Effect of frequency stimulation on latency and amplitude of long-latency median nerve stimulation somatosensory evoked potentials N70

The presence of the N70 long-latency somatosensory evoked potential in patients with postanoxic coma is associated with neurological recovery [2,3]. In this study, we aimed to establish normative amplitude and latency values for the N70 and to assess the influence of stimulus frequency on these valu...

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Veröffentlicht in:Neurophysiologie clinique 2018-09, Vol.48 (4), p.241-241
Hauptverfasser: Pignato, Vincenzo, Gaspard, Nicolas, Mavroudakis, Nicolas
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description The presence of the N70 long-latency somatosensory evoked potential in patients with postanoxic coma is associated with neurological recovery [2,3]. In this study, we aimed to establish normative amplitude and latency values for the N70 and to assess the influence of stimulus frequency on these values as previously described with others evoked potentials [1]. We prospectively enrolled healthy adults from our Neurology department. We recorded the N70 over C4 or C3 using contralateral ear reference after bilateral median nerve stimulation at two frequencies (0.7Hz and 1.1Hz). For each side and each frequency, two runs of 200 stimuli were delivered and averaged. Two readers manually measured the amplitude and latency of N70. If absent, its amplitude and latency were considered null and not available, respectively. Data from left and right stimulation were pooled and summarized as median and interquartile range [IQR]. Data were analyzed using the Fisher exact test or the Wilcoxon signed rank test. A P-value
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In this study, we aimed to establish normative amplitude and latency values for the N70 and to assess the influence of stimulus frequency on these values as previously described with others evoked potentials [1]. We prospectively enrolled healthy adults from our Neurology department. We recorded the N70 over C4 or C3 using contralateral ear reference after bilateral median nerve stimulation at two frequencies (0.7Hz and 1.1Hz). For each side and each frequency, two runs of 200 stimuli were delivered and averaged. Two readers manually measured the amplitude and latency of N70. If absent, its amplitude and latency were considered null and not available, respectively. Data from left and right stimulation were pooled and summarized as median and interquartile range [IQR]. Data were analyzed using the Fisher exact test or the Wilcoxon signed rank test. A P-value&lt;0.05 was considered significant. We performed 48 recordings for each frequency in 24 subjects (12 female; age: 23–57 years; mean (±SD) age 38,4 [±11.5]). Artifacts precluding data analysis were observed in 7 recordings. An N70 was observed in 40/41 (98%) vs. 35/41 (85%) of available recordings at 0.7 and 1.1Hz, respectively (P=0.11). Median [IQR] amplitudes were 2.7 [1.6–3.6] vs. 1.6 [1.0–2.2] μV, (P&lt;0.001) and median [IQR] latencies 62.5 [60.4–65.9] vs. 63.3 [60.4–66.9]ms (P=0.048), at 0.7Hz and 1.1Hz respectively. The N70 can be identified in most healthy subjects using low-frequency median nerve stimulation (0.7 and 1.1Hz). 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We performed 48 recordings for each frequency in 24 subjects (12 female; age: 23–57 years; mean (±SD) age 38,4 [±11.5]). Artifacts precluding data analysis were observed in 7 recordings. An N70 was observed in 40/41 (98%) vs. 35/41 (85%) of available recordings at 0.7 and 1.1Hz, respectively (P=0.11). Median [IQR] amplitudes were 2.7 [1.6–3.6] vs. 1.6 [1.0–2.2] μV, (P&lt;0.001) and median [IQR] latencies 62.5 [60.4–65.9] vs. 63.3 [60.4–66.9]ms (P=0.048), at 0.7Hz and 1.1Hz respectively. The N70 can be identified in most healthy subjects using low-frequency median nerve stimulation (0.7 and 1.1Hz). 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We performed 48 recordings for each frequency in 24 subjects (12 female; age: 23–57 years; mean (±SD) age 38,4 [±11.5]). Artifacts precluding data analysis were observed in 7 recordings. An N70 was observed in 40/41 (98%) vs. 35/41 (85%) of available recordings at 0.7 and 1.1Hz, respectively (P=0.11). Median [IQR] amplitudes were 2.7 [1.6–3.6] vs. 1.6 [1.0–2.2] μV, (P&lt;0.001) and median [IQR] latencies 62.5 [60.4–65.9] vs. 63.3 [60.4–66.9]ms (P=0.048), at 0.7Hz and 1.1Hz respectively. The N70 can be identified in most healthy subjects using low-frequency median nerve stimulation (0.7 and 1.1Hz). Stimulation at 1.1Hz tended to elicit responses less frequently and resulted in potentials of lower amplitude and slightly longer latency compared to 0.7Hz, suggesting that the latter should be favored in clinical practice.</abstract><cop>Paris</cop><pub>Elsevier Masson SAS</pub><doi>10.1016/j.neucli.2018.06.057</doi><tpages>1</tpages></addata></record>
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subjects Coma
Data processing
Latency
Long-latency somatosensory evoked potential
Median nerve
Nervous system
Postanoxic COMA
Somatosensory evoked potentials
Stimulus frequency
Transcutaneous electrical nerve stimulation-TENS
title Effect of frequency stimulation on latency and amplitude of long-latency median nerve stimulation somatosensory evoked potentials N70
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