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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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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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.