Transcranial Corticospinal Motor-Evoked Potentials in Cases of Ventral and Ventrolateral Intradural Extramedullary Cervical Spinal Cord Tumors
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
References
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Gender, Age | Region | Diagnosis | Clinical Presentation | TcMEPs Changes | MRC Score Postoperatively | MRC Score in 6 Months |
---|---|---|---|---|---|---|
Female, 78 | C4–C5 | Schwannoma | LE paraparesis (3/5); numbness in UE | A 20% improvement from baseline of LE MEPs; No change from baseline of UE MEPs | Improvement of LE paraparesis to 4/5 | Improvement of LE paraparesis to 5/5 |
Female, 70 | C1–C2 | Schwannoma | No motor deficit; cervical pain | No change from the baseline | Unchanged | Unchanged |
Female, 68 | C1-C2 | Schwannoma | No motor deficit; R UE numbness | No change from the baseline | Unchanged | Unchanged |
Female, 76 | C6–C7 | Meningioma | Paresis in R TB 1/5; LE paraparesis 2/5 | A 20% improvement for LE MEPs from the baseline; No change from R TB MEPs | Improvement of LE paraparesis to 4/5; Improvement of R TB paresis to 4/5 | Improvement of LE paraparesis to 5/5; and R TB to 5/5 |
Female, 70 | C7 | Schwannoma | Cervical pain; LE paraparesis 2/5 | A 20% improvement for LE MEPs from baseline; No change of UE MEPs | Improvement of LE paraparesis (3/5) | Improvement of LE paraparesis to 4/5 |
Male, 64 | C3–C7 | Schwannoma | UE paraparesis 2/5; R LE paresis 4/5 | A 50% drop of MEPs for UE and LE; MEPs for UE recover to baseline; No complete recovery to baseline for R TA MEPs | UE paraparesis 1/5; R LE paresis 2/5 | Improvement of UE paraparesis to 4/5; R LE paresis 3/5 |
Female, 45 | C3–C5 | Meningioma | Cervical pain, Numbness in LE; No motor deficit | A 50% drop of MEPs for UE and complete loss for LE; MEPs for UE recovered nearly to baseline; No recovery to baseline for LE MEPs | R BB paresis 4/5; LE paraparesis 2/5 | Recovery of UE and LE MRC score to 5/5 |
Female, 69 | C7 | Schwannoma | Paraparesis for UE 3/5; R LE 1/5 and L LE 2/5 | A 20% improvement from baseline | Improvement of UE paraparesis 4/5 and LE paraparesis 3/5 | Improvement of UE and LE MRC to 4/5 |
Female, 52 | C4-C7 | Meningioma | Cervical pain; No motor deficit | No change from the baseline | Unchanged | Unchanged |
Female, 60 | C7 | Meningioma | L UE paresis 3/5; R UE paresis 4/5; L LE paresis 3/5 | A 20% improvement for the MEPs L UE and LE; Stable MEPs for R UE and LE | Improvement for L side hemiparesis 4/5 and of R UE 5/5 | Improvement of L side hemiparesis 5/5 |
Male, 39 | C4-C5 | Schwannoma | L UE paresis 4/5; R BB paresis 3/5; LE paraparesis 4/5 | No change from the baseline | Subjective improvement of muscle strength | Improvement of UE and LE MRC to 5/5 |
Female, 55 | C6-C7 | Meningioma | R UE paresis 4/5 | No change from the baseline | Subjective improvement of muscle strength | Improvement of R UE MRC to 5/5 |
Female, 70 | C6-C7 | Schwannoma | UE paraparesis 4/5; LE paraparesis 3/5 | No change from the baseline | Subjective improvement of muscle strength | Improvement of UE paraparesis to 5/5 and of LE to 4/5 |
Female, 60 | C7 | Meningioma | Cervical pain and C7 radiculopathy; LE paraparesis 3/5 | A 20% improvement for MEPs for LE; No change from the baseline for UE MEPs | Improvement for LE MRC to 4/5 | Improvement for LE MRC to 4/5 |
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Vasileva, P.; Hristov, H.; Bussarsky, A.; Tanova, R.; Karakostov, V.; Ferdinandov, D. Transcranial Corticospinal Motor-Evoked Potentials in Cases of Ventral and Ventrolateral Intradural Extramedullary Cervical Spinal Cord Tumors. Medicina 2024, 60, 1488. https://doi.org/10.3390/medicina60091488
Vasileva P, Hristov H, Bussarsky A, Tanova R, Karakostov V, Ferdinandov D. Transcranial Corticospinal Motor-Evoked Potentials in Cases of Ventral and Ventrolateral Intradural Extramedullary Cervical Spinal Cord Tumors. Medicina. 2024; 60(9):1488. https://doi.org/10.3390/medicina60091488
Chicago/Turabian StyleVasileva, Petra, Hristo Hristov, Assen Bussarsky, Rositsa Tanova, Vasil Karakostov, and Dilyan Ferdinandov. 2024. "Transcranial Corticospinal Motor-Evoked Potentials in Cases of Ventral and Ventrolateral Intradural Extramedullary Cervical Spinal Cord Tumors" Medicina 60, no. 9: 1488. https://doi.org/10.3390/medicina60091488