Key result
Acceleromyography monitoring in a 25-year-old male recorded train-of-four ratios exceeding 100% (up to 126%), demonstrating the importance of baseline calibration to guide neuromuscular recovery.
Why the study?
Knowledge regarding calibration, normal range, outlier values, and interpretation of quantitative neuromuscular monitoring data is vital to guide appropriate clinical management.
Population
A 25-year-old male with S1–S2 cord tethering undergoing detethering
Design
Case report
Authors
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TOF outliers >1.0 may occur during calibration; leaves open normative ranges and interpretation standards for quantitative neuromuscular monitoring.
Case Report (n=1)
Acceleromyography monitoring can yield train-of-four ratios >1.0, emphasizing the need for baseline calibration and normalization to accurately assess neuromuscular recovery.
Kaur et al. (2025) conducted a case report in S1-S2 cord tethering (n=1). Acceleromyography (AMG) monitoring was evaluated on Train-of-four (TOF) ratio. Acceleromyography monitoring in a 25-year-old male recorded train-of-four ratios exceeding 100% (up to 126%), demonstrating the importance of baseline calibration to guide neuromuscular recovery.
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