Examination of motor function in lesions of the spinal cord by stimulation of the motor cortex

Electrical stimulation of the motor cortex was performed in 3 patients with cervical cord trauma and in 3 with cervical myelopathy caused by cervical spondylosis. Abnormal conduction in central motor tracts was demonstrated in 5 of the 6 patients; yet in 4 of these, cortical somatosensory evoked pot...

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Veröffentlicht in:Annals of neurology 1987-04, Vol.21 (4), p.389-396
Hauptverfasser: Thompson, P. D., Dick, J. P. R., Asselman, P., Griffin, G. B., Day, B. L., Rothwell, J. C., Sheehy, M. P., Marsden, C. D.
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container_end_page 396
container_issue 4
container_start_page 389
container_title Annals of neurology
container_volume 21
creator Thompson, P. D.
Dick, J. P. R.
Asselman, P.
Griffin, G. B.
Day, B. L.
Rothwell, J. C.
Sheehy, M. P.
Marsden, C. D.
description Electrical stimulation of the motor cortex was performed in 3 patients with cervical cord trauma and in 3 with cervical myelopathy caused by cervical spondylosis. Abnormal conduction in central motor tracts was demonstrated in 5 of the 6 patients; yet in 4 of these, cortical somatosensory evoked potentials from the same limb were of normal latency. In the remaining patient who had normal motor latencies, the somatosensory evoked potentials were delayed on one side. Electrophysiological examination of the motor pathways by cortical stimulation may therefore be of considerable value in the assessment and management of patients with traumatic and compressive disease of the spinal cord.
doi_str_mv 10.1002/ana.410210412
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Aged
Biological and medical sciences
Cervical Vertebrae
Efferent Pathways - physiology
Electric Stimulation
Electrodiagnosis. Electric activity recording
Electromyography
Evoked Potentials, Somatosensory
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Motor Cortex - physiopathology
Motor Neurons - physiopathology
Nervous system
Neural Conduction
Reaction Time
Spinal Cord Injuries - physiopathology
Spinal Osteophytosis - physiopathology
title Examination of motor function in lesions of the spinal cord by stimulation of the motor cortex
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