Jellinek D A, Bradford R, Bailey I, Symon L
Gough-Cooper Department of Neurological Surgery, Institute of Neurology, Queen Square, London.
Paraplegia. 1992 Apr;30(4):300-2. doi: 10.1038/sc.1992.73.
The role of motor evoked potentials in the management of a case of presumed hysterical paraplegia precipitated by spinal injury in a man with a previous history of surgery for scoliosis is presented. Motor evoked potentials were elicited with magnetic stimulation 12 days after injury and were within normal limits. The presence of normal motor electrophysiology and observation by the patient of involuntary movement of the lower limbs during stimulation greatly facilitated the patient's management. These findings are discussed with reference to current diagnostic investigations in the presence of a suspected diagnosis of hysterical paraplegia.
本文介绍了运动诱发电位在一名既往有脊柱侧弯手术史的男性患者中，对因脊髓损伤引发的疑似癔症性截瘫病例管理中的作用。在损伤后12天通过磁刺激引出运动诱发电位，结果在正常范围内。正常的运动电生理表现以及患者在刺激过程中观察到下肢的不自主运动，极大地有助于对该患者的管理。结合当前对疑似癔症性截瘫诊断的相关研究，对这些发现进行了讨论。
