Determination of magnetic motor evoked potential latency time cutoff values for detection of spinal cord dysfunction in horses. (6th September 2019)

• Record Type: Journal Article
• Authors: Rijckaert, Joke; Pardon, Bart; Saey, Veronique; Raes, Els; Van Ham, Luc; Ducatelle, Richard; van Loon, Gunther; Deprez, Piet
• Is Part Of: Journal of veterinary internal medicine. Volume 33:Number 5(2019)
• Page Start: 2312
• Page End: 2318
• Publication Date: 2019-09-06
• Subjects: ataxia -- cervical radiographs -- cervical vertebral malformation -- myelogram -- transcranial magnetic stimulation; Veterinary medicine -- Periodicals; 636.0896
• DOI: 10.1111/jvim.15576
• Languages: English
• ISSNs: 0891-6640

Abstract

Abstract: Background: Transcranial magnetic stimulation (TMS) and recording of magnetic motor evoked potentials (MMEP) can detect neurological dysfunction in horses but cutoff values based on confirmed spinal cord dysfunction are lacking. Objectives: To determine latency time cutoff for neurological dysfunction. Animals: Five control horses and 17 horses with proprioceptive ataxia. Methods: Case‐control study with receiver operating characteristic curve analysis, based on diagnostic imaging, TMS, and histopathological findings. Horses were included if all 3 examinations were performed. Results: Diagnostic imaging and histopathology did not show abnormalities in the control group but confirmed spinal cord compression in 14 of 17 ataxic horses. In the remaining 3 horses, histopathological lesions were mild to severe, but diagnostic imaging did not confirm spinal cord compression. In control horses, latency time values of thoracic and pelvic limbs were significantly lower than in ataxic horses (20 ± 1 vs 34 ± 16 milliseconds, P = .05; and 39 ± 1 vs 78 ± 26 milliseconds, P = .004). Optimal cutoff values to detect spinal cord dysfunction were 22 milliseconds (sensitivity [95% CI interval], 88% [73%‐100%]; specificity, 100% [100%‐100%]) in thoracic and 40 milliseconds (sensitivity, 94% [83%‐100%]; specificity, 100% [100%‐100%]) in pelvic limbs. To detect spinal cord dysfunction caused by compression, the optimal cutoff for thoracic limbs remained 22 milliseconds, while it increased to 43 milliseconds in pelvic limbs (sensitivity, 100% [100%‐100%]; specificity, 100% [100%‐100%] for thoracic and pelvic limbs). Conclusions and Clinical Importance: Magnetic motor evoked potential analysis using these cutoff values is a promising diagnostic tool for spinal cord dysfunction diagnosis in horses.