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脊髓小脑共济失调6型中下肢肌肉的中枢运动传导时间延长。

Prolonged central motor conduction time of lower limb muscle in spinocerebellar ataxia 6.

作者信息

Chen Jen-Tse, Lin Yung-Yang, Lee Yi-Chung, Soong Bing-Wen, Wu Zin-An, Liao Kwong-Kum

机构信息

Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.

出版信息

J Clin Neurosci. 2004 May;11(4):381-3. doi: 10.1016/j.jocn.2003.08.006.

Abstract

We investigated the function of corticospinal tract in spinocerebellar ataxia 6 (SCA6) by measuring the central motor conduction time (CMCT). Motor evoked potentials (MEP) of tibialis anterior (TA) muscle were elicited by magnetic stimulation to motor cortex and spinal cord in 9 SCA6 patients and 10 normal height- and age-matched subjects. CMCT in lower limb of SCA6 patients (18.1+/-1.9 ms) was significantly prolonged than that of the normal subjects (15.0+/-1.0 ms) ((p < 0.001). The prolonged CMCT was well correlated with the duration of disease (p = 0.005), but MEP amplitudes and stimulation intensities were not significantly different. These results indicate that the corticospinal tract function is also impaired and correlate with the disease duration in SCA6.

摘要

我们通过测量中枢运动传导时间(CMCT)来研究皮质脊髓束在脊髓小脑共济失调6型(SCA6)中的功能。对9例SCA6患者和10例年龄、身高匹配的正常受试者进行磁刺激运动皮层和脊髓,引出胫前肌(TA)的运动诱发电位(MEP)。SCA6患者下肢的CMCT(18.1±1.9毫秒)显著长于正常受试者(15.0±1.0毫秒)(p<0.001)。CMCT延长与病程显著相关(p = 0.005),但MEP波幅和刺激强度无显著差异。这些结果表明,SCA6患者的皮质脊髓束功能也受损,且与病程相关。

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