USE OF SCIATIC NEUROGENIC MOTOR EVOKED-POTENTIALS VERSUS SPINAL POTENTIALS TO PREDICT EARLY-ONSET NEUROLOGIC DEFICITS WHEN INTERVENTION IS STILL POSSIBLE DURING OVERDISTRACTION

被引:30
作者
KAI, Y [1 ]
OWEN, JH [1 ]
LENKE, LG [1 ]
BRIDWELL, KH [1 ]
OAKLEY, DM [1 ]
SUGIOKA, Y [1 ]
机构
[1] KYUSHU UNIV,FAC MED,DEPT ORTHOPAED SURG,FUKUOKA 812,JAPAN
关键词
SPINAL EVOKED POTENTIAL; SCIATIC NEUROGENIC MOTOR EVOKED POTENTIAL; SOMATOSENSORY EVOKED POTENTIAL; OVERDISTRACTION;
D O I
10.1097/00007632-199307000-00004
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Spinal evoked potentials, sciatic neurogenic motor evoked potentials, and somatosensory evoked potentials were recorded before and after overdistraction of the spinal cord, and compared with the clinical status of 14 pigs. The sciatic neurogenic motor evoked potential consisted of two components: fast and slow. The fast component was more sensitive and associated to a greater degree with motor function in wake-up tests than the slow component somatosensory evoked potential and spinal evoked potential. Furthermore, the loss of only the fast component in the initial status allowed the possibility of improvement of motor activity in the final wake-up test. The peripheral neurogenic motor evoked potentials recording yielded more information about spinal cord function: motor and sensory. The current study suggests that a peripheral response is a better index to the onset of overdistraction and to the efficiency of intervention, when the neurologic deficit after overdistraction of the spine is reversible.
引用
收藏
页码:1134 / 1139
页数:6
相关论文
共 22 条
[1]
Barker A.T., Jacinous R., Freeston L.L., Noninvasive magnetic stimulation of human motor cortex, Lancet I, pp. 1106-1107, (1985)
[2]
Dinner D.S., Luder H., Lesser R.P., Et al., Intraoperative spinal somatosensory evoked potential monitoring, J Neurosurg, 65, pp. 807-814, (1986)
[3]
Fehling M.G., Tatlor C.H., Linden R.D., Piper I.R., Motor and somatosensory evoked potentials recorded from the rat. Electroencephalo, Clin Neurophy, 69, pp. 65-78, (1988)
[4]
Ginsburg H.H., Shetter A.G., Raudzens P.A., Postoperative paraplegia with preserved intraoperative somatosensory evoked potentials, J Neurosurg, 63, pp. 296-300, (1985)
[5]
Haghighi S.S., Green D., Kracke G.R., Oro J.J., Drake R., Influence of Anesthetics on Compound Muscle Action Potentials Evoked by Electrical Stimulation of Motor Cortex. International Motor Evoked Potential Symposium, (1989)
[6]
Hunt C.C., Relation of function to diameter in afferent fibers of muscle nerves, J Gen Physiol, 38, pp. 117-131, (1954)
[7]
Imai K., A clinical study on intra-operative spinal cord monitoring with spinal evoked potential for scoliosis, J Jpn Orthop Assoc, 62, pp. 511-521, (1988)
[8]
Konrad P.E., Tacker W.A., Levy W.J., Et al., Motor evoked potentials in the dog: Effects of global ischemia on spinal cord and peripheral nerve signals, Neurosurg, 20, pp. 117-124, (1987)
[9]
Levy W.J., McCaffrey M., Goldman D., Et al., Nonpyramidal motor activation produced by stimulation of the cerebellum, direct or transcranial. A cerebellar evoked potential, Neurosurg 1986, 42, pp. 163-176, (1986)
[10]
Lloyd D.P., Chang H.T., Afferent fibers in muscle nerves, J Neurophysiol, 48, pp. 199-207, (1948)