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Sensory Nerve Conduction Velocity of Median Proper Palmar Digital Nerve Recorded by Bar Electrode

Kyu Ho Kwak, Dong Kuck Lee
Journal of the Korean Society of Clinical Neurophysiology 2000;2(1):21-26.
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and others underwent flash goggle VEPs. Results : Brain imaging were abnormal in 29 and were normal in 2. Of the 29 abnormal scans, lesions in posterior visual pathway were detected in 21 scans(predictive value=68%). The predictive value ws not significantly different between flash goggle VEP(75%) and pattern reversal VEP(68%). The predictive value was higher in patient with visual field defect(100%) than those without visual field defect(25%). The pathologic nature of lesion also showed close relations to the predictive value. VEPs is usually paradoxically lateralized(78%), but in all patients. Conclusion : VEPs abnormalities suggesting retrochiasmal lesion were usually corresponded with brain MRI findings. Diagnostic reliability could be increased when considering the visual field defect and nature of lesion. Therefore, the authors suggest that VEPs studies could be useful in evaluating the patients with the retrochismal lesion.

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