Multimodality monitoring of the central nervous system using motor-evoked potentials.
OBJECTIVE
This review was conducted to examine the role of motor-evoked potential monitoring in spine and central nervous system surgery to determine whether other monitoring modalities such as the wake-up test or somatosensory-evoked potentials can be eliminated.


RESULTS
The current literature suggests that motor-evoked potential, despite some advantages, still requires that other monitoring modalities such as somatosensory-evoked potentials or electromyography be used to provide optimal monitoring.


CONCLUSIONS
The literature supports the use of multimodality monitoring using all of the electrophysiological techniques that can provide intraoperative information about the neural structures at risk during the surgery.
Sloan
Tod B
TB
Department of Anesthesiology, University of Colorado at Denver, Denver, Colorado 80045, USA. Tod.Sloan@uchsc.edu
Janik
Daniel
D
Jameson
Leslie
L
D002493:Central Nervous System Diseases / Q000503:physiopathology / Q000601:surgery*; D004558:Electric Stimulation / Q000295:instrumentation / Q000379:methods*; D004576:Electromyography; D019054:Evoked Potentials, Motor; D005073:Evoked Potentials, Somatosensory; D006801:Humans; D008991:Monitoring, Physiologic / Q000295:instrumentation / Q000379:methods; D009434:Neural Pathways / Q000033:anatomy & histology / Q000503:physiopathology; D019635:Neurosurgical Procedures / Q000379:methods*; D020521:Stroke / Q000517:prevention & control