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比较多发性硬化症患者的彩色视觉诱发电位和黑白视觉诱发电位

Comparing Colored and White-Black Visual Evoked Potentials in Multiple Sclerosis Patients.

作者信息

Acar Erkan, Soysal Aysun, Tütüncü Mesude, Özdemir Zeynep, Kaya Selin, Kale Nilüfer

机构信息

Department of Neurology, Bakırköy Training and Research Hospital for Psychiatry, Neurology and Neurosurgery, İstanbul, Turkey.

Department of Ophthalmology, Bakırköy Sadi Konuk Training and Research Hospital, İstanbul, Turkey.

出版信息

Noro Psikiyatr Ars. 2017 Nov 8;57(2):93-97. doi: 10.5152/npa.2017.22787. eCollection 2020 Jun.

Abstract

INTRODUCTION

We compared white-black (WB), white-red (WR), and black-red (BR) checkerboard stimulated visual evoked potentials (VEPs) in multiple sclerosis (MS) patients and aimed to evaluate if redcolored VEP is more sensitive than WB VEP for the diagnosis of optic neuritis (ON).

METHODS

Twenty-nine MS patients (21 females [72.4%]) and 35 healthy control subjects (24 females [68.6%]) were included in the study. Neurological and ophthalmological examinations were conducted for all subjects and VEP and optical coherence tomography (OCT) investigations were performed.

RESULTS

A significant difference was found between MS patients and the control group for WB, WR, BR stimulated VEP P100 latencies and retinal nerve fiber length (RNFL) and ganglion cell complex (GCC) thicknesses, but there was no difference for WB, WR, and rb stimulated VEP amplitude values between the groups. There was no significant pathological difference between the eyes with an ON history in MS and eyes without an ON history in MS and control subjects after WB, WR, and BR stimulation (p=).

CONCLUSIONS

The WB checkerboard stimulated VEP is an ample test for routine use; further studies are necessary regarding the utility of rb stimulated VEP in detecting subclinical ON.

摘要

引言

我们比较了多发性硬化症(MS)患者的白黑(WB)、白红(WR)和黑红(BR)棋盘格刺激视觉诱发电位(VEP),旨在评估红色VEP在诊断视神经炎(ON)方面是否比WB VEP更敏感。

方法

本研究纳入了29例MS患者(21例女性[72.4%])和35名健康对照者(24例女性[68.6%])。对所有受试者进行了神经学和眼科检查,并进行了VEP和光学相干断层扫描(OCT)检查。

结果

MS患者与对照组在WB、WR、BR刺激的VEP P100潜伏期以及视网膜神经纤维长度(RNFL)和神经节细胞复合体(GCC)厚度方面存在显著差异,但两组之间WB、WR和BR刺激的VEP振幅值没有差异。在WB、WR和BR刺激后,MS中有ON病史的眼睛与MS中无ON病史的眼睛以及对照者的眼睛之间没有显著的病理差异(p =)。

结论

WB棋盘格刺激的VEP是一种适用于常规使用的充分测试;关于BR刺激的VEP在检测亚临床ON方面的效用,还需要进一步研究。

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