| How has electrophysiology changed the management of cervical spondylotic myelopathy? | |
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MedLine Citation:
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PMID: 18549397 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cervical spondylosis occurs universally, with cervical spondylotic myelopathy (CSM) as its most serious consequence. The electrical property of the spinal cord and its susceptibility to injury renders electrophysiology relevant to the management of CSM, as addressed in this review. Somatosensory-evoked potentials evaluate spinal cord integrity with regards to posterior column functions exclusively. Although motor-evoked potentials may be more sensitive than the former and may be utilized intraoperatively, they are susceptible to interference by inhalational anaesthetics. Electromyography may play a role in minimizing C5 root damage and spinal cord-evoked potentials can localize spinal conduction block during CSM surgery. Critically reviewing the available evidence, electrophysiology cannot be universally recommended as mandatory in the management of CSM at present. It may, however, play emergent, isolated roles in the diagnosis, follow-up and treatment of this common disorder. |
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Authors:
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Y L Lo |
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Publication Detail:
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Type: Journal Article; Review Date: 2008-06-28 |
Journal Detail:
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Title: European journal of neurology : the official journal of the European Federation of Neurological Societies Volume: 15 ISSN: 1468-1331 ISO Abbreviation: Eur. J. Neurol. Publication Date: 2008 Aug |
Date Detail:
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Created Date: 2008-08-07 Completed Date: 2008-10-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9506311 Medline TA: Eur J Neurol Country: England |
Other Details:
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Languages: eng Pagination: 781-6 Citation Subset: IM |
Affiliation:
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Department of Neurology, National Neuroscience Institute, Singapore General Hospital, Singapore. lo.yew.long@sgh.com.sg |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cervical Vertebrae Electrophysiology / trends* Evoked Potentials, Motor / physiology Evoked Potentials, Somatosensory / physiology Humans Spinal Cord Diseases / diagnosis*, etiology, therapy* Spinal Osteophytosis / complications* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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