Systematic review of alarm criteria and reversibility in motor-evoked potentials during intramedullary spinal cord tumor resection
Irreversible changes in myogenic MEPs and D-waves and reversible D-wave changes increased postoperative motor deficit risk, unlike reversible myogenic MEP changes. Additionally, both incomplete and complete myogenic MEP loss predict neurological deficits; however, complete loss is a stronger predictor than incomplete loss. These findings help neurophysiologists guide the surgical team in minimizing motor pathway injury while maximizing IMSCT resections.
Authors
- Benjamin B Lee (ORCID: https://orcid.org/0009-0001-4152-616X)
- Katherine Anetakis (ORCID: https://orcid.org/0000-0002-3039-6275)
- Sajo Thomas (ORCID: https://orcid.org/0000-0001-9898-4375)
- Sreekar Balasundaram (ORCID: https://orcid.org/0000-0002-9175-8807)
- Jeffrey Balzer (ORCID: https://orcid.org/0000-0002-3546-4548)
- Parthasarathy D. Thirumala (ORCID: https://orcid.org/0000-0003-2069-2932)
- Raja Narendra Divakar Addanki (ORCID: https://orcid.org/0009-0009-3230-9962)
Institutions
- Christian Medical College, Vellore (IN)
- Christian Medical College (IN)
- University of Pittsburgh Medical Center (US)
Publication Details
- Journal
- Clinical Neurophysiology
- Published
- 2025-08-08
- DOI
- https://doi.org/10.1016/j.clinph.2025.2110966
- Citations
- 2
- Primary Topic
- Intraoperative Neuromonitoring and Anesthetic Effects
- Type
- article
- Field-Weighted Citation Impact
- 4.01