Early cognitive components of somatosensory event-related potentials

Somatosensory event-related potentials (ERPs) were recorded during a selective attention task involving electrical stimuli delivered to index fingers or the left and right median nerves at the wrist. In 11 healthy, young subjects, ERPs were recorded from 6 scalp locations while they mentally counted the electrical stimuli designated as target. Sequential ERP events measured included N20 (negativity at 20 ms), P30, P45, N60, P100, N140, P180, and P400. Analysis of amplitude data indicated modifications of both early and late ERP events with selective attention. While electrical stimulation at the wrist yielded early ERP amplitudes that were larger overall and latencies that were generally shorter, the selection attention effects did not differ on the basis of site of stimulation. The early ERP selective attention effects had differing scalp topography, with the P30/P45 effect of maximal over postcentral gyrus and N60 effect maximal over prerolandic gyrus. The data further elucidate the temporal features and spatial distribution of somatosensory ERP processes involved in attentional activity.     

Modulation of somatosensory evoked potentials during isometric contraction in relation to hand use.

The aim of the study was to assess the effect of the hand used on the modulation of somatosensory evoked potentials (SEPs) during isometric contraction. SEPs to median nerve stimulation were assessed during dynamic (increase and decrease of force) and hold phases of isometric contractions. The experiments were carried out with the right or left hand. The changes in the SEP amplitude were found to vary with the hand used. When isometric contractions were performed by the right hand the amplitudes of the later components diminished during the dynamic phases, except for the component N140-P190 which increased. The amplitude of N55-P100 diminished during both the dynamic and hold phases. When isometric contractions were performed by the left hand the amplitudes of the early components diminished during the dynamic phases. These results show that the changes in SEP during isometric contraction depend on the hand used.     

The impact of light fingertip touch on haptic cortical processing during a standing balance task

Availability of fingertip touch onto a stable surface reduces body sway for subjects standing with eyes closed. This is largely associated with sensory feedback from the fingertip when mechanical load is limited. Here, it is possible that the central nervous system facilitates cortical sensory processing to augment feedback to control upright stance. To test this, we compared cortical sensory excitability between tasks with and without light finger touch while standing. Subjects stood in tandem on a force plate with eyes closed while lightly touching a stable surface with the index finger. This was, in two different studies, compared to: (1) no haptic contact or (2) light touch on an object not referenced to balance. Throughout testing, the median nerve was stimulated and electroencephalography was used to measure somatosensory evoked potentials (SEPs). As expected, availability of stable light touch reduced medial–lateral COP sway. Peak amplitudes for SEP components revealed reduced P100 (48%), but increased P50 (31%), N140 (80%), and P200 (20%) during stable touch versus no touch. The modulation of P50 and N140 was no longer present when comparing stable to control (touch), which suggested that attending to touch on either surface, regardless of stability reference, accounted for these changes. Conversely, P200 was increased (19%) when touching the stable surface. Our data show SEP modulation during a standing balance task related to hand contact. Facilitation of P200 in particular may indicate task-specific regulation of the cortical representation of fingertip afferent input when it is relevant to providing stable cues for static balance control.     

Finger movement is associated with attenuated cutaneous reflexes recorded from human first dorsal interosseous muscle

Cutaneomuscular reflexes (CMR) have been recorded from the first dorsal interosseous muscle (1DI) of the preferred hand, somatosensory evoked potentials (SEP) were recorded from the contralateral sensory cortex and the sensory nerve action potential (SNAP) was recorded from the median nerve of 15 adult subjects whilst electrically stimulating the digital nerves of the index finger. Subjects performed the following tasks (a) a sustained abduction of the index finger against resistance at 10–20 % maximum voluntary contraction (MVC), and (b) abduction of the index finger as in (a) whilst performing self paced low amplitude tapping of the (i) index finger, (ii) thumb, (iii) middle finger, (iv) little finger and (v) ipsilateral foot. The E2 component of the CMR and the N20/P25 components of the SEP were significantly reduced during finger tapping ( P < 0.05). This reduction was independent of which finger was tapping ( P > 0.05). There was a significant (qualitative) relationship between the decrease in the size of the E2 component of the CMR and the N20/P25 components of the SEP (χ² test; P < 0.05). There were no significant changes in E1 and I1 ( P > 0.05). The size of the SNAP was independent of task ( P > 0.05). The size of the E1, I1, E2 components of the CMR, and the N20/P25 components of the SEP were unaltered during foot tapping ( P > 0.05, n = 4). We conclude that the decrease in size of the E2 component associated with finger tapping results from gating of the digital nerve input.     

P50 potential-associated gamma band activity: modulation by distraction

We aimed to evaluate the effect of changing attentional demands towards stimulation in healthy subjects on P50 potential-related high-frequency beta and gamma oscillatory responses, P50 and N100 peak amplitudes and their gating measures. There are no data showing effect of attention on P50 potential-related beta and gamma oscillatory responses and previous results of attention effects on P50 and N100 amplitudes and gating measures are inconclusive. Nevertheless the variation in the level of attention may be a source of variance in the recordings as well as it may provide additional information about the pathology under study. Nine healthy volunteers participated in the study. A standard paired stimuli auditory P50 potential paradigm was applied. Four stimulation conditions were selected: focused attention (stimuli pair counting), unfocused attention (sitting with open eyes), easy distraction (reading a magazine article), and difficult distraction (searching for Landolt rings with appropriate gap orientation). Time-frequency responses to both S1 and S2 were evaluated in slow beta (13-16 Hz, 45-175 ms window); fast beta (20-30 Hz, 45-105 ms window) and gamma (32-46 Hz, 45-65 ms window) ranges. P50 and N100 peak amplitudes in response to both S1 and S2 and their ratio were evaluated. The phase-locked P50 potential-associated gamma activity was attenuated during distraction tasks as compared to focused attention and an unfocused attention condition. The amplitudes and gating measures of P50 and N100 waves and beta activity were not sensitive to the competing distraction task performance. The use of a distraction task is not favorable when phase-locked gamma range activity is a key interest in auditory potential studies.     

Differential enhancement of early and late components of the cerebral somatosensory evoked potentials during forced-paced cognitive tasks in man

1. Cerebral potentials evoked by random sequences of electrical stimuli to four fingers were recorded in intact man performing selective attention tasks. Eye movements and other artifacts were excluded from the averaged traces. Different finger stimuli were designated as targets to be mentally counted in alternate runs of each experiment. The high mean random rate of stimuli (150/min) fully involved the processing capacities of the subject. Vigilance changes or differential expectancy effects were excluded by the reciprocal random design with four different sensory channels. Task-related enhancements of somatosensory evoked potentials (s.e.p.) components were estimated by comparison with the s.e.p.s to physically identical finger stimuli recorded in runs when the subject attended signals in the opposite hand. The experimental design avoided subject's fatigue.

2. The primary s.e.p. components N₂₀ and P₄₅ were not significantly influenced and this excluded centrifugal gating of the corticipetal signals as a mechanism.

3. The earliest task-related changes in s.e.p. occurred 55-135 msec (mean 77·7 msec) after the target finger stimuli. In most cases the negative N₁₄₀ component was markedly enhanced both for target signals and for non-targets in the adjacent finger of the same hand. However, in several subjects the targets elicited a positive P₁₀₀ component instead. Both N₁₀₄ and P₁₀₀ were larger at the contralateral parietal focus than ipsilaterally. They were definitely smaller at the vertex and frontal scalp locations.

4. Enhancements of N₁₄₀ were not observed in similar random four-finger experiments carried out at a 4 times slower mean rate, but they occurred in a bisensory paradigm with finger shocks and acoustic clicks at that slower rate.

5. A large positive P₄₀₀ component was only elicited by target stimuli. Its voltage was maximum over the parietal region and was equal on both sides.

6. At least three categories of components can be differentiated in the cortical s.e.p. on the basis of their time domains (roughly 18-70 msec, 70 to 200-250 msec and over 200 msec after the finger stimuli), cerebral hemispheres topography and cognitive parameters. Verbal instructions defining specific perceptual tasks can to a large extent switch on and off the components of the second and third categories when the processing resources of motivated subjects are fully committed in a well designed forced paced paradigm. In certain individuals physiological evidence for a different `stimulus set' processing of target (P₁₀₀) and non-target (N₁₄₀) signals was documented for the first time.

     

The effect of changing stimulus intensities on median nerve somatosensory-evoked potentials

We investigated median nerve somatosensory-evoked potentials (SEP) in 31 healthy volunteers to test the hypothesis that 1) increasing stimulus intensity influences SEP components in both amplitude and latency 2) SEP components respond differently to changing intensities. Cluster analysis and analysis of variance were used for statistical testing. Three groups of components could be found according to latency changes in response to increasing stimulus intensities: N13, and P15, the primary cortical response (N19, P22) and the components over 30 ms. In general, SEP components below 30 ms significantly shortened in latency and increased in amplitude with subsequent saturation. In contrast, in components over 30 ms latencies decreased linearly and amplitudes changed inhomogeneously. The clear effect of stimulus intensity on most median nerve SEP components makes it necessary to maintain comparable stimulus intensities when comparing intra- and interindividual registrations.     

Shift of attention to the body location of distracters is mediated by perceptual load in sustained somatosensory attention

We investigated the impact of task difficulty on neuronal facilitation of to-be-attended somatosensory vibrotactile stimuli and transient tactile distracters during sustained attention. In Experiment 1, we employed an easy detection task and in Experiment 2 a challenging discrimination task. Sustained attention was manipulated by presenting vibrotactile stimuli simultaneously to the index fingers of both hands for a period of 3 s. These stimuli elicited the steady-state somatosensory evoked potential (SSSEP). Subjects attended to one body side and had to detect target-stimuli that were embedded in the ongoing vibratory streams. When subjects discriminated target-stimuli we found increased SSSEP amplitudes of the to-be-attended vibrotactile stream and greater N140 amplitudes of the somatosensory evoked potential (SEP). During stimulus detection no such facilitation of the SSSEP was found. Greater N140 amplitudes elicited by to-be-ignored distracters indicated that they pull attention to that body location under conditions of low load.     

The Effects of Serial Order in Long Sequences of Auditory Stimuli on Event-Related Potentials

The generalizability of the model relating P300 amplitudes to subjective probabilities, developed by Squires et al. (1976) for random series of events, was examined with respect to long sequences of repetitions, which had been restricted in randomness, allowing only for sequences of between 4 and 12 frequent clicks. Subjects were asked to silently count either the rarer of two clicks, presented with a probability of .10, or light stimuli occurring with the same temporal distribution. Within these limits there was an increase in P300 amplitude not only to the rare clicks, but also—contrary to predictions from the model—to the frequent non-target clicks following longer series of repetitions, provided that clicks had to be counted. A plausible interpretation might be that the longer the series of repetitions in long non-random sequences with low predictability, the more the subjects become involved in the “stimulus evaluation” of both kinds of events. A similar increase across serial position was found for the N100 component to frequent clicks when the auditory modality was defined as task relevant, and was interpreted as progressive focusing of selective attention. For the rare clicks there occurred a decrease in a slow Negative Shift with peak amplitude at 220 msec after long series of non-targets, possibly reflecting a facilitative effect of the focused attention on decision processes related to target detection. There were no differences between normals and chronic alcoholics with respect to the above-mentioned effects.     

Dynamic Brain Topography of Somatosensory Evoked Potentials and Equivalent Dipoles in Response to Graded Painful Skin and Muscle Stimulation

The differential effects of painful stimulation of skin vs. muscle on the cerebral electrophysiology have been poorly described. This study examined the somatosensory evoked potentials (SEPs) and the associated dipole models of non-painful and graded painful electrical stimulation applied to the skin and muscle in 20 healthy subjects. With the psychophysical stimulus-response functions determined, the skin stimulation showed a steeper slope than muscle stimulation. For both types of stimulation, the SEPs indicated a similar temporo-spatial activation sequence: F4/N90-P4/P95, Fc2/N135, Cz/P250, Cz/P300, and Cz/N460. The SEP amplitudes increased significantly with the stimulus intensities in these components. The peak SEP latencies of skin stimulation were in general shorter than that of muscle stimulation. The SEP amplitudes to skin stimulation were significantly larger than those caused by muscle stimulation at every stimulus intensity level, except the early mid-latency component. In this case, muscle stimulation caused higher amplitudes over the contralateral parietal-frontal sites. For both types of stimulation, the topographic maps were quite similar. Equivalent dipole modeling revealed identical site parameters (<1.0 cm) between skin and muscle stimulation. However, the electrical skin stimulation did not correlate with the pain intensity. Pain intensity, in contrast, was uniquely associated with the Cz/P250 amplitudes for the muscle stimulation. It is concluded that non-nociceptive and nociceptive electrical stimuli applied to skin and muscle are processed in the common cerebral areas, but exhibit differential SEP effects.     

Ca2+ channels that activate Ca2+-dependent K+ currents in neostriatal neurons

It is demonstrated that not all voltage-gated calcium channel types expressed in neostriatal projection neurons (L, N, P, Q and R) contribute equally to the activation of calcium-dependent potassium currents. Previous work made clear that different calcium channel types contribute with a similar amount of current to whole-cell calcium current in neostriatal neurons. It has also been shown that spiny neurons posses both “big” and “small” types of calcium-dependent potassium currents and that activation of such currents relies on calcium entry through voltage-gated calcium channels. In the present work it was investigated whether all calcium channel types equally activate calcium-dependent potassium currents. Thus, the action of organic calcium channel antagonists was investigated on the calcium-activated outward current. Transient potassium currents were reduced by 4-aminopyridine and sodium currents were blocked by tetrodotoxin. It was found that neither 30 nM ω-Agatoxin-TK, a blocker of P-type channels, nor 200 nM calciseptine or 5 μM nitrendipine, blockers of L-type channels, were able to significantly reduce the outward current. In contrast, 400 nM ω-Agatoxin-TK, which at this concentration is able to block Q-type channels, and 1 μM ω-Conotoxin GVIA, a blocker of N-type channels, both reduced outward current by about 50%. These antagonists given together, or 500 nM ω-Conotoxin MVIIC, a blocker of N- and P/Q-type channels, reduced outward current by 70%. In addition, the N- and P/Q-type channel blockers preferentially reduce the afterhyperpolarization recorded intracellularly.The results show that calcium-dependent potassium channels in neostriatal neurons are preferentially activated by calcium entry through N- and Q-type channels in these conditions.     

Skill-specific changes in somatosensory-evoked potentials and reaction times in baseball players

Athletic training is known to induce neuroplastic alterations in specific somatosensory circuits, which are reflected by changes in short-latency somatosensory-evoked potentials (SEPs). The aim of this study is to clarify whether specific training in athletes affects the long-latency SEPs related to information processing of stimulation. The long-latency SEPs P100 and N140 were recorded at midline cortical electrode positions (Fz, Cz, and Pz) in response to stimulation of the index finger of the dominant hand in fifteen baseball players (baseball group) and in fifteen athletes in sports such as swimming, track and field events, and soccer (sports group) that do not require fine somatosensory discrimination or motor control of the hand. The long-latency SEPs were measured under a passive condition (no response required) and a reaction time (RT) condition in which subjects were instructed to rapidly push a button in response to stimulus presentation. The peak P100 and peak N140 latencies and RT were significantly shorter in the baseball group than the sports group. Moreover, there were significant positive correlations between RT and both the peak P100 and the peak N140 latencies. Specific athletic training regimens that involve the hand may induce neuroplastic alterations in the cortical hand representation areas playing a vital role in rapid sensory processing and initiation of motor responses.     

Altered cortical integration of dual somatosensory input following the cessation of a 20 min period of repetitive muscle activity

The adult human central nervous system (CNS) retains its ability to reorganize itself in response to altered afferent input. Intracortical inhibition is thought to play an important role in central motor reorganization. However, the mechanisms responsible for altered cortical sensory maps remain more elusive. The aim of the current study was to investigate changes in the intrinsic inhibitory interactions within the somatosensory system subsequent to a period of repetitive contractions. To achieve this, the dual peripheral nerve stimulation somatosensory evoked potential (SEP) ratio technique was utilized in 14 subjects. SEPs were recorded following median and ulnar nerve stimulation at the wrist (1 ms square wave pulse, 2.47 Hz, 1× motor threshold). SEP ratios were calculated for the N9, N11, N13, P14–18, N20–P25 and P22–N30 peak complexes from SEP amplitudes obtained from simultaneous median and ulnar (MU) stimulation divided by the arithmetic sum of SEPs obtained from individual stimulation of the median (M) and ulnar (U) nerves. There was a significant increase in the MU/M + U ratio for both cortical SEP components following the 20 min repetitive contraction task, i.e. the N20–P25 complex, and the P22–N30 SEP complex. These cortical ratio changes appear to be due to a reduced ability to suppress the dual input, as there was also a significant increase in the amplitude of the MU recordings for the same two cortical SEP peaks (N20–P25 and P22–N30) following the typing task. No changes were observed following a control intervention. The N20 (S1) changes may reflect the mechanism responsible for altering the boundaries of cortical sensory maps, changing the way the CNS perceives and processes information from adjacent body parts. The N30 changes may be related to the intracortical inhibitory changes shown previously with both single and paired pulse TMS. These findings may have implications for understanding the role of the cortex in the initiation of overuse injuries.     

The effects of aging on selective attention to touch: a reduced inhibitory control in elderly subjects?

This article aimed at disclosing differences in the brain mechanisms underlying selective attention between elderly and young subjects. We studied two populations of subjects, 17 elderly (mean age: 71.7) and 12 young (mean age: 26.9). Somatosensory evoked potentials (SEPs) to median nerve stimulation were recorded from 19 scalp electrodes in a neutral condition (NC), in which subjects were asked to disregard the electrical stimulation and in a selective attention condition (SAC), in which the subjects had to count tactile stimuli delivered on the same hand of the stimulated median nerve. In a further 3 old and in 3 young subjects, SEPs were recorded also in a distraction condition (DC), in which the subjects had to perform a mathematical task. The SEP amplitude increase during SAC was lower in old than in young subjects. Moreover, while in young subjects the N140 potential was identifiable only in SAC, in the elderly population it was already evoked during both NC and DC. Elderly subjects are probably unable to divert their attention from the median nerve electric stimuli during NC and DC and, therefore, have lower attention resources to invest during SAC. This may explain the recording of the attention-related N140 potential even in NC and DC and the lower SEP amplitude increase in SAC, observed in elderly subjects. These findings agree with recent hypotheses that suggest a decrease of the inhibitory control of the attention mechanisms during aging.     

Auditory Evoked Potentials and Divided Attention

In a multi-channel divided attention task, 8 subjects listened to a sequence of tones delivered at one of two stimulation rates and at one of three spatial locations (channels): left ear, right ear, and an apparent position midway between left and right ears. Subjects were instructed to monitor one, two, or all three channels and detect slightly louder target tones in the monitored channel(s). Seven listening conditions were used, three in which subjects monitored one channel and ignored the others, another three in which two channels were simultaneously monitored and the third ignored, and a further condition in which all three channels were monitored. With a high stimulation rate, the N1 component of the vertex evoked potential (latency 70–130 msec) in both attended and unattended channels significantly decreased in amplitude with an increase in the number of monitored channels. At the same time, N1 was significantly larger when a channel was attended than when it was ignored. There were no significant effects under slow stimulation rate conditions. Like N1, target detectability (d') declined with increasing monitoring load only with a fast stimulation rate, but the correspondence between these two measures was not upheld in every condition. The results indicate that with a high “information load” in a multi-channel task, selective attention increases the vertex response in all attended channels, while divided attention decreases the response in both attended and unattended channels, thus suggesting that the N1 component of the auditory evoked potential reflects the apparent division of attentional capacity among competing auditory inputs.     

“Touched” by Light: Event-Related Potentials (ERPs) to Visuo-Haptic Stimuli in Peri-Personal Space

Parietal neuronal populations have been found which respond bimodally to visual and somatosensory input regarding one’s own limbs or even perceived haptic input of a false limb (Graziano et al., Science 290:1782–1785, 2000). Further, neuronal populations have been observed which respond preferentially to visual stimuli presented in spatial congruence with our hands (Graziano, Proc Natl Acad Sci USA 96:10418–10421, 1999). In this study, we examined event-related potentials (ERPs) elicited by laser dots projected onto or above participants’ index and middle fingers during a sustained-attention task. We hypothesized that visual stimuli projected onto the hand would elicit differences in ERP deflections related to sensory gating and categorization in comparison to when projected close to the hand. Participants responded via a footswitch to rare target flashes of light occurring on or directly above the middle finger of the attended hand. We found enhanced amplitudes of the N1 and P3 deflections when the stimuli fell onto the finger tips as opposed to above them. Furthermore, the N1 for unattended stimuli was less suppressed when the lasers were projected onto the fingers. Behaviorally, participants were less accurate to targets when the lasers fell onto the fingers. We conclude that when the lasers appear to “touch” the participants, they act to automatically draw participants’ attention. Thus visual stimuli projected onto the fingers of the ‘unattended’ hand are harder to filter out, leading to decreases in accuracy during task performance.     

Recovery function of and effects of hyperventilation on somatosensory evoked high-frequency oscillation in Parkinson's disease and myoclonus epilepsy

To evaluate recovery function of and effects of hyperventilation (HV) on high-frequency oscillations (HFOs) of median nerve somatosensory evoked potential (SEP), we recorded SEPs in 8 Parkinson's disease (PD) patients with enlarged HFOs, 4 myoclonus epilepsy (ME) patients and 10 healthy volunteers (N). SEP was recorded from the hand sensory area contralateral to the median nerve stimulated at the wrist. Responses were amplified with filters set at 0.5 and 3000 Hz. HFOs were obtained by digitally filtering raw SEPs from 500 to 1000 Hz. We measured amplitudes of the N20 onset-peak (N20o-p), N20 peak-P25 peak (N20p-P25p), P25 peak-N33 peak (P25p-N33p), the early (1st-2nd) and late (3rd) HFOs. For the recovery function study, paired-pulse stimuli at various interstimulus intervals (20, 50, 100, 150, 200 and 300 ms) were given. To investigate effects of HV, amplitudes of several components of SEPs recorded after HV were compared with those before HV. In PD and ME, the N20o-p recovery curve showed significantly less suppression as compared with those of N. The P25p-N33p recovery curve of ME showed longer suppression than those of N and PD. There were no significant differences in the early or late HFOs recovery curves among three groups. At the dysinhibited state after HV, the late HFO was reduced in association with a significant enlargement of the N20p-P25p amplitude in normal subjects. This suggests that the late HFOs should reflect bursts of inhibitory interneurons. In the ME patients, the early HFOs significantly decreased by HV. The pattern in ME patients may be explained by a kind of compensation for already enhanced SEPs (giant SEP) in the dysinhibited situation. We conclude that (1) Giant HFOs are normally regulated by inhibitory neuronal systems involving in paired stimulation SEP. (2) The late HFOs must reflect bursts of GABAergic inhibitory interneurons.     

Modulation of Brain Activities by Hierarchical Processing: A High-Density ERP Study

The present study investigated how attention to global or local levels of hierarchical patterns modulates brain activities by recording high-density event-related brain potentials (ERPs) evoked by hierarchical stimuli. 120-channel recordings of ERPs were obtained from subjects while they detected targets at global or local levels of hierarchical stimuli displayed in the left or the right visual field. We found that attention to local stimulus features enhanced posterior PI and N2 components, with the N2 enhancement showing a left hemisphere predominance regardless of stimulus positions. Difference was also seen in the distribution of the frontal P2. Reaction times were slowed when global and local levels of stimuli were incompatible, and an interference effect was observed on anterior N2 amplitudes and latencies. Three-dimensional current distributions showed common sources over the posterior cortex between 80-230 ms and a contralateral frontal source between 300-400 ms for global and local conditions. However, an additional ipsilateral frontal focus between 230-350 ms was found specially for local processing. The results corroborate the findings of previous ERP studies, and suggest that the frontal lobe is particularly important for the selective processing of local parts of a global structure.     

Non-Painful and Painful Surface and Intramuscular Electrical Stimulation at the Thenar and Hypothenar Sites: Differential Cerebral Dynamics of Early to Late Latency SEPs

Little is known about somatosensory evoked potentials (SEPs) from muscle stimulation compared to that from skin stimulation. The current study examined this issue in the full SEP spectrum (0 - 440 ms). The aims of the study were to (1) establish the dynamics of early to late latency SEPs from intramuscular stimulation in contrast to surface stimulation, (2) compare the effect of non-painful and painful stimuli on SEP latencies and amplitudes of the two methods, and (3) investigate to which extent these results can be shared between the median nerve innervated thenar site and ulnar nerve innervated hypothenar site. Stimuli were delivered (2 Hz) at a non-painful and a painful intensity above or within the thenar and hypothenar muscles of the hand. Maximas of the SEPs were extracted by a combination of global field power and visual inspection of the topographies. Amplitudes and latencies of the maximas were analysed by a two-way ANOVA with repeated measures. In the early phase (0 - 50 ms) the topographic patterns showed different dynamics between surface and intramuscular stimulation and in the late phase (100- 440 ms) prolonged latencies were found for intramuscular stimulation. Apart from this, similar topographic patterns and time sequences were obtained. Significant higher SEP amplitudes for most of the isolated components (C4'/P25, Fz/N35, C4'/P45, Fc2/N65, P4/P90, T4/N137, F3/P150, Cz/P240-P270) were found with surface stimulation compared to intramuscular stimulation. In contrast to surface stimulation, intramuscular stimulation at a stimulation frequency of 2 Hz did not result in a differentiation in amplitude for any of the isolated components. These results indicate differences in the early and late processing of sensory input from skin and muscle.     

Multichannel derived median nerve SEP compared to EEG in patients with vascular cerebral lesions.

In order to compare the sensitivity of multichannel derived median nerve SEP with EEG in vascular cerebral lesions we examined 22 normals and 23 patients. SEP components within the first 50 ms could be divided into main waveform patterns: (1) a W-shaped parietal pattern consisting of N20, P25, N35 and P45 in most cases. (2) a frontal pattern with P20 and N30 as well as possibly detectible N24, P28, P33, N40 and P50. (3) a central P22. Two younger normals showed a V-shaped parietal pattern with N20 and P35, a frontal pattern with P20 and N36, and central P22 with a remarkably long latency. All components could be analysed sufficiently by means of three representative electrode positions (stimulation right/left): P3/P4, C3/C4, and F3/F4, which reduces the expense of recording and analysing considerably. 21 patients (91.3%) showed abnormal results in SEP, whereas 14 patients (60.9%) in EEG. A three channel electrode array can increase the usefulness of SEP and detect cerebral dysfunctions in cerebral lesions in spite of normal EEG under routine examination conditions. Analysis of multichannel derived SEPs during treatment and recovery after stroke and search for the prognostic value in the acute stage of the disease should be done in future.