Stimulation selectivity in transcranial motor evoked potentials for monitoring during surgery for supratentorial lesions

Puntos clave

• Optimized stimulation using C3/4 → Cz reduces the risk of false-negative monitoring during surgery.
• False-negative monitoring risks are particularly associated with deep white matter stimulation.
• This observational analysis highlights the importance of stimulation selectivity in enhancing TcMEP reliability.
• Further assessment of techniques may enable safer surgical procedures with improved patient outcomes.