Sokolova A A, Iundin V I, Iarikov D E, Kolpachkov V A, Baskov A V, Shevelev I N
Zh Vopr Neirokhir Im N N Burdenko. 1999 Jan-Mar(1):15-20.
The purpose of the study was to record somatosensory evoked potentials (SSEP) to objectify the results omentomyelopexy in late spinal cord injury. SSEP were recorded in 25 patients in leads of three levels of the somatosensory tract (from the popliteal fossa, from the lumbar enlargement of the spinal cord, and from the surface of the skull in the region of projection of leg presentation in cerebral hemispherical cortex) before and after surgery. The study indicated that there were no pre- or postoperative records of cortical evoked potentials. At the same time there was improvement in the magnitude of SSEP at the level of the lumbar enlargement (36%). In 4 (16%) and 5 (20%) cases of them SSEP changes were clear and unclear, respectively. The assessment of SSEP changes requires consideration of cases with unclear SSEP. Comparison of the results with clinical findings shows a correlation mainly with urological and urodynamic evidence. Thus, there are minor positive changes in the magnitude of SSEP after omentomyelopexy in the lumbar enlargement lead with unclearly pronounced evoked potentials.
本研究的目的是记录体感诱发电位(SSEP),以客观化晚期脊髓损伤中网膜脊髓固定术的结果。在25例患者手术前后,于体感传导束三个水平(腘窝、脊髓腰膨大、大脑半球皮质腿部投射区颅骨表面)的导联记录SSEP。研究表明,术前及术后均无皮质诱发电位记录。同时,腰膨大水平的SSEP波幅有所改善(36%)。其中4例(16%)SSEP变化明显,5例(20%)变化不明显。对SSEP变化的评估需要考虑SSEP不明确的病例。将结果与临床发现进行比较,结果显示主要与泌尿系统及尿动力学证据相关。因此,网膜脊髓固定术后,腰膨大导联的SSEP波幅有轻微的正向变化,诱发电位表现不明显。