Evaluation of segmental spinal cord evoked magnetic fields after sciatic nerve stimulation.

OBJECTIVE: We have previously reported that the measurement of spinal cord evoked magnetic fields (SCEFs) could be a helpful method for evaluating spinal cord function or detecting conduction blocks in the spinal cord. However, there have been no reports about segmental-SCEFs as a complex of axonal and synaptic activities in the spinal cord. The purpose of this study is to record and evaluate segmental-SCEFs. METHODS: The segmental-SCEFs were measured over the lumbar dural tubes of adult rabbits using our SQUID system following sciatic nerve stimulation; spinal cord evoked potentials (SCEPs) were also measured to compare the results. RESULTS: SCEPs showed conductive sharp waves following gentle waves, suggesting action potentials and synaptic potentials, respectively. The isomagnetic field maps of SCEFs showed a quadrupolar pattern propagating from the caudal to the cranial region within a short latency time, and after the conductive magnetic fields passed, stationary dipolar fields appeared and were sustained at some vertebral levels. CONCLUSIONS: The quadrupolar magnetic fields were estimated to be generated from conducting action potentials, and the dipolar fields were thought to be caused by synaptic activities. SIGNIFICANCE: Through the measurement of segmental-SCEFs, the conductive neural and synaptic activities in the spinal cord can be visualized and distinguished. This is the first report to record and visualize the sequence of events ranging from the axonal activities of peripheral nerves and the spinal tract to the synaptic activities in the spinal cord.

Transcranial electrical stimulation as predictor of elicitation of intraoperative muscle-evoked potentials.

STUDY DESIGN: Preoperative electrophysiological and neurologic findings from patients with cervical myelopathy were evaluated statistically to determine their predictive value relative to the success of eliciting intraoperative motor-evoked potentials. OBJECTIVES: To determine which preoperative variables accurately predicted the success of eliciting an intraoperative muscle-evoked potential. SUMMARY OF BACKGROUND DATA: Motor-evoked potential recorded from the muscles after transcranial electrical stimulation is one of the most widely used methods for intraoperative spinal cord monitoring. However, motor-evoked potentials recorded from lower limb muscles are not detectable in patients with severe cervical myelopathy. Therefore, it is helpful to know the probability of the intraoperative transcranial electrical stimulation-motor evoked potential elicitation before the operation. METHODS: There were 38 patients with cervical myelopathy. Before the operation, motor-evoked potentials following transcranial magnetic stimulation were recorded from the flexor hallucis brevis, and central motor conduction times were measured. Neurologic function was evaluated using the Japanese Orthopedic Association score. During the operation, transcranial electrical stimulation-motor evoked potential from the flexor hallucis brevis was recorded. The Japanese Orthopedic Association score, threshold intensity of magnetic stimulation, and central motor conduction times were statistically evaluated for their potential of being predictors. RESULTS: The intraoperative transcranial electrical stimulation-motor evoked potential was detectable in all cases in which the preoperative transcranial magnetic stimulation-motor evoked potential was elicited by a lower intensity than 50% of the maximum output of the stimulator. Therefore, simultaneous use of other methods of monitoring should be considered in such cases that need higher output. However, the Japanese Orthopedic Association score or central motor conduction times were not useful criteria. CONCLUSIONS.: The threshold intensity of the preoperative transcranial magnetic stimulation-motor evoked potential was helpful in predicting elicitation of the intraoperative transcranial electrical stimulation-motor evoked potential.

Visualization of incomplete conduction block by neuromagnetic recording.

OBJECTIVE: We previously reported on evoked compound action magnetic fields (CAFs) in isolated sciatic nerves with complete conduction block. In this study, we examined evoked CAFs of the nerve with incomplete conduction block, which is clinically common. METHODS: Rabbits' isolated nerves were electrically stimulated in a chamber containing Ringer's solution. Compound action potentials (CAPs) and CAFs were recorded before and after the incomplete conduction block induced by a vascular clip. The positions of the lesion were estimated by dipole localization. RESULTS: Before the nerve clipping, magnetic contour maps showed CAFs with a characteristic quadrupolar pattern. After the clipping, CAFs attenuated in the amplitude and decelerated through the lesion. Estimated position of the lesion was 0.12+/-3.23 mm (mean+/-SD, n=10) assuming that the real position of the clip was 0 mm. CONCLUSIONS: The time-course of changes of CAFs in the incomplete conduction block was visualized by magnetic contour maps, and the lesions were closely localized focusing on the velocity change of the leading dipole. SIGNIFICANCE: The neural conduction with incomplete conduction block was visualized and the lesion was closely localized by neuromagnetic recordings.

Estimation of localization of neural activity in the spinal cord using a biomagnetometer.

Spinal cord evoked potentials (SCEPs) measurement is widely used for level diagnosis of spondylotic myelopathy. However, because of the restriction of spatial resolution, SCEPs do not distinguish the neurophysiological activities among tracts in the spinal cord without invasive methods. Magnetic field measurement has the theoretical advantage of high spatial resolution, compared with electric measurement. We recorded spinal cord evoked magnetic fields (SCEFs) in the thoracic spinal cord after stimulation to the motor area in felines, and estimated the source of the magnetic fields. SCEFs showed a quadrupolar pattern, and conducted in a cranial-to-caudal direction at 55 m/sec. According to this result, we estimated that the SCEFs after stimulation to the motor area were generated by the contralateral corticospinal tract. Furthermore, the estimated dipole of the SCEFs after stimulation to the motor area was located on the contralateral side in the spinal cord. These results correspond with the anatomical location of the corticospinal tract of felines, and suggest that magnetic field recording can detect the magnetic source localization of each tract in the spinal cord.

Imaging of neural conduction block by neuromagnetic recording.

OBJECTIVE: For the clinical application of neuromagnetic recordings in neural conduction block, the patterns of magnetic fields in the region should be clarified. Using an experimental in vitro model, the spatiotemporal course of the neuromagnetic fields at the site of complete conduction block was examined. Additionally, the magnetic compound action fields (CAFs) and electric compound action potentials (CAPs) were compared and correlated. METHODS: In a chamber containing Ringer's solution, 10 isolated sciatic nerves of rabbits were electrically stimulated. Both evoked CAPs and CAFs were measured before and after the ligation of the nerve. The sequential positions of the current dipoles and the location of the conduction block were estimated by the least-squares search. RESULTS: The magnetic contour maps of the CAFs showed a characteristic quadrupolar pattern propagating along the nerve. The peak of the leading magnetic field ceased and disappeared at the position of the nerve ligation, while the trailing magnetic field became attenuated before reaching that position. The positions of the conduction blocks were localized by magnetic recordings within a difference of 2mm. CONCLUSIONS: The neuromagnetic recordings could visualize the change of the magnetic fields at the site of the complete conduction block and closely localize that position. SIGNIFICANCE: The neural conduction block was visualized and localized by neuromagnetic recordings.

Hypervalent Iodine(V)-Induced Asymmetric Oxidation of Sulfides to Sulfoxides Mediated by Reversed Micelles: Novel Nonmetallic Catalytic System.

Although several types of chiral hypervalent iodine reagents have been used for asymmetric induction, all of them have needed more than a stoichiometric amount of chiral reagents and have shown low enantioselectivities. The described new catalytic asymmetric oxidation using a hypervalent iodine(V) reagent, iodoxybenzene (PhIO(2)), in a cationic reversed micellar system provides the first example of a catalytic asymmetric oxidation of sulfides to sulfoxides in high chemical yield with moderate to good enantioselectivity without the use of any transition-metal catalysts. The solubilization and activation of PhIO(2) by adding catalytic amounts of both cetyltrimethylammonium bromide (CTAB) and a chiral tartaric acid derivative were found to be indispensable for the enhancement of chemical and optical yields.