SOMATOSENSORY EVOKED POTENTIALS IN HEALTHY SUBJECTS AND IN PATIENTS WITH LESIONS OF THE NERVOUS SYSTEM * †

Methods commonly used in animals to record, directly from the surface of the cortex, the potentials which are evoked by sensory stimuli are not satisfactory for investigating evoked responses in man. Dawson ( 1947, 1954) was the first to devise methods which made it possible to see evoked potentials in records from electrodes on the scalp and to adequately describe the human cerebral evoked response. The following paper reports observations on somatosensory evoked potentials in 35 healthy subjects, recorded by Dawson’s methods, as well as results in 56 patients of the National Hospital, Queen Square, London, in whom evoked potentials were investigated during 1958 to 1960. In patients who showed impaired sensation due to lesions affecting peripheral nerves, spinal cord, or brain, the results have been correlated with the modality and the severity of the sensory loss and with the sites of lesions.

[1]  J. Hirsch,et al.  [Induced cortical potentials in humans; analytical study]. , 1956, Revue neurologique.

[2]  G. Glaser Somatosensory Changes After Penetrating Brain Wounds in Man , 1960, The Yale Journal of Biology and Medicine.

[3]  C. Woolsey,et al.  OBSERVATIONS ON CORTICAL SOMATIC SENSORY MECHANISMS OF CAT AND MONKEY , 1941 .

[4]  T. Allison Recovery functions of somatosensory evoked responses in man. , 1962, Electroencephalography and clinical neurophysiology.

[5]  L. Larsson Electroencephalographic responses to peripheral nerve stimulation in man. , 1953, Electroencephalography and clinical neurophysiology.

[6]  P. Nathan,et al.  RELIEF OF PAIN AND PARAESTHESIAE BY NERVE BLOCK DISTAL TO A LESION , 1960, Journal of neurology, neurosurgery, and psychiatry.

[7]  J. T. Marsh,et al.  Amplitude changes in evoked auditory potentials during habituation and conditioning. , 1961, Electroencephalography and clinical neurophysiology.

[8]  T. Sears,et al.  SENSORY NERVE ACTION POTENTIALS IN PATIENTS WITH PERIPHERAL NERVE LESIONS , 1958, Journal of neurology, neurosurgery, and psychiatry.

[9]  H. Jasper,et al.  Habituation of the arousal reaction. , 1956, Brain : a journal of neurology.

[10]  G. Dawson A summation technique for the detection of small evoked potentials. , 1954, Electroencephalography and clinical neurophysiology.

[11]  F. Morin,et al.  Spinal pathways for projection of cutaneous and muscular afferents to the sensory and motor cortex of the monkey (Macaca mulatta). , 1953, The American journal of physiology.

[12]  H. L. Williams,et al.  Evoked Responses to Clicks and Electroencephalographic Stages of Sleep in Man , 1962, Science.

[13]  P. Buser,et al.  Étude des systèmes ⪡ associatifs ⪢ visuels et auditifs chez le chat anesthésié au chloralose , 1959 .

[14]  G. Dawson,et al.  THE RECORDING OF NERVE ACTION POTENTIALS THROUGH SKIN IN MAN , 1949, Journal of neurology, neurosurgery, and psychiatry.

[15]  G. Dawson,et al.  The relative excitability and conduction velocity of sensory and motor nerve fibres in man , 1956, The Journal of physiology.

[16]  C. Woolsey,et al.  Contralateral, ipsilateral, and bilateral representation of cutaneous receptors in somatic areas I and II of the cerebral cortex of pig, sheep, and other mammals. , 1946, Surgery.

[17]  G. Dawson,et al.  CEREBRAL RESPONSES TO ELECTRICAL STIMULATION OF PERIPHERAL NERVE IN MAN , 1947, Journal of neurology, neurosurgery, and psychiatry.

[18]  T. Allison,et al.  Distribution of cerebral somatosensory evoked responses in normal man , 1962 .

[19]  D. Denny-Brown,et al.  The grasp reflex and the instinctive grasp reaction. , 1948, Brain : a journal of neurology.