Intraoperative use of somatosensory-evoked potential in monitoring nerve roots

J Clin Neurophysiol. 2012 Apr;29(2):110-7. doi: 10.1097/WNP.0b013e31824cecd3.

Abstract

Different intraoperative neuromonitoring modalities (mixed-nerve somatosensory-evoked potential [M-SSEP], dermatomal somatosensory-evoked potential [D-SSEP], compound motor-evoked potential [CMEP], electromyography [EMG], and the Hoffmann reflex [H-reflex]) have been developed for early detection of nerve root injury, for timely revision, and for damage reduction. In this study, we discuss the advantages and disadvantages of M-SSEP and D-SSEP by reviewing experimental evidence from animal models and clinical practice.

Publication types

  • Review

MeSH terms

  • Animals
  • Electromyography
  • Evoked Potentials, Motor / physiology*
  • Evoked Potentials, Somatosensory / physiology*
  • H-Reflex / physiology*
  • Humans
  • Monitoring, Intraoperative / methods*
  • Neurosurgical Procedures / adverse effects
  • Peripheral Nerve Injuries / prevention & control
  • Spinal Nerve Roots / physiology*
  • Spinal Nerve Roots / surgery