Concomitant hypertension, bradycardia, and loss of transcranial electric motor evoked potentials during pedicle hook removal: Report of a case

A. P. Ambardekar, A. K. Sestokas, D. M. Schwartz, J. M. Flynn, M. Rehman

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Neurophysiologic monitors in the form of transcranial electric motor evoked potentials (tceMEPs) and somatosensory evoked potentials (SSEPs) have become widely used modalities to monitor spinal cord function during major orthopedic spine procedures. In combination with invasive and non-invasive clinical monitoring and an anesthesia information management system (AIMS), we promptly recognized an acute change in hemodynamic and neurophysiologic parameters, managed intraoperative spinal cord contusion, and successfully minimized iatrogenic injury to the spinal cord during corrective spine surgery.

Original languageEnglish (US)
Pages (from-to)437-440
Number of pages4
JournalJournal of Clinical Monitoring and Computing
Volume24
Issue number6
DOIs
StatePublished - Dec 1 2010

Keywords

  • anesthesia information management system
  • neurophysiologic monitoring
  • pediatric scoliosis surgery
  • somatosensory evoked potentials (SSEPs)
  • transcranial electric motor evoked potentials (tceMEPs)

ASJC Scopus subject areas

  • Health Informatics
  • Critical Care and Intensive Care Medicine
  • Anesthesiology and Pain Medicine

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