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. Transcranial...

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Autores principales:	Mohd Redzuan Jamaludin, Khin Wee Lai, Joon Huang Chuah, Muhammad Afiq Zaki, Yan Chai Hum, Yee Kai Tee, Maheza Irna Mohd Salim, Lim Beng Saw
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/ff690e16678a439899c188ccf950493f
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spelling	oai:doaj.org-article:ff690e16678a439899c188ccf950493f2021-11-15T01:19:18ZTranscranial Electrical Motor Evoked Potential in Predicting Positive Functional Outcome of Patients after Decompressive Spine Surgery: Review on Challenges and Recommendations towards Objective Interpretation1875-858410.1155/2021/2684855https://doaj.org/article/ff690e16678a439899c188ccf950493f2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/2684855https://doaj.org/toc/1875-8584Spine 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.Mohd Redzuan JamaludinKhin Wee LaiJoon Huang ChuahMuhammad Afiq ZakiYan Chai HumYee Kai TeeMaheza Irna Mohd SalimLim Beng SawHindawi LimitedarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBehavioural Neurology, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Mohd Redzuan Jamaludin Khin Wee Lai Joon Huang Chuah Muhammad Afiq Zaki Yan Chai Hum Yee Kai Tee Maheza Irna Mohd Salim Lim Beng Saw Transcranial Electrical Motor Evoked Potential in Predicting Positive Functional Outcome of Patients after Decompressive Spine Surgery: Review on Challenges and Recommendations towards Objective Interpretation
description	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.
format	article
author	Mohd Redzuan Jamaludin Khin Wee Lai Joon Huang Chuah Muhammad Afiq Zaki Yan Chai Hum Yee Kai Tee Maheza Irna Mohd Salim Lim Beng Saw
author_facet	Mohd Redzuan Jamaludin Khin Wee Lai Joon Huang Chuah Muhammad Afiq Zaki Yan Chai Hum Yee Kai Tee Maheza Irna Mohd Salim Lim Beng Saw
author_sort	Mohd Redzuan Jamaludin
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
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/ff690e16678a439899c188ccf950493f
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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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