Monitoring transcranial motor-evoked potentials is safe in patients with deep brain stimulators, suggesting effective intraoperative usage.
Transcranial motor-evoked potentials monitoring is safe and feasible in patients with implanted DBS devices undergoing a variety of surgical procedures. Standard TcMEP stimulation parameters can be implemented without significant modification. To minimize interference with multimodal intraoperative neurophysiologic monitoring, DBS devices should be turned off during monitoring. Further studies are needed to establish standardized guidelines for TcMEP monitoring in patients with DBS and other intracranial neurostimulation devices.
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Meyers et al. (2026) studied this question.
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