Use of laryngeal muscle evoked potential recording for experimental vagus nerve stimulation

Abstract The laryngeal muscle evoked potential (LMEP) is a neurophysiological outcome parameter that guarantees integrity of the nerve‐electrode interface during experiments with vagus nerve stimulation (VNS). This paper discusses a large series of minimally invasive LMEP recordings in 46 female Lew...

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Bibliographic Details
Main Authors: Helen Bachmann, Robrecht Raedt, Guy Laureys, Kristl Vonck
Format: Article
Language:English
Published: Wiley 2025-04-01
Series:Animal Models and Experimental Medicine
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Online Access:https://doi.org/10.1002/ame2.12555
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Summary:Abstract The laryngeal muscle evoked potential (LMEP) is a neurophysiological outcome parameter that guarantees integrity of the nerve‐electrode interface during experiments with vagus nerve stimulation (VNS). This paper discusses a large series of minimally invasive LMEP recordings in 46 female Lewis rats, implanted with a custom‐made VNS electrode around the left cervical vagus nerve. After a 3‐week recovery, LMEPs were recorded twice in each animal, with swapping the anode and cathode positions of the VNS electrode (polarity inversion). A VNS‐induced LMEP was identified as the initial negative peak wave post‐stimulation artifact, consistently recorded in all sweeps at a given stimulation output current. Latency was defined as the time from stimulation onset to this negative peak, and stimulation threshold as the lowest current showing a clear and reproducible LMEP. An LMEP response was shown by 37/46 animals (80.4%), with stimulation intensity threshold of 0.37 ± 0.27 mA and latency of 2.39 ± 0.45 ms. Administering the cathodic pulse phase first at the caudal electrode contact resulted in the shortest LMEP latencies (MWU: p = 0.049. 2.36 ± 0.43 ms vs. 2.41 ± 0.47 ms). Minimally invasive LMEP recording provides a feasible and reliable means for checking electrode functioning and correct implantation.
ISSN:2576-2095