Topographic analyses of somatosensory evoked potentials following stimulation of tibial, sural and lateral femoral cutaneous nerves. 1996

T Yamada, and M Matsubara, and G Shiraishi, and M Yeh, and M Kawasaki
Division of Clinical Electrophysiology, Department of Neurology, University of Iowa, College of Medicine, Iowa City, 52242, USA.

Using topographic maps, we studied the scalp field distribution of somatosensory evoked potentials (SEPs) in response to the stimulation of the tibial (TN), sural (SN) and lateral femoral cutaneous (LFCN) nerves in 24 normal volunteers. Cortical peaks, i.e., N35, P40, N50 and P60 were generally dominant in the contralateral hemisphere for the LFCN-SEP, whereas all peaks except N35 had dominance in the ipsilateral hemisphere to TN- and SN-SEPs. The findings imply that ipsilateral or contralateral peak dominance for the lower extremity SEP is determined by where the cortical leg representation occurs. As a result, mesial hemisphere representation results in peak dominance projected to the hemisphere ipsilateral to stimulation. Representations at the superior lip of the interhemispheric fissure or lateral convexity lead to midline or contralateral peak dominance. These findings also suggest that the paradoxically lateralized P40 is not the result of a positive field dipole shadow generated by the primary negative wave in the mesial hemisphere, but is the primary positive wave, analogous to P26 of the median nerve SEP. Accordingly, contralaterally dominant N35 is likely equivalent to the first cortical potential of N20 in the median nerve SEP. The difference in vector directions of potential fields between N35 and P40 may account for the opposite hemispheric dominance for these peaks in TN- and SN-SEPs.

UI MeSH Term Description Entries
D007839 Functional Laterality Behavioral manifestations of cerebral dominance in which there is preferential use and superior functioning of either the left or the right side, as in the preferred use of the right hand or right foot. Ambidexterity,Behavioral Laterality,Handedness,Laterality of Motor Control,Mirror Writing,Laterality, Behavioral,Laterality, Functional,Mirror Writings,Motor Control Laterality,Writing, Mirror,Writings, Mirror
D007866 Leg The inferior part of the lower extremity between the KNEE and the ANKLE. Legs
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011930 Reaction Time The time from the onset of a stimulus until a response is observed. Response Latency,Response Speed,Response Time,Latency, Response,Reaction Times,Response Latencies,Response Times,Speed, Response,Speeds, Response
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
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
D005267 Femoral Nerve A nerve originating in the lumbar spinal cord (usually L2 to L4) and traveling through the lumbar plexus to provide motor innervation to extensors of the thigh and sensory innervation to parts of the thigh, lower leg, and foot, and to the hip and knee joints. Femoral Nerves,Nerve, Femoral,Nerves, Femoral

Related Publications

T Yamada, and M Matsubara, and G Shiraishi, and M Yeh, and M Kawasaki
July 1985, Clinical EEG (electroencephalography),
T Yamada, and M Matsubara, and G Shiraishi, and M Yeh, and M Kawasaki
October 2002, Muscle & nerve,
T Yamada, and M Matsubara, and G Shiraishi, and M Yeh, and M Kawasaki
July 1994, Neurology,
T Yamada, and M Matsubara, and G Shiraishi, and M Yeh, and M Kawasaki
March 1991, Muscle & nerve,
T Yamada, and M Matsubara, and G Shiraishi, and M Yeh, and M Kawasaki
July 1987, Electroencephalography and clinical neurophysiology,
T Yamada, and M Matsubara, and G Shiraishi, and M Yeh, and M Kawasaki
January 2004, Muscle & nerve,
T Yamada, and M Matsubara, and G Shiraishi, and M Yeh, and M Kawasaki
June 1984, EEG-EMG Zeitschrift fur Elektroenzephalographie, Elektromyographie und verwandte Gebiete,
T Yamada, and M Matsubara, and G Shiraishi, and M Yeh, and M Kawasaki
August 1985, Journal of the neurological sciences,
T Yamada, and M Matsubara, and G Shiraishi, and M Yeh, and M Kawasaki
September 1985, EEG-EMG Zeitschrift fur Elektroenzephalographie, Elektromyographie und verwandte Gebiete,
T Yamada, and M Matsubara, and G Shiraishi, and M Yeh, and M Kawasaki
January 1994, Developmental medicine and child neurology,
Copied contents to your clipboard!