Intraoperative neuromonitoring using motor evoked potential with direct cortical stimulation for lower limb region

Introduction: Transcranial motor evoked potentials (Tc-MEPs) and somatosensory evoked potentials (SSEPs) have been used together for monitoring to prevent motor paralysis in the lower limb region. However, it is difficult to evaluate Tc-MEPs in the lower limb region accurately due to the limited placement of the stimulating electrodes. In this study, we report a direct cortical stimulation motor evoked potential (D-MEP).