Gobbelé René, Dieckhöfer Anne, Thyerlei Dinah, Buchner Helmut, Waberski Till Dino
Department of Neurology, University Hospital Aachen, Germany.
J Clin Neurophysiol. 2008 Aug;25(4):194-201. doi: 10.1097/WNP.0b013e318183f68f.
Questioning whether stimulation properties in median nerve somatosensory evoked potentials show interactions multichannel recordings were performed in a three-factorial repeated measures design with the parameters (i) eyes opened versus eyes closed, (ii) stimulation intensity above motor threshold versus intensity sub motor threshold, (iii) stimulation rate 0.5 Hz versus 9 Hz resulting in somatosensory evoked potentials recorded during eight different conditions. Varying the stimulation intensity revealed an impact on the amplitude and the latency of the N20 source activity and on the amplitude, the duration and the number of peaks of the high frequency oscillatory (HFOs) sources. Modifying the stimulation rate lead to an effect on the amplitude and latency of the N20 and on the amplitude of the high-frequency oscillatory sources. The condition opened/closed eyes had an impact on the duration and number of high-frequency oscillatory. No relevant interactions between the stimulation properties were found. In consequence, varying one stimulus parameter already leads to a saturation of the low as well as high-frequency somatosensory evoked potentials components. Thus, the careful choice of stimulation parameters is a condition precedent for reasonable data interpretation.
通过质疑正中神经体感诱发电位的刺激特性是否显示相互作用,采用三因素重复测量设计进行多通道记录,参数包括:(i) 睁眼与闭眼;(ii) 刺激强度高于运动阈值与低于运动阈值;(iii) 刺激频率0.5Hz与9Hz,从而在八种不同条件下记录体感诱发电位。改变刺激强度显示出对N20源活动的幅度和潜伏期以及高频振荡(HFOs)源的幅度、持续时间和峰值数量有影响。改变刺激频率对N20的幅度和潜伏期以及高频振荡源的幅度有影响。睁眼/闭眼条件对高频振荡的持续时间和数量有影响。未发现刺激特性之间的相关相互作用。因此,改变一个刺激参数已经导致低频和高频体感诱发电位成分饱和。因此,谨慎选择刺激参数是合理数据解释的先决条件。