CHANGES IN SPINAL-CORD FUNCTION EVALUATED BY EVOKED-POTENTIALS AND SPINAL-CORD BLOOD-FLOW FROM A LATERAL RETRACTION POSTCERVICAL LAMINECTOMY

被引:3
作者
KUCHIWAKI, H [1 ]
INAO, S [1 ]
ANDOH, K [1 ]
ISHIGURI, H [1 ]
SUGITA, K [1 ]
机构
[1] NAGOYA UNIV,SCH MED,DEPT NEUROSURG,NAGOYA,AICHI 466,JAPAN
来源
ACTA NEUROLOGICA SCANDINAVICA | 1990年 / 82卷 / 03期
关键词
monitoring; retraction; spinal cord blood flow; spinal motor evoked potential; spinal somatosensory evoked potential;
D O I
10.1111/j.1600-0404.1990.tb04486.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We induced ischemia and stretching by retraction of the spinal cord after laminectomy in 12 anesthetized mongrel adult cats, recorded spinal motor evoked potential (SpMEP) and spinal somatosensory evoked potential (SpSSEP) and determined the spinal cord blood flow (SCBF). The results showed a correlation between progressive deterioration of the function and a decrease in SCBF. Comparing the abnormal findings of both the peak and interpeak latencies in evoked potentials, useful data were more frequently obtained using SpSSEP than SpMEP. Factors involved in their deteriorations seem to be a moderate ischemia by compression, and a stretching by the retraction of the spinal cord. From these results, we conclude that SCBF and SpSSEP are important for monitoring the impulse propagation during retraction of the cervical cord. 1990 Blackwell Munksgaard
引用
收藏
页码:183 / 190
页数:8
相关论文
共 28 条
[1]   Remarks on the histopathological changes in the spinal cord due to impact - An experimental study [J].
Allen, AR .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1914, 41 :141-147
[2]  
AMASSIAN VE, 1987, NEUROSURGERY, V20, P74
[3]   EFFECTS OF COMPRESSION AND ISCHEMIA ON SPINAL-CORD EVOKED-POTENTIALS [J].
BENNETT, MH .
EXPERIMENTAL NEUROLOGY, 1983, 80 (03) :508-519
[4]   INTRA-OPERATIVE DETECTION OF SPINAL-CORD ISCHEMIA USING SOMATOSENSORY CORTICAL EVOKED-POTENTIALS DURING THORACIC AORTIC OCCLUSION [J].
COLES, JG ;
WILSON, GJ ;
SIMA, AF ;
KLEMENT, P ;
TAIT, GA .
ANNALS OF THORACIC SURGERY, 1982, 34 (03) :299-306
[5]   INTRAOPERATIVE SPINAL SOMATOSENSORY EVOKED-POTENTIAL MONITORING [J].
DINNER, DS ;
LUDERS, H ;
LESSER, RP ;
MORRIS, HH ;
BARNETT, G ;
KLEM, G .
JOURNAL OF NEUROSURGERY, 1986, 65 (06) :807-814
[6]   THE EFFECT OF SPINAL DISTRACTION ON REGIONAL SPINAL-CORD BLOOD-FLOW IN CATS [J].
DOLAN, EJ ;
TRANSFELDT, EE ;
TATOR, CH ;
SIMMONS, EH ;
HUGHES, KF .
JOURNAL OF NEUROSURGERY, 1980, 53 (06) :756-764
[7]  
FEHLINGS MG, 1987, NEUROSURGERY, V20, P125
[8]   A REPRODUCIBLE SPINAL-CORD INJURY MODEL IN THE CAT [J].
FORD, RWJ .
JOURNAL OF NEUROSURGERY, 1983, 59 (02) :268-275
[9]   POSTOPERATIVE PARAPLEGIA WITH PRESERVED INTRAOPERATIVE SOMATOSENSORY EVOKED-POTENTIALS [J].
GINSBURG, HH ;
SHETTER, AG ;
RAUDZENS, PA .
JOURNAL OF NEUROSURGERY, 1985, 63 (02) :296-300
[10]   SPINAL-CORD BLOOD-FLOW AND CONDUCTION DURING EXPERIMENTAL CORD COMPRESSION IN NORMOTENSIVE AND HYPOTENSIVE DOGS [J].
GRIFFITHS, IR ;
TRENCH, JG ;
CRAWFORD, RA .
JOURNAL OF NEUROSURGERY, 1979, 50 (03) :353-360