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. 2018 Jan 8;32(4):173–193. doi: 10.11138/FNeur/2017.32.4.173

Table XXIIs.

Perineal motor evoked potentials in spinal cord lesions.

Reference Objective No. of patients Stimulation site Recording site Electrode type Results Evidence
Eardley et al., 1991 To determine the diagnostic value of pMEPs in patients with MS and LUTSs 10 Motor cortex; LS roots EUS Needle Ab cortical responses: 50%, ↑ CCT: 20% Class 2
Ghezzi et al., 1995 To determine the diagnostic value of pMEPs in MS and the association between pMEPs and EDs 34 Motor cortex; LS roots BC Surface ↑ CCT: 61% Class 2
Brostrøm, 2003 To determine the diagnostic value of pMEPs in patients with MS and LUTSs 16 Motor cortex; LS roots PR Needle ↑ mean CCT, ↑ rate of Ab cortical responses Class 1
Schmid et al., 2005 To determine the diagnostic value of pMEPs in patients with suprasacral SCI or MS and LUTSs 19 Motor cortex; LS roots EUS Surface ↑ mean CCT, Ab cortical responses: 100% in CLs Class 1

Abbreviations: pMEPs=perineal motor evoked potentials; MS=multiple sclerosis; LUTSs=lower urinary tract symptoms; EDs=erectile dysfunctions; SCI=spinal cord injury; LS=lumbosacral; EUS=external urethral sphincter muscle; BC=bulbo-cavernosus muscle; PR=puborectalis muscle; Ab=absent response; CCT=central conduction time; CLs=complete lesions.