LOWER BRAIN-STEM ORIGIN OF THE MEDIAN NERVE N18 POTENTIAL

被引:13
作者
RAROQUE, HG
BATJER, H
WHITE, C
BELL, WL
BOWMAN, G
GREENLEE, R
机构
[1] UNIV TEXAS,SOUTHWESTERN MED CTR,DEPT NEUROPATHOL,DALLAS,TX 75235
[2] UNIV TEXAS,SOUTHWESTERN MED CTR,DEPT ANESTHESIOL,DALLAS,TX 75235
来源
ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY | 1994年 / 90卷 / 02期
关键词
SOMATOSENSORY; EVOKED POTENTIAL; N18; POTENTIAL;
D O I
10.1016/0013-4694(94)90009-4
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
A patient undergoing intraoperative median nerve somatosensory evoked potential (MSEP) and brain-stem auditory evoked response (BAER) monitoring showed changes during basilar artery aneurysm clipping. There was loss of the BAER wave V, with preservation of waves I and III, Simultaneously, there also was loss of the MSEP N20 potential, with preservation of the N18, N13 and Erb's point potentials. The patient died and autopsy showed an infarct involving the whole rostro-caudal extent of the pontine tegmentum. This combination of electrophysiologic and pathologic findings may help answer questions regarding the exact generators of different MSEP potentials. In particular, it implies that medullary structures can generate the N18 potential.
引用
收藏
页码:170 / 172
页数:3
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