Top

Journal of Clinical Monitoring and Computing

Published in:

01-08-2016 | Brief Communication

Safe transcranial electric stimulation motor evoked potential monitoring during posterior spinal fusion in two patients with cochlear implants

Authors: Joseph L. Yellin, Cheryl R. Wiggins, Alier J. Franco, Wudbhav N. Sankar

Published in: Journal of Clinical Monitoring and Computing | Issue 4/2016

Abstract

Transcranial electric stimulation (TES) motor evoked potentials (MEPs) have become a regular part of intraoperative neurophysiologic monitoring (IONM) for posterior spinal fusion (PSF) surgery. Almost all of the relative contraindications to TES have come and gone. One exception is in the case of patients with a cochlear implant (CI). Herein we illustrate two cases of pediatric patients with CIs who underwent PSF using TES MEPs as part of IONM. In both instances the patients displayed no untoward effects from TES, and post-operatively both CIs were intact and functioning as they were prior to surgery.

Schwartz D, Auerbach J, Dormans J, et al. Neurophysiological detection of impending spinal cord injury during scoliosis surgery. JBJS. 2007;89:2440–9.CrossRef

Sutter M, Deletis V, Dvorak J, et al. Current opinions and recommendations on multimodal intraoperative monitoring during spine surgeries. Eur Spine J. 2007;16(Suppl 2):S232–7.CrossRefPubMed

Jameson L. Transcranial motor evoked potentials. In: Koht A, et al., editors. Monitoring of the nervous system for Anesthesiologists and other health care professionals. Berlin: Springer; 2012. p. 27–45.CrossRef

MacDonald DB. Intraoperative motor evoked potential monitoring: overview and update. J Clin Monitor Comp. 2006;20(5):347–77.CrossRef

Schwartz D, Sestokas A, et al. Transcranial electrical motor evoked potential monitoring during spine surgery. Spine. 2011;36(13):1046–9.CrossRefPubMed

Shah S, Wiggins C, et al. Spinal cord monitoring during scoliosis surgery in children with spastic cerebral palsy: is it feasible and safe even with an active seizure disorder? Spine. 2011;Supplement: 85–85.

MacDonald DB, Deletis V. Safety issues during surgical monitoring. In: Nuwer MR, editor. Intraoperative monitoring of neural function (Vol. 8). Handbook of clinical neurophysiology. Amsterdam: Elsevier; 2008. p. 929–45.

MacDonald DB. Safety of intraoperative transcranial electric stimulation motor evoked potential monitoring. J Clin Neurophysiol. 2002;19(5):416–29.CrossRefPubMed

Smaka C, Beiter A. Cochlear implants: Past, present and future [interview transcript]. 2014. Retrieved from Audiology Online Website: http://www.audiologyonline.com/interviews/cochlear-implants-past-present-and-12397.

10.

Cochlear Corporation^©. Nucleus cochlear implants, important information: Warnings, precautions and electromagnetic compatibility. Sydney: Cochlear Corporation^©; 2012.

11.

US Department of Health and Human Services. NIDCD fact sheet: Cochlear implants. USA: National institute on deafness and other communication disorders; 2011.

12.

Francis L, Mohamed M, Patino M, et al. Intraoperative neuromonitoring in pediatric surgery. Int Anesthesiol Clin. 2012;50(4):130–43.CrossRefPubMed

Title: Safe transcranial electric stimulation motor evoked potential monitoring during posterior spinal fusion in two patients with cochlear implants
Authors: Joseph L. Yellin
Cheryl R. Wiggins
Alier J. Franco
Wudbhav N. Sankar
Publication date: 01-08-2016
Publisher: Springer Netherlands
Published in: Journal of Clinical Monitoring and Computing / Issue 4/2016
Print ISSN: 1387-1307
Electronic ISSN: 1573-2614
DOI: https://doi.org/10.1007/s10877-015-9730-7

ACC 2024 Congress

Springer Medicine

Safe transcranial electric stimulation motor evoked potential monitoring during posterior spinal fusion in two patients with cochlear implants

Abstract

ACC 2024 Congress

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 4/2016

Role of cerebral oxygenation for prediction of hypotension after spinal anesthesia for caesarean section

Near-infrared spectroscopy assessed cerebral oxygenation during open abdominal aortic aneurysm repair: relation to end-tidal CO2 tension

The comparison of the technical parameters in endotracheal intubation devices: the Cmac, the Vividtrac, the McGrath Mac and the Kingvision

The effect of low-dose dexmedetomidine on hemodynamics and anesthetic requirement during bis-spectral index-guided total intravenous anesthesia

Diagnostic accuracy of stroke volume variation measured with uncalibrated arterial waveform analysis for the prediction of fluid responsiveness in patients with impaired left ventricular function: a prospective, observational study

A comparison of different synchronization measures in electroencephalogram during propofol anesthesia