Boucand M H, Chauplannaz G, Boisson D, Eyssette M
Rev Electroencephalogr Neurophysiol Clin. 1985 Sep;15(2):173-8. doi: 10.1016/s0370-4475(85)80022-8.
31 control subjects and 14 patients with dorso-lumbar spinal cord lesions were studied using the spEP (spinal evoked response). The presented responses were recorded by subcutaneous needle electrodes following stimulation of the peroneal nerve. Results from control subjects are presented first (triphasic negative potential, latency increasing with level of recording). The 14 patients were grouped according to their clinical symptoms. The prognostic value of the spEP response was considered. Results were as follow: flaccid paraplegia with no motor response to stimulation: no spEP was recorded; complete anatomoclinical paraplegia: the spEP was normal caudal to the lesion and negative rostral to the lesion; complete paraplegia with minor anatomical lesions: prognosis was good when spEP rostral to the lesion was recorded and poor when no response was detected; motor paraplegia: the spEPs rostral and caudal to the lesion were normal. In all cases, the levels of the lesions were in accordance with the upper level at which changes in spEPs were observed.
采用脊髓诱发电位（spEP）对31名对照受试者和14名背腰部脊髓损伤患者进行了研究。在刺激腓总神经后，用皮下针电极记录呈现的反应。首先给出对照受试者的结果（三相负电位，潜伏期随记录水平增加）。14名患者根据其临床症状进行分组。考虑了spEP反应的预后价值。结果如下：弛缓性截瘫且对刺激无运动反应：未记录到spEP；完全解剖临床性截瘫：病变尾侧的spEP正常，病变头侧的spEP为阴性；伴有轻微解剖损伤的完全截瘫：当记录到病变头侧的spEP时预后良好，未检测到反应时预后不良；运动性截瘫：病变头侧和尾侧的spEPs正常。在所有病例中，病变水平与观察到spEPs变化的较高水平一致。
