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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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 |
doi_str_mv | 10.1016/j.neucli.2018.06.057 |
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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<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<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.</description><identifier>ISSN: 0987-7053</identifier><identifier>EISSN: 1769-7131</identifier><identifier>DOI: 10.1016/j.neucli.2018.06.057</identifier><language>eng</language><publisher>Paris: Elsevier Masson SAS</publisher><subject>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</subject><ispartof>Neurophysiologie clinique, 2018-09, Vol.48 (4), p.241-241</ispartof><rights>2018</rights><rights>Copyright Elsevier Science Ltd. Sep 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1282-60ff52395e004e276b2f198a0dc5831e6e2ec94f32399fe248efadbb7b4055e23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.neucli.2018.06.057$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids></links><search><creatorcontrib>Pignato, Vincenzo</creatorcontrib><creatorcontrib>Gaspard, Nicolas</creatorcontrib><creatorcontrib>Mavroudakis, Nicolas</creatorcontrib><title>Effect of frequency stimulation on latency and amplitude of long-latency median nerve stimulation somatosensory evoked potentials N70</title><title>Neurophysiologie clinique</title><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<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<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.</description><subject>Coma</subject><subject>Data processing</subject><subject>Latency</subject><subject>Long-latency somatosensory evoked potential</subject><subject>Median nerve</subject><subject>Nervous system</subject><subject>Postanoxic COMA</subject><subject>Somatosensory evoked potentials</subject><subject>Stimulus frequency</subject><subject>Transcutaneous electrical nerve stimulation-TENS</subject><issn>0987-7053</issn><issn>1769-7131</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kM9q4zAQxkXpQtPsvsEeBD3bO5Jsyb4USumfhdBe2rNQ7NGi1JZSyQ7kAfreqzTtoZeCQIPm-z7N_Aj5zaBkwOSfTelx7gZXcmBNCbKEWp2QBVOyLRQT7JQsoG1UoaAWZ-Q8pQ0AVKIVC_J2Yy12Ew2W2oivM_puT9Pkxnkwkwue5pOr92fje2rG7eCmuceDYwj-X_HZHbF3xlOPcYdfElIYzRQS-hTinuIuvGBPtyG7JmeGRB8U_CQ_bC7x18e9JM-3N0_X98Xq8e7v9dWq6BhveCHB2pqLtsY8PnIl19yytjHQd3UjGErk2LWVFVnTWuRVg9b067VaV1DXyMWSXBxztzHkXdOkN2GOPn-pOWOyEUrCQVUdVV0MKUW0ehvdaOJeM9AH4Hqjj8D1AbgGqTPwbLs82jBvsHMYdepcRpO5xIxY98F9H_Afk8OOPw</recordid><startdate>201809</startdate><enddate>201809</enddate><creator>Pignato, Vincenzo</creator><creator>Gaspard, Nicolas</creator><creator>Mavroudakis, Nicolas</creator><general>Elsevier Masson SAS</general><general>Elsevier Science Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope></search><sort><creationdate>201809</creationdate><title>Effect of frequency stimulation on latency and amplitude of long-latency median nerve stimulation somatosensory evoked potentials N70</title><author>Pignato, Vincenzo ; Gaspard, Nicolas ; Mavroudakis, Nicolas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1282-60ff52395e004e276b2f198a0dc5831e6e2ec94f32399fe248efadbb7b4055e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Coma</topic><topic>Data processing</topic><topic>Latency</topic><topic>Long-latency somatosensory evoked potential</topic><topic>Median nerve</topic><topic>Nervous system</topic><topic>Postanoxic COMA</topic><topic>Somatosensory evoked potentials</topic><topic>Stimulus frequency</topic><topic>Transcutaneous electrical nerve stimulation-TENS</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pignato, Vincenzo</creatorcontrib><creatorcontrib>Gaspard, Nicolas</creatorcontrib><creatorcontrib>Mavroudakis, Nicolas</creatorcontrib><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><jtitle>Neurophysiologie clinique</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pignato, Vincenzo</au><au>Gaspard, Nicolas</au><au>Mavroudakis, Nicolas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of frequency stimulation on latency and amplitude of long-latency median nerve stimulation somatosensory evoked potentials N70</atitle><jtitle>Neurophysiologie clinique</jtitle><date>2018-09</date><risdate>2018</risdate><volume>48</volume><issue>4</issue><spage>241</spage><epage>241</epage><pages>241-241</pages><issn>0987-7053</issn><eissn>1769-7131</eissn><abstract>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<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<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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source | ScienceDirect Journals (5 years ago - present) |
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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