Publikace na 3. lékařská fakulta |
2009
Abstrakt
Study Design. Clinical, neuroradiologic, and neurophysiologic description of 21 patients with compressive cervical spondylotic myelopathy (CCSM).
Objective. To describe the utility of cutaneous silent periods (CSPs) for functional evaluation of mild CCSM.
We confirm the value of neurophysiological evaluation of CCSM. MEPs were more frequently abnormal than SEPs.
CSP abnormalities were almost equally sensitive as upper limb MEPs, and were highly associated with spinothalamic dysfunction. The high correlation of CSP abnormalities with corticospinal tract dysfunction suggests supraspinal influence on CSPs.
Our findings corroborate the utility of CSP testing in the comprehensive assessment of intramedullary spinal cord dysfunction in CCSM.