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Somesthetic information from lower extremities is processed by cerebral cortex after traversing the sensory pathways of peripheral nerve, spinal cord, brain-stem and thalamus. Clinical utility of somatosensory evoked potentials (SSEPs) during human development requires systematic analysis of normative data acquired during various stages of body growth and nervous system maturation. Accordingly, SSEPs after tibial nerve stimulation were studied in 32 normal awake children (1-8 years old) and compared with values obtained in young adults (18-40 years old). Potentials were recorded from the tibial nerve (N5), first lumbar spinous process (N14), seventh cervical spinous process (N20) and from the scalp, 2 cm behind the vertex (P28). In all children studied, the N5, N14 and N20 latencies were positively correlated with age and height yielding a predictive nomogram. An extremely variable electropositive cortical SSEP was recorded from Cz' which did not show a highly predictable linear relationship in association with a relatively poor correlation coefficient for height and age. It may be concluded that between 1 and 8 years of normal postnatal development, latencies reflecting peripheral nerve and lumbar spinal cord vary directly with height and age and can be represented by a simple cable model of a lengthening myelinated pathway. In contrast, the latency of the cortical SSEP reflects asynchronous maturation of elongating polysynaptic pathways and apparently requires a more complex model for prediction in order to enhance its clinical utility.
R L Gilmore, and
N H Bass, and
E A Wright, and
D Greathouse, and
K Stanback, and
E Norvell
November 1982,
Electroencephalography and clinical neurophysiology,
R L Gilmore, and
N H Bass, and
E A Wright, and
D Greathouse, and
K Stanback, and
E Norvell
January 1998,
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society,
R L Gilmore, and
N H Bass, and
E A Wright, and
D Greathouse, and
K Stanback, and
E Norvell
November 1992,
Bollettino della Societa italiana di biologia sperimentale,
R L Gilmore, and
N H Bass, and
E A Wright, and
D Greathouse, and
K Stanback, and
E Norvell
June 1984,
Electroencephalography and clinical neurophysiology,
R L Gilmore, and
N H Bass, and
E A Wright, and
D Greathouse, and
K Stanback, and
E Norvell
January 1991,
Pediatric neurology,
R L Gilmore, and
N H Bass, and
E A Wright, and
D Greathouse, and
K Stanback, and
E Norvell
January 1987,
Electroencephalography and clinical neurophysiology,
R L Gilmore, and
N H Bass, and
E A Wright, and
D Greathouse, and
K Stanback, and
E Norvell
January 1989,
Electromyography and clinical neurophysiology,
R L Gilmore, and
N H Bass, and
E A Wright, and
D Greathouse, and
K Stanback, and
E Norvell
January 1982,
Archiv fur Psychiatrie und Nervenkrankheiten,
R L Gilmore, and
N H Bass, and
E A Wright, and
D Greathouse, and
K Stanback, and
E Norvell
January 1990,
Electroencephalography and clinical neurophysiology. Supplement,
R L Gilmore, and
N H Bass, and
E A Wright, and
D Greathouse, and
K Stanback, and
E Norvell
April 1989,
American journal of physical medicine & rehabilitation,
