Study of brain cortical reorganization changes preoperatively andpostoperatively in cervical spondylotic myelopathy by fMRI
10.19405/j.cnki.issn1000-1492.2017.08.030
- VernacularTitle:脊髓型颈椎病术前及术后脑皮质重构的功能磁共振成像研究
- Author:
Chang LIU
;
Fulong DONG
;
Cailiang SHEN
- Keywords:
cervical spondylotic myelopathy;
functional magnetic resonance imaging;
canal decompression surgery;
cortical reorganization
- From:
Acta Universitatis Medicinalis Anhui
2017;52(8):1236-1240
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study cerebral cortical activation preoperatively and postoperatively in patients with cervical spondylotic myelopathy (CSM), and discuss effect of the surgery on cortical reorganization in functional recovery.Methods 19 cases with CSM intrial group underwent cervical vertebra canal decompression surgery according to clinical routine.Cases in trial group completed clinical assessment using the modified Japanese Orthopaedic Association Scores (mJOA) prior to decompression and 12 months following surgery, and underwent cerebral functional MRI and conventional MRI in the same time.19 controls also carried out cerebral functional MRI and conventional MRI.All subjects performed a finger-tapping paradigm with right hand during processing functional MRI.The imagings and data of trial group were divided into preoperative group and postoperative group in accordance with the time of completed and than analysed.Results The mJOA score of postoperative group was increased significantly (P<0.001).Cortical volume of activation (VOA) of preoperative group was significantly higher than the control group (P<0.05).VOA was lower in the postoperative group, but still significantly higher than the control group (P<0.05).The preoperative group was able to detect and activate the signal only in the left precentral gyrus.The postoperative group was able to detect and activate the signal in the l left postcentral gyrus, the premotor area and the supplementary motor area, and the right cerebral cortex could also detect a small amount of activation signal.Conclusion CSM patients undergo cerebral cortical remodeling, causing sensory and motor function activation areas to expand and shift.The changes of cortical reorganization after cervical vertebra canal decompression surgery are associated with functional recovery.The surgical treatment may promote the compensating cortical reorganization.
