title: Intraoperative monitoring study of ipsilateral motor evoked potentials in scoliosis surgery.
abstract: Ipsilateral motor evoked potentials (MEPs) in spinal cord surgery intraoperative monitoring is not well studied. We show that ipsilateral MEPs have significantly larger amplitudes and were elicited with lower stimulation intensities than contralateral MEPs. The possible underlying mechanisms are discussed based on current knowledge of corticospinal pathways. Ipsilateral MEPs may provide additional information on the integrity of descending motor tracts during spinal surgery monitoring.
authors.affiliation: Department of Neurology, National Neuroscience Institute, Singapore General Hospital, Singapore, Singapore. gnrlyl@sgh.com.sg
authors.forename: Y L
authors.initials: YL
authors.lastname: Lo
authors.forename: Y F
authors.initials: YF
authors.lastname: Dan
authors.forename: Y E
authors.initials: YE
authors.lastname: Tan
authors.forename: S
authors.initials: S
authors.lastname: Fook-Chong
authors.forename: S B
authors.initials: SB
authors.lastname: Tan
authors.forename: C T
authors.initials: CT
authors.lastname: Tan
authors.forename: S
authors.initials: S
authors.lastname: Raman
mesh_terms: D000293:Adolescent; D004558:Electric Stimulation / Q000379:methods; D019054:Evoked Potentials, Motor; D005260:Female; D006801:Humans; D008297:Male; D016343:Monitoring, Intraoperative; D019637:Orthopedic Procedures; D012600:Scoliosis / Q000175:diagnosis* / Q000601:surgery*