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CLINICAL STUDY OF MOTOR EVOKED POTENTIALS BY MAGNETIC STIMULATION IN CERVICAL SPONDYLOTIC MYELOPATHY
作者姓名:杨哲  陈君长  赵龙柱  李幼芬  王坤正  袁国莲  杨大志  和平
作者单位:Department of Orthopcdics,Second Clinical Medical College,Xo'an Medical UniversityXi'an 710004
摘    要:Cervicalspondyloticmyelopathy(CSM)isaserioussymptomsofcompressivespinalcordcausedbycervicalspinedischerniationorosteophyte,whichmayleadtothedamageincervicalmotorandsensoryconductionpathways.Imageexaminationhasgreatvaluetodiagnosethisdisease,butitcan'tassessthefunctionofcompressedspinalcord.Electrophysiologicexaminationmakesupforthedisadvantageofimageexamination,andnowsomatosensoryevokedpotentials(SEPs)isacommonlyusedexamination.BecauseSEPsonlyreflectsthefunctionofBensoryconductionpathway,i…


CLINICAL STUDY OF MOTOR EVOKED POTENTIALS BY MAGNETIC STIMULATION IN CERVICAL SPONDYLOTIC MYELOPATHY
Yang Zhe,Chen Junchang,Zhao Longzhu,Li Youren,Wang Kunzheug,Yuan Guolian,Yang Dazhi,Re Piug.CLINICAL STUDY OF MOTOR EVOKED POTENTIALS BY MAGNETIC STIMULATION IN CERVICAL SPONDYLOTIC MYELOPATHY[J].Academic Journal of Xi’an Jiaotong University,1998(2).
Authors:Yang Zhe  Chen Junchang  Zhao Longzhu  Li Youren  Wang Kunzheug  Yuan Guolian  Yang Dazhi  Re Piug
Abstract:The combined use of motor .yoked pot'ntlais (MEPs) with F way, recording was cornpared with somatesemory evoked potentials (SEPs) in order to evaluate the clinical value or MEPs incervical spondylotic myelopathy. Magnetic stimulation of motor cortex with F wave recording was used assess central motor conduction. time, (CMCT). and central somatoseusory conduction time(CSCT)was evaluated by SEPs in 20 pailents surffring from myeloP8thy of cervical spondylosis. Theresults were comapared with 20 control subjects. The results showed that CMCT of Patients was obviously prolonged then that of contral subjects, the sbnormal rate was 80% which was higher than70K of SEPs slid that the prolongation or CMCT had a good correlation with the severe degree ofmyelopathy. The Painless and noninvasive .magnetic stimulation of PEPs could figure out the compressed degree of motor descending pathway and was. useful technique for diagnosis of cervicalspondylotic myelopathy.
Keywords:motor evoked potentials  cervical spondylotic myelopathy
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