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Peer-Reviewed Publication
J Clin Neurophysiol2026;43(4):313-318.April 1, 2026Journal Article

Safety of Transcranial Motor-Evoked Potential Linked Quadripolar Montage.

Cinira Diogo1,2,3, Anthony Clanton1,2, Stephen Holmberg1,2, Brooke E Callahan1,2, Adam T Doan1,2
1Nuvasive Clinical Services, Columbia, Maryland.
2Division of Globus Medical, Audubon, Pennsylvania; and.
3University of Connecticut, Department of Physiology and Neurobiology, Storrs Connecticut.

Abstract

PURPOSE: The linked quadripolar montage for transcranial electric motor-evoked potentials (qTceMEP) consists of four stimulation electrodes: two linked anodes and two linked cathodes. This montage has grown in popularity because it can result in a larger compound muscle action potential amplitude compared with the conventional bipolar montage. Despite the increasing number of centers adopting qTce…

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