard to obtain a good simultaneous stimulation of both upper/lower limb, a series of factors can bias MEP accuracy and inappropriate stimulation intensity can result in unreliable monitoring. The presented IONM technique is based on the concurrent use of both transcranial and strip electrodes to facilitate a simultaneous monitoring of both upper and lower limb at optimized stimulation intensities, increasing IONM accuracy, during motor-area surgery...
May 16, 2024: World Neurosurgery