Open AccessSolutions to the technical challenges embedded in the current methods for intraoperative peripheral nerve action potential recordings
Author(s) -
Gang Wu,
Allan J. Belzberg,
Jessica Nance,
Sergio Gutierrez-Hernandez,
Eva K. Ritzl,
Matthias Ringkamp
Publication year - 2020
Publication title -
journal of neurosurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.564
H-Index - 210
eISSN - 1933-0693
pISSN - 0022-3085
DOI - 10.3171/2019.5.jns19146
Subject(s) - nap , medicine , stimulus (psychology) , neurophysiology , intraoperative neurophysiological monitoring , action potential , peripheral nerve , neuroscience , surgery , electrophysiology , anatomy , psychology , cognitive psychology , psychiatry
Intraoperative nerve action potential (NAP) recording is a useful tool for surgeons to guide decisions on surgical approaches during nerve repair surgeries. However, current methods remain technically challenging. In particular, stimulus artifacts that contaminate or mask the NAP and therefore impair the interpretation of the recording are a common problem. The authors' goal was to improve intraoperative NAP recording techniques by revisiting the methods in an experimental setting.