Terao A, Araki S
Folia Psychiatr Neurol Jpn. 1975;29(4):341-54. doi: 10.1111/j.1440-1819.1975.tb02352.x.
A new SER recording system using the bilateral simultaneous peripheral nerve stimulation on cervical, thoracic and lumbar segments was found to be helpful as a diagnostic aid for the localization and the level diagnosis of sensory neuronal lesions including peripheral nerves. SER abnormalities were observed in 32 (76.2%) of the 42 cases with cerebrovascular disease, in 11 (64.7%) of the 17 cases with spinal cord lesions and 12 (75.0%) of the 16 cases with peripheral nerve lesions. As an interesting finding, marked SER abnormalities corresponding with the level and the distribution of the lesions were observed in cases with spinal cord tumor, myelopathy and polyneuropathy. In a case with recurrent myelitis, lesions of different levels of spinal cord were suggested from the SER changes. The recording system gives also valuable information about chronological modifications of the lesions, and may reveal subclinical neuronal damage in a certain neurological disorder.
一种新的体感诱发电位(SER)记录系统,采用双侧同时对颈、胸和腰段周围神经进行刺激,被发现有助于对包括周围神经在内的感觉神经元病变进行定位和水平诊断的辅助诊断。42例脑血管疾病患者中有32例(76.2%)观察到SER异常,17例脊髓病变患者中有11例(64.7%),16例周围神经病变患者中有12例(75.0%)。一个有趣的发现是,在脊髓肿瘤、脊髓病和多发性神经病患者中观察到与病变水平和分布相对应的明显SER异常。在一例复发性脊髓炎患者中,从SER变化提示了不同脊髓水平的病变。该记录系统还能提供有关病变时间变化的有价值信息,并可能揭示某些神经系统疾病中的亚临床神经元损伤。