Eisen A, Stewart J, Nudleman K, Cosgrove J B
Neurology. 1979 Jun;29(6):827-34. doi: 10.1212/wnl.29.6.827.
Cervical and cortical somatosensory evoked potentials were measured in 80 patients with suspected or established multiple sclerosis (MS). The cervical response was a more sensitive diagnostic indicator than the cortical response, and was abnormal in 86.7 percent of patients with definite MS and in 40.9 percent of MS suspects. The complementary value of measuring both responses was greatest (89.3 percent) in early probable or latent MS. Comparing the responses obtained from stimulation of the left and right extremities increased the overall diagnostic yield by 25 percent. Abnormal responses were frequently obtained from clinically normal limbs.
对80例疑似或确诊为多发性硬化症(MS)的患者进行了颈段和皮层体感诱发电位测量。颈段反应比皮层反应是更敏感的诊断指标,在确诊MS的患者中有86.7%出现异常,在疑似MS的患者中有40.9%出现异常。在早期可能或潜在MS中,同时测量两种反应的互补价值最大(89.3%)。比较左右肢体刺激所获得的反应,总体诊断率提高了25%。临床上正常的肢体也经常出现异常反应。