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경직성 뇌성마비 환아에서 선택적 후근 절제술 후의 체성감각 유발전위 변화

Other Titles
 Changes of Dermatomal Somatosensory Evoked Potentialsin the Children with Spastic Cerebral Palsy after Selective Posterior Rhizotomy 
 박은숙  ;  박창일  ;  신지철  ;  김성우  ;  백소영 
 Journal of the Korean Academy of Rehabilitation Medicine (대한재활의학회지), Vol.22(6) : 1219-1224, 1998 
Journal Title
Journal of the Korean Academy of Rehabilitation Medicine(대한재활의학회지)
Issue Date
Objective: To evaluate the changes of dermatomal SEP (DSEP) in children with a spastic cerebral palsy (CP) after the selective posterior rhizotomy (SPR).

Method: The subjects were 14 spastic CP children, with the age from 3 to 6 years old, who underwent SPR. DSEPs were studied at the L2-3, L4, L5, S1 dermatomes bilaterally, pre and postoperatively. Postoperative DSEPs were interpreted by the changes of latency, amplitude and waveforms.

Results: 1) All children were spastic diplegia except one who was a spastic hemiplegia. 2) Preoperative DSEPs were flat or severely distorted in 40 of 112 waveforms (34.5%). 3) Postoperative DSEP latencies were no change in 39.3%, improved in 17.9%, and worsened in 25.6% respectively. Amplitudes were no change in 30.8%, improved in 38.5%, and worsened in 13.7% respectively. Waveforms were no change in 64.1%, improved in 22.2%, and worsened in 8.5% respectively. There was no statistical difference of postoperative changes of the 3 categories according to the root levels.

Conclusion: The results showed that the preoperative DSEPs were abnormal in 34.5% suggestive the lesions of CP being more widespread than strictly involving the motor system. This study confirmed that the most SEPs unchanged by the SPR. A further study for the relationship of postoperative DSEP changes and clinical findings such as functional impairment would be needed.
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1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun Sook(박은숙) ORCID logo https://orcid.org/0000-0002-9144-3063
Park, Chang Il(박창일)
Shin, Ji Cheol(신지철) ORCID logo https://orcid.org/0000-0002-1133-1361
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