Clinical Use of Evoked Potentials: A Review

  • Harold H. MorrisIII
  • Hans Lüders
  • Dudley S. Dinner
  • Ronald P. Lesser
  • Elaine Wyllie
Part of the Topics in Neurosurgery book series (TINS, volume 2)


The use of evoked potentials has become widespread in the past ten years. Evoked potentials have probably been obtained in patients with virtually all neurologic diseases. Much has been learned about proper techniques, and the neuropathways involved. Recently, several articles have discussed the use and abuse of evoked potentials in clinical practice [1,2,3,4].


Multiple Sclerosis Posterior Fossa Optic Neuritis Evoke Potential Acoustic Neuroma 


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  1. 1.
    Eisen A, Cracco RQ: Overuse of evoked potentials: Caution. Neurology 33:618–621, 1983.PubMedGoogle Scholar
  2. 2.
    Menken M: Consequences of an oversupply of medical specialists: The care of neurology. N Engl J Med 308:1224–1226, 1983.PubMedCrossRefGoogle Scholar
  3. 3.
    Chiappa HK, Young RR: Evoked responses: Overused, underused, or misused. Arch Neurol 42:76–77, 1985.PubMedCrossRefGoogle Scholar
  4. 4.
    Kimura J: Abuse and misuse of evoked potentials as a diagnostic test. Arch Neurol 42:78–79, 1985.CrossRefGoogle Scholar
  5. 5.
    Chiappa K: Evoked Potentials in Clinical Medicine. New York, Raven Press, 1983.Google Scholar
  6. 6.
    American Electroencephalographic Society. Guidelines for clinical evoked potential studies. J Clin Neurophysiol 1:3–53, 1984.CrossRefGoogle Scholar
  7. 7.
    Cox TA, Thompson HS, Hayreh SS, Snyder JE: Visual evoked potential and papillary signs: A comparison in optic nerve disease. Arch Ophthalmol 100:1603–1607, 1982.PubMedCrossRefGoogle Scholar
  8. 8.
    Miller NR: Optic Neuritis in Walsh and Hoyt’s Clinical Neuro-ophthalmology, 4th ed Vol. 1; Williams and Wilkins, Baltimore, pp 227–248, 1982.Google Scholar
  9. 9.
    Tackmann W, Ettlin TH, Strenge H: Multimodality evoked potcnitals and electrically elicited blink reflex in optic neuritis. J Neurol 227:157–163, 1982.PubMedCrossRefGoogle Scholar
  10. 10.
    Celesia GC, Polcyn RD, Holden JE, Nickles RJ, Gatley JS: Koeppe RA: Visual evoked potentials and positron emission tomographic mapping of regional cercbral blood flow and cerebral metabolism: Can the neuronal potential generators be visualized? Electroencephalogr Clin Neurophysiol 54:243–256, 1982.PubMedCrossRefGoogle Scholar
  11. 11.
    Bodis-Wollner I, Atkin A, Raab E, Wolkstein M: Visual association cortex and vision in man: Pattern-evoked occipital potentials in a blind boy. Science 198:629–630, 1977.PubMedCrossRefGoogle Scholar
  12. 12.
    Duchowney MS, Weiss IP, Majlessi H, Barnet AB: 1974 Visual evoked responses in childhood cortical blindness after head trauma and meningitis. Neurology 24:933–940, 1974.Google Scholar
  13. 13.
    Hess CW, Meienberg O, Ludin HP: Visual evoked potentials in acutc occipital blindness. J Neurol 277:193–200, 1982.CrossRefGoogle Scholar
  14. 14.
    Spehlmann R, Cross RA, Ho SU, Leestma JE, Norcross KA: Visual evoked potentials and postmortem findings in a case of cortical blindness. Ann Neurol 2:531–534, 1977.PubMedCrossRefGoogle Scholar
  15. 15.
    Frank Y, Torres F: Visual evoked potentials in the evaluation of “cortical blindness” in children. Ann Neurol 6:126–129, 1979.PubMedCrossRefGoogle Scholar
  16. 16.
    Baumgartner J, Epstein CM: Voluntary alteration of visual evoked potentials. Ann Neurol 12:475–478, 1982.CrossRefGoogle Scholar
  17. 17.
    Morgan RK, Nugent B, Harrison JM, O’Conner PS: Voluntary alteration of pattern visual evoked responses. Ophthalmology 92:1356–1363, 1985.PubMedGoogle Scholar
  18. 18.
    DeWeerd AW, Jonkman EG: Changes in visual and short latency somatosensory evoked potentials in patients with multiple sclerosis. In: Clinical Applications of Evoked Potentials in Neurology. Raven Press, New York, pp 527–534, 1982.Google Scholar
  19. 19.
    Confavreux C, Maugviere F, Courjon J, Aimand G, Devic M: Course of visual evoked potentials in multiple sclerosis: Electroclinical correlations and pathophysiological considerations in 25 patients. In: J Courjon, F Mauguière and M Revol (eds): Clinical Applications of Evoked Potentials in Neurology. Raven Press, New York, pp 541–550, 1982.Google Scholar
  20. 20.
    Cohen SN, Syndulko K, Hansch E, Tourtellotte WE, Potvin AR: Variability on serial testing of visual evoked potentials in patients with multiple sclerosis. In: Clinical Applications of Evoked Potentials in Neurolojwy. Raven Press, New York, pp 559–565, 1982.Google Scholar
  21. 21.
    Aminoff MJ, Davis SL, Panitch HS: Serial evoked potential studies in patients with definite multiple sclerosis: Clinical relevance. Arch Neurol 41:1197–1202, 1984.PubMedCrossRefGoogle Scholar
  22. 22.
    Yannikas C, Walsh JC, McLeod JG: Visual evoked potentials in the detection of subclinical optic toxic effects secondary to ethambutol. Arch Neurol 40:645–648, 1983.CrossRefGoogle Scholar
  23. 23.
    Chiappa K: Brainstem auditory evoked potentials: Intepretation. In Evoked Potentials in Clinical Medicine. New York, Raven Press, pp 144–202, 1983.Google Scholar
  24. 24.
    Hart RG, Gardner DP, Howieson J: Acoustic tumors: Abnormal features and recent diagnostic tests. Neurology 33:211–221, 1983.PubMedGoogle Scholar
  25. 25.
    Chiappa KH, Parker SW: Diagnosis of acoustic tumors. Neurology 34:131, 1984.PubMedGoogle Scholar
  26. 26.
    Cohen LG, Starr A, Pratt H: Cerebral somatosensory potentials evoked by muscle stretch, cutaneous taps and electrical stimulation of peripheral nerves in the lower limbs in man. Brain 108:103–121, 1985.PubMedCrossRefGoogle Scholar
  27. 27.
    Yiannikas C, Plexopathies and radiculopathies. In Chiappa K (ed): Evoked Potentials in Clinical Medicine. New York, Raven Press, 1983, pp 278–286.Google Scholar
  28. 28.
    Matthews WB, Small DG: Serial recordings of visual and somatosensory evoked potentials in multiple sclerosis. J Neurol Sci 40:11–21, 1979.PubMedCrossRefGoogle Scholar
  29. 29.
    Kirshner HS, Tsai SI, Runge VM, Price AC: Magnetic resonance imaging and other techniques in the diagnosis of multiple sclerosis. Arch Neurol 42:859–863, 1985.PubMedCrossRefGoogle Scholar
  30. 30.
    Gebarski SS, Gabrielsen TO, Gilman S, Knare JE, Latack JT, Aisen AM: The initial diagnosis of multiple sclerosis: clinical impact of magnetic resonance imaging. Ann Neurol 17:469–474, 1985.PubMedCrossRefGoogle Scholar
  31. 31.
    Raudzens PA: Intraoperative monitoring of evoked potentials. Ann NY Acad Sci 388:308–326, 1982.PubMedCrossRefGoogle Scholar
  32. 32.
    Dinner DS, Lüders H, Lesser RP, Morris HH: Invasive methods of somatosensory evoked potential monitoring. J Clin Neurophysiol 3:113–130, 1986.PubMedCrossRefGoogle Scholar
  33. 33.
    Starr A, Achor LJ: Auditory brainstem responses in neurological diseases. Arch Neurol 32: 761–768, 1975.PubMedCrossRefGoogle Scholar
  34. 34.
    Goldie WD, Chiappa KH, Young RR, Brooks EG: Brainstem auditory and short-latency somatosensory evoked responses in brain death. Neurology 31:248–256, 1981.PubMedGoogle Scholar
  35. 35.
    Hume AL, Cant BR: Central somatosensory condition after head injury. Ann Neurol 10:411–419, 1981.PubMedCrossRefGoogle Scholar
  36. 36.
    Frank LM, Furgivele TL, Etheridge JE: Prediction of clinic vegetative state in children using evoked potentials. Neurology 35:931–934, 1985.PubMedGoogle Scholar
  37. 37.
    Anderson DC, Bundlie S, Rockswold GL: Multimodality evoked potentials in closed head trauma. Arch Neurol 41:369–374, 1984.PubMedCrossRefGoogle Scholar

Copyright information

© Kluwer Academic Publishers, Boston 1989

Authors and Affiliations

  • Harold H. MorrisIII
  • Hans Lüders
  • Dudley S. Dinner
  • Ronald P. Lesser
  • Elaine Wyllie

There are no affiliations available

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