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患有和未患有颈椎脊髓病体征的杜宾犬运动诱发电位与磁共振成像及神经学检查结果的相关性

Correlation of motor evoked potentials with magnetic resonance imaging and neurologic findings in Doberman Pinschers with and without signs of cervical spondylomyelopathy.

作者信息

da Costa Ronaldo C, Poma Roberto, Parent Joane M, Partlow Gary, Monteith Gabrielle

机构信息

Department of Biomedical Sciences, Ontario Veterinary College, University of Guelph, Guelph, ON N1G 2W1, Canada.

出版信息

Am J Vet Res. 2006 Sep;67(9):1613-20. doi: 10.2460/ajvr.67.9.1613.

Abstract

OBJECTIVE

To establish the reference ranges for motor evoked potential (MEP) latency and amplitude in clinically normal Doberman Pinschers, compare the MEPs of Doberman Pinschers with and without clinical signs of cervical spondylomyelopathy (CSM; wobbler syndrome), and determine whether MEP data correlate with neurologic or magnetic resonance imaging (MRI) findings.

ANIMALS

16 clinically normal and 16 CSM-affected Doberman Pinschers.

PROCEDURES

Dogs were classified according to their neurologic deficits. After sedation with acepromazine and hydromorphone, transcranial magnetic MEPs were assessed in each dog; latencies and amplitudes were recorded from the extensor carpi radialis and cranial tibial muscles. Magnetic resonance imaging was performed to evaluate the presence and severity of spinal cord compression.

RESULTS

Significant differences in cranial tibial muscle MEP latencies and amplitudes were detected between clinically normal and CSM-affected dogs. No differences in the extensor carpi radialis MEP were detected between groups. There was a significant correlation (r = 0.776) between the cranial tibial muscle MEP latencies and neurologic findings. Significant correlations were also found between MRI findings and the cranial tibial muscle MEP latencies (r = 0.757) and amplitudes (r = -0.453).

CONCLUSIONS AND CLINICAL RELEVANCE

Results provided a reference range for MEPs in clinically normal Doberman Pinschers and indicated that cranial tibial muscle MEP latencies correlated well with both MRI and neurologic findings. Because of the high correlation between cranial tibial muscle MEP data and neurologic and MRI findings, MEP assessment could be considered as a screening tool in the management of dogs with spinal cord disease.

摘要

目的

确定临床正常的杜宾犬运动诱发电位(MEP)潜伏期和波幅的参考范围,比较有和没有颈椎脊髓病(CSM;摇摆综合征)临床症状的杜宾犬的MEP,并确定MEP数据是否与神经学或磁共振成像(MRI)结果相关。

动物

16只临床正常的杜宾犬和16只患有CSM的杜宾犬。

方法

根据神经功能缺损对犬进行分类。用乙酰丙嗪和氢吗啡酮镇静后,对每只犬进行经颅磁MEP评估;记录桡侧腕伸肌和胫前肌的潜伏期和波幅。进行磁共振成像以评估脊髓压迫的存在和严重程度。

结果

在临床正常犬和患有CSM的犬之间,检测到胫前肌MEP潜伏期和波幅存在显著差异。两组之间桡侧腕伸肌MEP未检测到差异。胫前肌MEP潜伏期与神经学结果之间存在显著相关性(r = 0.776)。在MRI结果与胫前肌MEP潜伏期(r = 0.757)和波幅(r = -0.453)之间也发现了显著相关性。

结论及临床意义

结果提供了临床正常杜宾犬MEP的参考范围,并表明胫前肌MEP潜伏期与MRI和神经学结果均密切相关。由于胫前肌MEP数据与神经学和MRI结果之间的高度相关性,MEP评估可被视为脊髓疾病犬管理中的一种筛查工具。

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