Open AccessThe Application of Tetanic Stimulation of the Unilateral Tibial Nerve Before Transcranial Stimulation Can Augment the Amplitudes of Myogenic Motor-Evoked Potentials from the Muscles in the Bilateral Upper and Lower Limbs
Author(s) -
Hironobu Hayashi,
Masahiko Kawaguchi,
Yuri Yamamoto,
Satoki Inoue,
Munehisa Koizumi,
Yuichiro Ueda,
Yoshinori Takakura,
Hitoshi Furuya
Publication year - 2008
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0b013e318177082e
Subject(s) - medicine , stimulation , tetanic stimulation , compound muscle action potential , tibial nerve , anesthesia , transcranial magnetic stimulation , anatomy , electrophysiology , inhibitory postsynaptic potential , excitatory postsynaptic potential
Recently, we reported a new technique to augment motor-evoked potentials (MEPs) under general anesthesia, posttetanic MEP (p-MEP), in which tetanic stimulation of the peripheral nerve before transcranial stimulation enlarged amplitudes of MEPs from the muscle innervated by the nerve subjected to tetanic stimulation. In the present study, we tested whether tetanic stimulation of the left tibial nerve can also augment amplitudes of MEPs from the muscles which are not innervated by the nerve subjected to tetanic stimulation.