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Intraoperative recording of the bulbocavernosus reflex. | LitMetric

Intraoperative recording of the bulbocavernosus reflex.

J Clin Neurophysiol

*Department of Neurophysiology, Abbott Northwestern Hospital, Minneapolis, Minnesota, U.S.A.; and †University Medical Centre, Ljubtjana, Slovenia.

Published: August 2014

AI Article Synopsis

Article Abstract

: The bulbocavernosus reflex (BCR) is mediated by the sacral somatic afferent/efferent periphery as well as the sacral cord. Unfortunately, the reflex has suffered from a partly deserved reputation as difficult to implement. However, recent stratagems have improved the test's reliability. Multipulse stimulation (enhanced by double trains as required) and exacting recording technique can yield positive and remarkably reproducible results in patients of all ages and either sex. In this review, we document a 94% baseline BCR acquisition rate among 100 consecutive cases in one institution. Acceptance and routine use of the BCR is needed to help assure optimal post-operative low sacral function in intradural and extradural surgeries at the level of conus medullaris, cauda equina, sacral plexus, and the pudendal nerve. Case studies within this review illustrate the power of the BCR to predict patient outcome or, much more importantly, reverse incipient patient injury in real time.

Download full-text PDF

Source
http://dx.doi.org/10.1097/WNP.0000000000000054DOI Listing

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