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Short latency somatosensory evoked potentials

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Evoked Potential Manual

Abstract

Evoked potentials (EPs) are the only non-invasive method available to assess in ‘real time’ the processing sensory informations in the central nervous system in man. This low cost investigation can be viewed as a complement to clinical examination and most of its clinical success was due to its ability to disclose silent lesions in demyelinating diseases. In clinical practise SEPs may be used for four main purposes that do not exclude each other: 1) to test sensory functions when clinical examination is not reliable (young children, comatose patients, suspected conversion disorder…); 2) to disclose asymptomatic dysfunction or to decide whether more sophisticated or invasive morphological investigations should be envisaged in patients with purely subjective symptoms; 3) to determine the lesion site or the extent to which an anatomically-proven lesion is disrupting sensory impulse transmission; 4) to understand the mechanisms that underly the neurological deficit, the evolution of the disease, or the functional recovery. These purposes directly address, among others, the question of the specificity and localizing value of the method, and the one of the pathophysiological interpretation of abnormal waveforms. Such questions will be dicussed in sections A through C before envisaging the clinical use of SEPs.

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García-Larrea, L., Mauguière, F. (1990). Short latency somatosensory evoked potentials. In: Colon, E.J., Visser, S.L. (eds) Evoked Potential Manual. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-2059-0_7

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