Chen Jen-Tse, Lin Yung-Yang, Lee Yi-Chung, Soong Bing-Wen, Wu Zin-An, Liao Kwong-Kum
Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.
J Clin Neurosci. 2004 May;11(4):381-3. doi: 10.1016/j.jocn.2003.08.006.
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.
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。