Magnetic lumbosacral motor root stimulation with a flat, large round coil

Hideyuki Matsumoto, Fitri Octaviana, Ritsuko Hanajima, Yasuo Terao, Akihiro Yugeta, Masashi Hamada, Satomi Inomata-Terada, Setsu Nakatani-Enomoto, Shoji Tsuji, Yoshikazu Ugawa

Research output: Contribution to journalArticlepeer-review

21 Citations (Scopus)

Abstract

Objective: The aim of this paper is to develop a reliable method for supramaximal magnetic spinal motor root stimulation (MRS) for lower limb muscles using a specially devised coil. Methods: For this study, 42 healthy subjects were recruited. A 20-cm diameter coil designated as a Magnetic Augmented Translumbosacral Stimulation (MATS) coil was used. Compound muscle action potentials (CMAPs) were recorded from the abductor hallucis muscle. Their CMAPs were compared with those obtained by MRS using a conventional round or double coil and with those obtained using high-voltage electrical stimulation. Results: The MATS coil evoked CMAPs to supramaximal stimulation in 80 of 84 muscles, although round and double coils elicited supramaximal CMAPs in only 15 and 18 of 84 muscles, respectively. The CMAP size to the MATS coil stimulation was the same as that to high-voltage electrical motor root stimulation. Conclusions: MATS coil achieved supramaximal stimulation of the lumbosacral spinal nerves. Significance: The CMAPs to supramaximal stimulation are necessary for measurement of the amplitude and area for the detection of conduction blocks. The MATS coil stimulation of lumbosacral motor roots is a reliable method for measuring the CMAP size from lower limb muscles in spinal motor root stimulation.

Original languageEnglish
Pages (from-to)770-775
Number of pages6
JournalClinical Neurophysiology
Volume120
Issue number4
DOIs
Publication statusPublished - 1 Apr 2009

Keywords

  • Compound muscle action potential
  • Magnetic stimulation
  • Motor-evoked potential
  • Peripheral nerve

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