RESEARCH ARTICLE


Onset Latency of Motor Evoked Potentials in Motor Cortical Mapping with Neuronavigated Transcranial Magnetic Stimulation



Elisa Kallioniemi 1, 2, *, Minna Pitkänen 1, 3, Laura Säisänen 1, 4, Petro Julkunen 1, 2
1 Department of Clinical Neurophysiology, Kuopio University Hospital, Kuopio, Finland
2 Department of Applied Physics, University of Eastern Finland, Kuopio, Finland
3 Department of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland
4 Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland


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© Kallioniemi et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Clinical Neurophysiology, Kuopio University Hospital, P.O Box 100, FI-70029, KYS, Finland; Tel:+358503687356; E-mail: elisa.kallioniemi@kuh.fi; elisa.kallioniemi@gmail.com


Abstract

Cortical motor mapping in pre-surgical applications can be performed using motor evoked potential (MEP) amplitudes evoked with neuronavigated transcranial magnetic stimulation. The MEP latency, which is a more stable parameter than the MEP amplitude, has not so far been utilized in motor mapping. The latency, however, may provide information about the stress in damaged motor pathways, e.g. compression by tumors, which cannot be observed from the MEP amplitudes. Thus, inclusion of this parameter could add valuable information to the presently used technique of MEP amplitude mapping. In this study, the functional cortical representations of first dorsal interosseous (FDI), abductor pollicis brevis (APB) and abductor digiti minimi (ADM) muscles were mapped in both hemispheres of ten healthy righthanded volunteers. The cortical muscle representations were evaluated by the area and centre of gravity (CoG) by using MEP amplitudes and latencies. As expected, the latency and amplitude CoGs were congruent and were located in the centre of the maps but in a few subjects, instead of a single centre, several loci with short latencies were observed. In conclusion, MEP latencies may be useful in distinguishing the cortical representation areas with the most direct pathways from those pathways with prolonged latencies. However, the potential of latency mapping to identify stressed motor tract connections at the subcortical level will need to be verified in future studies with patients.

Keywords: Latency, Motor evoked potential, Motor mapping, Neuronavigated transcranial magnetic stimulation, Pre-surgical.