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Article
February 1983

Origin of Far-Field Subcortical Evoked Potentials to Posterior Tibial and Median Nerve Stimulation: A Comparative Study

Author Affiliations

From the Section of Electroencephalography and Clinical Neurophysiology, Department of Neurology, Cleveland Clinic.

Arch Neurol. 1983;40(2):93-97. doi:10.1001/archneur.1983.04050020055011
Abstract

• Posterior tibial nerve (PTN) evoked potentials (EPs) at the lumbar—low thoracic level have waveforms similar to median nerve (MN) EPs at the cervical level. They consist of a short-duration negativity (N18 and N10, respectively), which reflects the afferent volley before it enters the spinal canal, and a longer-duration, later negativity (N20 and N12, respectively), which consists mainly of slow frequencies and most probably is a postsynaptic dorsal cord potential. At the neck-scalp derivation the MN EP consists of two near-field negativities (N10 and N12) that are recorded from the neck electrode and two far-field positivities (P11 and P13) that are recorded from the scalp electrode. The neck-scalp response to PTN stimulation consists of a near field potential N24 that is followed by a far-field potential P27.

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