Abstract

Recently asymptomatical cervical cord compression has been proposed in elderly patients especially by magnetic resonance images (MRI). We determined symptomatic levels in compressive cervical myelopathy by evoked spinal cord potentials (ESCPs) recorded epidurally and compared the results with radiologic findings.7 patients over sixty-five years old with compressive cervical myelopathy were studied. ESCPs following median nerve (MN-ESCPs) and transcranial magnetic stimulation (TCM-ESCPs) were recorded pre-operatively from the epidural space. Symptomatic compression was limited to one (n=4) or two (n=3) disc levels and anterior interbody fusion showed good results.The specificity between the symptomatic levels determined by electrophysiological assesment and high intensity change in the spinal crod on T2-weighted MRI was 92% and that of abnormal findings on myelography was 95%. We considered that high intensity change in the spinal cord on T2-weighted MRI and abnormal findings on myelography were very useful for level diagnosis.

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