Tibial nerve somatosensory evoked potentials during EEG suppression in sevoflurane anaesthesia. 1999

S Rytky, and A M Huotari, and S Alahuhta, and R Remes, and K Suominen, and V Jäntti
Department of Clinical Neurophysiology, Oulu University Hospital, Finland. seppo.rytky@oulu.fi

OBJECTIVE Cortical tibial nerve somatosensory evoked potentials (TSEPs) were recorded from 10 subjects in sevoflurane anaesthesia in order to study TSEP during EEG suppression. RESULTS With a stimulation frequency less than one per second the major component was a positive wave which had maximal amplitude parietally ipsilaterally to stimulus and mean latency of 46.1 ms. It probably corresponds to the P40 wave. It was preceded by a widespread smaller positive wave, which corresponds to the subcortical P30 wave. In two patients a high amplitude negative wave, a couple of milliseconds before the positive wave, and maximal parietally contralateral to stimulus, was seen. All later waves were absent. CONCLUSIONS The results are in agreement with our previous results from median nerve SEPs showing that the first cortical response from primary somatosensory cortex is enhanced, and later waves are suppressed. Hence, recording TSEPs during EEG suppression provides a way to record the activity of the primary somatosensory cortex accurately and rapidly due to the very good signal to noise ratio, so that even single responses to stimuli can be seen without averaging. Our results suggest that new cortical generators, which are not recordable awake, may be discovered in some patients.

UI MeSH Term Description Entries
D008297 Male Males
D008738 Methyl Ethers A group of compounds that contain the general formula R-OCH3. Ethers, Methyl
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D001921 Brain The part of CENTRAL NERVOUS SYSTEM that is contained within the skull (CRANIUM). Arising from the NEURAL TUBE, the embryonic brain is comprised of three major parts including PROSENCEPHALON (the forebrain); MESENCEPHALON (the midbrain); and RHOMBENCEPHALON (the hindbrain). The developed brain consists of CEREBRUM; CEREBELLUM; and other structures in the BRAIN STEM. Encephalon
D001931 Brain Mapping Imaging techniques used to colocalize sites of brain functions or physiological activity with brain structures. Brain Electrical Activity Mapping,Functional Cerebral Localization,Topographic Brain Mapping,Brain Mapping, Topographic,Functional Cerebral Localizations,Mapping, Brain,Mapping, Topographic Brain
D004558 Electric Stimulation Use of electric potential or currents to elicit biological responses. Stimulation, Electric,Electrical Stimulation,Electric Stimulations,Electrical Stimulations,Stimulation, Electrical,Stimulations, Electric,Stimulations, Electrical
D004569 Electroencephalography Recording of electric currents developed in the brain by means of electrodes applied to the scalp, to the surface of the brain, or placed within the substance of the brain. EEG,Electroencephalogram,Electroencephalograms
D005073 Evoked Potentials, Somatosensory The electric response evoked in the CEREBRAL CORTEX by stimulation along AFFERENT PATHWAYS from PERIPHERAL NERVES to CEREBRUM. Somatosensory Evoked Potentials,Evoked Potential, Somatosensory,Somatosensory Evoked Potential
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

S Rytky, and A M Huotari, and S Alahuhta, and R Remes, and K Suominen, and V Jäntti
September 1997, Canadian journal of anaesthesia = Journal canadien d'anesthesie,
S Rytky, and A M Huotari, and S Alahuhta, and R Remes, and K Suominen, and V Jäntti
April 1994, Acta anaesthesiologica Scandinavica,
S Rytky, and A M Huotari, and S Alahuhta, and R Remes, and K Suominen, and V Jäntti
October 2008, Neurophysiologie clinique = Clinical neurophysiology,
S Rytky, and A M Huotari, and S Alahuhta, and R Remes, and K Suominen, and V Jäntti
April 1998, Electroencephalography and clinical neurophysiology,
S Rytky, and A M Huotari, and S Alahuhta, and R Remes, and K Suominen, and V Jäntti
April 1989, American journal of physical medicine & rehabilitation,
S Rytky, and A M Huotari, and S Alahuhta, and R Remes, and K Suominen, and V Jäntti
July 1994, Neurology,
S Rytky, and A M Huotari, and S Alahuhta, and R Remes, and K Suominen, and V Jäntti
January 1989, Electromyography and clinical neurophysiology,
S Rytky, and A M Huotari, and S Alahuhta, and R Remes, and K Suominen, and V Jäntti
April 1991, British journal of anaesthesia,
S Rytky, and A M Huotari, and S Alahuhta, and R Remes, and K Suominen, and V Jäntti
February 1989, Bollettino della Societa italiana di biologia sperimentale,
S Rytky, and A M Huotari, and S Alahuhta, and R Remes, and K Suominen, and V Jäntti
January 1986, Brain & development,
Copied contents to your clipboard!