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We previously reported the usefulness of neuromagnetic recordings for the diagnosis of disorders in peripheral nerves or the spinal cord. However, there have been no reports on incomplete conduction block of the spinal cord, which is clinically common in conditions such as cervical myelopathy. Here, we estimated the usefulness of measuring spinal cord evoked magnetic fields for evaluating incomplete conduction block. Incomplete conduction block models of the spinal cord of the rabbit were established using a Fogarty balloon catheter that was inserted into the epidural space of the cervical spine. Electrical stimuli were applied to the lower thoracic spinal cord with an epidural catheter electrode. Spinal cord evoked potentials were recorded using epidural electrodes. Spinal cord evoked magnetic fields were recorded over the skin surface of the neck using a biomagnetometer. The decrease in the conduction velocity and amplitude at the compression site could be detected by spinal cord evoked potentials from the epidural space, confirming the spinal cord lesion. The waveforms of the magnetic fields showed a biphasic configuration. The distribution of magnetic fields showed a characteristic quadrupolar pattern propagating from caudal to cranial. After compression, the amplitude and the conduction velocity of the magnetic fields decreased, and the distribution of magnetic fields were attenuated and decelerated near the compression site especially in the trailing magnetic fields. Diagnosis of the incomplete conduction block was thus possible. We report the first measurement of the spinal cord evoked magnetic field in the intact spinal cord from the skin surface and that it can be applied to incomplete conduction block of the injured spinal cord. The use of a biomagnetometer is promising as a less-invasive method for clinically evaluating spinal cord function. [ABSTRACT FROM AUTHOR]

An LTS SQUID biomagnetometer system was developed for the non-invasive diagnosis method of the spinal cord function for orthopedic and neurologic application. The developed bio-magnetometer system is characterized by a uniquely shaped cryostat. It has a vertical cylinder-shaped main body and a protrusion from its side surface. An array of SQUID vector gradiometers with a 5 x 8 matrix-like arrangement for 90 mm x 140 mm observation area is installed in the protrusion. Supine subjects are able to fit their cervixes stably to the sensor array by putting them against the protrusion during the measurement. The sensors directed vertically upwards detect magnetic signals from the back of the cervix. An X-ray imaging apparatus is integrated to the SQUID system for the in-situ acquisition of the anatomical information that reveals the position of cervical vertebrae relative to the location of the sensor array. For the performance verification of the developed system, we examined the spinal cord evoked field measurement of a normal subject. We succeeded in observing the transition of the cervical magnetic field distribution induced by the electric pulse stimulation on the median nerve at the subject's wrist. [ABSTRACT FROM AUTHOR]