Intraoperative recordings of spinal somatosensory evoked potentials to tibial nerve and sural nerve stimulation

Muscle Nerve. 1991 Mar;14(3):253-8. doi: 10.1002/mus.880140309.

Abstract

Somatosensory evoked potentials (SSEPs) to stimulation of the tibial nerve at the knee (TN-K) and ankle (TN-A), and the sural nerve at the ankle (SN-A), were recorded from 3 or 4 spinal levels during surgery for scoliosis in 11 neurologically normal subjects. With stimulation of all 3 nerves, the propagation velocity along the spine was nonlinear: it was faster over cauda equina and midthoracic cord than over caudal spinal cord. Over the mid-thoracic cord, TN-K SSEP propagation was faster than that of TN-A and SN-A SSEPs, whereas over the caudal spinal cord these values were similar on stimulation of all 3 nerves. These data suggest that fast conducting second order afferent fiber systems contribute to spinal cord SSEPs evoked by stimulating both mixed and cutaneous peripheral nerves.

MeSH terms

  • Adolescent
  • Cauda Equina / physiology
  • Electric Stimulation
  • Evoked Potentials, Somatosensory / physiology*
  • Female
  • Humans
  • Intraoperative Care
  • Male
  • Neural Conduction / physiology
  • Scoliosis / surgery
  • Spinal Cord / physiology*
  • Sural Nerve / physiology*
  • Tibial Nerve / physiology*