AGE-DEPENDENT DECLINE IN MOTOR EVOKED-POTENTIAL (MEP) AMPLITUDE - WITH A COMMENT ON CHANGES IN PARKINSONS-DISEASE

被引:71
作者
EISEN, A [1 ]
SIEJKA, S [1 ]
SCHULZER, M [1 ]
CALNE, D [1 ]
机构
[1] UNIV BRITISH COLUMBIA,DEPT MED NEUROL,VANCOUVER V6T 1W5,BC,CANADA
来源
ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY | 1991年 / 81卷 / 03期
基金
英国医学研究理事会;
关键词
MOTOR EVOKED POTENTIAL; TRANSCRANIAL MAGNETIC STIMULATION; PARKINSONS DISEASE; AMPLITUDE; AGING;
D O I
10.1016/0168-5597(91)90074-8
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Peak-to-peak measurement of the maximum amplitude motor evoked potential (MAXMEP) elicited by 20 consecutive transcranial magnetic stimuli recorded from the contracting thenar and hypothenar muscles measured 9.8 +/- 2.0 mV and 7.25 +/- 2.9 mV respectively (P < 0.01). The ratio of MAXMEP/CMAP measured 92.6 +/- 25.8% and 54.8 +/- 12.3% respectively (P < 0.001). Repeat studies showed good individual reproducibility. Amplitudes declined linearly with age (r = -0.836 for thenar MAXMEP P < 0.001). It is argued that MAXMEP related to age is more meaningful than the MEP/CMAP wave ratio and is proportional to the number of fast conducting cortical motor neurons excited. In 7/18 patients with Parkinson's disease (PD) MAXMEP was increased; in 2 other patients MAXMEP was decreased for their age.
引用
收藏
页码:209 / 215
页数:7
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