Cruccu G, Aminoff M J, Curio G, Guerit J M, Kakigi R, Mauguiere F, Rossini P M, Treede R-D, Garcia-Larrea L
Department of Neurological Sciences, La Sapienza University, viale Università 30, 00185 Rome, Italy.
Department of Neurology, School of Medicine, University of California, San Francisco, CA, USA.
Clin Neurophysiol. 2008 Aug;119(8):1705-1719. doi: 10.1016/j.clinph.2008.03.016. Epub 2008 May 16.
The International Federation of Clinical Neurophysiology (IFCN) is in the process of updating its Recommendations for clinical practice published in 1999. These new recommendations dedicated to somatosensory-evoked potentials (SEPs) update the methodological aspects and general clinical applications of standard SEPs, and introduce new sections dedicated to the anatomical-functional organization of the somatosensory system and to special clinical applications, such as intraoperative monitoring, recordings in the intensive care unit, pain-related evoked potentials, and trigeminal and pudendal SEPs. Standard SEPs have gained an established role in the health system, and the special clinical applications we describe here are drawing increasing interest. However, to prove clinically useful each of them requires a dedicated knowledge, both technical and pathophysiological. In this article we give technical advice, report normative values, and discuss clinical applications.
国际临床神经生理学联合会(IFCN)正在更新其于1999年发布的临床实践建议。这些专门针对体感诱发电位(SEP)的新建议更新了标准SEP的方法学方面和一般临床应用,并引入了新的章节,专门论述体感系统的解剖功能组织以及特殊临床应用,如术中监测、重症监护病房记录、疼痛相关诱发电位以及三叉神经和阴部SEP。标准SEP在卫生系统中已确立了作用,我们在此描述的特殊临床应用也越来越受到关注。然而,要证明它们在临床上有用,每一项都需要专门的技术和病理生理学知识。在本文中,我们提供技术建议,报告正常值,并讨论临床应用。