Transcranial electrical motor evoked potential in predicting positive functional outcome of patients after decompressive spine surgery: Review on challenges and recommendations towards Objective Interpretation
Spine surgeries impose risk to the spine's surrounding anatomical and physiological structures especially the spinal cord and the nerve roots. Intraoperative neuromonitoring (IONM) is a technology developed to monitor the integrity of the spinal cord and the nerve roots via the surgery. Transcr...
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my.um.eprints.340932022-07-18T08:02:07Z http://eprints.um.edu.my/34093/ Transcranial electrical motor evoked potential in predicting positive functional outcome of patients after decompressive spine surgery: Review on challenges and recommendations towards Objective Interpretation Jamaludin, Mohd Redzuan Lai, Khin Wee Chuah, Joon Huang Zaki, Muhammad Afiq Hum, Yan Chai Tee, Yee Kai Mohd Salim, Maheza Irna Saw, Lim Beng R Medicine RD Surgery TK Electrical engineering. Electronics Nuclear engineering Spine surgeries impose risk to the spine's surrounding anatomical and physiological structures especially the spinal cord and the nerve roots. Intraoperative neuromonitoring (IONM) is a technology developed to monitor the integrity of the spinal cord and the nerve roots via the surgery. Transcranial motor evoked potential (TcMEP) (one of the IONM modalities) is adopted to monitor the integrity of the motor pathway of the spinal cord and the motor nerve roots. Recent research suggested that the IONM is conducive as a prognostic tool towards the patient's functional outcome. This paper summarizes the researches of IONM being adopted as a prognostic tool. In addition, this paper highlights the problems associated with the signal parameters as the improvement criteria in the previous researches. Lastly, we review the challenges of TcMEP to achieve a prognostic tool focusing on the factors that could interfere with the generation of a stable TcMEP response. The final section will discuss recommendations for IONM technology to achieve an objective prognostic tool. Hindawi Ltd 2021-11-03 Article PeerReviewed Jamaludin, Mohd Redzuan and Lai, Khin Wee and Chuah, Joon Huang and Zaki, Muhammad Afiq and Hum, Yan Chai and Tee, Yee Kai and Mohd Salim, Maheza Irna and Saw, Lim Beng (2021) Transcranial electrical motor evoked potential in predicting positive functional outcome of patients after decompressive spine surgery: Review on challenges and recommendations towards Objective Interpretation. Behavioral Neurology, 2021. ISSN 0953-4180, DOI https://doi.org/10.1155/2021/2684855 <https://doi.org/10.1155/2021/2684855>. 10.1155/2021/2684855 |
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R Medicine RD Surgery TK Electrical engineering. Electronics Nuclear engineering Jamaludin, Mohd Redzuan Lai, Khin Wee Chuah, Joon Huang Zaki, Muhammad Afiq Hum, Yan Chai Tee, Yee Kai Mohd Salim, Maheza Irna Saw, Lim Beng Transcranial electrical motor evoked potential in predicting positive functional outcome of patients after decompressive spine surgery: Review on challenges and recommendations towards Objective Interpretation |
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Spine surgeries impose risk to the spine's surrounding anatomical and physiological structures especially the spinal cord and the nerve roots. Intraoperative neuromonitoring (IONM) is a technology developed to monitor the integrity of the spinal cord and the nerve roots via the surgery. Transcranial motor evoked potential (TcMEP) (one of the IONM modalities) is adopted to monitor the integrity of the motor pathway of the spinal cord and the motor nerve roots. Recent research suggested that the IONM is conducive as a prognostic tool towards the patient's functional outcome. This paper summarizes the researches of IONM being adopted as a prognostic tool. In addition, this paper highlights the problems associated with the signal parameters as the improvement criteria in the previous researches. Lastly, we review the challenges of TcMEP to achieve a prognostic tool focusing on the factors that could interfere with the generation of a stable TcMEP response. The final section will discuss recommendations for IONM technology to achieve an objective prognostic tool. |
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Article |
author |
Jamaludin, Mohd Redzuan Lai, Khin Wee Chuah, Joon Huang Zaki, Muhammad Afiq Hum, Yan Chai Tee, Yee Kai Mohd Salim, Maheza Irna Saw, Lim Beng |
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Jamaludin, Mohd Redzuan Lai, Khin Wee Chuah, Joon Huang Zaki, Muhammad Afiq Hum, Yan Chai Tee, Yee Kai Mohd Salim, Maheza Irna Saw, Lim Beng |
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Jamaludin, Mohd Redzuan |
title |
Transcranial electrical motor evoked potential in predicting positive functional outcome of patients after decompressive spine surgery: Review on challenges and recommendations towards Objective Interpretation |
title_short |
Transcranial electrical motor evoked potential in predicting positive functional outcome of patients after decompressive spine surgery: Review on challenges and recommendations towards Objective Interpretation |
title_full |
Transcranial electrical motor evoked potential in predicting positive functional outcome of patients after decompressive spine surgery: Review on challenges and recommendations towards Objective Interpretation |
title_fullStr |
Transcranial electrical motor evoked potential in predicting positive functional outcome of patients after decompressive spine surgery: Review on challenges and recommendations towards Objective Interpretation |
title_full_unstemmed |
Transcranial electrical motor evoked potential in predicting positive functional outcome of patients after decompressive spine surgery: Review on challenges and recommendations towards Objective Interpretation |
title_sort |
transcranial electrical motor evoked potential in predicting positive functional outcome of patients after decompressive spine surgery: review on challenges and recommendations towards objective interpretation |
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Hindawi Ltd |
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2021 |
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http://eprints.um.edu.my/34093/ |
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