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Intraoperative Transcranial Electrical Motor Evoked Potential (TceMEP) as a Therapeutic Tool in Spine Surgery: A Case
Qing Yue1, Tyson Hale2, Jill M Gotoff2
1Department of Communication Science and Disorders, Bloomsburg University of Pennsylvania, Bloomsburg, Pennsylvania.
Abstract:
We report two cases of unilateral loss of TceMEP secondary to spinal instrumentation errors and the subsequent recovery of TceMEP responses following prompt intervention. During the period of TceMEP loss, there were no concomitant SSEP changes beyond the threshold criteria. Postoperative physical examination revealed normal strength and motion in the affected extremities in both patients. These cases illustrate that in addition to being a reliable intraoperative diagnostic tool, TceMEP monitoring displays therapeutic usefulness in appraising corrective actions to the existential risk of neurological injuries.
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