Effects of intraoperative motor evoked potential amplification following tetanic stimulation of the pudendal nerve in pediatric craniotomy
Effects of intraoperative motor evoked potential amplification following tetanic stimulation of the pudendal nerve in pediatric craniotomy
复制标题
DOI：
10.3171/2023.1.peds22505
复制
发表时间：
2023-05-01
影响因子：
1.9
通讯作者：
Nakase, Hiroyuki
中科院分区：
文献类型：
--
作者：
Sasaki, Ryota;Tamura, Kentaro;Nakase, Hiroyuki
目的小儿开颅术中运动诱发电位（MEP）的监测因其检出率低、不可靠而具有挑战性。在经颅电刺激（TES）或直接皮层刺激（DCS）之前，四肢和阴部神经的外周神经的强直刺激会放大MEP。作者研究了在接受开颅手术的儿科患者中，正中神经和胫神经或阴部神经强直刺激后MEP放大的影响。方法本前瞻性观察研究包括15例患者
OBJECTIVE Monitoring the intraoperative motor evoked potentials (MEPs) in pediatric craniotomy is challenging because of its low detection rate, which makes it unreliable. Tetanic stimulation of the peripheral nerves of the extremities and pudendal nerves prior to transcranial electrical stimulation (TES) or direct cortical stimulation (DCS) amplifies the MEPs. The authors investigated the effects of MEP amplification following tetanic stimulation of the median and tibial nerve or the pudendal nerve in pediatric patients undergoing craniotomy. METHODS This prospective observational study included 15 patients