PROGNOSTIC VALUE OF CORTICAL MAGNETIC STIMULATION IN SPINAL-CORD INJURY

被引：29

作者：

CLARKE, CE

MODARRESSADEGHI, H

TWOMEY, JA

BURT, AA

机构：

[1] Departments of Neurology, Wakefield, WFl 4DG, Aberford Road

[2] Departments of Neurophysiology, Pinderfields District General Hospital, Wakefield, West Yorkshire, WFl 4DG, Aberford Road

来源：

PARAPLEGIA | 1994年 / 32卷 / 08期

关键词：

SPINAL CORD INJURY; CORTICAL MAGNETIC STIMULATION; MOTOR EVOKED POTENTIALS; PROGNOSIS;

D O I：

10.1038/sc.1994.87

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Cortical magnetic stimulation was performed in a consecutive series of 10 patients presenting within 15 days of traumatic spinal cord injury. In those patients with complete paraplegia or quadriplegia, motor evoked potentials at presentation were absent below the level of the lesion. Six months after the injury, potentials had returned in the biceps brachii and abductor pollicis brevis muscles in some quadriplegic cases, but remained absent from the tibialis anterior in all of this group. None of those with a complete lesion made a significant functional recovery. Of the three patients with incomplete quadriplegia, two showed a significant recovery after 6 months. Motor evoked potentials were recordable below the level of the lesion at presentation in these cases, although the latencies were prolonged. In the remaining patient who failed to improve, potentials were unrecordable throughout the study. This small pilot study suggests that cortical magnetic stimulation may be useful in refining the prognosis in patients with an incomplete spinal cord injury.

引用

页码：554 / 560

页数：7

共 26 条

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