European Spine Journal

, Volume 7, Issue 6, pp 493–500

The value of somatosensory and motor evoked potentials in pre-clinical spondylotic cervical cord compression

  • J. Bednařík
  • Z. Kadaňka
  • S. Voháňka
  • O. Novotný
  • D. Šurelová
  • D. Filipovičová
  • B. Prokeš
Original article

DOI: 10.1007/s005860050113

Cite this article as:
Bednařík, J., Kadaňka, Z., Voháňka, S. et al. E Spine J (1998) 7: 493. doi:10.1007/s005860050113

Abstract

Previous studies have yielded conflicting data concerning the value of evoked potential parameters in the assessment of clinical relevance of cervical cord compression in clinically “silent” cases. The aim of this study was to assess the value of somatosensory (SEP) and motor evoked potentials (MEP) in the evaluation and prediction of the clinical course, by means of a 2-year follow-up prospective electrophysiological and clinical study performed in patients with clinically “silent” spondylotic cervical cord compression. Thirty patients with MR signs of spondylotic cervical cord compression but without clinical signs of myelopathy were evaluated clinically and using SEPs and MEPs during a 2-year period. The results of the study showed that SEPs and MEPs documented subclinical involvement of cervical cord in 50% of patients with clinically “silent” spondylotic cervical cord compression. During the 2-year period clinical signs of cervical myelopathy were observed in one-third of patients with entry EP abnormality in comparison with no patients with normal EP tests. Combined SEPs and MEPs proved to be a valuable tool in the assessment of the functional relevance of subclinical spondylotic cervical cord compression. Normal EP findings predict a favourable 2-year clinical outcome.

Key words Spondylotic cervicalcord compressionSomatosensoryevoked potentialsMotor evokedpotentials

Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • J. Bednařík
    • 1
  • Z. Kadaňka
    • 1
  • S. Voháňka
    • 1
  • O. Novotný
    • 1
  • D. Šurelová
    • 1
  • D. Filipovičová
    • 1
  • B. Prokeš
    • 2
  1. 1.Department of Neurology, Faculty Hospital Brno, Jihlavská 20, 639 00 Brno, Czech Republic e-mail: jbednar@med.muni.cz, Tel.: +4205-43192354, Fax: +4205-43192249
  2. 2.Department of Radiology, Faculty Hospital Brno, Brno, Czech Republic