Motor evoked potentials enable differentiation between motor and sensory branches of peripheral nerves in animal experiments. 2006

Edvin Turkof, and Nikita Jurasch, and Erik Knolle, and Ilse Schwendenwein, and Danja Habib, and Ewald Unger, and Martin Reichel, and Udo Losert
Division of Plastic and Reconstructive Surgery, Surgical University Clinic of Vienna, Austria.

Differentiation between motor and sensory fascicles is frequently necessary in reconstructive peripheral nerve surgery. The goal of this experimental study was to verify if centrally motor evoked potentials (MEP) could be implemented to differentiate sensory from motor fascicles, despite the well-known intermingling between nerve fascicles along their course to their distant periphery. This new procedure would enable surgeons to use MEP for placing nerve grafts at corresponding fascicles in the proximal and distal stumps without the need to use time-consuming staining. In ten sheep, both ulnar nerves were exposed at the terminal bifurcation between the last sensory and motor branch. Animals were then relaxed to avoid volume conduction. On central stimulation, the evoked nerve compound action potentials were simultaneously recorded from both terminal branches. In all cases, neurogenic motor nerve action potentials were recorded only from the terminal motor branch. The conclusion was that MEPs can be used for intraoperative differentiation between sensory and motor nerves. Further studies are necessary to develop this method for in situ measurements on intact nerve trunks.

UI MeSH Term Description Entries
D007432 Intraoperative Period The period during a surgical operation. Intraoperative Periods,Period, Intraoperative,Periods, Intraoperative
D008297 Male Males
D010525 Peripheral Nerves The nerves outside of the brain and spinal cord, including the autonomic, cranial, and spinal nerves. Peripheral nerves contain non-neuronal cells and connective tissue as well as axons. The connective tissue layers include, from the outside to the inside, the epineurium, the perineurium, and the endoneurium. Endoneurium,Epineurium,Perineurium,Endoneuriums,Epineuriums,Nerve, Peripheral,Nerves, Peripheral,Perineuriums,Peripheral Nerve
D005260 Female Females
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D012756 Sheep Any of the ruminant mammals with curved horns in the genus Ovis, family Bovidae. They possess lachrymal grooves and interdigital glands, which are absent in GOATS. Ovis,Sheep, Dall,Dall Sheep,Ovis dalli
D014459 Ulnar Nerve A major nerve of the upper extremity. In humans, the fibers of the ulnar nerve originate in the lower cervical and upper thoracic spinal cord (usually C7 to T1), travel via the medial cord of the brachial plexus, and supply sensory and motor innervation to parts of the hand and forearm. Nerve, Ulnar,Nerves, Ulnar,Ulnar Nerves
D019054 Evoked Potentials, Motor The electrical response evoked in a muscle or motor nerve by electrical or magnetic stimulation. Common methods of stimulation are by transcranial electrical and TRANSCRANIAL MAGNETIC STIMULATION. It is often used for monitoring during neurosurgery. Motor Evoked Potentials,Evoked Potential, Motor,Motor Evoked Potential,Potential, Motor Evoked,Potentials, Motor Evoked

Related Publications

Edvin Turkof, and Nikita Jurasch, and Erik Knolle, and Ilse Schwendenwein, and Danja Habib, and Ewald Unger, and Martin Reichel, and Udo Losert
October 2001, Clinical EEG (electroencephalography),
Edvin Turkof, and Nikita Jurasch, and Erik Knolle, and Ilse Schwendenwein, and Danja Habib, and Ewald Unger, and Martin Reichel, and Udo Losert
March 1970, Electroencephalography and clinical neurophysiology,
Edvin Turkof, and Nikita Jurasch, and Erik Knolle, and Ilse Schwendenwein, and Danja Habib, and Ewald Unger, and Martin Reichel, and Udo Losert
June 1999, Neuro-Chirurgie,
Edvin Turkof, and Nikita Jurasch, and Erik Knolle, and Ilse Schwendenwein, and Danja Habib, and Ewald Unger, and Martin Reichel, and Udo Losert
March 1972, Archives of physical medicine and rehabilitation,
Edvin Turkof, and Nikita Jurasch, and Erik Knolle, and Ilse Schwendenwein, and Danja Habib, and Ewald Unger, and Martin Reichel, and Udo Losert
December 1983, Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...,
Edvin Turkof, and Nikita Jurasch, and Erik Knolle, and Ilse Schwendenwein, and Danja Habib, and Ewald Unger, and Martin Reichel, and Udo Losert
June 1997, Neurophysiologie clinique = Clinical neurophysiology,
Edvin Turkof, and Nikita Jurasch, and Erik Knolle, and Ilse Schwendenwein, and Danja Habib, and Ewald Unger, and Martin Reichel, and Udo Losert
June 1996, Medical hypotheses,
Edvin Turkof, and Nikita Jurasch, and Erik Knolle, and Ilse Schwendenwein, and Danja Habib, and Ewald Unger, and Martin Reichel, and Udo Losert
January 1991, Movement disorders : official journal of the Movement Disorder Society,
Edvin Turkof, and Nikita Jurasch, and Erik Knolle, and Ilse Schwendenwein, and Danja Habib, and Ewald Unger, and Martin Reichel, and Udo Losert
April 2021, Physiological reviews,
Edvin Turkof, and Nikita Jurasch, and Erik Knolle, and Ilse Schwendenwein, and Danja Habib, and Ewald Unger, and Martin Reichel, and Udo Losert
June 2012, Journal of proteome research,
Copied contents to your clipboard!