Somatosensory and spinal evoked potentials in patients with cervical syringomyelia.

Abstract:

:We recorded somatosensory evoked potentials (SEPs) from the skin surface and spinal evoked potentials (SpEP) from the posterior epidural space after median nerve stimulation in 11 patients with cervical syringomyelia. We compared SEPs with SpEP to assess the possible feasibility of using these techniques to localize the offending lesion. SEP abnormalities were present on one or both sides of 7 patients (9 of 22 upper limbs; 41%). The abnormal SEP pattern was the attenuation or loss of N13, which was of little value for delineating the lesion. In patients with abnormal SEPs, three types of abnormal SpEPs were noted. In the Type A abnormality (three limbs), potentials were attenuated in all cervical segments, suggesting that the syrinx itself had enlarged to involve the posterior column. In Type B (two limbs), there was reduced amplitude or absent upper cervical potentials, probably a result of the accompanying tonsilar herniation. Finally, the Type C (four limbs) abnormality was a mixture of Type A and B abnormalities in that the attenuated cervical potentials were again affected in the most upper cervical segment. We concluded that SpEP revealed various kinds of involvement of the dorsal column pathway in the syringomyelic patients, a finding not expressed with conventional SEPs.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Morioka T,Kurita-Tashima S,Fujii K,Nakagaki H,Kato M,Fukui M

doi

10.1227/00006123-199202000-00011

keywords:

subject

Has Abstract

pub_date

1992-02-01 00:00:00

pages

218-22

issue

2

eissn

0148-396X

issn

1524-4040

journal_volume

30

pub_type

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