Transcranial magnetic stimulation in patients with cervical spondylotic myelopathy: Clinical and radiological correlations
| Autor: | A. Rolf Wattendorff, Dénes L. J. Tavy, G. Louis Wagner, Hessel Franssen, Ruben E. M. Hekster, R. W. M. Keunen |
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| Rok vydání: | 1994 |
| Předmět: |
Adult
Male medicine.medical_specialty Physiology medicine.medical_treatment Motor Activity Asymptomatic Biceps Spinal Cord Diseases Spinal Osteophytosis Central nervous system disease Lesion Cellular and Molecular Neuroscience Physiology (medical) medicine Humans Evoked Potentials Aged medicine.diagnostic_test business.industry Middle Aged medicine.disease Spinal cord Transcranial Magnetic Stimulation Electric Stimulation Surgery Radiography Transcranial magnetic stimulation Stenosis medicine.anatomical_structure Spinal Cord Anesthesia Female Neurology (clinical) medicine.symptom business Spinal Cord Compression Myelography Neck |
| Zdroj: | Muscle & Nerve. 17:235-241 |
| ISSN: | 1097-4598 0148-639X |
| Popis: | Motor evoked potentials (MEPs) were studied in 28 patients with cervical spondylotic myelopathy. MEPs after cortical stimulation were abnormal in 27 patients, the responses in the leg muscles being affected the most often. Clinically asymptomatic motor lesions were detected in 7 patients (25%). The central motor conduction time (CMCT) for the abductor digiti minimi muscles correlated significantly with the clinical disability, whereas the radiological findings did not correlate with the clinical and neurophysiological parameters. In 9 patients MEPs were also recorded in the biceps muscles. The 7 patients with an abnormal CMCT for the biceps muscles had the most severe stenosis at the C-4–C-5 level or higher. The 2 patients with normal MEPs of the biceps muscles both had a stenosis at the C-5–C-6 level. The results of this study suggest that MEPs are useful for detecting spinal cord dysfunction and for localizing the level of the lesion. Some recommendations regarding the possible use of MEPs in the clinical evaluation of patients with cervical spondylotic myelopathy are given. © 1994 John Wiley & Sons, Inc. |
| Databáze: | OpenAIRE |
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