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Effective Motor Evoked Potential Waveforms in Patients with Lower Extremity Weakness

다리에 힘이 없는 환자에서 효과적인 운동 유발전위 파형 측정에 대한 고찰

  • Received : 2016.02.11
  • Accepted : 2016.03.07
  • Published : 2016.03.31

Abstract

Motor evoked potential of spinal surgery is known to cause damage due to the movement path of the continuous scan operation and surgery can be performed with minimized disability after surgery. However, if it is not at all formed at the wave motion evoked potential can occur during surgery and, in some cases the size of the waveform to be measured is very small and intermittent. In this case, the surgery cannot provide information about whether there is neurological damage. Increased intensity of the wave-induced motion of the dislocation does not occur if it appears in a very small amplitude stimulus, but changing the inspection area that electrical stimulation of the waveform changes could not be found. However, stimulation of a wide area in the cerebral cortex was found to occur with a waveform in the patients who underwent examination. Through this study, we propose a useful motor evoked potential test. From November to December 2015 three spine surgery patients visited Samsung Medical Center as neurosurgery patients with omission discomfort, gait disturbance, and no symptom of strength before surgery. In spine surgery patients with motor grade weakness, when motor evoked potential waveform has not been measured, in examination of the site of electrical stimulation of the cerebral cortex from entering the C3+C5/C4+C6 or C3+C1/C4+C2 if by the activity of more motor neuron unit, it was found that the waveform is better formed.

Keywords

References

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  1. 운동피질영역 주변의 뇌종양 환자에서 수술 중 직접피질자극 검사의 유용성 vol.50, pp.2, 2018, https://doi.org/10.15324/kjcls.2018.50.2.211