Conducted somatosensory evoked potentials during spinal surgery. Part 1: control conduction velocity measurements.

Abstract:

:Intraoperative recordings of conducted bipolar epidural somatosensory evoked potentials (SEP's) generated by unilateral common peroneal nerve stimulation have been obtained in 27 patients. The SEP's were multiphasic, 0.3 to 1.5 microV in amplitude, and recorded in 100% of patients with normal cords or in patients with spinal lesions, at a site caudal to the lesions. Control spinal conduction velocities (CV's), measured in the midthoracic to lower cervical regions, were in the range of 65 to 85 m/sec. Control lumbar and lower thoracic CV's were in the range of 30 to 45 m/sec. The CV values were obtained periodically throughout the course of surgery and were plotted as a function of time. In control patients with extradural lesions and neuroleptic anesthesia, the CV's remained constant (+/- 3%). The consistency, sensitivity, and safety of SEP recordings obtained by this technique make precise monitoring readily available during spinal operations.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Macon JB,Poletti CE

doi

10.3171/jns.1982.57.3.0349

subject

Has Abstract

pub_date

1982-09-01 00:00:00

pages

349-53

issue

3

eissn

0022-3085

issn

1933-0693

journal_volume

57

pub_type

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