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椎管内传导性神经磁场。

Conductive neuromagnetic fields in the lumbar spinal canal.

机构信息

Department of Frontier Surgical Therapeutics, Section of Orthopedic and Spinal Surgery, Division of Advanced Therapeutical Sciences, Graduate School of Tokyo Medical and Dental University, Tokyo, Japan.

出版信息

Clin Neurophysiol. 2012 Aug;123(8):1656-61. doi: 10.1016/j.clinph.2011.12.014. Epub 2012 Jan 27.

Abstract

OBJECTIVE

To measure neuromagnetic evoked fields in the lumbar spinal canal.

METHODS

Using a newly developed superconducting quantum interference device (SQUID) fluxmeter, neuromagnetic fields of 5 healthy male volunteers were measured at the surface of the lower back after stimulation of the tibial nerves at the ankles. For validation, we inserted a catheter-type electrode percutaneously in the lumbar epidural space in 2 of the subjects and measured cauda equina action potentials after tibial nerve stimulation.

RESULTS

Neuromagnetic fields propagating from the intervertebral foramina into the spinal canal were measured, and the latencies of the magnetic fields corresponded largely with those of the cauda equina action potentials.

CONCLUSIONS

We successfully measured ascending neuromagnetic fields originating at the nerve root and the cauda equina with high spatial resolution. Future studies will determine whether neuromagnetic field measurement of the lumbar spine can be a useful diagnostic method for the identification of the disordered site in spinal nerves.

SIGNIFICANCE

We successfully measured neuromagnetic fields in the lumbar spinal canal, which have previously been difficult to verify. Future studies will determine whether neuromagnetic field measurement of the lumbar spine can be a useful diagnostic method for identifying disorders of spinal nerves.

摘要

目的

测量腰椎椎管内的神经磁诱发场。

方法

使用新开发的超导量子干涉器件(SQUID)磁通计,在刺激踝部胫神经后,在腰部背部表面测量 5 名健康男性志愿者的神经磁场。为了验证,我们在其中 2 名受试者的腰椎硬膜外腔中经皮插入导管式电极,在刺激胫神经后测量马尾神经根动作电位。

结果

测量了从椎间孔传播到椎管内的神经磁诱发场,磁场的潜伏期与马尾神经根动作电位的潜伏期基本一致。

结论

我们成功地用高空间分辨率测量了神经根和马尾的上升神经磁诱发场。未来的研究将确定腰椎神经磁诱发场测量是否可以成为一种有用的诊断方法,用于识别脊柱神经的紊乱部位。

意义

我们成功地测量了以前难以验证的腰椎椎管内的神经磁诱发场。未来的研究将确定腰椎神经磁诱发场测量是否可以成为一种有用的诊断方法,用于识别脊柱神经的紊乱部位。

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