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关于人类某些头顶听觉诱发电位潜在发生器的颅内研究。

Intracranial studies on potential generators of some vertex auditory evoked potentials in man.

作者信息

Velasco M, Velasco F, Velasco A L

机构信息

Division of Neurophysiology, National Medical Center, IMSS, Mexico City, Mexico.

出版信息

Stereotact Funct Neurosurg. 1989;53(1):49-73. doi: 10.1159/000099517.

Abstract

Potential generators for surface brain stem (ABSP), P200 and P300 auditory evoked potentials have been localized in patients with implanted electrodes used as an electrophysiological procedure for surgical treatment. Results suggest that surface SP and SN1-2 and components V, VI and VII of ABSP and component P3 and P300 result from specific auditory system activation, while components N1-P2 of P200 and N2-N4 of P300 result from nonspecific systems. Two subcortical generators were localized related to surface ABSP-one at the medial geniculate thalamic region (MG) related to SP and SN1 and V, VI, VII potentials, the other near the hippocampal region related to SN2. One subcortical generator related to surface N1-P2 of P200 was found near the caudal mesencephalic reticular formation, and the other two subcortical generators related to surface N2-P4 and P3 of P300 were found at the subthalamic and MG regions, respectively. Reverse polarity of some bipolar responses and lack of amplitude-latency gradients of some referential potentials at the gyrus orbitalis, rostral thalamus and anterior commissure, suggest the existence of other additional potential generators more rostrally located.

摘要

对于接受植入电极作为手术治疗电生理程序的患者,已对脑干表面听觉诱发电位(ABSP)、P200和P300的潜在发生器进行了定位。结果表明,ABSP的表面SP和SN1-2以及成分V、VI和VII以及成分P3和P300是由特定听觉系统激活产生的,而P200的成分N1-P2和P300的成分N2-N4是由非特异性系统产生的。确定了两个与脑干表面听觉诱发电位相关的皮质下发生器——一个位于内侧膝状体丘脑区域(MG),与SP和SN1以及V、VI、VII电位相关,另一个位于海马区域附近,与SN2相关。发现一个与P200的表面N1-P2相关的皮质下发生器位于中脑尾侧网状结构附近,另外两个与P300的表面N2-P4和P3相关的皮质下发生器分别位于丘脑底核和MG区域。一些双极反应的反向极性以及眶回、丘脑前部和前连合处一些参考电位缺乏振幅-潜伏期梯度,表明在更靠前的位置存在其他额外的电位发生器。

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