요천추부 신경근병변 환자에서 자극강도에 따른 피부절 체성감각유발전위의 진단 민감도의 변화
Change of Diagnostic Sensitivity in Dermatomal Somatosensory Evoked Potentials according to Stimulation Intensity in Lumbosacral Radiculopathy
서정환, 박성희, 고명환, 정영찬,
소속 상세정보
서정환 ( Seo Jeong-Hwan )
전북대학교 의과대학 재활의학교실 및 임상의학연구소
박성희 ( Park Sung-Hee )
전북대학교 의과대학 재활의학교실 및 임상의학연구소
고명환 ( Ko Myoung-Hwan )
전북대학교 의과대학 재활의학교실 및 임상의학연구소
정영찬 ( Jeong Young-Chan )
전북대학교 의과대학 재활의학교실 및 임상의학연구소
KMID : 0860920050070010001
Abstract
Objectives: To evaluate the change of diagnostic sensitivity for the dermatomal somatosensory evoked
potential (DSEP) study in the lumbosacral radiculopathy according to stimulation intensities.
Method: Seventeen patients with unilateral and unilevel lumbosacral radiculopathy which was confirmed
by routine electrodiagnostic study and supported by radiological imaging study and clinical sign were
enrolled. Their mean age was 47 years. The DSEP study was performed with stimulation intensity of sensory
threshold 1.0, 1.5, 2.0, and 3.0 times to each patients. Stimulation sites were over the dorsum of the
foot on the distal fifth metatrsal bone for the S1 dermatome and at the interdigital web space between the
first and the second toes for the L5 dermatome. Active recordings were made at Cz’and reference to Fz
of scalp.
Results: Abnormalities of DSEP study were detected in 15 patients (88%): 86% for the L5 radiculopathy
and 100% for the S1 radiculopathy, respectively. The DSEP studies with the stimulation intensity of
1.0 time of sensory threshold were abnormal in 13 patients which included 10 patients with absent evoked
potentials.
Conclusion: These results demonstrated that the DSEP study with lower stimulation intensity is more
sensitive for detecting abnormalities in root function compared with the conventional DSEP study.
키워드
Dermatomal somatosensory evoked potential study;Lumbosacral radiculopathy;Stimulation intensity
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