Transtracheal electrical stimulation of the spinal cord for intraoperative monitoring of the motor pathway

György I. Csécsei, László Mikó, György Székely, Csilla Molnár, Attila Balogh, I. Furka, I. Mikó

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Because of the suppressant effects of anesthetic drugs and muscle relaxants on motor responses elicited by either magnetic or electrical transcranial stimulation, intraoperative monitoring of the motor system, and especially monitoring of lower limb function, presents many difficulties. The upper part of the spinal cord was stimulated in 14 anesthetized and relaxed dogs with a cathode attached to the intratracheal tube and an anode fixed above the upper cervical spinous processes. Action potentials evoked by single and serial stimuli were recorded from the exposed right femoral nerve and quadriceps muscle Averaging was necessary for serial stimulations. Reproducible early and late responses to both single and serial stimulations were recorded during regular anesthesia. The origin of the different responses is discussed. Transtracheal stimulation of the spinal cord is easy to perform and the responses recorded from the peripheral nerve or limb muscle are well reproducible in regular anesthesia. The method seems to be appropriate for intraoperative monitoring of the thoracolumbar spine.

Original languageEnglish
Pages (from-to)232-236
Number of pages5
JournalNeurosurgical Review
Volume21
Issue number4
DOIs
Publication statusPublished - 1998

Fingerprint

Spinal Cord Stimulation
Intraoperative Monitoring
Efferent Pathways
Electric Stimulation
Electrodes
Anesthesia
Femoral Nerve
Muscles
Transcranial Magnetic Stimulation
Quadriceps Muscle
Peripheral Nerves
Action Potentials
Anesthetics
Lower Extremity
Spinal Cord
Spine
Extremities
Dogs
Transcranial Direct Current Stimulation

Keywords

  • Electrical stimulation
  • Intraoperative monitoring
  • Motor response
  • Spinal cord stimulation
  • Transtracheal stimulation

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Transtracheal electrical stimulation of the spinal cord for intraoperative monitoring of the motor pathway. / Csécsei, György I.; Mikó, László; Székely, György; Molnár, Csilla; Balogh, Attila; Furka, I.; Mikó, I.

In: Neurosurgical Review, Vol. 21, No. 4, 1998, p. 232-236.

Research output: Contribution to journalArticle

Csécsei, György I. ; Mikó, László ; Székely, György ; Molnár, Csilla ; Balogh, Attila ; Furka, I. ; Mikó, I. / Transtracheal electrical stimulation of the spinal cord for intraoperative monitoring of the motor pathway. In: Neurosurgical Review. 1998 ; Vol. 21, No. 4. pp. 232-236.
@article{66e51d36f4bc4e97bcc8d4676017d703,
title = "Transtracheal electrical stimulation of the spinal cord for intraoperative monitoring of the motor pathway",
abstract = "Because of the suppressant effects of anesthetic drugs and muscle relaxants on motor responses elicited by either magnetic or electrical transcranial stimulation, intraoperative monitoring of the motor system, and especially monitoring of lower limb function, presents many difficulties. The upper part of the spinal cord was stimulated in 14 anesthetized and relaxed dogs with a cathode attached to the intratracheal tube and an anode fixed above the upper cervical spinous processes. Action potentials evoked by single and serial stimuli were recorded from the exposed right femoral nerve and quadriceps muscle Averaging was necessary for serial stimulations. Reproducible early and late responses to both single and serial stimulations were recorded during regular anesthesia. The origin of the different responses is discussed. Transtracheal stimulation of the spinal cord is easy to perform and the responses recorded from the peripheral nerve or limb muscle are well reproducible in regular anesthesia. The method seems to be appropriate for intraoperative monitoring of the thoracolumbar spine.",
keywords = "Electrical stimulation, Intraoperative monitoring, Motor response, Spinal cord stimulation, Transtracheal stimulation",
author = "Cs{\'e}csei, {Gy{\"o}rgy I.} and L{\'a}szl{\'o} Mik{\'o} and Gy{\"o}rgy Sz{\'e}kely and Csilla Moln{\'a}r and Attila Balogh and I. Furka and I. Mik{\'o}",
year = "1998",
doi = "10.1007/BF01105777",
language = "English",
volume = "21",
pages = "232--236",
journal = "Neurosurgical Review",
issn = "0344-5607",
publisher = "Springer Verlag",
number = "4",

}

TY - JOUR

T1 - Transtracheal electrical stimulation of the spinal cord for intraoperative monitoring of the motor pathway

AU - Csécsei, György I.

AU - Mikó, László

AU - Székely, György

AU - Molnár, Csilla

AU - Balogh, Attila

AU - Furka, I.

AU - Mikó, I.

PY - 1998

Y1 - 1998

N2 - Because of the suppressant effects of anesthetic drugs and muscle relaxants on motor responses elicited by either magnetic or electrical transcranial stimulation, intraoperative monitoring of the motor system, and especially monitoring of lower limb function, presents many difficulties. The upper part of the spinal cord was stimulated in 14 anesthetized and relaxed dogs with a cathode attached to the intratracheal tube and an anode fixed above the upper cervical spinous processes. Action potentials evoked by single and serial stimuli were recorded from the exposed right femoral nerve and quadriceps muscle Averaging was necessary for serial stimulations. Reproducible early and late responses to both single and serial stimulations were recorded during regular anesthesia. The origin of the different responses is discussed. Transtracheal stimulation of the spinal cord is easy to perform and the responses recorded from the peripheral nerve or limb muscle are well reproducible in regular anesthesia. The method seems to be appropriate for intraoperative monitoring of the thoracolumbar spine.

AB - Because of the suppressant effects of anesthetic drugs and muscle relaxants on motor responses elicited by either magnetic or electrical transcranial stimulation, intraoperative monitoring of the motor system, and especially monitoring of lower limb function, presents many difficulties. The upper part of the spinal cord was stimulated in 14 anesthetized and relaxed dogs with a cathode attached to the intratracheal tube and an anode fixed above the upper cervical spinous processes. Action potentials evoked by single and serial stimuli were recorded from the exposed right femoral nerve and quadriceps muscle Averaging was necessary for serial stimulations. Reproducible early and late responses to both single and serial stimulations were recorded during regular anesthesia. The origin of the different responses is discussed. Transtracheal stimulation of the spinal cord is easy to perform and the responses recorded from the peripheral nerve or limb muscle are well reproducible in regular anesthesia. The method seems to be appropriate for intraoperative monitoring of the thoracolumbar spine.

KW - Electrical stimulation

KW - Intraoperative monitoring

KW - Motor response

KW - Spinal cord stimulation

KW - Transtracheal stimulation

UR - http://www.scopus.com/inward/record.url?scp=0032451079&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032451079&partnerID=8YFLogxK

U2 - 10.1007/BF01105777

DO - 10.1007/BF01105777

M3 - Article

C2 - 10068182

AN - SCOPUS:0032451079

VL - 21

SP - 232

EP - 236

JO - Neurosurgical Review

JF - Neurosurgical Review

SN - 0344-5607

IS - 4

ER -