Watanabe Y, Watanabe M, Takigawa M
No To Shinkei. 1986 Mar;38(3):273-9.
The value of the visual evoked potential (VEP) technique for diagnosis of epilepsy is limited. Except for photosensitive epilepsies, the visual evoked potentials (VEPs) do not reveal more than a routine EEG. As one of the reasons of that, it is pointed out that a review of VEP literature reveals different "normal values" for peak latencies and amplitudes. Thus in this study, lissajous figures of VEPs (VEP-L) were attempted instead of the measurement of peak latencies and amplitudes of VEPs. Thirty six epileptic subjects (14 have partial seizures, 22 have generalized seizures) and 22 control subjects were investigated. Several EEGs to storoboscopic flashes were recorded from scalp electrodes placed at the frontal (Fz) and occipital (Oz) regions according to the 10-20 electrode system, using a right ear as nonreference with a EEG amplifier (Nihon Kohden ME-175 E) and a data recorder (TEAC R-60). Then the phasic relationships between the VEPs from the two areas were analyzed with a medical computer (Nohon Kohden ATAC-2300) and printed out as VEP-L. The results are summerized as follows: First, as time passes from 100 msec to 200 msec in the VEP-L, the epileptic patient group showed more right-roted types than that of the control group (p less than 0.01). Second, the VEP-L at the periods from 50 msec after photic stimulus, were classified into 5 types inspectively. The 5 types are the right-ascending type, the left-ascending type, the vertical type, the horizontal type, and the circular type.(ABSTRACT TRUNCATED AT 250 WORDS)
视觉诱发电位(VEP)技术在癫痫诊断中的价值有限。除光敏性癫痫外,视觉诱发电位(VEP)显示的结果并不比常规脑电图更多。其中一个原因指出,对VEP文献的回顾揭示了峰值潜伏期和波幅的不同“正常值”。因此,在本研究中,尝试采用VEP的李萨如图形(VEP-L),而非测量VEP的峰值潜伏期和波幅。研究了36例癫痫患者(14例为部分性发作,22例为全身性发作)和22例对照者。根据10-20电极系统,将头皮电极置于额区(Fz)和枕区(Oz),以右耳作为非参考电极,使用脑电图放大器(日本光电ME-175 E)和数据记录器(TEAC R-60),记录对频闪闪光的多次脑电图。然后,使用医用计算机(日本光电ATAC-2300)分析两个区域VEP之间的相位关系,并打印为VEP-L。结果总结如下:第一,在VEP-L中,从100毫秒到200毫秒,癫痫患者组显示右旋类型的比对照组更多(p小于0.01)。第二,在光刺激后50毫秒起的时间段内,VEP-L可直观地分为5种类型。这5种类型为右上型、左上型、垂直型、水平型和圆形。(摘要截短于250字)