Spinal Cord Series and Cases最新文献_第3页

Restoring initial steps by intermittent theta burst stimulation in complete spinal cord injury patient: a case report. 通过间歇性θ脉冲刺激恢复完全性脊髓损伤患者的初始步骤：病例报告。

IF 0.7

Spinal Cord Series and Cases Pub Date : 2024-08-04 DOI: 10.1038/s41394-024-00669-8

Deeksha Patel, Rohit Banerjee, Kamran Farooque, Deepak Gupta, Bhavuk Garg, Nand Kumar, Gita H Thukral, Kanwal Preet Kochhar, Suman Jain

{"title":"Restoring initial steps by intermittent theta burst stimulation in complete spinal cord injury patient: a case report.","authors":"Deeksha Patel, Rohit Banerjee, Kamran Farooque, Deepak Gupta, Bhavuk Garg, Nand Kumar, Gita H Thukral, Kanwal Preet Kochhar, Suman Jain","doi":"10.1038/s41394-024-00669-8","DOIUrl":"10.1038/s41394-024-00669-8","url":null,"abstract":"Introduction: Spinal cord injury (SCI) causes damage to neurons and results in motor and sensory dysfunction. Intermittent theta burst stimulation (iTBS) has been used to induce neuronal and synaptic plasticity by applying a magnetic field in the brain. The plasticity induced in the cortex has an imperative role in the recovery of motor and sensory functioning. However, the effect of iTBS in complete SCI patients is still elusive.Case presentation: We report here the case of a 27-year-old female who sustained an L1 complete spinal cord injury (SCI) with an ASIA score of A. The patient lost all the sensory and motor functions below the level of injury. Intermittent theta burst stimulation (iTBS) was administered at 80% of the resting motor threshold over the M1 motor cortex, along with intensive rehabilitation training to promote sensorimotor function.Discussion: There was a partial recovery in functional, electrophysiological, and neurological parameters. The case report also demonstrates the safety and efficacy of iTBS in complete SCI patients. No adverse event has been observed in the patient during intervention sessions.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"10 1","pages":"56"},"PeriodicalIF":0.7,"publicationDate":"2024-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11298536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Idiopathic cervical cord infarction in a young girl presenting with acute neck pain and flaccid paralysis: a case report 以急性颈部疼痛和弛缓性瘫痪为主要表现的少女特发性颈脊髓梗死：病例报告

IF 1.2

Spinal Cord Series and Cases Pub Date : 2024-08-03 DOI: 10.1038/s41394-024-00659-w

Mohsen Sedighi, Nader Tavakoli, Morteza Taheri, Hamed Basir Ghafouri

{"title":"Idiopathic cervical cord infarction in a young girl presenting with acute neck pain and flaccid paralysis: a case report","authors":"Mohsen Sedighi, Nader Tavakoli, Morteza Taheri, Hamed Basir Ghafouri","doi":"10.1038/s41394-024-00659-w","DOIUrl":"https://doi.org/10.1038/s41394-024-00659-w","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Introduction</h3>Spinal cord infarction (SCI) is a rare disease representing nearly 1% of all strokes with a wide variety of symptoms at presentation. SCI diagnosis is very challenging owing to its low incidence and the variety of symptoms, and could be misdiagnosed with neuromyelitis optica spectrum disorders (NMOSD).<h3 data-test=\"abstract-sub-heading\">Case presentation</h3>We describe the case of an 18-year-old girl who presented to the emergency department with acute neck pain and flaccid paralysis of the left upper and lower extremities. Few hours later, she developed apnea and was endotracheally intubated. Brain MRI was normal but spinal cord MRI revealed non-enhancing longitudinal abnormal high T2 signal intensity extending from C1 to C5. The patient underwent steroid therapy with methylprednisolone (1 g daily for 7 consecutive days) combined with physiotherapy. She was extubated after 3 weeks and discharged after 30 days of hospitalization with a muscle force of 4/5 in her left extremities.<h3 data-test=\"abstract-sub-heading\">Discussion</h3>Idiopathic SCI in adolescence is a rare but often devastating disorder with unknown pathophysiology, however, some specific conditions in adolescent such as mechanical stresses on the immature spine can be considered as risk factors for SCI development. Early diagnosis and treatment can improve outcomes in SCI.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"75 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141883823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Virtual walking therapy in neuropathic spinal cord injury pain: a feasibility study. 神经性脊髓损伤疼痛的虚拟行走疗法：可行性研究。

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Spinal Cord Series and Cases Pub Date : 2024-07-31 DOI: 10.1038/s41394-024-00667-w

Gunther Landmann, Marina Aerni, Roger Abächerli, Mario Ernst, André Ljutow, Karina Ottiger-Böttger

{"title":"Virtual walking therapy in neuropathic spinal cord injury pain: a feasibility study.","authors":"Gunther Landmann, Marina Aerni, Roger Abächerli, Mario Ernst, André Ljutow, Karina Ottiger-Böttger","doi":"10.1038/s41394-024-00667-w","DOIUrl":"10.1038/s41394-024-00667-w","url":null,"abstract":"Study design: A feasibility study.Objectives: Chronic neuropathic pain is a prevalent comorbidity in patients with spinal cord injury (SCI), and current medical treatments remain unsatisfactory. New developments as virtual walking are emerging which has been established and further developed at our centre. This study aims to investigate the feasibility of our virtual walking setup in a small group of SCI patients.Setting: The study was conducted at the Swiss Paraplegic Centre in Nottwil, Switzerland.Methods: Four patients aged 22 to 60 years were observed during and after therapy. Three had complete paraplegia (levels Th4-Th8) with neuropathic at- and below-level pain, while one had incomplete paraplegia (Th10) with at-level pain. The primary outcome measured was satisfaction with acceptance of and adherence to virtual walking therapy, alongside suggestions for therapy improvements. Additionally, patients kept a pain diary and pain drawings to measure the extent of pain distribution and intensity before and after therapy. Therapy schedules included either two sessions per week for five weeks or five sessions per week for two weeks.Results: There was a sound satisfaction and good acceptance amongst participants. Support, duration, and number of sessions were perceived well and acceptable. Pain as a secondary outcome did not change during or after therapy in all but one patient which improved in pain intensity, pain quality as well as pain distribution.Conclusion: Results suggest that our virtual walking setting is a feasible tool that should be further studied in patients with SCI-related chronic neuropathic pain.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"10 1","pages":"53"},"PeriodicalIF":0.7,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11289286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating initial screening practices for calcium dysregulation after acute traumatic spinal cord injury: a retrospective review. 评估急性创伤性脊髓损伤后钙失调的初步筛查方法：回顾性研究。

IF 0.7

Spinal Cord Series and Cases Pub Date : 2024-07-31 DOI: 10.1038/s41394-024-00663-0

Rajbir Chaggar, Ranjodh Gill

{"title":"Evaluating initial screening practices for calcium dysregulation after acute traumatic spinal cord injury: a retrospective review.","authors":"Rajbir Chaggar, Ranjodh Gill","doi":"10.1038/s41394-024-00663-0","DOIUrl":"10.1038/s41394-024-00663-0","url":null,"abstract":"Objectives: The purpose of this study was to determine the frequency of which calcium homeostasis markers are obtained in the acute setting after an initial traumatic spinal cord injury (TSCI).Design: Retrospective chart review of a limited data set linking ICD 10 codes designating TSCI to corresponding calcium homeostasis markers for patients with an initial chart encounter for TSCI.Setting: A level 1 trauma center in Virginia, United States METHODS: The statistical software SPSS was used to calculate summary statistics including frequency, mean, and standard deviation for calcium homeostasis markers (basic metabolic panel, magnesium, spot urine calcium, testosterone panel, liver function tests, Vitamin D level, C-telopeptide, parathyroid hormone, celiac panel, DXA imaging report) as well as the mean and standard deviation for time to first check of the marker.Results: Most markers were not obtained besides calcium. Only 10 of 80 (12.5%) of subjects had a Vitamin D level (mean 28, SD 23) checked during acute admission (mean days to check 1.5, SD 1.6), with most other markers checked much less frequently.Conclusions: Most calcium homeostasis markers were not checked on acute admission after TSCI. Future studies on implementing a standardized calcium homeostasis marker protocol for monitoring and potential medical intervention should be explored.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"10 1","pages":"54"},"PeriodicalIF":0.7,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11291971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhancing balance and mobility in incomplete spinal cord injury with an overground gait trainer. 利用地面步态训练器增强不完全脊髓损伤患者的平衡能力和活动能力。

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Spinal Cord Series and Cases Pub Date : 2024-07-29 DOI: 10.1038/s41394-024-00668-9

Meriç Selim Şipal, Sinem Yıldırım, Meltem Güneş Akıncı, Sezen Dincer, Müfit Akyüz

{"title":"Enhancing balance and mobility in incomplete spinal cord injury with an overground gait trainer.","authors":"Meriç Selim Şipal, Sinem Yıldırım, Meltem Güneş Akıncı, Sezen Dincer, Müfit Akyüz","doi":"10.1038/s41394-024-00668-9","DOIUrl":"10.1038/s41394-024-00668-9","url":null,"abstract":"Study design: Prospective intervention study.Objectives: The study aimed to assess the effect of Andago on balance, overground walking speed, independence levels, fear of falling, and quality of life in patients with acute motor incomplete Spinal Cord Injury.Setting: The study was conducted in Ankara/Türkiye.Methods: Five participants, classified as AIS D, underwent an eight-week treatment regimen, including three days a week of Andago-assisted walking and balance exercises, supplemented by two days a week of 40-minute sessions of conventional in-bed exercises.Results: Berg Balance Scale scores increased significantly by 129% (p = 0.043). Overground walking speed calculated from 10MWT improved by 33% (p = 0.042). WISCI II levels improved significantly compared to baseline scores (p = 0.041). In the mobility subscale of SCIM III, the total SCIM III scores increased significantly (p = 0.042, p = 0.043, respectively). However, there was no significant improvement in WHOQOL-BREF scores (p = 0.080).Conclusions: The use of Andago facilitated functional progress in patients with acute incomplete SCI, emphasizing the importance of challenging balance and walking activities in triggering motor learning.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"10 1","pages":"52"},"PeriodicalIF":0.7,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11286738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intrathecal baclofen therapy for spasticity in a person with spinal cord injury and end-stage renal disease dependent on hemodialysis: a case report 鞘内巴氯芬治疗脊髓损伤和依赖血液透析的终末期肾病患者的痉挛：病例报告

IF 1.2

Spinal Cord Series and Cases Pub Date : 2024-07-28 DOI: 10.1038/s41394-024-00666-x

Radha Korupolu

{"title":"Intrathecal baclofen therapy for spasticity in a person with spinal cord injury and end-stage renal disease dependent on hemodialysis: a case report","authors":"Radha Korupolu","doi":"10.1038/s41394-024-00666-x","DOIUrl":"https://doi.org/10.1038/s41394-024-00666-x","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Introduction</h3>Spasticity is one of the most common secondary complications following a spinal cord injury (SCI), which can significantly debilitate a patient irrespective of the severity of the injury. Intrathecal baclofen therapy can effectively reduce global spasticity in bilateral lower extremities at lower doses and allows precise dose titration to manage spasticity optimally. In complex patients with spasticity and multiple medical comorbidities, multidisciplinary teamwork is required to assess ITB safety and deliver timely intervention to prevent secondary complications of spasticity and improve quality of life.<h3 data-test=\"abstract-sub-heading\">Case presentation</h3>A 61-year-old African American male with multiple comorbidities, including end-stage renal disease (ESRD) requiring dialysis sustained non-traumatic SCI due to epidural abscess resulting in paraplegia and severe debilitating spasticity. Spasticity gradually worsened and interfered with his ability to achieve independence with functional activities appropriate for his neurological level of injury. A multidisciplinary team approach in this complex case resulted in a successful ITB trial and subsequent ITB implantation, resulting in reduced spasticity and improved quality of life. To our knowledge, this is the first case report of the administration of intrathecal baclofen pump therapy in a person with SCI and end-stage renal disease (ESRD) dependent on hemodialysis.<h3 data-test=\"abstract-sub-heading\">Discussion</h3>ITB therapy can be safely delivered in a person with SCI and multiple medical comorbidities, including ESRD, dependent on hemodialysis to manage spasticity. However, a careful evaluation and discussion among the multidisciplinary team managing the patient’s morbidities and patient is required to assess the risks and benefits of ITB therapy to allow the patient to make an informed decision.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"8 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141775426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Occlusion of vertebral artery and anterior spinal artery in cervical facet dislocation: a prospective study using computed tomography angiography. 颈椎面脱位时椎动脉和脊髓前动脉闭塞：一项使用计算机断层扫描血管造影术进行的前瞻性研究。

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Spinal Cord Series and Cases Pub Date : 2024-07-23 DOI: 10.1038/s41394-024-00664-z

Zhengfeng Zhang

{"title":"Occlusion of vertebral artery and anterior spinal artery in cervical facet dislocation: a prospective study using computed tomography angiography.","authors":"Zhengfeng Zhang","doi":"10.1038/s41394-024-00664-z","DOIUrl":"10.1038/s41394-024-00664-z","url":null,"abstract":"Study design: A prospective study.Objective: To investigate the incidence of vertebral artery (VA) occlusion and whether anterior spinal artery (ASA) is occluded in cervical facet dislocation.Setting: University hospital, China.Methods: During a 2-year period, 21 conventional patients with cervical facet dislocation were prospectively enrolled. All patients received computed tomography angiography (CTA) to assess the patency of the VA, anterior radiculomedullary arteries (ARAs), and ASA at the time of injury. Clinical data were documented, including demographics, symptomatic vertebrobasilar ischemia, American Spinal Injury Association Impairment Scale (ASIA) grades, and ASA and VA radiological characteristics.Results: VA unilateral occlusion occurred in 5 of 21 patients (24%), including 2 with unilateral facet dislocation and 3 with bilateral facet dislocation. No ASA occlusion was found in all 21 patients, including 5 with VA unilateral occlusion. No patients had symptomatic vertebrobasilar ischemia.Conclusions: VA occlusion occurs in approximately one-fourth of cervical facet dislocations, with infrequent symptomatic vertebrobasilar ischemia. ASA is not occluded following cervical facet dislocation, even with unilateral VA occlusion.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"10 1","pages":"50"},"PeriodicalIF":0.7,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11266586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141752779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A rare case of spinal involvement in hereditary hemorrhagic telangiectasia. 遗传性出血性毛细血管扩张症脊柱受累的罕见病例。

IF 0.7

Spinal Cord Series and Cases Pub Date : 2024-07-17 DOI: 10.1038/s41394-024-00662-1

V Hvingelby, Ronni Mikkelsen, Gudrun Gudmundsdottir, Marlene Andersen, Ellen Merete Hagen

{"title":"A rare case of spinal involvement in hereditary hemorrhagic telangiectasia.","authors":"V Hvingelby, Ronni Mikkelsen, Gudrun Gudmundsdottir, Marlene Andersen, Ellen Merete Hagen","doi":"10.1038/s41394-024-00662-1","DOIUrl":"10.1038/s41394-024-00662-1","url":null,"abstract":"Introduction: Here, we describe a rare case of a spinal arteriovenous fistula in a patient with known hereditary hemorrhagic telangiectasia (HHT) and spontaneous intraspinal hemorrhage. Furthermore, we provide a brief review of the literature on the formation of spinal arteriovenous malformations (AVM) in relation to this disease.Case presentation: The case involves a 54-year-old male with known HHT. At the age of 49, the patient experienced recurrent cystitis. Urological evaluation ruled the cause to be neurological and subsequent imaging revealed a thoracic AVM. Four years later, the patient was admitted to A&E with chest pain and loss of function of the lower extremities and right arm, suspicious for ruptured aortic dissection. Trauma-CT excluded this and a final diagnosis of ruptured spinal AVM was made. Seven months post-injury, a spinal angiography was performed confirming the AVM. The remaining AVM was embolized under general anesthesia with acceptable results.Discussion: Spinal involvement in HHT is exceedingly rare but remains an important differential diagnosis, especially when patients present autonomic symptoms as these could potentially progress to life-threatening complications. The literature and the presented case indicate the prudence of closing spinal AVMs in HHT in case of symptoms, including autonomic, such as bladder dysfunction.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"10 1","pages":"49"},"PeriodicalIF":0.7,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11255245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pure epidural extraosseous cavernous hemangioma with thoracic myelopathy: case report and review of literature. 纯硬膜外海绵状血管瘤伴胸椎脊髓病：病例报告和文献综述。

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Spinal Cord Series and Cases Pub Date : 2024-07-15 DOI: 10.1038/s41394-024-00655-0

Jordan Guntin, Ashley Ricciardelli, Alex Flores, Jeffrey Chen, Jeffrey Treiber, Alfonso Fuentes

{"title":"Pure epidural extraosseous cavernous hemangioma with thoracic myelopathy: case report and review of literature.","authors":"Jordan Guntin, Ashley Ricciardelli, Alex Flores, Jeffrey Chen, Jeffrey Treiber, Alfonso Fuentes","doi":"10.1038/s41394-024-00655-0","DOIUrl":"10.1038/s41394-024-00655-0","url":null,"abstract":"Introduction: Pure epidural spinal cavernous hemangiomas are rare, benign vascular tumors that account for approximately 4% of all spinal epidural tumors. Due to their dumbbell shape and propensity for foraminal invasion, they are often misdiagnosed and inadequately treated. We present a case of a 58-year-old male with extra-osseous cavernous hemangioma to better aid in diagnosis and management of these lesions.Case presentation: A 58-year-old male presented with chronic lower back pain, progressive lower extremity weakness, T10 sensory level, absent lower extremity proprioception, hyperreflexia, and an episode of bowel incontinence. Imaging demonstrated T7-T10 homogenous dorsal epidural mass causing cord signal change. He underwent resection with histopathologic exam revealing a pure epidural cavernous hemangioma.Conclusion: Spinal epidural cavernous hemangiomas are exceedingly rare lesions that are often misdiagnosed as nerve sheath tumors and meningiomas. Common features include chronic pain and myelopathy as well as T1 isodensity, T2 hyperintensity, and homogenous enhancement. Uniquely, they present as a lobulated, spindled shape with tapered ends in the dorsal epidural space. Both gross and subtotal resection result in favorable neurologic outcomes.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"10 1","pages":"48"},"PeriodicalIF":0.7,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11251031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141620964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bedside electromyography for clinical assessment of sacral motor and reflex activity adapted for patients hospitalized with acute neurological conditions: a pilot study. 床旁肌电图用于临床评估骶骨运动和反射活动，适用于急性神经系统疾病住院患者：一项试点研究。

IF 0.7

Spinal Cord Series and Cases Pub Date : 2024-07-13 DOI: 10.1038/s41394-024-00657-y

Maude Duguay, Jean-Marc Mac-Thiong, Andréane Richard-Denis

{"title":"Bedside electromyography for clinical assessment of sacral motor and reflex activity adapted for patients hospitalized with acute neurological conditions: a pilot study.","authors":"Maude Duguay, Jean-Marc Mac-Thiong, Andréane Richard-Denis","doi":"10.1038/s41394-024-00657-y","DOIUrl":"10.1038/s41394-024-00657-y","url":null,"abstract":"Study design: Pilot cohort study.Objective: To develop and implement a sacral electromyographic (sEMG) technique at bedside to ascertain sparing of sacral motor activity and reflexes in patients hospitalized for acute neurological conditions.Setting: Hôpital du Sacré-Coeur de Montréal a Canadian Level-1 university trauma center specialized in SCI care.Methods: Nine patients underwent digital rectal examination (DRE) and sEMG, assessing voluntary anal contraction and sacral spinal reflexes (bulbocavernosus reflex and the anal wink). Our sEMG technique utilized surface recording electrodes and tactile elicitation of reflexes. EMG signal was acquired at bedside through the Noraxon MR3 system.Results: It was quick, well accepted and did no harm. We found that contrary to the DRE, sEMG detected subclinical sacral motor activity and reflexes in 20% of cases for voluntary anal contraction and 40% of cases for the anal wink.Conclusion: We believe our sEMG technique is a powerful tool able to enhance management of patients suffering from acute neurological impairments and requiring sacral function assessment.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"10 1","pages":"47"},"PeriodicalIF":0.7,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11246438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0