TRANSCRANIAL MAGNETIC EVOKED-POTENTIALS USED TO MONITOR THE SPINAL-CORD DURING NEURORADIOLOGIC ANGIOGRAPHY OF THE SPINE

被引:8
作者
ANDERSON, LC
HEMLER, DE
LUETHKE, JM
LATCHAW, RE
机构
[1] University of Colorado, Department of Physical Medicine, Denver VA Medical Center, Denver
[2] Colorado Spine Center, Physical Medicine, Wheatridge
[3] Department of Radiology, Fitzsimons Army Medical Center, Aurora
关键词
ARTERIOVENOUS MALFORMATION; INTRAOPERATIVE MONITORING; NEURORADIOLOGY; SOMATOSENSORY EVOKED POTENTIALS; TRANSCRANIAL MAGNET EVOKED POTENTIALS;
D O I
10.1097/00007632-199403000-00019
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A current topic in intraoperative monitoring of the spinal cord is the inability of the somatosensory evoked potentials (SSEP) to adequately document anterior spinal cord function. Transcranial magnetic stimulation (TMS) of the cortex for assessing corticospinal (efferent) pathways is a developing modality. The authors demonstrate a potential application of TMS as a monitoring medium for use in the neuroradiology suite. Limitations of intraoperative applications of cortical magnetic stimulation associated with cortical suppression are caused by anesthetics and neuromuscular blockers. These limitations generally are not an issue in the neuroradiology suite. In this report, motor improvement was correctly predicted by magnetic evoked potential amplitudes, whereas an SSEP remained unchanged during neuroradiologic angiography.
引用
收藏
页码:613 / 616
页数:4
相关论文
共 14 条
[1]  
Booth K.R., Streletz L.J., Raab V.E., Kerrigan J.J., Alaimo M.A., Et al., American Association of Electromyography and Elec-trodiagnosis, AAEE Course B: Intraoperative Monitoring, (1989)
[2]  
Booth K.R., Streletz L.J., Raab V.E., Kerrigan J.J., Alaimo M.A., Et al., Motor evoked potentials and central motor conduction: Studies of transcranial magnetic stimulation with recording from the leg, Electroencephalogr Clin Neurophysiol, 81, pp. 57-62, (1991)
[3]  
Choi I.S., Berenstein A., Surgical neuroangiography of the spine and spinal cord, Radiol Clin North Am, 26, (1988)
[4]  
Cracco R.Q., Evaluation of conduction in central motor pathways: Techniques, pathophysiology, and clinical interpre-tation, Neurosurgery, 20, pp. 199-203, (1987)
[5]  
Dvorak J., Herdmann J., Theiler R., Magnetic transcranial brain stimulation: Painless evaluation of central motor path-ways, Spine, 15, pp. 155-160, (1990)
[6]  
Edmonds H.L., Paloheimo M., Backman M.H., Johnson J.R., Holt R.T., Et al., Transcranial magnetic motor evoked potentials (TcMMEP) for functional monitoring of motor pathways during scoliosis surgery, Spine, 14, pp. 683-686, (1989)
[7]  
Eisen A.A., Shtybel W., AAEM minimonograph #35: Clinical experience with transcranial magnetic stimulation, Muscle Nerve, pp. 995-1011, (1990)
[8]  
Moller A.R., Evoked Potentials in Intraoperative Monitoring, (1991)
[9]  
Mustain W.D., Kendig R.J., Dissociation of neurogenic motor and somatosensory evoked potentials, Spine, 16, pp. 851-853, (1991)
[10]  
Nuwer M.R., Evoked Potential Monitoring in the Operating Room, (1986)