Prognostic value of cortical magnetic stimulation in spinal cord injury
Cortical magnetic stimulation was performed in a consecutive series of 10 patients presenting within 15 days of traumatic spinal cord injury. In those patients with complete paraplegia or quadriplegia, motor evoked potentials at presentation were absent below the level of the lesion. Six months afte...
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| Veröffentlicht in: | Paraplegia 1994-08, Vol.32 (8), p.554-560 |
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| container_title | Paraplegia |
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| creator | CLARKE, C. E MODARRES-SADEGHI, H TWOMEY, J. A BURT, A. A |
| description | Cortical magnetic stimulation was performed in a consecutive series of 10 patients presenting within 15 days of traumatic spinal cord injury. In those patients with complete paraplegia or quadriplegia, motor evoked potentials at presentation were absent below the level of the lesion. Six months after the injury, potentials had returned in the biceps brachii and abductor pollicis brevis muscles in some quadriplegic cases, but remained absent from the tibialis anterior in all of this group. None of those with a complete lesion made a significant functional recovery. Of the three patients with incomplete quadriplegia, two showed a significant recovery after 6 months. Motor evoked potentials were recordable below the level of the lesion at presentation in these cases, although the latencies were prolonged. In the remaining patient who failed to improve, potentials were unrecordable throughout the study. This small pilot study suggests that cortical magnetic stimulation may be useful in refining the prognosis in patients with an incomplete spinal cord injury. |
| doi_str_mv | 10.1038/sc.1994.87 |
| format | Article |
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In the remaining patient who failed to improve, potentials were unrecordable throughout the study. This small pilot study suggests that cortical magnetic stimulation may be useful in refining the prognosis in patients with an incomplete spinal cord injury.</description><identifier>ISSN: 0031-1758</identifier><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sc.1994.87</identifier><identifier>PMID: 7970860</identifier><identifier>CODEN: PRPLBL</identifier><language>eng</language><publisher>Basingstoke: Macmillan</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Female ; Humans ; Injuries of the nervous system and the skull. 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E</creatorcontrib><creatorcontrib>MODARRES-SADEGHI, H</creatorcontrib><creatorcontrib>TWOMEY, J. A</creatorcontrib><creatorcontrib>BURT, A. A</creatorcontrib><title>Prognostic value of cortical magnetic stimulation in spinal cord injury</title><title>Paraplegia</title><addtitle>Paraplegia</addtitle><description>Cortical magnetic stimulation was performed in a consecutive series of 10 patients presenting within 15 days of traumatic spinal cord injury. In those patients with complete paraplegia or quadriplegia, motor evoked potentials at presentation were absent below the level of the lesion. Six months after the injury, potentials had returned in the biceps brachii and abductor pollicis brevis muscles in some quadriplegic cases, but remained absent from the tibialis anterior in all of this group. None of those with a complete lesion made a significant functional recovery. Of the three patients with incomplete quadriplegia, two showed a significant recovery after 6 months. Motor evoked potentials were recordable below the level of the lesion at presentation in these cases, although the latencies were prolonged. In the remaining patient who failed to improve, potentials were unrecordable throughout the study. This small pilot study suggests that cortical magnetic stimulation may be useful in refining the prognosis in patients with an incomplete spinal cord injury.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Magnetoencephalography</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Motor Neurons - physiology</subject><subject>Neural Conduction - physiology</subject><subject>Paraplegia - classification</subject><subject>Paraplegia - physiopathology</subject><subject>Pilot Projects</subject><subject>Prognosis</subject><subject>Quadriplegia - classification</subject><subject>Quadriplegia - physiopathology</subject><subject>Spinal Cord Injuries - classification</subject><subject>Spinal Cord Injuries - diagnosis</subject><subject>Spinal Cord Injuries - physiopathology</subject><subject>Traumas. 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A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prognostic value of cortical magnetic stimulation in spinal cord injury</atitle><jtitle>Paraplegia</jtitle><addtitle>Paraplegia</addtitle><date>1994-08-01</date><risdate>1994</risdate><volume>32</volume><issue>8</issue><spage>554</spage><epage>560</epage><pages>554-560</pages><issn>0031-1758</issn><issn>1362-4393</issn><eissn>1476-5624</eissn><coden>PRPLBL</coden><abstract>Cortical magnetic stimulation was performed in a consecutive series of 10 patients presenting within 15 days of traumatic spinal cord injury. In those patients with complete paraplegia or quadriplegia, motor evoked potentials at presentation were absent below the level of the lesion. Six months after the injury, potentials had returned in the biceps brachii and abductor pollicis brevis muscles in some quadriplegic cases, but remained absent from the tibialis anterior in all of this group. None of those with a complete lesion made a significant functional recovery. Of the three patients with incomplete quadriplegia, two showed a significant recovery after 6 months. Motor evoked potentials were recordable below the level of the lesion at presentation in these cases, although the latencies were prolonged. In the remaining patient who failed to improve, potentials were unrecordable throughout the study. This small pilot study suggests that cortical magnetic stimulation may be useful in refining the prognosis in patients with an incomplete spinal cord injury.</abstract><cop>Basingstoke</cop><pub>Macmillan</pub><pmid>7970860</pmid><doi>10.1038/sc.1994.87</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Paraplegia, 1994-08, Vol.32 (8), p.554-560 |
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| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Biological and medical sciences Female Humans Injuries of the nervous system and the skull. Diseases due to physical agents Magnetoencephalography Male Medical sciences Middle Aged Motor Neurons - physiology Neural Conduction - physiology Paraplegia - classification Paraplegia - physiopathology Pilot Projects Prognosis Quadriplegia - classification Quadriplegia - physiopathology Spinal Cord Injuries - classification Spinal Cord Injuries - diagnosis Spinal Cord Injuries - physiopathology Traumas. Diseases due to physical agents |
| title | Prognostic value of cortical magnetic stimulation in spinal cord injury |
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