Araştırma Makalesi
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Motor Evoked Potential in Parkinson's Disease

Yıl 1996, Cilt: 1 Sayı: 2, 30 - 32, 30.12.1996

Öz










Idiopathic Parkinson's Disease (PD) is the most common extrapyramidal
syndrome encountered in the aging population. The major signs of Parkinson's
disease are tremor, rigidity, akinesia, and postural instability. The diagnosis
of PD remains a Clinical judgement without any confirmatory laboratory diagnostic
procedure available or required. In this study we made transcranial cortical
stimulation (TCCS) in 13 PD patients and motor evoked potential (MEP) recorded
from soleus and anterior tibial muscle. In all patients three experimental
paradigmas were performed; rest, voluntary dorsiflexion, voluntary plantar
flexion.

Kaynakça

  • Barker AT, Jalinous R. Freeston IL. Non-invasive magnetic stimulation of the human motor cortex. Lancet. 1985;1(8437):1106-1107. doi: 10.1016/s0140-6736(85)92413-4
  • Berardelli A, Inghilleri M, Cruccu G, Fornarelli M, Accornero N, Manfredi M. Stimulation of motor tracts in multiple sclerosis. J Neurol Neurosurg Psychiatry. 1988;51(5):677-683. doi: 10.1136/jnnp.51.5.677
  • Berardelli A, Inghilleri M, Cruccu G, Mercury B, Manfredi M. Electrical and magnetic transcranial stimulation in patients with corticospinal damage due to stroke or motor neuron disease. Electroencephalogr Clin Neurophysiol. 1991;81(5):389-396. doi: 10.1016/0168-5597(91)90028-v
  • Britton TC, Meyer BU, Benecke R. Variability of cortically evoked motor responses in multiple sclerosis. Electroencephalogr Clin Neurophysiol. 1991;81(3):186-194. doi: 10.1016/0168-5597(91)90071-5
  • Brouwer B, Ashby P. Corticospinal projections to upper and lower limb spinal motoneurons in man. Electroencephalogr Clin Neurophysiol. 1990;76(6):509-519. doi: 10.1016/0013-4694(90)90002-2
  • Claus D, Waddy HM, Harding AE, Murray NMF, Thomas PK. Hereditary motor and sensory neuropathies and hereditary spastic paraplegia: a magnetic stimulation study. Ann Neurol. 1990;28(1):43-49. doi: 10.1002/ana.410280109
  • Crone C, Hultborn H, Jespersen B, Nielsen J. Reciprocal I-A Inhibition between ankle flexors and extensors in man. J Physiol. 1987;389:163-185. doi: 10.1113/jphysiol.1987.sp016652
  • Ertekin C, Ertaş M, Efendi H, et al. A stable late soleus EMG response elicited by cortical stimulation during ankle dorsiflexion. Electroencephalogr Clin Neurophysiol. 1995;97(5):275-283. doi:10.1016/0013-4694(95)00038-z
  • Eisen A, Siejka S, Schulzer M, Calne D. Age-dependent decline in motor evoked potential (MEP) amplitude: with a comment on changes in Parkinson's disease. Electroencephalogr Clin Neurophysiol. 1991;81(3):209-215. doi: 10.1016/0168-5597(91)90074-8
  • Eisen AA, Shtybel WS. Clinical experience with transcranial magnetic stimulation. Muscle Nerve. 1990;13(11):995-1011. doi: 10.1002/mus.880131102
  • Ertekin C, Zileli M, Ertaş M. Motor Evoked Potansiyeller. 1. Baskı. İzmir: Klinik Nörofizyoloji Derneği Yayınları; 1992.
  • Ertaş M, Ertekin C, Efendi H, Uysal H. Contraversies in calculation of central motor delay. Muscle Nerve. 1994;17(10):1225-1226. doi: 10.1002/mus.880171018
  • Ghez C. The control of movement in: Principles of neural science. In: Kandel ER, Schwartz JH, Jessel TM, ed. 3rd Edition. Elsevier Science Publishing; 1991:534-547.
  • Hess CW, Mills KR, Murray NM, Schriefer TN. Magnetic brain stimulation: central motor conduction studies in multiple sclerosis. Ann Neurol. 1987;22(6):744-752. doi: 10.1002/ana.410220611
  • Homberg V, Stephan KM, Netz J. Transcranial stimulation of motor cortex in upper motor neuron motor disease: it is relation to the motor deficit. Electroencephalogr Clin Neurophysiol. 1991;81(5):377-388. doi: 10.1016/0168-5597(91)90027-u
  • Ingram DA, Thompson AJ, Swash M. Central motor conduction in multiple sclerosis: Evaluation of abnormalities revealed by transcutaneous magnetic stimulation of the brain. J Neurol Neurosurg Psychiatry. 1988;51(4):487-494. doi:10.1136/jnnp.51.4.487
  • Jaskolski DJ, Jarratt JA, Jakulbowski J. Magnetic stimulation in cervical spondylosis. Br J Neurosurg. 1989;3(5):541-548. doi: 10.3109/02688698909002845
  • Merton PA, Morton HB. Stimulation of the cerebral cortex in intact human. Nature. 1980;285(5762):227. doi: 10.1038/285227a0
  • Meunier S, Morin C. Changes in pre synaptic inhibition of I-A fiber's to soleus motoneurones during voluntary dorsiflexion of the foot. Exp Brain Res. 1989;76(3):510-518. doi: 10.1007/bf00248907
  • Golbe LI, Jage JI. Medical treatment of Parkinson's disease. In: Kurlan R, ed. Treatment of Movement Disorder. J.B. Lippincott Company; 1996:1-56.
  • Mills KR, Murray NM, Hess CW. Magnetic and electrical transcranial brain stimulation: Physiological mechanism and clinical applications. Neurosurgery. 1987;20(1):164-168. doi:10.1097/00006123-198701000-00033
  • Müller K, Homberg V, Aulich A, Lenard HG, Magnetoelectrical stimulation of motor cortex in children with motor disturbances. Electroencephalogr Clin Neurophysiol. 1992;85(2):86-94. doi: 10.1016/0168-5597(92)90073-k
  • Shindo M, Herayama H, Kando K, Yanagisawa N, Tanaka R. Changes in reciprocal I-A inhibition during voluntary contraction in man. Exp Brain Res. 1984;53(2):400-408. doi:10.1007/bf00238170
  • Tanaka R. Reciprocal I-A inhibitory pathway during voluntary performance in man. Brain Res. 1972;43:645-652.
  • Toygar A, Ertaş M, Selçuki D, Araç N, Ertekin C. ALS'de MEP ile longitudinal izlem. Nörofizyoloji Kongresi Kitabı. Ürgüp:1992.

Parkinson Hastalığında Motor Uyarılmış Potansiyeller

Yıl 1996, Cilt: 1 Sayı: 2, 30 - 32, 30.12.1996

Öz



















Parkinson Hastalığı (PH), ileri yaşlarda en sık karşımıza çıkan
extrapiramidal sendromdur. Başlıca belirtileri, tremor, rijidite, akinezi ve
postüral instabilitedir. Tanı herhangi bir laboratuvar desteği olmadan klinik
bulgulara dayanır. Bu çalışmada Parkinson hastalığı olan 13 hastada
transkranial kortikal stimulasyon (TCCS) ile motor uyarılmış potansiyeller (MEP)
incelendi. İstirahat, dorsal fleksiyon ve plantar fleksiyon gibi 3 deneysel
paradigma ile alt extremiteden soleus ve tibialis anterior kaslarından kayıtlanan
motor uyarılmış potansiyeller incelendi.

Kaynakça

  • Barker AT, Jalinous R. Freeston IL. Non-invasive magnetic stimulation of the human motor cortex. Lancet. 1985;1(8437):1106-1107. doi: 10.1016/s0140-6736(85)92413-4
  • Berardelli A, Inghilleri M, Cruccu G, Fornarelli M, Accornero N, Manfredi M. Stimulation of motor tracts in multiple sclerosis. J Neurol Neurosurg Psychiatry. 1988;51(5):677-683. doi: 10.1136/jnnp.51.5.677
  • Berardelli A, Inghilleri M, Cruccu G, Mercury B, Manfredi M. Electrical and magnetic transcranial stimulation in patients with corticospinal damage due to stroke or motor neuron disease. Electroencephalogr Clin Neurophysiol. 1991;81(5):389-396. doi: 10.1016/0168-5597(91)90028-v
  • Britton TC, Meyer BU, Benecke R. Variability of cortically evoked motor responses in multiple sclerosis. Electroencephalogr Clin Neurophysiol. 1991;81(3):186-194. doi: 10.1016/0168-5597(91)90071-5
  • Brouwer B, Ashby P. Corticospinal projections to upper and lower limb spinal motoneurons in man. Electroencephalogr Clin Neurophysiol. 1990;76(6):509-519. doi: 10.1016/0013-4694(90)90002-2
  • Claus D, Waddy HM, Harding AE, Murray NMF, Thomas PK. Hereditary motor and sensory neuropathies and hereditary spastic paraplegia: a magnetic stimulation study. Ann Neurol. 1990;28(1):43-49. doi: 10.1002/ana.410280109
  • Crone C, Hultborn H, Jespersen B, Nielsen J. Reciprocal I-A Inhibition between ankle flexors and extensors in man. J Physiol. 1987;389:163-185. doi: 10.1113/jphysiol.1987.sp016652
  • Ertekin C, Ertaş M, Efendi H, et al. A stable late soleus EMG response elicited by cortical stimulation during ankle dorsiflexion. Electroencephalogr Clin Neurophysiol. 1995;97(5):275-283. doi:10.1016/0013-4694(95)00038-z
  • Eisen A, Siejka S, Schulzer M, Calne D. Age-dependent decline in motor evoked potential (MEP) amplitude: with a comment on changes in Parkinson's disease. Electroencephalogr Clin Neurophysiol. 1991;81(3):209-215. doi: 10.1016/0168-5597(91)90074-8
  • Eisen AA, Shtybel WS. Clinical experience with transcranial magnetic stimulation. Muscle Nerve. 1990;13(11):995-1011. doi: 10.1002/mus.880131102
  • Ertekin C, Zileli M, Ertaş M. Motor Evoked Potansiyeller. 1. Baskı. İzmir: Klinik Nörofizyoloji Derneği Yayınları; 1992.
  • Ertaş M, Ertekin C, Efendi H, Uysal H. Contraversies in calculation of central motor delay. Muscle Nerve. 1994;17(10):1225-1226. doi: 10.1002/mus.880171018
  • Ghez C. The control of movement in: Principles of neural science. In: Kandel ER, Schwartz JH, Jessel TM, ed. 3rd Edition. Elsevier Science Publishing; 1991:534-547.
  • Hess CW, Mills KR, Murray NM, Schriefer TN. Magnetic brain stimulation: central motor conduction studies in multiple sclerosis. Ann Neurol. 1987;22(6):744-752. doi: 10.1002/ana.410220611
  • Homberg V, Stephan KM, Netz J. Transcranial stimulation of motor cortex in upper motor neuron motor disease: it is relation to the motor deficit. Electroencephalogr Clin Neurophysiol. 1991;81(5):377-388. doi: 10.1016/0168-5597(91)90027-u
  • Ingram DA, Thompson AJ, Swash M. Central motor conduction in multiple sclerosis: Evaluation of abnormalities revealed by transcutaneous magnetic stimulation of the brain. J Neurol Neurosurg Psychiatry. 1988;51(4):487-494. doi:10.1136/jnnp.51.4.487
  • Jaskolski DJ, Jarratt JA, Jakulbowski J. Magnetic stimulation in cervical spondylosis. Br J Neurosurg. 1989;3(5):541-548. doi: 10.3109/02688698909002845
  • Merton PA, Morton HB. Stimulation of the cerebral cortex in intact human. Nature. 1980;285(5762):227. doi: 10.1038/285227a0
  • Meunier S, Morin C. Changes in pre synaptic inhibition of I-A fiber's to soleus motoneurones during voluntary dorsiflexion of the foot. Exp Brain Res. 1989;76(3):510-518. doi: 10.1007/bf00248907
  • Golbe LI, Jage JI. Medical treatment of Parkinson's disease. In: Kurlan R, ed. Treatment of Movement Disorder. J.B. Lippincott Company; 1996:1-56.
  • Mills KR, Murray NM, Hess CW. Magnetic and electrical transcranial brain stimulation: Physiological mechanism and clinical applications. Neurosurgery. 1987;20(1):164-168. doi:10.1097/00006123-198701000-00033
  • Müller K, Homberg V, Aulich A, Lenard HG, Magnetoelectrical stimulation of motor cortex in children with motor disturbances. Electroencephalogr Clin Neurophysiol. 1992;85(2):86-94. doi: 10.1016/0168-5597(92)90073-k
  • Shindo M, Herayama H, Kando K, Yanagisawa N, Tanaka R. Changes in reciprocal I-A inhibition during voluntary contraction in man. Exp Brain Res. 1984;53(2):400-408. doi:10.1007/bf00238170
  • Tanaka R. Reciprocal I-A inhibitory pathway during voluntary performance in man. Brain Res. 1972;43:645-652.
  • Toygar A, Ertaş M, Selçuki D, Araç N, Ertekin C. ALS'de MEP ile longitudinal izlem. Nörofizyoloji Kongresi Kitabı. Ürgüp:1992.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sinirbilim
Bölüm Araştırma Makaleleri
Yazarlar

Hüsnü Efendi

Mustafa Ertaş Bu kişi benim

Cumhur Ertekin Bu kişi benim

Yayımlanma Tarihi 30 Aralık 1996
Gönderilme Tarihi 13 Eylül 1996
Yayımlandığı Sayı Yıl 1996 Cilt: 1 Sayı: 2

Kaynak Göster

AMA Efendi H, Ertaş M, Ertekin C. Parkinson Hastalığında Motor Uyarılmış Potansiyeller. Acta Med Nicomedia. Aralık 1996;1(2):30-32.

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