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SM ISO690:2012 GAVRILIUC, Mihail, LISNIC, Vitalie, ISTRATI, Nina, MUNTEANU, Liuba. Clinical and neurophysiologic features of spinal cord meningiomas. In: Analele Ştiinţifice ale USMF „N. Testemiţanu”, 2008, nr. 3(9), pp. 387-392. ISSN 1857-1719. |
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Analele Ştiinţifice ale USMF „N. Testemiţanu” | ||||||
Numărul 3(9) / 2008 / ISSN 1857-1719 | ||||||
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Pag. 387-392 | ||||||
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We present the longitudinal clinical and electrophysiological study of 27 patients with
spinal meningioma. All cases were confirmed by MRI and histological examinations.
Electrophysiological examination included needle electromyography of muscles:
paravertebralis,vastus lateralis, biceps femoris, tibialis anterior and gastrocnemius medialis. Clinical and electrophysiological findings were assessed in each case together with the level of spinal lesion. Electrophysiological abnormalities were founded in 100% of cases. Based on statistical analysis of the results, electrodiagnostic criteria were elaborated for the discrimination of each clinical syndrome of spinal meningioma. In addition to this data were founded that compressive damage of spinal cord tissue causes the morphofunctional reorganization of motor units and segmentar neuro-muscular apparatus. Moreover, as a result of neuronal plasticity at this level of nervous system news programs of motor function are established. The general conclusion of this study is that multimodal electrophysiological investigation as a consciously extension of clinical examination is very important in the positive and differential diagnosis of spinal meningioma. An electrophysiological examination is also useful for the prognosis of tumoral spinal cord process and for the control of neurosurgical treatment efficacy. |
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