Prediction of Ambulatory Functions Based on Somatosensory and Motor-Evoked Potentials in Patients with Intracerebral Hemorrhage and Intraventricular Hemorrhage Extension.

IF 1.4 4区医学 Q4 CLINICAL NEUROLOGY

Journal of Korean Neurosurgical Society Pub Date : 2025-02-04 DOI:10.3340/jkns.2024.0192

Min Cheol Chang, Seong Yeob Kwak, Soyoung Kwak

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引用次数: 0

Abstract

Objective: This study investigated the usefulness of somatosensory-evoked potentials (SEP) and motor-evoked potentials (MEP) in predicting motor outcomes in patients with intracerebral hemorrhage (ICH) and intraventricular hemorrhage (IVH) extension.

Methods: We retrospectively evaluated 124 patients with ICH and IVH extensions. SEPs of posterior tibial nerve and MEPs of tibialis anterior muscles were evaluated.

Results: About 30% of the patients could walk independently at 6 months from the onset. Patients who exhibited SEP in both bilateral posterior tibial nerves demonstrated better ambulatory function compared to those with SEP in only one unilateral posterior tibial nerve or no SEP in both sides of the posterior tibial nerves. Likewise, patients who displayed MEP in both bilateral tibialis anterior muscles exhibited better ambulatory capacity compared to those with MEP on only one side or no MEP on both sides. In addition, when the posterior tibial nerve SEP was present bilaterally, 54.9% of the patients could walk independently, and when the MEP from the tibialis anterior muscles was present bilaterally, 41.0% of the patients could walk without any assistance.

Conclusion: SEP and MEP could be useful tools for predicting ambulatory function in patients with ICH accompanied by IVH.

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基于体感和运动诱发电位预测脑出血和脑室内出血扩展患者的运动功能。

目的：探讨躯体感觉诱发电位（SEP）和运动诱发电位（MEP）对脑出血（ICH）和脑室内出血（IVH）扩展患者运动预后的预测价值。方法：我们回顾性评估124例脑出血和IVH扩展患者。测定胫后神经的sep和胫前肌的mep。结果：约30%的患者在发病6个月时能够独立行走。双侧胫后神经有SEP的患者比单侧胫后神经有SEP或双侧胫后神经无SEP的患者有更好的运动功能。同样，双侧胫骨前肌有MEP的患者比单侧有MEP或双侧无MEP的患者表现出更好的行走能力。此外，当胫后神经SEP存在于双侧时，54.9%的患者能够独立行走；当胫前肌SEP存在于双侧时，41.0%的患者能够独立行走。结论：SEP和MEP可作为预测脑出血合并IVH患者运动功能的有效工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Korean Neurosurgical Society 医学-临床神经学

CiteScore

2.90

自引率

6.20%

发文量

109

审稿时长

3-8 weeks

期刊介绍： The Journal of Korean Neurosurgical Society (J Korean Neurosurg Soc) is the official journal of the Korean Neurosurgical Society, and published bimonthly (1st day of January, March, May, July, September, and November). It launched in October 31, 1972 with Volume 1 and Number 1. J Korean Neurosurg Soc aims to allow neurosurgeons from around the world to enrich their knowledge of patient management, education, and clinical or experimental research, and hence their professionalism. This journal publishes Laboratory Investigations, Clinical Articles, Review Articles, Case Reports, Technical Notes, and Letters to the Editor. Our field of interest involves clinical neurosurgery (cerebrovascular disease, neuro-oncology, skull base neurosurgery, spine, pediatric neurosurgery, functional neurosurgery, epilepsy, neuro-trauma, and peripheral nerve disease) and laboratory work in neuroscience.