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[三叉神经诱发电位。正常值]

[Trigeminal evoked potentials. Normal values].

作者信息

Donáth V

机构信息

Neurologické oddelenie KUNZ, Banská Bystrica.

出版信息

Cesk Neurol Neurochir. 1990 Sep;53(5):321-7.

PMID:2225178
Abstract

The author describes the examination technique of trigeminal evoked potential (TEP) by electric stimulation with paired skin electrodes separately for each side of the maxillary and mandibular branch of the trigeminal nerve. The obtained evoked response contains two negative and two positive deflections N11, P19, N27, P39, whereby wave P39 could not be evaluated in 47.8%; therefore it was not processed by statistical method. The other latency values are stable against a major variability of amplitudes. Evaluation by linear regression displayed only a minor correlation of latencies of the trigeminal evoked potential with advancing age. The author present normal latency and amplitude values for every side of maxillary and mandibular part of the Vth nerve as well as maximal lateral differences. With regard to the hypothetical possibility to influence results of the trigeminal potential by afferentiations of the VIIth nerve in patients with idiopathic paresis of the fascial nerve, this method in not a suitable model for testing the selectivity of examinations of TEP. The submitted method of trigeminal evoked potential is reliable and simple and can be used as a diagnostic aid in examinations of the functional state of the pathway of the Vth nerve, e.g. in multiple sclerosis, neuralgia of the Vth nerve, tumours of the Vth nerve and in conditions after operation of the Vth nerve.

摘要

作者描述了通过三叉神经上颌支和下颌支各侧分别使用成对皮肤电极进行电刺激的三叉神经诱发电位(TEP)检测技术。所获得的诱发反应包含两个负向和两个正向偏转,即N11、P19、N27、P39,其中P39波在47.8%的情况下无法评估;因此未对其进行统计处理。其他潜伏期值在幅度有较大变化时保持稳定。通过线性回归评估显示,三叉神经诱发电位的潜伏期与年龄增长仅存在微弱相关性。作者给出了第五神经上颌部和下颌部各侧的正常潜伏期和幅度值以及最大侧向差异。关于特发性面神经麻痹患者中第七神经传入可能影响三叉神经电位结果的假设可能性,该方法并非用于测试TEP检查选择性的合适模型。所提交的三叉神经诱发电位方法可靠且简单,可作为诊断辅助手段用于检测第五神经通路的功能状态,例如在多发性硬化症、第五神经痛、第五神经肿瘤以及第五神经手术后的情况中。

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