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磁刺激在腰骶部运动神经根病诊断中的应用

Magnetic stimulation in the determination of lumbosacral motor radiculopathy.

作者信息

Banerjee T K, Mostofi M S, Us O, Weerasinghe V, Sedgwick E M

机构信息

Wessex Neurological Centre, Southampton University Hospitals, UK.

出版信息

Electroencephalogr Clin Neurophysiol. 1993 Aug;89(4):221-6. doi: 10.1016/0168-5597(93)90099-b.

DOI:10.1016/0168-5597(93)90099-b
PMID:7688684
Abstract

Magnetic stimulation was utilised to diagnose lumbosacral motor radiculopathy non-invasively. Magnetic coil stimulation estimated peripheral motor nerve conduction time (MNCT) which, used in combination with F response, allowed calculation of "motor root conduction time (MRCT)," response being recorded from abductor hallucis. Twenty-five normal controls and 26 patients with lumbar spondylosis were studied. The mean interside difference (left minus right) of MRCT in the control was +0.06 msec (range: -0.88 to +0.74 msec). On clinical and radiological grounds, patients with spondylosis were grouped into those with: (I) no lumbosacral root compression, (II) root compression without motor sign, and (III) root compression with motor deficit. All patients in group III and 36% of cases of group II had MRCT significantly prolonged on the affected side.

摘要

磁刺激被用于非侵入性诊断腰骶部运动神经根病。磁线圈刺激可估计周围运动神经传导时间(MNCT),将其与F波相结合,可计算“运动神经根传导时间(MRCT)”,记录的反应来自拇展肌。研究了25名正常对照者和26名腰椎病患者。对照组MRCT的平均双侧差异(左侧减去右侧)为+0.06毫秒(范围:-0.88至+0.74毫秒)。根据临床和影像学依据,将腰椎病患者分为:(I)无腰骶神经根受压,(II)神经根受压但无运动体征,以及(III)神经根受压伴有运动功能障碍。III组的所有患者和II组36%的病例患侧的MRCT明显延长。

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