A method for predicting outcomes of acute myelitis in children

摘要

FIELD: medicine.SUBSTANCE: invention relates to neurology, functional diagnostics and can be used to predict the outcome of acute myelitis in children. Transcranial magnetic stimulation is performed. Additionally, the electroneuromyography of the tibial and peroneal nerves is performed. Evoked motor responses (EMR) are assessed in transcranial magnetic stimulation from the tibial nerve. Studies are carried out in the first 5-7 days from the time of development of acute myelitis. If a cortical and segmental EMR is detected with an amplitude of 0.1-10 mV, in combination with the preserved motor responses of the peripheral nerves, a recovery in 4-8 weeks from the onset of the disease is predicted. In the presence of only segmental EMR amplitude of 1.0-12 mV, the absence of cortical EMR, the safety of motor responses of peripheral nerves the outcome with a moderate neurologic deficit, restoring movements with the maintenance of symptoms of lower paraparesis are diagnosed. In the absence of both cortical and segmental EMR, the motor responses of the peripheral nerves are below the lesion site the outcome in the gross neurological deficit, paraplegia in the period of convalescence are diagnosed.EFFECT: method provides an increase in the accuracy of predicting the course of acute myelitis in children due to the combined use of ENMG and TMS with the possibility of assessing the conduct of motor roads on the central and peripheral sections.1 cl, 2 ex