Diagnostic value of neurophysiological complex “transcranial magnetic stimulation – electroneuromyography” at spondilogenic cervical myelopathy
DOI:
https://doi.org/10.25305/unj.57569Keywords:
spondylogenic cervical myelopathy, diagnostics, transcranial magnetic stimulation, central motor conduction timeAbstract
Movement disorders diagnostics in patients with spondilogenic cervical myelopathy (SCV) was improved using complex of transcranial magnetic stimulation (TMS) and electroneuromyography (ENMG).
Neurophysiological (NPh) research of segmental and conductive spinal function have been conducted in 160 patients using ENMG, F-wave registration and TMS. 40 patients with secondary cervical spine stenosis have been operated, 120 patients underwent pharmacological treatment and physiotherapy.
At cervical spine compression, confirmed by clinical and MRI-data the considerable rejections of NPh-research indexes were exposed: motor potentials (EMS) latentness lengthening (absence); duration of central motor conduction (DCMC) increasing, EMS polyphase. At radiculomyelopathy syndrome, except of marked indexes of TMS, the most diagnostic value of parameters changes of motive units potentials was marked by needle ENMG and F-waves. Indexes of DCMP and EMP amplitude from upper extremities were the reliable criteria for positive prognosis of clinical renewing of spinal cord functions.
The use of TMS–ENMG complex in SCV diagnostics significantly increases the objective estimation of neurological deficit and changes of segmental and conductive structures after surgical treatment. According to results of clinical and NPh investigations indexes of TMS were certain, which can be considered as predictors of motor function renewing in patients, have been operated because of SCM.
References
Полищук Н.Е. Хирургическое лечение дискогенных радикуломиелопатий шейного отдела позвоночника / Н.Е. Полищук, Е.И. Слынько, Н.Н. Хотейт. — К.: Книга плюс, 2004. — 144 с.
Abnormal parameters of magnetically evoked motor-evoked potentials in patients with cervical spondylotic myelopathy / N.S. Kalupahana, V.S. Weerasinghe, U. Dangahadeniya, N. Senanayake // Spine J. — 2008. — V.8, N4. — P.645–649.
Assessment of cervical myelopathy using transcranial magnetic stimulation and prediction of prognosis after laminoplasty / J. Takahashi, H. Hirabayashi, H. Hashidate [et al.] // Spine. — 2008. — V.33, N1. — P.15–20.
Lo Y.L. The role of electrophysiology in the diagnosis and management of cervical spondylotic myelopathy / Y.L. Lo // Ann. Acad. Med. Singapore. — 2007. — V.36. — P.886–893.
Prognostic value of somatosensory-evoked potentials in the surgical management of cervical spondylotic myelopathy / Y. Hu, Y. Ding, D. Ruan [et al.] // Spine. — 2008. — V.33, N10. — P.305–310.
The relationship between magnetic resonance imaging and quantitative electromyography findings in patients with compressive cervical myelopathy / S. Hattori , K. Kawai, Y. Mabuchi, M. Shibayama // Spine. — 2010. — V.15, N4. – P.35–38.
Николаев С.Г. Практикум по клинической электромиографии / С.Г. Николаев. — Иваново: Иван. гос. мед. акад., 2003. — 264 с.
Касаткина Л.Ф. Электромиографические методы исследования в диагностике нервно-мышечных заболеваний. Игольчатая электромиография / Л.Ф. Касаткина, О.В. Гильванова. — М.: Медика, 2010. — 416 с.
Никитин С.С. Методические основы транскраниальной магнитной стимуляции в неврологии и психиатрии: руководство для врачей / С.С. Никитин, А.Л. Куренков. — М.: ООО «ИПЦ МАСКА», 2006. — 167 с.
Localisation of cervical spinal cord compression by TMS and MRI / S.N. Deftereos, E.A. Kechagias, G. Panagopoulos [et al.] // Funct. Neurol. — 2009. — V.24, N2. — P.99–105.
Vitzthum H.-E. Analysis of five specific scores for cervical spondylogenic myelopathy / H.-E. Vitzthum, K. Dalitz // Eur. Spine J. — 2007. — V.16. — P.2096–2103.
Long-term follow-up study of anterior decompression and fusion for thoracic myelopathy resulting from ossification of the posterior longitudinal ligament // Y. Fujimura, Y. Nishi, М. Nakamura [et al.] // Spine. — 1997. — V.22, N3. — P.305–311.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2011 Albina Tretiakova, Lidiya Chebotariova
This work is licensed under a Creative Commons Attribution 4.0 International License.
Ukrainian Neurosurgical Journal abides by the CREATIVE COMMONS copyright rights and permissions for open access journals.
Authors, who are published in this Journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the Journal under the terms of Creative Commons Attribution License, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this Journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form of which it has been published by the Journal (for example, to upload the work to the online storage of the Journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this Journal is included.
