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Median nerve somatosensory evoked potentials were recorded from 30 normal adults using conventional scalp derivations and an orthogonal bipolar surface electrode montage. This allowed the determination of the spatial orientation of the hypothetical centrally located equivalent dipole derived from the evoked response recorded in 3-dimensional voltage space. The 3-dimensional voltage trajectory describing changes in equivalent dipole orientation and magnitude revealed 4 major apices between 5 and 25 msec, 3 of which corresponded to the traditional P14, N20 and P25 peaks. A fourth apex at 17 msec was not as evident in the conventional recordings and signaled a transition from a vertical P14–N18 generator process to a horizontal N20 generator process. The normal within- and between-subject variability of trajectory apices, segments and planes are described, along with the theoretical and practical implications of this recording technique.  相似文献   

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Human brain reactivity during sleep has been studied. Complex stimuli: auditory stimulus 1 s--interstimulus interval 4 s--verbal instruction to clench one's fist were presented to human subjects at equal 30-second intervals throughout all night's sleep. Conditioned motor and EEG responses were elicited during the second and the third experimental nights by repeating only auditory stimuli at 30- or 15-second intervals respectively. It has been suggested that a short-term memory store functions during sleep for at least 30 s after presenting stimuli.  相似文献   

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Neurological damage may follow even a technically accurate spinal surgery. The intraoperative monitoring of neurological functions put at risk by the operation is a method utilized to correctly identify the topography of neural structures and to avoid surgical insults. SEPs monitoring is 20 year old, and only recently direct motor tract monitoring has become possible. Transcranial electrical motor cortex stimulation with single pulses or with short trains of stimuli and recording of the evoked responses from the spinal epidural space (D-waves) and from limb muscles is a reliable and safe technique for monitoring corticospinal tract activity even under general anesthesia. The method has a solid theoretical experimental background. Its clinical application has demonstrated high sensitivity and specificity. Intraoperative MEPs monitoring is nowadays considered indispensable during spinal neurosurgery.  相似文献   

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Investigation into the influence of motor training on the functional activity of the rat sensorimotor cortex in ontogenesis has shown that three to four-month training, starting at the age of four weeks, leads to a statistically significant enhancement of sensorimotor cortex activity both by latencies and recovery cycles durations. A similar six to seven-month locomotor training produces the same statistically significant results. The differences in the shifts of functional activity after motor training observed between two age groups are not statistically significant. The probability of changes in the average definitive electrophysiological parameters of functional activity after motor training observed between two age groups are not statistically significant. The probability of changes in the average definitive electrophysiological parameters of functional activity of the sensorimotor cortex is suggested in rats aged more than a month, as a result of individual experience.  相似文献   

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Recordings of somatosensory evoked potentials (SEPs) and SEP brain maps of 23 patients with vertebral injury were analyzed. All patients were operated at the Clinic of Military Traumatology and Orthopedics, Military Medical Academy. SEPs (19 sites) were recorded in real time and mapped with "Brain surveyor" neuromapper. Brain lesions were localized before surgery by of MR imaging and CT standard techniques. The results demonstrate that electrical stimulation of peripheral nerves produces a substantially variable SEP pattern. It was shown that SEP formation in more than 60% of recordings suggests a favorable prognosis for rehabilitation, whereas if more than 50% of recording sites are unresponsive, the rehabilitation prognosis is unfavorable. The amplitude of early components (below 60 ms) increases, and that of the late waves reduces.  相似文献   

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Visual evoked potentials (VEP) in standard 16 EEG derivations were recorded in 26 young men and 20 women during recognition of facial emotional expressions and geometric figures. The stimuli were presented on a computer screen in the center of the visual field or randomly in the right or left vision hemifields. Peak VEP latency and mean amplitude in 50-ms epochs were measured; spatiotemporal VEP dynamics was analyzed in a series of topographic maps. The right hemisphere was shown to be more important in processing emotional faces. The character of the asymmetry was dynamic: at earlier stages of emotion processing the electrical activity was higher in the right inferior temporal region compared to the left symmetrical site. Later on the activity was higher in the right frontal and central areas. The dynamic mapping of "face-selective" component N180 of VEPs revealed the onset of activation over the right frontal areas that was followed by the fast activation of symmetrical left zones. Notably, this dynamics didn't correlate with the hemifield of stimuli exposition. The degree of asymmetry was lower during presentation of figures, especially in the inferior temporal and frontal regions. The prominent asymmetry of information processes in the inferior temporal and frontal areas was suggested to be specific for recognition of facial expression.  相似文献   

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Evoked responses (EPs) of the auditory and the sensorimotor cortical areas were studied in experiments on cats during formation of a positive food-procuring conditioned reflex to a rhythmic sequence of clicks and during formation of the differentiation inhibition in response to the clicks of the same parameters, but with different frequency. In the positive conditioned reflex the EPs amplitude in the sensorimotor cortex increases; they are enriched by late components and in their general configuration they become much similar to EPs in the auditory area. The EPs patterns both in the auditory and in the sensorimotor areas considerably change in response to the differentiation stimulus, but differently in each of the sites.  相似文献   

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急性脊髓损伤后大鼠电刺激运动诱发电位的变化   总被引:3,自引:0,他引:3  
目的:比较不同程度脊髓损伤(SCI)与运动诱发电位(MEP)变化之间的关系,探索MEP检查在SCI早期诊断及预后中的价值。方法:27只雄性SD大鼠以改良Allen‘s打击法致伤T8-T9脊髓,按打击冲量随机分为空白对照组(n=5),SCI A组(50gcf,n=8),SCI B组(70gcf,n=8)和SCI C组(100gcf,n=6),采用单极经皮层电刺激,分别于损伤前、伤后即刻、15min、30min、1h、3h和6h连续观察scMEP变化,并计算脊髓出血坏死区域占脊髓横截面积的比率。结果:对照组MEP无显著改变,SCI A组和SCI B组动物MEP早成份波幅立即减低或消失,以后有所恢复,晚成份波消失后未再出现。SCI C组动物除2只大鼠SCI后MEP仍有所恢复外,其余动物再未出现MEP波。脊髓损伤随打击冲量增大而增加,与伤后1h scMEP最大波幅呈显著相关(r=-0.821)。结论:SCI后scMEP的变化程度与打击冲量和脊髓病理损伤面积相关,提示scMEP可以作为一种脊髓功能检测的客观指标。  相似文献   

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The effect of sustained isometric contraction on somatosensory evoked potentials (SEPs) was studied. An attenuation of early SEP components N20--P30, P30--N35) was observed during the last minute of the endurance time. The late components (P45--N55, N55--P100) showed a significant increase of the amplitude during the first minute of the contraction. The amplitude of N35--P45 did not change during voluntary contraction, although it was decreased immediately after the contraction. An increase of the integrated EMG of forearm flexors was observed in the last minute of the endurance time. The maximal voluntary contraction was decreased immediately after the sustained contraction. The observed changes in SEPs could be attributed to possible changes in sensory information and motor command due to motor task.  相似文献   

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Steroid dependent changes in human visual evoked potentials   总被引:2,自引:0,他引:2  
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