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From the Department of Neurology, University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan.
Address correspondence and reprint requests to Dr. Tomoko Hashimoto, Department of Neurology, University of Occupational and Environmental Health, School of Medicine, Yahatanishi-ku, Kitakyushu 807-8555, Japan; e-mail: tomoko{at}med.uoeh-u.ac.jp
The authors studied five patients with MS and four patients with HTLV-1 associated myelopathy (HAM) to investigate the usefulness of paraspinal motor evoked potentials (MEP) after magnetic stimulation of the motor cortex. In patients with MS, MEP disappeared or onset latencies were delayed below the lesion. In patients with HAM, the onset latencies were prolonged bilaterally. Thus, paraspinal MEP are very useful in detecting spinal cord lesions.
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