Komatsu Y, Yoshida M, Nakanishi T
Tokyo Metropolitan Rehabilitation Center for the Physically and Mentally Handicapped.
Electromyogr Clin Neurophysiol. 1997 Nov-Dec;37(8):475-81.
F responses were recorded in 6 cases with SSP and in 22 normal controls. The present study confirmed that frequency, number of phases, F/M amplitude ratio and duration were significantly increased and CV of onset latencies was significantly reduced in cases with SSP. After intravenous injection of TRH (2 mg), all the parameters were altered toward normal sides. It was suggested that the hyperexcitability of motor neuron pool in SSP was stabilized by effects of TRH on injured pyramidal tracts and consequently abnormalities of F responses were improved. The Effect of TRH to correct the abnormal F responses in SSP might be consistent with effects of TRH to reduce spasticity in amyotrophic lateral sclerosis described previously.
对6例痉挛性斜颈患者和22名正常对照者记录了F波反应。本研究证实,痉挛性斜颈患者的频率、相数、F/M波幅比和时限显著增加,起始潜伏期的CV显著降低。静脉注射促甲状腺激素释放激素(TRH,2mg)后,所有参数均向正常方向改变。提示TRH对受损锥体束的作用稳定了痉挛性斜颈患者运动神经元池的过度兴奋性,从而改善了F波反应异常。TRH纠正痉挛性斜颈异常F波反应的作用可能与之前描述的TRH降低肌萎缩侧索硬化症痉挛的作用一致。