Journal of Clinical Monitoring and Computing

, Volume 22, Issue 4, pp 319–326 | Cite as

Transcranial electric motor evoked potential detection of compressional peroneal nerve injury in the lateral decubitus position

  • Vidya M. Bhalodia
  • Anthony K. Sestokas
  • Patrick R. Tomak
  • Daniel M. Schwartz


The peroneal nerve is susceptible to injury due to compression at the fibular head for patients placed in the lithotomy, hemilithotomy or lateral decubitus positions during surgery. Upper extremity somatosensory and transcranial electric motor evoked potential monitoring has proven efficacious for identifying impending positional brachial plexopathy or upper extremity peripheral neuropathy in adult and pediatric patients undergoing spine surgery. We report on two cases to illustrate the usefulness of monitoring transcranial electric motor evoked potentials recorded from tibialis anterior muscle to identify emerging peroneal nerve compression secondary to lateral decubitus positioning.


peroneal nerve palsy lateral decubitus position intraoperative neurophysiological monitoring motor evoked potentials somatosensory evoked potentials 


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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Vidya M. Bhalodia
    • 1
  • Anthony K. Sestokas
    • 1
  • Patrick R. Tomak
    • 2
  • Daniel M. Schwartz
    • 1
  1. 1.Surgical Monitoring AssociatesSpringfieldUSA
  2. 2.Connecticut NeurosurgeryWallingfordUSA

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