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  • 1
    ISSN: 0942-0940
    Keywords: Motor evoked potential ; spinal cord injury ; spinal cord monitoring ; vestibulospinal evoked potential
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Changes in vestibulospinal evoked potentials (VsEP) and motor evoked potentials (MEP) were examined in 10 cats before and after two different weight-dropping spinal cord injuries. In six animals somatosensory evoked potentials (SEP) were also monitored. The recordings were done from epidural spinal cord electrodes. Before and after severe and light weight-dropping spinal cord injuries all 3 modalities were recorded at the same time intervals till the end of 4th hour postinjury. According to a scoring system, evoked potential changes below and above the level of injury were monitored, and compared with each other. This study showed that the different motor stimulation methods use different descending spinal tracts, and both can be ueful as a monitoring tool. Both descending tracts carrying VsEP and MEP had similarly remarkable changes after severe spinal cord injury. These consisted of major deformation, development of an evoked injury potential and complete potential loss. During the 4 hour monitoring period, no case showed EP recovery in the severe injury group. Light spinal cord injury caused somewhat more deterioration in MEPs than VsEP. The higher numbers of severe potential alterations in the lightly injured animals suggest that MEP is a more sensitive method for spinal cord monitoring compared to VsEP and also to SEP. On the other hand, this sensitivity might be a disadvantage during intraoperative monitoring, if MEP alone were used.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Acta neurochirurgica 108 (1991), S. 140-147 
    ISSN: 0942-0940
    Keywords: Motor evoked potential ; muscle response ; somatosensory evoked potential ; spinal cord injury ; spinal cord monitoring
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary In this study, averaged cortical somatosensory evoked potentials (SEP) after sciatic nerve stimulation, and lower extremity muscle responses after motor cortex stimulation (MEP) were compared in rats. 10 animals served as light (25g-cm) and 10 animals as severe (80g-cm) acute spinal cord injury group after weight dropping trauma. After the initial loss of components, both SEP and MEP recovered in most cases in the light injury group. In the severe injury group, however, no recovery was observed in cortical SEPs, while the muscle MEP recovered in some animals. Light spinal cord injury had little effect on muscle MEPs and caused a paradoxical amplitude increase in some MEP recordings. Latency values of muscle MEPs did not show great changes after either kind of injury, while cortical SEP latency was considerably delayed. In this model cortical SEPs were more sensitive to light spinal cord injury than muscle MEPs after single electrical cortical stimuli. Severe spinal cord injury caused amplitude changes or loss of waves from both SEP and MEP.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1920
    Keywords: Angiography in extra-intracranial arterial bypass ; Cerebral arterial occlusive disease
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Fifty extra-intracranial arterial anastomoses were performed in 48 patients. The importance of a precise angiographic study in the pre-and postoperative period is emphasized. The different angiographic patterns of the anastomosis, its variation in time, the possible cause of failure, and the role played by the EIAB on the cerebral blood flow are described and discussed. The problems of extension and time of the postoperative angiographic examination, are also discussed.
    Type of Medium: Electronic Resource
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