Hurlbert R J, Tator C H, Fehlings M G, Niznik G, Linden R D
Canadian Paraplegic Association Spinal Cord Injury Research Laboratory, Toronto Hospital (Toronto Western Division), University of Toronto, Ontario, Canada.
J Neurosurg. 1992 Feb;76(2):280-91. doi: 10.3171/jns.1992.76.2.0280.
Although the assessment of spinal cord function by electrophysiological techniques has become important in both clinical and research environments, current monitoring methods do not completely evaluate all tracts in the spinal cord. Somatosensory and motor evoked potentials primarily reflect dorsal column and pyramidal tract integrity, respectively, but do not directly assess the status of the ventral funiculus. The present study was undertaken to evaluate the use of evoked potentials, elicited by direct cerebellar stimulation, in monitoring the ventral component of the rodent spinal cord. Twenty-nine rats underwent epidural anodal stimulation directly over the cerebellar cortex, with recording of evoked responses from the lower thoracic spinal cord, both sciatic nerves, and/or both gastrocnemius muscles. Stimulation parameters were varied to establish normative characteristics. The pathways conducting these "posterior fossa evoked potentials" were determined after creation of various lesions of the cervical spinal cord. The evoked potential recorded from the thoracic spinal cord consisted of five positive (P1 to P5) and five negative (N1 to N5) peaks. The average conduction velocity (+/- standard deviation) of the earliest wave (P1) was 53 +/- 4 m/sec, with a latency of 1.24 +/- 0.10 msec. The other components followed within 4 msec from stimulus onset. Unilateral cerebellar stimulation resulted in bilateral sciatic nerve and gastrocnemius muscle responses; there were no significant differences (p greater than 0.05) in the thresholds, amplitudes, or latencies of these responses elicited by right- versus left-sided stimulation. Recordings performed following creation of selective lesions of the cervical cord indicated that the thoracic response was carried primarily in the ventral funiculus while the sciatic and gastrocnemius responses were mediated through the dorsal half of the spinal cord. It is concluded that the posterior fossa evoked potential has research value as a method of monitoring pathways within the ventral spinal cord of the rat, and should be useful in the study of spinal cord injury.
尽管通过电生理技术评估脊髓功能在临床和研究环境中都变得很重要,但目前的监测方法并不能完全评估脊髓中的所有传导束。体感诱发电位和运动诱发电位主要分别反映背柱和锥体束的完整性,但不能直接评估腹侧索的状态。本研究旨在评估直接小脑刺激诱发的诱发电位在监测啮齿动物脊髓腹侧成分中的应用。29只大鼠在小脑皮质上方进行硬膜外阳极刺激,同时记录下胸段脊髓、双侧坐骨神经和/或双侧腓肠肌的诱发反应。改变刺激参数以确定正常特征。在造成颈髓的各种损伤后,确定传导这些“后颅窝诱发电位”的通路。从胸段脊髓记录到的诱发电位由五个正向波峰(P1至P5)和五个负向波峰(N1至N5)组成。最早波峰(P1)的平均传导速度(±标准差)为53±4米/秒,潜伏期为1.24±0.10毫秒。其他成分在刺激开始后4毫秒内出现。单侧小脑刺激导致双侧坐骨神经和腓肠肌反应;右侧与左侧刺激诱发的这些反应的阈值、振幅或潜伏期没有显著差异(p大于0.05)。在造成颈髓选择性损伤后进行的记录表明,胸段反应主要通过腹侧索传导,而坐骨神经和腓肠肌反应则通过脊髓背侧传导。结论是,后颅窝诱发电位作为一种监测大鼠脊髓腹侧通路的方法具有研究价值,并且在脊髓损伤研究中应该是有用的。