Musiek F E, Lee W W
Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03756-0001, USA.
J Am Acad Audiol. 1997 Jun;8(3):173-80.
Conventional and maximum length sequence (MLS) middle latency response (MLR) procedures were compared across several parameters for control patients and patients with central nervous system lesions. There were similar findings for both populations and both types of MLR for the absolute latencies of Na and Pa waves. Middle latency waves were absent more often in the neurologic than control subjects for both the conventional and MLS-MLR procedures. Overall, more MLR waves were present for the MLS technique than for the conventional MLR technique. Differences in wave amplitude were significant for several recording sites when comparing neurologic with control groups, but findings were similar for wave amplitude when comparing the two types of MLR procedures for the neurologic population. Based on these findings, no clear diagnostic advantage was shown for using the MLS-MLR technique. These findings are further discussed.
对对照组患者和中枢神经系统病变患者,就多个参数比较了传统的和最长序列(MLS)中潜伏期反应(MLR)程序。对于两组人群以及两种类型的MLR,Na波和Pa波的绝对潜伏期有相似的发现。在传统的和MLS-MLR程序中,神经系统疾病患者比对照组更常出现中潜伏期波缺失。总体而言,MLS技术比传统MLR技术出现的MLR波更多。比较神经系统疾病组和对照组时,几个记录部位的波幅差异显著,但比较神经系统疾病人群的两种MLR程序时,波幅的发现相似。基于这些发现,未显示出使用MLS-MLR技术有明显的诊断优势。对这些发现将作进一步讨论。