편마비 뇌졸중환자에서 패턴변환자극과 섬광자극에 의한 시각유발전위
Visual Evoked Potentials in Hemiplegic Strokes by Pattern Reversal and Flash Stimulation
손민균, 윤상진, 민권홍,
소속 상세정보
손민균 ( Sohn Min-Kyun )
충남대학교 의과대학 재활의학교실
윤상진 ( Yun Sang-Jin )
충남대학교 의과대학 재활의학교실
민권홍 ( Min Kwon-Hong )
충남대학교 의과대학 재활의학교실
KMID : 0860920050070020122
Abstract
Objectives: This study was designed to evaluate the clinical utility of flash visual evoked potential
(VEP) and pattern reversal VEP in patients with post-stroke hemiplegia.
Methods: We studied 13 patients with post-stroke hemiplegia and 17 volunteers without visual problem.
The pattern reversal and flash stimulation VEP studies were performed and N75, P100 and N145 latencies
by pattern reversal stimulation and N1, P1, N2, P2, N3 latencies by flash stimulation were measured.
Results: The P100 latency of pattern reversal VEP of ipsilateral and contralateral stimulation of the
lesion site in hemiplegic patients was significantly longer than that of P100 latency in control group. The
mean P2 and N3 latencies on ipsilateral and contralateral stimulation in hemiplegia patient were significantly
longer than those of P2 and N3 latencies in control group. There were significant positive correlations
between P100 latency and N2, P2 latency in control group, and between P100 latency and N2, P2,
N3 latency in hemiplegic patients group.
Conclusions: Our results suggest that there was significant correlation between P100 latency of pattern
reversal stimulation and N2 and P2 latencies of flash stimulation. In performing the VEP, flash stimulation
could be used for the patient with difficulty in performing pattern reversal stimulation.
키워드
Pattern reversal evoked potential;Flash evoked potential;Stroke
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