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马尾神经间歇性跛行中的可逆性运动和感觉神经生理异常

Reversible motor and sensory neurophysiological abnormalities in cauda equina claudication.

作者信息

Saadeh I K, Illis L S, Jamshidi Fard A R, Hughes P J, Sedgwick E M

机构信息

Wessex Neurological Centre, Southampton University Hospital, UK.

出版信息

J Neurol Neurosurg Psychiatry. 1994 Oct;57(10):1252-4. doi: 10.1136/jnnp.57.10.1252.

DOI:10.1136/jnnp.57.10.1252
PMID:7931390
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC485497/
Abstract

A case of cauda equina claudication with canal stenosis is presented. Neurophysiological studies show reversible changes during symptomatic and asymptomatic phases. The somatosensory evoked potential from the tibial nerve was reduced in amplitude. Central motor conduction time (CMCT) after transcranial magnetic stimulation of the brain was reversibly prolonged in the symptomatic phase. Reversible CMCT changes have not been previously shown. The findings are discussed in the light of the pathophysiology of ischaemic nerve.

摘要

本文报道了一例伴有椎管狭窄的马尾神经间歇性跛行病例。神经生理学研究显示,在症状期和无症状期存在可逆性变化。胫神经体感诱发电位的波幅降低。在症状期,经颅磁刺激大脑后的中枢运动传导时间(CMCT)可逆性延长。此前尚未发现CMCT的可逆性变化。根据缺血性神经的病理生理学对这些发现进行了讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fbf/485497/c74ab76726c8/jnnpsyc00040-0093-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fbf/485497/c74ab76726c8/jnnpsyc00040-0093-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fbf/485497/c74ab76726c8/jnnpsyc00040-0093-a.jpg

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本文引用的文献

1
Magnetic stimulation in the determination of lumbosacral motor radiculopathy.磁刺激在腰骶部运动神经根病诊断中的应用
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2
Erections on walking as a symptom of spinal canal stenosis.行走时勃起作为椎管狭窄的一种症状。
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3
Exercise provoked faecal incontinence in spinal stenosis.运动诱发的腰椎管狭窄症患者大便失禁
J Neurol Neurosurg Psychiatry. 1987 Mar;50(3):362-3. doi: 10.1136/jnnp.50.3.362.
4
Electrophysiological studies of intermittent claudication in lumbar stenosis.腰椎管狭窄症间歇性跛行的电生理研究
Spine (Phila Pa 1976). 1989 Aug;14(8):862-6. doi: 10.1097/00007632-198908000-00016.
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Intermittent parasympathetic symptoms in lumbar spinal stenosis.
J Spinal Disord. 1989 Jun;2(2):109-13.
6
Cauda equina compression presenting as spontaneous priapism.表现为自发性阴茎异常勃起的马尾神经受压
J Neurol Neurosurg Psychiatry. 1979 Mar;42(3):280-2. doi: 10.1136/jnnp.42.3.280.