Székely G, Csécsei G I
Department of Neurosurgery, University Medical School, Debrecen, Hungary.
Neurobiology (Bp). 1997;5(4):441-52.
Motor and sensory conduction time between the cortex and the Erb point were examined in patients with cervical cord compression. Patients were divided into two groups: the compression was caused either by cervical extramedullary tumour (9 cases), or by cervical spondylosis or herniated disc (16 cases). In response to median nerve stimulation, pathological somatosensory evoked potentials were recorded in 66% of the patients suffering from tumour and in 60% of the patients suffering from spondylosis. All of the patients disclosed pathological motor evoked potentials. On the basis of these observations it could be concluded that, in cases of cervical spinal cord compression, the involvement of the motor system could be more reliably detected than that of the sensory system with electrophysiological methods.
对颈椎脊髓受压患者进行了皮质与臂丛神经点之间的运动和感觉传导时间检查。患者分为两组:压迫分别由颈椎髓外肿瘤(9例)或颈椎病或椎间盘突出(16例)引起。对正中神经刺激的反应中,66%的肿瘤患者和60%的颈椎病患者记录到病理性体感诱发电位。所有患者均显示病理性运动诱发电位。基于这些观察结果可以得出结论,在颈椎脊髓受压的情况下,用电生理方法检测运动系统的受累情况可能比检测感觉系统更可靠。