Citterio A, Cosi V, Callieco R
Boll Soc Ital Biol Sper. 1979 Oct 15;55(19):1923-9.
Visual Evoked Responses (VER) by binocular flash stimulation were carried out in 30 cases of "definite" (15 cases-Group I) and of "probable" (15 cases-Group II) Multiple Sclerosis (MS). VER were recorded bilaterally by reference occiput-mastoid. Averaging of 50 responses (time base 200-500-1000 msec) was considered; measures were made by registration on X-Y Plotter. Abnormal VER by increased latencies of III and/or IV peak (Ciganek) were present uni- or bilaterally in most of the subjects (73,3% of the I Group; 66,6% of the II Group). Percentage of abnormal VER is quite higher than clinical involvement of visual pathways; it is present in 3 out of 5 patients also, in whom clinical findings were confined to spinal cord. The results are discussed with reference to the previous literature. Recording of VER seems useful in detecting involvement of visual pathways without clinical evidence.
对30例“确诊”(15例,I组)和“疑似”(15例,II组)多发性硬化症(MS)患者进行了双眼闪光刺激视觉诱发电位(VER)检查。通过枕骨-乳突导联双侧记录VER。采用50次反应平均法(时基200 - 500 - 1000毫秒);通过在X - Y绘图仪上记录进行测量。大多数受试者(I组73.3%;II组66.6%)单眼或双眼出现III和/或IV峰潜伏期延长(西加内克)的异常VER。异常VER的百分比远高于视觉通路的临床受累情况;5例临床症状局限于脊髓的患者中也有3例出现异常VER。结合既往文献对结果进行了讨论。VER记录似乎有助于在无临床证据的情况下检测视觉通路受累情况。