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胼胝体部分切断后正中神经刺激的体感诱发电位。

Somatosensory evoked potentials to median nerve stimulation after partial section of the corpus callosum.

作者信息

Goto M, Okuda J, Ikejiri Y, Nishikawa T, Hirose M, Tanabe H, Nii Y, Nakatani S, Shiraishi J

机构信息

Department of Neuropsychiatry, Faculty of Health and Sport Sciences, Osaka University, Japan.

出版信息

J Neurol. 1991 Jun;238(3):161-7. doi: 10.1007/BF00319683.

Abstract

Cortical somatosensory evoked potentials (SEPs) to electrical stimulation of the median nerve were studied in four patients with intractable epilepsy who had undergone callosotomy and in a patient with infarction in the corpus callosum in order to determine whether the corpus callosum was involved in the generation of ipsilateral frontal components. Both pre- and postoperative SEPs were recorded in three of four epileptic patients. There were no significant differences in the latencies and amplitudes of the bilateral frontal components (P20, N26) between pre- and postoperative recordings. Furthermore, irrespective of the extent of the section or lesion in the corpus callosum, the nature of the impairment and the existence of the disconnection syndrome, the SEP findings showed no significant differences compared with those of normal subjects. It thus appears unlikely that the ipsilateral SEP responses are transmitted from the contralateral hemisphere through at least the anterior portion of the corpus callosum.

摘要

对4例接受胼胝体切开术的难治性癫痫患者以及1例胼胝体梗死患者进行了研究,通过电刺激正中神经来检测皮质体感诱发电位(SEP),以确定胼胝体是否参与同侧额叶成分的产生。4例癫痫患者中的3例记录了术前和术后的SEP。术前和术后记录的双侧额叶成分(P20、N26)的潜伏期和波幅无显著差异。此外,无论胼胝体切开或病变的范围、损伤的性质以及是否存在分离综合征,SEP结果与正常受试者相比均无显著差异。因此,同侧SEP反应似乎不太可能至少通过胼胝体的前部从对侧半球传导而来。

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