Department of Neurology, Henry Ford Health System, Detroit, Michigan, U.S.A.
Department of Neurology, Wayne State University, Detroit, Michigan, U.S.A.; and.
J Clin Neurophysiol. 2020 Nov;37(6):585-591. doi: 10.1097/WNP.0000000000000483.
Using visual evoked fields (VEFs) to differentiate healthy, normal brain function from dysfunctional cortex has been demonstrated to be both valid and reliable. Currently, VEFs are widely implemented to guide intracranial surgeries for epilepsy and brain tumors. There are several areas of possible future clinical use of VEFs, including early identification of disorders, such as multiple sclerosis, Parkinson's disease, stroke, and human immunodeficiency virus-associated neurocognitive disorders. These studies have suggested that VEFs could be used to study disease pathophysiology or as a biomarker for early identification of a disorder. The current clinical practice guidelines of the American Clinical Magnetoencephalography Society for VEFs are sufficient. At this time, VEFs should be used clinically to identify visual cortex and potentially tailor surgical resections.
使用视觉诱发电位 (VEF) 来区分健康、正常的大脑功能与功能失调的皮层已被证明是有效和可靠的。目前，VEF 被广泛用于指导癫痫和脑肿瘤的颅内手术。VEF 可能有几个未来的临床应用领域，包括早期识别多种疾病，如多发性硬化症、帕金森病、中风和人类免疫缺陷病毒相关的神经认知障碍。这些研究表明，VEF 可用于研究疾病的病理生理学，或作为早期识别疾病的生物标志物。目前，美国临床脑磁图学会的 VEF 临床实践指南是充分的。此时，应在临床上使用 VEF 来识别视觉皮层，并可能定制手术切除。
