Somatosensory Evoked Potentials after Sequential Extremity Stimulation: A New Method for Improved Monitoring Accuracy

Abstract
A new method for improving the accuracy of somatosensory evoked potential (SEP) monitoring is described. Two extremities are stimulated at 5 Hz, with an interextremity stimulus interval of 100 ms. Information from a “control” extremity, such as an arm during scoliosis operation, may allow more rapid and accurate interpretation of changes in SEPs during intraoperative monitoring.