Feinsod M, Hoyt W F, Wilson W B, Spire J P
Arch Ophthalmol. 1976 Feb;94(2):237-40. doi: 10.1001/archopht.1976.03910030113007.
Evaluation of subjective visual complaints unassociated with objective signs is a frequent problem in neurologic and ophthalmic practice. The visually evoked response (VER) is an important tool for separating the functional from the organic in patients claiming visual disturbance. In visual complaints associated with late posttraumatic epileptic activity, the VER can demonstrate an abnormality even in asymptomatic intervals. In complaints due to concussion, it demonstrates disorganized evoked responses initially and later a return of the normal resonse. It shows an abnormality in the occipital lobes during and after transient compression of the vertebral artery. A normal VER excludes all but trivial involvement of the visual system, symptomatic claims of the patient notwithstanding.
评估与客观体征无关的主观视觉主诉是神经科和眼科临床中常见的问题。视觉诱发电位(VER)是区分声称有视觉障碍患者的功能性与器质性病变的重要工具。在与创伤后晚期癫痫活动相关的视觉主诉中,即使在无症状期,VER也可显示异常。在脑震荡引起的主诉中,VER最初显示诱发电位紊乱,随后恢复正常。在椎动脉短暂受压期间及之后,VER显示枕叶异常。尽管患者有症状主诉,但VER正常可排除视觉系统除轻微受累外的所有病变。