• Annals of Clinical Neurophysiology
• /
• 제12권2호
• /
• pp.35-46
• /
• 2010

Various electrophysiological tests have provided a large body of valuable information on neuronal responses to a presented stimulus. The special and general somatic sensory pathways are main targets of evoked potentials. Two types of evoked potentials, exogenous and endogenous, are commonly used. Exogenous evoked potentials of general and special somatic sensory systems will be reviewed. One of general somatic sensory functional pathways, proprioception, can be evaluated by general somatosensory evoked potentials with electrical stimulation on nerves. The special somatosensory functional pathways, including vision, and audition, can be evaluated by visual evoked potentials and auditory evoked potentials. Also laser-evoked potentials are newly developed for pain pathway, including lateral spinothalamic pathway, and vestibular myogenic evoked potentials for sacculocollic pathways. The evoked potentials of sensory system have maximal clinical utility in evaluating functional deficits along the sensory pathways. They are used for evaluating comatose patients, hysterical patients, premature infants, patients with suspected demyelinating diseases or neoplasms, and research. We discuss the neurophysiologic tests of sensory systems in views of practical points. The organized evaluation of sensory electrophysiologic tests can be helpful in detecting and estimating the abnormalities in neurological diseases.

• 대한임상검사과학회지
• /
• 제45권2호
• /
• pp.77-85
• /
• 2013

Intraoperative Neurophysiological Monitoring (INM) is very useful in monitoring the motorsensory pathway and vascular circulation system during intraspinal, or intracranial neurosurgery. Brainstem Auditory Evoked Potentials (BAEPs) are for detecting the problems along the auditory pathways including, the eighth cranial nerve and brainstem. Motor Evoked Potentials (MEPs) is a useful adjunct to conventional monitoring of Somato-sensory Evoked Potentials (SEPs) during surgery. Visual Evoked Potentials (VEPs) has been regarded as having limited significance for the preservation of visual function during neurosurgical procedures. In this paper, we propose that the most appropriate averaging of the number of inspections in the inspection of each used in the operative field, is good and efficient, functionally.

• 전자공학회논문지S
• /
• 제34S권3호
• /
• pp.55-62
• /
• 1997

For the effective removal of artifacts and the extraction of an improved evoked potential response, we propose the averaging method usin gthe shrinkag eof wavelet coefficients. The wavelet analysis decomposes the measured evoked potentials into scale coefficients with low frequency components and wavelet coefficients with high ones as a resolution level, respectively. and in the course of synthesis evoked potentials, the presented method shrinks the wavelet coefficients, and then reproduces the evoked potentials, and lastly averages it. We measured visual evoked potentials to simulate the averaging method using the shrinkage of wavelet coefficients, and compared it with aveaged signal. As a result of simulations, the proposed method gets improved VEP about 0.2-1.6dB in comparison with the averaging method with daubechies wavelet in the resolution level four.

• 대한의용생체공학회:의공학회지
• /
• 제22권3호
• /
• pp.259-267
• /
• 2001

The visual evoked potentials(VEPs) is used to assist in the diagnosis of specific disorders associated with involvement of the sensory visual pathways. The P100 latency is an important parameter which is diagnosis of optic nerve disorders. There are characteristics of latency delay, wave distortion, amplitude deduction in abnormal subjects. It is difficult to diagnose in the case of producing peak at the P100 latency. In this paper, difference of pattern between normal VEPs and abnormal VEPs using the Choi-Williams distribution method is studied. We observed the relationship about time and spectrum. The result shown that normal VEPs had maximum spectral value at 20Hz~26.7Hz and abnormal VEPs had maximum spectral value at 16.7Hz~20Hz. Also normal VEPs spectrum is higher than abnormal VEPs spectrum.

• Annals of Clinical Neurophysiology
• /
• 제20권1호
• /
• pp.12-17
• /
• 2018

Visual evoked potentials (VEPs) are frequently used to assess the anterior and posterior visual pathways. In particular, the use of VEPs have been increasing in various fields such as evaluation of the optic nerves in patients with multiple sclerosis. The performance of VEP test can be affected by various factors such as stimulus type and subject condition, and its interpretation is also difficult. However, there have been no guidelines for performing and interpreting VEPs in Korea. Therefore, we aimed to provide comprehensive information regarding basic requirement and interpretation for VEPs.

• Annals of Clinical Neurophysiology
• /
• 제22권2호
• /
• pp.104-108
• /
• 2020

We performed intraoperative neurophysiological monitoring (INM) during anteromesial temporal resection (AMTR) in a patient with lesional temporal lobe epilepsy. INM revealed a sudden decrease in N20 waves in somatosensory evoked potentials (SSEPs) and poor P100 waves in visual evoked potentials (VEPs). These changes developed after applying electrocoagulation in the right mesial temporal areas. Postoperative brain magnetic resonance imaging demonstrated right thalamic and medial occipital infarctions. SSEPs and VEPs monitoring can be useful for detecting posterior cerebral artery infarction in AMTR.

• The Journal of Korean Physical Therapy
• /
• 제16권3호
• /
• pp.72-85
• /
• 2004

We have few assessment tool in physical therapy. Recently, there is increasingly a concern of electrophysiologic examinations. They includes electomyography; needle and surface, evoked potentials; somatosensory evoked potentials; brainstem auditory evoked potentials; visual evoked potentials, nerve conduction velocity, blink reflex, H-reflex, and F-wave. The purpose of this study is understanding of electrophysiologic examinations. So we hope many physical therapist to use electrophysiologic examinations in research.

• 대한물리치료과학회지
• /
• 제3권1호
• /
• pp.907-918
• /
• 1996

Evoked potentials(EP) are defined as electric responses of the nerves system to sensory stimulation. EPs are used mainly to test conduction in the visual, auditory, and somatosensory systems, especially in the central parts of these systems. Somatosensory evoked potentials (SEP) are the potentials elicited by stimulation of peripheral nerves and recorded at various sites along the sensory pathway. SEPs types consist mainly of SEPs to electric stimulation of arm or leg nerves. SEPs to arm stimulation are usually recorded simultaneously from clavicular, cervical, and scalp electrodes; SEPs to leg stimulation are recorded from lumbar, low thoracic, and scalp electrodes. Subject variables that have practical impotance are age, limb length, body height, and temperature. General clinical interpretation of abnormal SEPs wave decreases of peripheral conduction time, and abolition of SEPs recorded from different levels to identify lesions of peripheral nerves, plexus, nerve root, spinal cord, cauda equina, hemispheric brainstem, and cerebral parts of the somatosensory pathway.

• 대한의용생체공학회:의공학회지
• /
• 제26권2호
• /
• pp.95-99
• /
• 2005

We have performed EEG current source imaging on the cortical surface using visual evoked potentials (VEPs) recorded inside a 3.0 T MRI magnet. In order to remove ballistocardiogram (BCG) artifacts in the VEPs, an improved BCG template subtraction technique is devised. Using the cortically constrained current source imaging technique and pattern-reversal visual stimulations, we have obtained current source maps from 10 subjects. To validate the EEG current source imaging inside the magnet, we have compared the current source maps to the ones obtained outside the magnet. The experimental results demonstrate that there is a strong correspondence between the current source maps, proving that current source imaging is feasible with the evoked potentials recorded inside a 3.0 T MRI magnet.

• 한국감성과학회:학술대회논문집
• /
• 한국감성과학회 2002년도 춘계학술대회 논문집
• /
• pp.44-50
• /
• 2002

The fast Fourier transform (FFT) is a good method to estimate spectral density, but the frequency resolution is limited to the sampling window, and thus the precise characteristics of the spectral density for short signals are not clear. To solve the limitation, a multiple band-pass filter was introduced to estimate the precise time course of the spectral density for flash visual evoked potentials (VEPs). Signals were recorded during -200 and 600 ms using balanced noncephalic electrodes, and sampled at 1 K Hz in 12 bits. With 1 Hz and 10 ms resolutions, spectral density was estimated between 10 and 100 Hz. Background powers at the alpha-and beta-bands were high over the posterior scalp, and powers around 200ms were evoked at the same bands over the same region, corresponding to P110 and N165 of VEPs. normalized's spectral density showed evoked powers around 200 ms and suppressed powers following the evoked powers over the posterior scalp. The evoked powers above the 20Hz band were not statistically significant. However, the gamma band was significantly evoked intra-individually; details in the gamma bands were varied among the subjects. Details of spectral density were complicated even for a simple task such as watching flashes; both synchronization and desynchronization occurred with different distributions and different time courses.