The value of somatosensory and motor evoked evoked potentials in pre-clinical spondylotic cervical cord compression
Language English Country Germany Media print
Document type Journal Article, Research Support, Non-U.S. Gov't
PubMed
9883959
PubMed Central
PMC3611297
DOI
10.1007/s005860050113
Knihovny.cz E-resources
- MeSH
- Time Factors MeSH
- Electromyography MeSH
- Spinal Cord Compression diagnosis etiology physiopathology MeSH
- Cervical Vertebrae * MeSH
- Humans MeSH
- Evoked Potentials, Motor * MeSH
- Follow-Up Studies MeSH
- Spinal Osteophytosis complications MeSH
- Prospective Studies MeSH
- Sensitivity and Specificity MeSH
- Evoked Potentials, Somatosensory * MeSH
- Case-Control Studies MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
Previous studies have yielded conflicting data concerning the value of evoked potential parameters in the assessment of clinical relevance of cervical cord compression in clinically "silent" cases. The aim of this study was to assess the value of somatosensory (SEP) and motor evoked potentials (MEP) in the evaluation and prediction of the clinical course, by means of a 2-year follow-up prospective electrophysiological and clinical study performed in patients with clinically "silent" spondylotic cervical cord compression. Thirty patients with MR signs of spondylotic cervical cord compression but without clinical signs of myelopathy were evaluated clinically and using SEPs and MEPs during a 2-year period. The results of the study showed that SEPs and MEPs documented subclinical involvement of cervical cord in 50% of patients with clinically "silent" spondylotic cervical cord compression. During the 2-year period clinical signs of cervical myelopathy were observed in one-third of patients with entry EP abnormality in comparison with no patients with normal EP tests. Combined SEPs and MEPs proved to be a valuable tool in the assessment of the functional relevance of subclinical spondylotic cervical cord compression. Normal EP findings predict a favourable 2-year clinical outcome.
References provided by Crossref.org
In vivo Molecular Signatures of Cervical Spinal Cord Pathology in Degenerative Compression
Predictors of symptomatic myelopathy in degenerative cervical spinal cord compression
Presymptomatic spondylotic cervical myelopathy: an updated predictive model
