Villanueva J A, Viñuales M, Montes C
Departamento de Ciencias Morfológicas, Universidad de Sevilla, España.
Rev Neurol. 1998 Nov;27(159):817-23.
Somatosensory evoked potentials were recorded following unilateral stimulation of the mental nerve in the gum of 100 healthy volunteers aged between 17 and 22 years.
Responses were recorded until 100 ms with electrodes placed over the scalp (C5/C6) referenced to central frontal (Fz). In 10 subjects, simultaneous recordings were made in masticatory and facial muscles to detect possible muscle artefacts. Stimulation was effected using a specially-designed stimulator adaptable to each individual. Contralateral responses consisted of four very constant deflexions (N12, P19, N26 and P35) forming a W-shaped complex of mean duration 31.27 ms. Tables of normality were compiled for latencies and amplitudes with confidence intervals of 99.8% reliability. Constancy of deflexions, stability of response (by serial studies), and possible sexual differences were also studied. Muscle artefacts were ruled out, and the participation of the mental nerve in the genesis of the responses was confirmed.
We consider the proposed method a reliable alternative to other procedures used to obtain TEPs.
对100名年龄在17至22岁之间的健康志愿者牙龈部的颏神经进行单侧刺激后,记录体感诱发电位。
使用置于头皮(C5/C6)并以额中央(Fz)为参考电极的电极记录反应,直至100毫秒。对10名受试者的咀嚼肌和面部肌肉进行同步记录,以检测可能的肌肉伪迹。使用专门设计的适用于每个个体的刺激器进行刺激。对侧反应由四个非常恒定的偏转(N12、P19、N26和P35)组成,形成一个平均持续时间为31.27毫秒的W形复合体。编制了潜伏期和波幅的正常表格,其置信区间的可靠性为99.8%。还研究了偏转的恒定性、反应的稳定性(通过系列研究)以及可能的性别差异。排除了肌肉伪迹,并证实了颏神经在反应产生中的参与。
我们认为所提出的方法是获取皮层体感诱发电位的其他程序的可靠替代方法。