Summary
The value of spinal cord evoked potentials for intraoperative prediction of the prognosis following acute or chronic spinal cord impairment was investigated in clinical cases. Simply by observing the pattern and amplitude of the potentials, we could not predict the prognosis significantly. Comparison of amplitudes in consecutive recordings, however, provided clinically useful information.
Conclusions derived from the present study are as follows:
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1.
The spinal evoked potential was not recorded in cases of neurologically complete spinal cord lesion.
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2.
Neurological improvement could be anticipated in cases who showed an increment in amplitude.
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3.
Patients showing no change in amplitude still had a certain possibility of improved neurological symptoms.
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4.
Decreased amplitude or complete disappearance of the potential were found to indicate postoperative neurological deterioration.
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5.
Complete disappearance of the potential was indicative of severe spinal cord dysfunction.
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References
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© 1985 Springer-Verlag Berlin Heidelberg
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Tamaki, T. et al. (1985). An Assessment of the Use of Spinal Cord Evoked Potentials in Prognosis Estimation of Injured Spinal Cord. In: Schramm, J., Jones, S.J. (eds) Spinal Cord Monitoring. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70687-5_26
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DOI: https://doi.org/10.1007/978-3-642-70687-5_26
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-70689-9
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