Ítem
Acceso Abierto

Potenciales evocados motores: caracterización electrofisiológica de un grupo de pacientes atendidos en un hospital de alta complejidad en Bogotá, Colombia

Mostrar el registro sencillo de la publicación
dc.contributor.advisorRodríguez Quintana, Jesús Hernán
dc.contributor.advisorOviedo Naranjo, Laura Liseth
dc.contributor.advisorMurcia, Luisa Fernanda
dc.creatorGómez Salazar, Natalia
dc.creator.degreeEspecialista en Neurología
dc.creator.degreeLevelMaestría
dc.date.accessioned2025-05-30T15:31:46Z
dc.date.available2025-05-30T15:31:46Z
dc.date.created2024-11-15
dc.descriptionLos Potenciales Evocados Motores (PEM) son útiles para evaluar la integridad de la vía motora piramidal y apoyar el diagnóstico de enfermedades neurológicas. En este estudio descriptivo realizado en un hospital de alta complejidad en Bogotá (2017–2023), se analizaron 70 pacientes con una media de edad de 56 años; el 40% presentó alteraciones en los PEM. Estos estudios influyeron en decisiones clínicas en el 50% de los casos y en ajustes terapéuticos en el 25,7%. Además, la mayoría requirió exámenes complementarios. Se concluye que los PEM son una herramienta valiosa cuya indicación debe basarse en una sospecha clínica bien fundamentada.
dc.description.abstractMotor Evoked Potentials (MEPs) are useful for assessing the integrity of the pyramidal motor pathway and supporting the diagnosis of neurological diseases. In this descriptive study conducted at a high-complexity hospital in Bogotá (2017–2023), 70 patients with a mean age of 56 years were analyzed; 40% showed abnormalities in their MEPs. These studies influenced clinical decisions in 50% of the cases and led to therapeutic adjustments in 25.7%. Additionally, most patients required complementary examinations. It is concluded that MEPs are a valuable tool whose use should be guided by a well-founded clinical suspicion.
dc.format.extent50 pp
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.48713/10336_45428
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/45428
dc.language.isospa
dc.publisherUniversidad del Rosario
dc.publisher.departmentEscuela de Medicina y Ciencias de la Salud
dc.publisher.programEspecialización en Neurología
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International*
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)
dc.rights.licenciaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/*
dc.source.bibliographicCitationIriarte Franco J, Artieda González J. Estimulación magnética transcraneal. Manual de neurofisiología clínica. 2013th ed. Vol. 1. España: Médica Panaméricana; 395 p.
dc.source.bibliographicCitationRossini PM, Burke D, Chen R, Cohen LG, Daskalakis Z, Di Iorio R, et al. Noninvasive electrical and magnetic stimulation of the brain, spinal cord, roots and peripheral nerves: Basic principles and procedures for routine clinical and research application. An updated report from an I.F.C.N. Committee. Clin Neurophysiol. 2015 Jun;126(6):1071– 107.
dc.source.bibliographicCitationIbiricu MA, Morales G. Estimulación magnética transcraneal. Sist Sanit Navar. 2009;32.
dc.source.bibliographicCitationSpampinato DA, Ibanez J, Rocchi L, Rothwell J. Motor potentials evoked by transcranial magnetic stimulation: interpreting a simple measure of a complex system. J Physiol. 2023 Jul;601(14):2827–51.
dc.source.bibliographicCitationBorrego, José C; Lara, Segundo; Trujillo, Mario; Barraza, Pedro. Potenciales evocados motores. Evaluación no invasiva de la vía motora en sujetos normales y en pacientes con enfermedades neurológicas. Acta Médica Colomb. 1992 Apr;17(2):86–93.
dc.source.bibliographicCitationFernández V, Valls-Sole J, Relova JL, Raguer N, Miralles F, Dinca L, et al. Recomendaciones para la utilización clínica del estudio de potenciales evocados motores en la esclerosis múltiple. Neurología. 2013 Sep;28(7):408–16.
dc.source.bibliographicCitationVucic S, Howells J, Trevillion L, Kiernan MC. Assessment of cortical excitability using threshold tracking techniques. Muscle Nerve. 2006 Apr;33(4):477–86.
dc.source.bibliographicCitationIlmoniemi RJ, Virtanen J, Ruohonen J, Karhu J, Aronen HJ, Näätänen R, et al. Neuronal responses to magnetic stimulation reveal cortical reactivity and connectivity: NeuroReport. 1997 Nov;8(16):3537–40.
dc.source.bibliographicCitationMassimini, Marcello et a. J. Neural Communication Breaks Down As Consciousness Fades and Sleep Sets In. Science. 2005 Sep 30;309(5744):2228–32.
dc.source.bibliographicCitationRico A, Audoin B, Franques J, Eusebio A, Reuter F, Malikova I, et al. Motor evoked potentials in clinically isolated syndrome suggestive of multiple sclerosis. Mult Scler J. 2009 Mar;15(3):355–62.
dc.source.bibliographicCitationPallix-Guyot M, Guennoc AM, Blasco H, De Toffol B, Corcia P, Praline J. Predictive value of motor evoked potentials in clinically isolated syndrome: Motor evoked potentials in clinically isolated syndrome. Acta Neurol Scand. 2011 Dec;124(6):410–6.
dc.source.bibliographicCitationZoccolella S, Mastronardi A, Scarafino A, Iliceto G, D’Errico E, Fraddosio A, et al. Motor-evoked potentials in amyotrophic lateral sclerosis: potential implications in detecting subclinical UMN involvement in lower motor neuron phenotype. J Neurol. 2020 Dec;267(12):3689–95.
dc.source.bibliographicCitationMenon P, Geevasinga N, Yiannikas C, Howells J, Kiernan MC, Vucic S. Sensitivity and specificity of threshold tracking transcranial magnetic stimulation for diagnosis of amyotrophic lateral sclerosis: a prospective study. Lancet Neurol. 2015 May;14(5):478–84.
dc.source.bibliographicCitationJang W, Park J, Kim JS, Youn J, Oh E, Jo KD, et al. Triple stimulation technique findings in vascular Parkinsonism and Parkinson’s disease. Clin Neurophysiol. 2014 Sep;125(9):1834–9.
dc.source.bibliographicCitationTokimura H, Lazzaro V, Tokimura Y, Oliviero A, Profice P, Insola A, et al. Short latency inhibition of human hand motor cortex by somatosensory input from the hand. J Physiol. 2000 Mar;523(2):503–13.
dc.source.bibliographicCitationStefan K. Induction of plasticity in the human motor cortex by paired associative stimulation. Brain. 2000 Mar 1;123(3):572–84.
dc.source.bibliographicCitationD’Onofrio V, Manzo N, Guerra A, Landi A, Baro V, Määttä S, et al. Combining Transcranial Magnetic Stimulation and Deep Brain Stimulation: Current Knowledge, Relevance and Future Perspectives. Brain Sci. 2023;13:null.
dc.source.bibliographicCitationWeise LM, McCormick I, Restrepo C, Hill R, Greene R, Hong M, et al. Motor evoked potentials versus Macrostimulation in predicting the postoperative motor threshold in STN Deep brain stimulation. Clin Neurol Neurosurg. 2022 Aug;219:107332.
dc.source.bibliographicCitationNikolov P, Heil V, Hartmann CJ, Ivanov N, Slotty PJ, Vesper J, et al. Motor Evoked Potentials Improve Targeting in Deep Brain Stimulation Surgery. Neuromodulation Technol Neural Interface. 2022 Aug;25(6):888–94.
dc.source.bibliographicCitationVucic S, Stanley Chen KH, Kiernan MC, Hallett M, Benninger DavidH, Di Lazzaro V, et al. Clinical diagnostic utility of transcranial magnetic stimulation in neurological disorders. Updated report of an IFCN committee. Clin Neurophysiol. 2023 Jun;150:131– 75.
dc.source.bibliographicCitationTruffert A, Sukockienė E, Desmaison A, Ališauskienė M, Iancu Ferfoglia R, Guy N. Combined tendon reflex and motor evoked potential recordings in amyotrophic lateral sclerosis. Clin Neurophysiol. 2023 Mar;147:88–98.
dc.source.bibliographicCitationTondo G, Mazzini L, Caminiti SP, Gallo C, Matheoud R, Comi C, et al. Coupling motor evoked potentials and brain [18F]FDG-PET in Amyotrophic Lateral Sclerosis: preliminary findings on disease severity. Neurobiol Dis. 2024 Sep;199:106579.
dc.source.bibliographicCitationTakada H, Ravnborg M. Magnetically evoked motor potentials in demyelinating and axonal polyneuropathy: a comparative study. Eur J Neurol. 2000 Jan;7(1):63–9.
dc.source.bibliographicCitationYperman J, Popescu V, Van Wijmeersch B, Becker T, Peeters LM. Motor evoked potentials for multiple sclerosis, a multiyear follow-up dataset. Sci Data. 2022 May 16;9(1):207.
dc.source.bibliographicCitationYperman J, Becker T, Valkenborg D, Popescu V, Hellings N, Wijmeersch BV, et al. Machine learning analysis of motor evoked potential time series to predict disability progression in multiple sclerosis. BMC Neurol. 2020 Dec;20(1):105.
dc.source.bibliographicCitationŠoda J, Pavelin S, Vujović I, Rogić Vidaković M. Assessment of Motor Evoked Potentials in Multiple Sclerosis. Sensors. 2023 Jan 2;23(1):497.
dc.source.bibliographicCitationMarion S, Leonid C, Belinda B, Joanne D, Elise H, Leeanne C, et al. Effects of modified-release fampridine on upper limb impairment in patients with Multiple Sclerosis. Mult Scler Relat Disord. 2020 May;40:101971.
dc.source.bibliographicCitationHardmeier M, Fuhr P. Multimodal Evoked Potentials as Candidate Prognostic and Response Biomarkers in Clinical Trials of Multiple Sclerosis. J Clin Neurophysiol. 2021 May;38(3):171–80.
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectPotenciales Evocados Motores
dc.subjectVía motora piramidal
dc.subjectElectrofisiología
dc.subjectDiagnóstico neurológico
dc.subjectElectrodiagnóstico
dc.subject.keywordMotor Evoked Potentials
dc.subject.keywordPyramidal motor pathway
dc.subject.keywordElectrophysiology
dc.subject.keywordNeurological diagnosis
dc.subject.keywordElectrodiagnosis
dc.titlePotenciales evocados motores: caracterización electrofisiológica de un grupo de pacientes atendidos en un hospital de alta complejidad en Bogotá, Colombia
dc.title.TranslatedTitleMotor evoked potentials: electrophysiological characterization of a group of patients treated at a high-complexity hospital in Bogotá, Colombia
dc.typemasterThesis
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de grado
local.department.reportEscuela de Medicina y Ciencias de la Salud
local.regionesBogotá
Archivos
Bloque original
Mostrando1 - 1 de 1
Miniatura
Nombre:
Potenciales_evocados_motores_caracterizacion_electrofisiologica _Gómez_Salazar_Natalia.pdf
Tamaño:
727.78 KB
Formato:
Adobe Portable Document Format
Descripción:
Descargar
Colecciones
Especialización en Neurología