Intraoperative Nerve Monitoring During Nerve Decompression Surgery in the Lower Extremity

Published:February 17, 2016DOI:


      To read this article in full you will need to make a payment

      Purchase one-time access:

      PDF Download and 24 Hours Online Access
      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.
      Content published before 2002 is available via pay-per-view purchase only.


      Subscribe to Clinics in Podiatric Medicine and Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Tavee J.
        • Zhou L.
        Small fiber neuropathy: a burning problem.
        Cleve Clin J Med. 2009; 76: 297-305
        • Tesfaye S.
        • Selvarajah D.
        Advances in the epidemiology, pathogenesis and management of diabetic peripheral neuropathy.
        Diabetes Metab Res Rev. 2012; 28: 8-14
        • Menke A.
        • Casagrande S.
        • Geiss L.
        • et al.
        Prevalence of and trends in diabetes among adults in the United States, 1988-2012.
        JAMA. 2015; 314: 1021-1029
        • Dellon A.L.
        Treatment of symptomatic diabetic neuropathy by surgical decompression of multiple peripheral nerves.
        Plast Reconstr Surg. 1992; 89 ([discussion: 698–9]): 689-697
        • Siemionow M.
        • Alghoul M.
        • Molski M.
        • et al.
        Clinical outcome of peripheral nerve decompression in diabetic and nondiabetic peripheral neuropathy.
        Ann Plast Surg. 2006; 57: 385-390
        • Wood W.A.
        • Wood M.A.
        Decompression of peripheral nerves for diabetic neuropathy in the lower extremity.
        J Foot Ankle Surg. 2003; 42: 268-275
        • Nickerson D.S.
        Low recurrence rate of diabetic foot ulcer after nerve decompression.
        J Am Podiatr Med Assoc. 2010; 100: 111-115
        • Nickerson D.S.
        • Rader A.J.
        Low long-term risk of foot ulcer recurrence after nerve decompression in a diabetes neuropathy cohort.
        J Am Podiatr Med Assoc. 2013; 103: 380-386
        • Nickerson D.S.
        • Rader A.J.
        Nerve decompression after diabetic foot ulceration may protect against recurrence: a 3-year controlled, prospective analysis.
        J Am Podiatr Med Assoc. 2014; 104: 66-70
        • Zhong W.
        • Zhang W.
        • Yang M.
        • et al.
        Impact of diabetes mellitus duration on effect of lower extremity nerve decompression in 1,526 diabetic peripheral neuropathy patients.
        Acta Neurochir (Wien). 2014; 156: 1329-1333
        • Zhang W.
        • Li S.
        • Zheng X.
        Evaluation of the clinical efficacy of multiple lower extremity nerve decompression in diabetic peripheral neuropathy.
        J Neurol Surg A Cent Eur Neurosurg. 2013; 74: 96-100
        • Doikov I.Y.
        • Konsulov S.S.
        • Dimov R.S.
        • et al.
        Stimulation electromyography as a method of intraoperative localization and identification of the facial nerve during parotidectomy: review of 15 consecutive parotid surgeries.
        Folia Med (Plovdiv). 2001; 43: 23-26
        • Dralle H.
        • Sekulla C.
        • Lorenz K.
        • et al.
        Intraoperative monitoring of the recurrent laryngeal nerve in thyroid surgery.
        World J Surg. 2008; 32: 1358-1366
        • Randolph G.W.
        • Dralle H.
        • International Intraoperative Monitoring Study Group
        • et al.
        Electrophysiologic recurrent laryngeal nerve monitoring during thyroid and parathyroid surgery: international standards guideline statement.
        Laryngoscope. 2011; 121: S1-S16
        • Chiang F.Y.
        • Lu I.C.
        • Chen H.C.
        • et al.
        Intraoperative neuromonitoring for early localization and identification of recurrent laryngeal nerve during thyroid surgery.
        Kaohsiung J Med Sci. 2010; 26: 633-639
        • Gonzalez A.A.
        • Jeyanandarajan D.
        • Hansen C.
        • et al.
        Intraoperative neurophysiological monitoring during spine surgery: a review.
        Neurosurg Focus. 2009; 27: E6
        • Topsakal C.
        • Al-Mefty O.
        • Bulsara K.R.
        • et al.
        Intraoperative monitoring of lower cranial nerves in skull base surgery: technical report and review of 123 monitored cases.
        Neurosurg Rev. 2008; 31: 45-53
        • Levine T.D.
        • et al.
        A pilot trial of peripheral nerve decompression for painful diabetic neuropathy.
        Neurology. 2013; 80: P01.125
        • Kiernan M.C.
        • Bostock H.
        Effects of membrane polarization and ischaemia on the excitability properties of human motor axons.
        Brain. 2000; 123: 2542-2551