Laureau E, Marlot D
Laboratoire de Neurophysiologie, U.A.-1331, CNRS, Faculté de Médecine, Amiens, France.
Electroencephalogr Clin Neurophysiol. 1990 Nov;76(5):453-8. doi: 10.1016/0013-4694(90)90098-5.
Cortical and spinal somatosensory evoked potentials (SEPs) have been recorded after median and tibial nerve stimulation in healthy newborns. Spinal SEPs were readily obtained and recorded in all but one neonates after stimulation of both nerves. Cortical SEPs were more frequently recorded after median nerve (87%) than after tibial nerve stimulation (73%) but the shape of cortical SEPs obtained after tibial nerve stimulation was less variable. The mean feature of cortical SEPs was a negative wave (N27) for median nerve and a positive wave (P32) for tibial nerve. The present results demonstrate the feasibility of obtaining in the same baby, spinal and cortical SEPs after stimulation of median and tibial nerve, giving information on the functional integrity of central and peripheral somatosensory pathways which supply upper and lower limbs.
在健康新生儿中,通过刺激正中神经和胫神经记录了皮质和脊髓体感诱发电位(SEP)。除一名新生儿外,在刺激两条神经后,所有新生儿均易于获得并记录到脊髓SEP。与刺激胫神经(73%)后相比,刺激正中神经后更频繁地记录到皮质SEP(87%),但刺激胫神经后获得的皮质SEP形状变化较小。皮质SEP的平均特征是刺激正中神经时为负波(N27),刺激胫神经时为正波(P32)。目前的结果表明,在同一婴儿中,刺激正中神经和胫神经后获得脊髓和皮质SEP是可行的,这为供应上肢和下肢的中枢和外周体感通路的功能完整性提供了信息。