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Revista de Ciencias Médicas de Pinar del Río

versión On-line ISSN 1561-3194


CRUZ MENOR, Ernesto et al. A Protocol Design for the Record of the Somatosensory Evoked Potential of the Posterior Tibial Nerve. Rev Ciencias Médicas [online]. 2008, vol.12, n.1, pp.29-41. ISSN 1561-3194.

ABSTRACT The cortical response of the somatosensory potential of the posterior tibial nerve is recorded in the most of laboratories using only one derivation and requiring even more the design of the new protocols involving the record with the most cortical areas; the present research tries to design and implement the Somatosensory Evoked Potential with 19 derivations from the International System 10/20 in the 4-MEDICID-equipment, allowing a mapping of the cortical response in P40 of the posterior tibial nerve. Initially, we look for the lower cutting value in the high frequencies which allowed the record with any change in the characteristics. For this purpose the potential in 10 healthy subjects is recorded using the 4- NEURONICA- electromyography, with the application of different filters in high frequencies. Later, a protocol with 19 derivations is designed in the 4-MEDICI electromyography using a band weigh between 0.5 and 300 Hz. It was necessary to modify the Trackwalker software for allowing a 1 kHz sample frequency and for obtaining that the synchronization traces of the external stimulator were recognized by EP Workstation software. Findings yielded that cuts at high frequencies less than 300 Hz modified significatively the latency of component P40.With this cut ,responses with no significant differences were obtained ( p>0.05) according to latency, weigh and frequency in comparison to those obtained with the cut at high frequencies which is more recommended in literature. It is concluded that with this protocol is possible to record the cortical response of the somatosensory evoked potential of the posterior tibial nerve in more than a derivation, contributing to the characterization of abnormal pattern in some pathologic conditions.

Palabras clave : Evoked potentials somatosensory; fisiology; tibial nerve.

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