Posterior tibial nerve somatosensory cortical evoked potentials in adolescent idiopathic scoliosis. 1998

J C Cheng, and X Guo, and A H Sher
Department of Orthopaedics and Traumatology, Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong.

METHODS Somatosensory-evoked potentials were used to evaluate neurologic function in patients with adolescent idiopathic scoliosis. OBJECTIVE To compare the somatosensory-evoked potentials between patients with adolescent idiopathic scoliosis and healthy control individuals, and to determine the incidence of abnormal somatosensory function in patients with adolescent idiopathic scoliosis. BACKGROUND Somatosensory-evoked potentials are sensitive in detecting structural lesions in the somatosensory pathway. Previous studies on somatosensory function in patients with idiopathic scoliosis have demonstrated statistical differences in somatosensory-evoked potential latency between scoliotic and normal groups. However, no documentation of the actual incidence of abnormal somatosensory-evoked potentials is available. METHODS Posterior tibial nerve somatosensory cortical evoked potentials were evaluated on 147 young patients with adolescent idiopathic scoliosis and 31 healthy control individuals. RESULTS Seventeen patients with idiopathic scoliosis showed pathologic evoked potentials. Among them were seven with absent somatosensory-evoked potential waveform and 10 with delayed latency. The results were reproducible on repeated measurement. CONCLUSIONS Adolescent idiopathic scoliosis could be subdivided according to the somatosensory-evoked potential findings into two subgroups, those with and those without a somatosensory pathologic process. Potential clinical significance in predicting curve progression in idiopathic scoliosis could be pursued further.

UI MeSH Term Description Entries
D008297 Male Males
D011930 Reaction Time The time from the onset of a stimulus until a response is observed. Response Latency,Response Speed,Response Time,Latency, Response,Reaction Times,Response Latencies,Response Times,Speed, Response,Speeds, Response
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D004576 Electromyography Recording of the changes in electric potential of muscle by means of surface or needle electrodes. Electromyogram,Surface Electromyography,Electromyograms,Electromyographies,Electromyographies, Surface,Electromyography, Surface,Surface Electromyographies
D005073 Evoked Potentials, Somatosensory The electric response evoked in the CEREBRAL CORTEX by stimulation along AFFERENT PATHWAYS from PERIPHERAL NERVES to CEREBRUM. Somatosensory Evoked Potentials,Evoked Potential, Somatosensory,Somatosensory Evoked Potential
D005260 Female Females
D005625 Frontal Lobe The part of the cerebral hemisphere anterior to the central sulcus, and anterior and superior to the lateral sulcus. Brodmann Area 8,Brodmann's Area 8,Frontal Cortex,Frontal Eye Fields,Lobus Frontalis,Supplementary Eye Field,Area 8, Brodmann,Area 8, Brodmann's,Brodmanns Area 8,Cortex, Frontal,Eye Field, Frontal,Eye Field, Supplementary,Eye Fields, Frontal,Frontal Cortices,Frontal Eye Field,Frontal Lobes,Lobe, Frontal,Supplementary Eye Fields
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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