Open AccessPredictive value of intraoperative D-wave and m-MEP neurophysiological monitoring in patients with preoperative motor deficits in immediate and late postoperative period
Author(s) -
Megha Bir,
Uditi Gupta,
Ashok Kumar Jaryal,
Akanksha Singh,
Ritesh Netam,
Shashank Sharad Kale,
Sarat P Chandra,
Manmohan Singh,
Girija Prasad Rath
Publication year - 2021
Publication title -
journal of craniovertebral junction and spine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.38
H-Index - 23
eISSN - 0976-9285
pISSN - 0974-8237
DOI - 10.4103/jcvjs.jcvjs_76_20
Subject(s) - medicine , intraoperative neurophysiological monitoring , evoked potential , f wave , anesthesia , corticospinal tract , silent period , clinical neurophysiology , neurology , transcranial magnetic stimulation , electroencephalography , surgery , stimulation , magnetic resonance imaging , audiology , radiology , nerve conduction velocity , psychiatry , diffusion mri
Presence of preoperative motor deficits in patients poses a distinct challenge in monitoring the integrity of corticospinal tracts during spinal surgeries. The inconsistency of the motor-evoked potentials is such patients, limits its clinical utility. D-wave is a robust but less utilized technique for corticospinal tract monitoring. The comparative clinical value of these two techniques has not been evaluated in the patients with preoperative deficits.