Intramedullary spinal cord tumors present a formidable surgical challenge, requiring precise techniques to preserve motor function. Intraoperative neurophysiological monitoring (IONM) plays a crucial role in minimizing motor function damage, enabling surgeons to make informed decisions during surgery. Somato Sensory Evoked Potentials (SSEP), Electromyography (EMG), D-wave monitoring and Motor evoked potentials (MEP) provides real-time feedback on neurophysiological function, allowing for prompt adjustments to surgical technique.
We present a case report on the combined use of D-wave monitoring and MEP in predicting postoperative motor function in intramedullary tumor surgery. This report highlights the importance of multimodal IONM in optimizing surgical outcomes and minimizing motor function deficits. By integrating D-wave monitoring and MEP, surgeons can gain a more comprehensive understanding of motor tract function, enabling more precise and effective surgical interventions.
Keywords: IONM. D wave, MEP, Intramedullary spinal cord tumor
