Monitoring spinal cord motor and somatosensory evoked potentials in anesthetized primates

Neurol Res. 1999 Jun;21(4):359-67. doi: 10.1080/01616412.1999.11740944.

Abstract

Monitoring Motor Evoked Potential (MEP) to Transcranial Stimulation (TMS) monitoring (MEP) is a growing technique to assess motor function under anesthesia. The following primate study was conducted to analyze the non-myogenic spinal motor and sensory volleys and to examine their reproducibility under nitrous oxide-methohexidone anesthesia. The traveling periodic spinal descending MEP to TMS and ascending somatosensory (SEP) to posterior tibial nerve stimulation across the thoracic cord were recorded in 12 cynomolgus monkeys. Through a small T11-T12 laminotomy, an insulated stainless steel electrode was inserted into the epidural thoracic space. The potentials were analyzed under 50 vol% NO in O2 with methohexital (0.1-0.2 mg kg-1 min-1). A well-defined periodic TMS-MEPs and PTN-SEPs were recorded with high reproducibility and consistency in repeated trials under N2O-methohexital anesthesia. MEP tracing consisted of an initial peak (direct (D) wave), occurring at 2.43 (+/- 0.28) msec followed by subsequent five positive (indirect (I) waves). Spinal SEPs-MEPs were clearly defined, morphologically stable, and consistent over time under N2O-methohexitone anesthesia. The present primate study may set a model to monitor both modalities in anesthetized neurosurgical patients.

Publication types

  • Comparative Study

MeSH terms

  • Anesthesia, General / methods
  • Animals
  • Electric Stimulation / methods
  • Electrodes, Implanted
  • Electromagnetic Phenomena / methods
  • Evoked Potentials, Motor / physiology*
  • Evoked Potentials, Somatosensory / physiology*
  • Macaca
  • Respiration, Artificial / methods
  • Spinal Cord / physiology*
  • Tibial Nerve / physiology