Feldman M H, Cracco R Q, Farmer P, Mount F
Ann Neurol. 1980 Mar;7(3):238-44. doi: 10.1002/ana.410070306.
Computer-averaged evoked potential responses (EPs) to stimulation of the sciatic nerve and cervical spinal cord were recorded from the dura and skin over the causda equina and spinal cord in seven monkeys, three with chronic spinal cord lesions. Sciatic EPs consited of predominantly negative triphasic propagated potentials recorded at all spinal levels and greatest in amplitude over the cauda equina and caudal spinal cord. The conduction velocity of this EP was faster over the cauda equina and rostral spinal cord than over caudal cord segments. Triphasic potentials were succeeded by small negative potentials over the cauda equina and larger negative potentials over the lumbar enlargement. Sciatic EPs over the upper lumbar and thoracic cord were more sensitive to asphyxia than the initial triphasic potentials recorded over cauda equina and caudal cord but resisted changes from increasing the rate of stimulation up to 100 per second. Propagated thoracic EPs were preceded by nonpropagated potentials. The longer latency negative potentials occurring locally over the cauda equina and lower lumbar enlargement were abolished at levels of asphyxia and were attenuated at rates of stimulation that did not affect the preceding triphasic potentials. Following complete spinal cord transection, nonpropagated sciatic EPs were recorded in leads rostral to the section. In preparations with chronic partial cord hemisection involving dorsal and lateral quadrants, ipsilateral sciatic EPs had increased latency, reduced amplitude, and poor definition in the vicinity of and rostral to the lesion. Direct cervical cord stimulation elicited caudally propagated potentials which were followed by large, broad potentials over the number enlargement.
在七只猴子的马尾和脊髓上方的硬脑膜及皮肤处记录了对坐骨神经和颈脊髓刺激的计算机平均诱发电位反应(EPs),其中三只患有慢性脊髓损伤。坐骨神经EPs主要由在所有脊髓节段记录到的负性三相传播电位组成,在马尾和尾段脊髓处振幅最大。该EPs在马尾和脊髓头端的传导速度比在尾段脊髓节段更快。三相电位之后是马尾处的小负性电位和腰膨大处的大负性电位。腰段上部和胸段脊髓处的坐骨神经EPs比在马尾和尾段脊髓记录到的初始三相电位对窒息更敏感,但在刺激频率增加到每秒100次时仍能抵抗变化。传播性胸段EPs之前有非传播性电位。在马尾和腰膨大下部局部出现的潜伏期较长的负性电位在窒息水平时消失,在不影响先前三相电位的刺激频率下会减弱。在脊髓完全横断后,在横断部位头端的导联中记录到非传播性坐骨神经EPs。在患有涉及背侧和外侧象限的慢性部分脊髓半切的标本中,同侧坐骨神经EPs在损伤部位附近和头端有潜伏期延长、振幅降低和波形清晰度差的表现。直接刺激颈脊髓会引发向尾端传播的电位,随后在腰膨大处出现大而宽的电位。