Somatosensory evoked potentials after multisegmental lower limb stimulation in focal lesions of the lumbosacral spinal cord

Domenico Restuccia, Massimiliano Valeriani, Domenica Le Pera, Carmen Barba, Pietro Tonali, Angelo Insola, Letizia Bedini, Valter Santilli, Francesco Denaro

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives - Recording techniques permit the separate analysis of the response from cauda equina roots and the spinal potential that is probably generated by the activation of dorsal horn cells. To improve the functional assessment of focal lesions of the lumbosacral cord, lower limb somatosensory evoked potentials (SEPs) were measured by multisegmental stimulation. Methods - Common peroneal and tibial nerves SEPs were recorded in 14 patients in whom MRI demonstrated compressive cord damage ranging from T9 to L1 levels. SEPs were recorded in each patient at the lumbar level (cauda equina response), lower thoracic level (spinal response), and from the scalp (cortical response). Results - Abnormalities in spinal response occurred in 50% and 70% of tibial and common peroneal nerve SEPs respectively; these findings were well explained by the radiological compression level, involving in most of the patients lumbar rather than sacral myelomeres. The SEPs were often more effective than the clinical examination in showing the actual extension of damage. Conclusions - The recording of spinal SEPs after multisegmental lower limb stimulation proved useful in assessing cord dysfunction and determining the cord levels mainly involved by the compression.

Original languageEnglish
Pages (from-to)91-95
Number of pages5
JournalJournal of Neurology, Neurosurgery and Psychiatry
Volume69
Issue number1
DOIs
Publication statusPublished - 2000

Keywords

  • Lower limb
  • Somatosensory evoked potentials
  • Spinal cord

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Neuroscience(all)
  • Psychiatry and Mental health

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