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平均诱发小脑延髓池电位、皮层电位及神经学检查在犬脊髓损伤诊断中的比较

Comparison of the averaged evoked cisterna cerebellomedullaris potential, cortical potential, and neurologic examination in the diagnosis of spinal cord injury of the dog.

作者信息

Parker A J

出版信息

Am J Vet Res. 1978 Nov;39(11):1816-21.

PMID:736338
Abstract

Average cerebrocortical potentials (ECP) and cisterna cerebellomedullaris potentials (ECMP), evoked by ulnar and sciatic nerve stimulation, were compared with neurologic examination to evaluate their accuracy in the diagnosis of the degree of experimental spinal injury in 24 Beagles. The dogs were divided into 2 equal groups. Various impact forces were applied to the spinal cord at L1 of 1 group of dogs and various degrees of compression forces were applied to the spinal cord at L1 of the other group of dogs. The degrees of functional loss in both groups of dogs extended from mild to complete. The dogs were untreated and monitored for 30 days after injury. A short-acting barbiturate was compared with a long-acting barbiturate as the means of anesthesia; both were found to permit similar production of ECP and ECMP. The ECMP was found to be a more sensitive, more easily interpreted, and more consistent means of evaluating the degree of spinal injury than the ECP or the neurologic examination.

摘要

通过刺激尺神经和坐骨神经诱发平均大脑皮质电位(ECP)和小脑延髓池电位(ECMP),并与神经学检查进行比较,以评估其在诊断24只比格犬实验性脊髓损伤程度方面的准确性。将这些犬分为两组,每组数量相等。对一组犬的L1脊髓施加不同的撞击力,对另一组犬的L1脊髓施加不同程度的压缩力。两组犬的功能丧失程度从轻度到完全丧失不等。犬在受伤后未接受治疗,并进行30天的监测。比较了短效巴比妥酸盐和长效巴比妥酸盐作为麻醉手段的效果;发现两者都能产生相似的ECP和ECMP。结果发现,与ECP或神经学检查相比,ECMP是一种更敏感、更易于解读且更一致的评估脊髓损伤程度的方法。

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