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References (19)
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- Publisher
- American Medical Association
- Copyright
- Copyright © 1985 American Medical Association. All Rights Reserved.
- ISSN
- 0003-9942
- eISSN
- 1538-3687
- DOI
- 10.1001/archneur.1985.04060010082021
- Publisher site
- See Article on Publisher Site
Abstract
Abstract Over the last decade, three evoked potential (EP) tests have rapidly blossomed into useful clinical tools. Pattern-shift visual (PSVEP), brain stem auditory (BAEP), and shortlatency somatosensory evoked potentials (SEPs) are reliable diagnostic tests that yield reproducible results in routine clinical practice. These tests provide an objective measure of function in their related sensory systems and tracts; they have been studied in large groups of normal subjects and in patients with a wide variety of neurologic diseases.1,2 The clinical utility of EPs is based on their ability to demonstrate abnormal sensory system function when the history and/or neurologic examination are equivocal, to demonstrate the presence of clinically unsuspected malfunction in a sensory system when demyelinating disease is suspected because of symptoms and/ or signs in another area of the CNS, to help define the anatomic distribution of a disease process, and to monitor objective changes in a patient's status. Latencies References 1. Chiappa KH, Ropper AR: Evoked potentials in clinical medicine . N Engl J Med 1982;306:1140-1150, 1205-1211.Crossref 2. Mastaglia FL, Carroll WM: Evoked potentials in neurological diagnosis . Br Med J 1982;285:1678-1679.Crossref 3. Griner PF: Treatment of acute pulmonary edema: Conventional or intensive care? Ann Intern Med 1972;77:501-506.Crossref 4. Martin SP, Donaldson MC, London CD, et al: Inputs into coronary care during 30 years: A cost effectiveness study . Ann Intern Med 1974;81:289-293.Crossref 5. Levy DE, Bates D, Caronna JJ, et al: Prognosis in nontraumatic coma . Ann Intern Med 1981;94:293-301.Crossref 6. Griner PF, Liptzin B: Use of the laboratory in a teaching hospital: Implications for patient care, education, and hospital costs . Ann Intern Med 1971;75:157-163.Crossref 7. Abrams HL: The "overutilization" of Xrays . N Engl J Med 1979;300:1213-1216.Crossref 8. Shuman WP, Heilman RS: The radiologist as a consultant . JAMA 1979;242:1519-1520.Crossref 9. Heilman RS: What's wrong with radiology . N Engl J Med 1982;306:477-479.Crossref 10. Eisenberg JM, Williams SV: Cost containment and changing physicians' practice behaviour: Can the fox learn to guard the chicken coop? JAMA 1981;246:2195-2201.Crossref 11. Griner PF, Glaser RJ: Misuse of laboratory tests and diagnostic procedures . N Engl J Med 1982;307:1336-1339.Crossref 12. Martin AR, Wolf MA, Thibodeau LA, et al: A trial of two strategies to modify the testordering behaviour of medical residents . N Engl J Med 1980;303:1330-1336.Crossref 13. Menken M: Consequences of an oversupply of medical specialists: The case of neurology . N Engl J Med 1983;308:1224-1226.Crossref 14. Eisen A, Cracco RQ: Overuse of evoked potentials: Caution . Neurology 1983;33:618-621.Crossref 15. Brooks EB, Chiappa KH: A comparison of clinical neuro-ophthalmological findings and pattern shift visual evoked potentials in multiple sclerosis , in Courjon J, Mauguiere F, Revol M (eds): Clinical Applications of Evoked Potentials in Neurology . New York, Raven Press, 1982, pp 453-457.
Journal
Archives of Neurology – American Medical Association
Published: Jan 1, 1985