Annals of Clinical and Experimental NeurologyAnnals of Clinical and Experimental NeurologyАнналы клинической и экспериментальной неврологии2075-54732409-2533Eco-Vector27310.17816/psaic273Original articlesОригинальные статьиUnknownRole of transcranial magnetic stimulation in cervical spondilotic myelopathyРоль транскраниальной магнитной стимуляции в диагностике шейной спондилогенной миелопатииHit’M. A.ХитьM. A.
Russian Federation
in-4ns@yandex.ruNikitinSergey S.НикитинСергей Сергеевич
Russian Federation
in-4ns@yandex.ruGushchaArtem O.ГущаАртем Олегович
Russian Federation
in-4ns@yandex.ruN.N.Burdenko Institute of Neurosurgery, Russian Academy of Medical SciencesФГБУ «НИИ нейрохирургии им. акад. Н.Н. Бурденко» РАМНAssociation of Neuromuscular Disorders SpecialistsРегиональная общественная организация «Общество специалистов по нервно-мышечным болезням»Medical Center “Practical Neurology”Медицинский центр «Практическая неврология»Research Center of NeurologyФГБНУ «Научный центр неврологии»1006201262232602022017Copyright ©; 2012, Hit’ M.A., Nikitin S.S., Gushcha A.O.Copyright ©; 2012, Hit’ M.A., Nikitin S.S., Gushcha A.O.2012Hit’ M.A., Nikitin S.S., Gushcha A.O.Hit’ M.A., Nikitin S.S., Gushcha A.O.https://creativecommons.org/licenses/by/4.0https://annaly-nevrologii.com/pathID/article/view/273

In the present paper, the significance of main parameters of transcranial magnetic stimulation (TMS) in cervical spine stenosis (CSS) confirmed by MRI was assessed. Forty two patients (26 men and 16 women, mean age 49±7.4 years) and a control group comprising 9 men and 7 women (mean age 44±2.1 years) were examined. The Japanese Orthopaedic Association (JOA) score was used for neurological assessment. It was shown that the duration and polyphasy of MEP were the most informative parameters on the early stage of CSS, even in the absence of MRI changes and in normal values of the central motor conduction time (CMCT). Increase of CMCT was seen in extended SCS. TMS may be regarded as a valuable tool in the assessment of functional state of subclinical and clinically evident cervical spondylotic myelopathy.

В работе оценено значение основных параметров транскраниальной магнитной стимуляции (ТМС) при стенозе шейного отдела позвоночного канала, подтвержденном данными МРТ. Обследовано 42 пациента (26 мужчин, 16 женщин, средний возраст 49±7,4 лет), в контрольную группу вошли 9 мужчин и 7 женщин (средний возраст 44±2,1 лет). Для оценки неврологического статуса использовали шкалу миелопатического синдрома Японской Ортопедической Ассоциации (JOA). Показано, что наиболее информативными параметрами вызванного моторного ответа (ВМО) на ранней стадии шейной спондилогенной миелопатии, даже при отсутствии изменений на МРТ и нормальном значении времени центрального моторного проведения (ВЦМП), являются длительность и полифазия коркового ВМО. Увеличение ВЦМП наблюдается при протяженном стенозе позвоночного канала. ТМС может рассматриваться как надежный инструмент в оценке функционального состояния субклинической и клинически очевидной компрессии спинного мозга.

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