Author/Editor     Vodušek, DB
Title     Electromyogram, evoked sensory and motor potentials in neurourology
Type     članek
Source     Neurophysiol Clin
Vol. and No.     Letnik 27
Publication year     1997
Volume     str. 204-10
Language     eng
Abstract     To test the integrity of the sacral neuromuscular system, the concentric needle elec Vomyogram (EMG) is suggested as the established method to provide information on denervation and reinnervation. The electrophysiologically recorded bulbocavernosus reflex is more sensitive than the clinically performed test? its latency is, however, not a sensitive test to assess axonal lesions. Pudendal cerebral somatosensory evoked potentials (SEP) can be considered promising in patients with conus involvement. Motor evoked potentials (MEP) in perineal muscles can only be considered investigational. True sensitivity and specificity of uroneurophysiological tests is difficult to establish due to the lack of a 'gold standard' test to define the underlying neurological lesion. Therefore, good (age stratified) reference values have to be established.
Descriptors     BLADDER, NEUROGENIC
ELECTROMYOGRAPHY
EVOKED POTENTIALS, MOTOR
PELVIC FLOOR
LUMBOSACRAL PLEXUS
PERINEUM
REFLEX
EVOKED POTENTIALS, SOMATOSENSORY
URINATION