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At least 1,315 records · Page 73Linked to original sources
PubMed2003

The prognostic value of evoked responses from primary somatosensory and auditory cortex in comatose patients.

OBJECTIVE: To evaluate somatosensory and auditory primary cortices using somatosensory evoked potentials (SEPs) and middle latency auditory evoked potentials (MLAEPs) in the prognosis of return to consciousness in comatose patients. METHODS: SEPs and MLAEPs were recorded in 131 severe comatose patients. Latencies and amplitudes were measured. Coma had been caused by transient cardiac arrest (n=49), traumatic brain injury (n=22), stroke (n=45), complications of neurosurgery (n=12) and encephalitis (n=3). One month after the onset of coma patients were classified as awake, still comatose or dead. Three months after (M3), they were classified into one of the 5 categories of the Glasgow outcome scale (GOS). RESULTS: At M3, 41.2% were dead, 47.3% were conscious (GOS 3-5) and 11.5% had not recovered consciousness. None of the patients in whom somatosensory N20 and auditory Pa were absent did return to consciousness and in the post-anoxic group, reduced cortical amplitude too was always associated with bad outcome. Conversely, N20 and Pa were present, respectively, in 33/69 and 34/69 patients who did not recover. CONCLUSIONS: The prognostic value of SEPs and MLAEPs in comatose patients depends on the cause of coma. Measurement of response amplitudes is informative. Abolition of cortical SEPs and/or cortical MLAEPs precludes post-anoxic comatose patients from returning to consciousness (100% specificity). In any case, the presence of short latency cortical somatosensory or auditory components is not a guarantee for return to consciousness. Late components should then be recorded.

Adolescent↗
PubMed2001

Separation of mismatch negativity and the N1 wave in the auditory cortex of the cat: a topographic study.

OBJECTIVE: The amplitude distribution of the frequency mismatch negativity (MMN) and that of P1 and N1 components were investigated in cats to reveal their sources in the auditory areas of the neocortex. METHODS: Pure tone stimuli were given in a passive oddball paradigm with different degrees of deviance between the standard and deviant tones. Amplitude maps of event-related potential (ERP) components were generated from the responses, recorded in awake, freely moving animals by a chronically implanted epidural electrode matrix, covering both the primary and secondary auditory fields. RESULTS: The P1 and N1 components appeared with highest amplitude on the middle ectosylvian gyrus, while the amplitude maximum of the MMN was ventral and rostral to them on the AII area. Both the latency and the peak amplitude of the MMN depended on the degree of deviance. CONCLUSIONS: The MMN is generated in the rostroventral part of the secondary auditory area, well separated from the sources of the P1 and N1 components.

Acoustic Stimulation↗