Ihaya A, Muraoka R, Morioka K, Uesaka T, Sasaki M, Noguchi H, Chiba Y
Second Department of Surgery, Fukui Medical School, Japan.
Kyobu Geka. 1995 Mar;48(3):194-7.
We studied the reliability of monitoring ESP to detect paraplegia due to spinal cord ischemia during thoracic aortic cross-clamping. In eleven patients with descending thoracic aortic aneurysm, we observed the relationship between the ESP change and postoperative paraplegia. Two patients with loss of ESP had normal postoperative neurological function but one of seven patients with low ESP amplitudes (47% of the control value) showed postoperative paraplegia with anterior spinal artery syndrome. Monitoring ESP dose not appear to be reliable to detect paraplegia during cross-clamping of the descending thoracic aorta.
我们研究了监测体感诱发电位（ESP）以检测胸主动脉阻断期间脊髓缺血所致截瘫的可靠性。在11例降主动脉瘤患者中，我们观察了ESP变化与术后截瘫之间的关系。2例ESP消失的患者术后神经功能正常，但7例ESP波幅降低（为对照值的47%）的患者中有1例出现了伴有脊髓前动脉综合征的术后截瘫。在降主动脉阻断期间，监测ESP似乎并不可靠，无法检测出截瘫。
