✦ LIBER ✦

Cervical root stimulation at C5/6 excites C8/T1 roots and minimizes pneumothorax risk

✍ Scribed by Howard W. Sander; Daniel L. Menkes; William J. Triggs; Sudhansu Chokroverty

Book ID: 101253562
Publisher: John Wiley and Sons
Year: 1999
Tongue: English
Weight: 65 KB
Volume: 22
Category: Article
ISSN: 0148-639X
DOI: 10.1002/(sici)1097-4598(199906)22:6<766::aid-mus14>3.0.co;2-j

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✦ Synopsis

Needle electrical cervical root stimulation may be performed lateral to the C5/C6 or C7/T1 spinous process interspaces. Pneumothorax has been reported following C7/T1 root stimulation. We evaluated the efficacy of a modified C5/C6 stimulation technique in exciting C8/T1 roots in 15 normal subjects and 36 patients with motor neuron disease (204 procedures). No instances of a 50% or greater amplitude decline occurred. C5/C6 interspace stimulation, therefore, may be used to excite C8/T1 roots while minimizing pneumothorax risk.