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SEP interpretation
Somatosensory EP interpretation
Question | Answer |
---|---|
Absence of all waves | Peripheral nerve lesion, rule out technical problem |
Absent EP with normal P14 and N20 | Normal |
Increased EP latency with equally increased P14 and N20 latencies; decreased peripheral nerve conduction velocity with normal central conduction time | Peripheral nerve lesion, rule out technical problem |
Increased clavicular-spinal conduction time with normal peripheral conduction and normal cervical-scalp conduction time | Defect between the brachial plexus and the lower medulla |
Absent cervical potential and abent or delayed scalp potential | Defect between the brachial plexus and the somatosensory cortex |
Increased cervical-scalp central conduction time with normal peripheral conduction and normal clavicular-cervical potential | Defect above the lower medulla at or below the somatosensory cortex |
Absent scalp potential with normal peripheral conduction and normal clavicular-cervical conduction time | Defect between the lower medulla and the somatosensory cortex |
Decreased peripheral conduction velocity and increased central conduction time | Combination of peripheral nerve lesion and central defect |
Increased latency of all SEPs at all levels | Hypothermia; inaccurate measurement of distance between stimulating and recording electrodes |