CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2021; 79(09): 824-831
DOI: 10.1590/0004-282X-ANP-2020-0427
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Somatosensory evoked potentials in clinical practice: a review

Potenciais evocados somatossensitivos na prática clínica: uma revisão
1   Universidade Federal do Paraná, Complexo Hospital de Clínicas, Departamento de Clínica Médica, Serviço de Neurologia, Serviço de Doenças Neuromusculares e Desmielinizantes, Curitiba PR, Brazil.
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1   Universidade Federal do Paraná, Complexo Hospital de Clínicas, Departamento de Clínica Médica, Serviço de Neurologia, Serviço de Doenças Neuromusculares e Desmielinizantes, Curitiba PR, Brazil.
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1   Universidade Federal do Paraná, Complexo Hospital de Clínicas, Departamento de Clínica Médica, Serviço de Neurologia, Serviço de Doenças Neuromusculares e Desmielinizantes, Curitiba PR, Brazil.
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1   Universidade Federal do Paraná, Complexo Hospital de Clínicas, Departamento de Clínica Médica, Serviço de Neurologia, Serviço de Doenças Neuromusculares e Desmielinizantes, Curitiba PR, Brazil.
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1   Universidade Federal do Paraná, Complexo Hospital de Clínicas, Departamento de Clínica Médica, Serviço de Neurologia, Serviço de Doenças Neuromusculares e Desmielinizantes, Curitiba PR, Brazil.
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1   Universidade Federal do Paraná, Complexo Hospital de Clínicas, Departamento de Clínica Médica, Serviço de Neurologia, Serviço de Doenças Neuromusculares e Desmielinizantes, Curitiba PR, Brazil.
› Author Affiliations

Abstract

The authors present a review of the current use of somatosensory evoked potentials (SSEPs) in neurological practice as a non-invasive neurophysiological technique. For this purpose we have reviewed articles published in English or Portuguese in the PubMed and LILACS databases. In this review, we address the role of SSEPs in neurological diseases that affect the central nervous system and the peripheral nervous system, especially in demyelinating diseases, for monitoring coma, trauma and the functioning of sensory pathways during surgical procedures. The latter, along with new areas of research, has become one of the most important applications of SSEPs.

Resumo

Os autores apresentam uma revisão do uso atual do potencial evocado somatossensitivo (PESS) na prática neurológica como uma técnica neurofisiológica não invasiva. Revisamos artigos publicados em Inglês ou Português nas bases de dados PubMed e LILACS. Nesta revisão abordamos o papel do PESS nas doenças neurológicas que atingem o sistema nervoso central e o sistema nervoso periférico, especialmente, nas doenças desmielinizantes, no monitoramento do coma, do trauma e da função das vias sensitivas durante os procedimentos cirúrgicos, que se tornou uma de suas aplicações mais importantes, assim como novas áreas de pesquisa.

Authors’ contributions:

OJHF: conceptualization, data curation, investigation, methodology, formal analysis, project administration, roles/writing original draft; CSKK: conceptualization, data curation, formal analysis, investigation, methodology, validation, visualization, project administration, roles/writing; PJL, RDD: conceptualization, data curation, formal analysis, investigation, methodology, roles/writing; LCW: conceptualization, validation, visualization, supervision, writing review & edit; rhs: conceptualization, validation, visualization, formal analysis, project administration, supervision, writing review & edit.




Publication History

Received: 04 September 2020

Accepted: 28 December 2020

Article published online:
01 June 2023

© 2021. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Poornima S, Ali SS, Balaji PA, Shankar V, Kutty K. Median nerve somatosensory evoked potentials in medical students: normative data. Adv Biomed Res. 2013 Jul 30;2:56. https://doi.org/10.4103/2277-9175.115797
  • 2 Manzano GM, Nader Mangini N, Pereira Giuliano LM. Potenciais evocados cerebrais. In: Nóbrega JAM, Manzano GM, editors. Manual de eletroneuromiografia e potenciais evocados cerebrais para a prática clínica. São Paulo (SP): Atheneu; 2007. p. 51-65.
  • 3 Cruccu G, Aminoff MJ, Curio G, Guerit JM, Kakigi R, Mauguiere F, et al. Recommendations for the clinical use of somatosensory-evoked potentials. Clin Neurophysiol. 2008 Aug;119(8):1705-19. https://doi.org/10.1016/j.clinph.2008.03.016
  • 4 Walsh P, Kane N, Butler S. The clinical role of evoked potentials. J Neurol Neurosurg Psychiatry. 2005 Jun;76(2 Suppl 2):ii16-22. https://doi.org/10.1136/jnnp.2005.068130
  • 5 Guerreiro CAM, Ehrenberg BL. Somatosensory evoked response: application in neurology. Arq Neuropsiquiatr. 1982 Mar;40(1):29-38. https://doi.org/10.1590/S0004-282X1982000100004
  • 6 American Electroencephalographic Society. Guidelines for clinical evoked potentials studies. J Clin Neurophysiol. 1984 Jan;1(1):3-53.
  • 7 Kraft GH, Aminoff MJ, Baran EM, Litchy WJ, Stolov WC. Somatosensory evoked potentials: clinical uses. AAEM somatosensory evoked potentials subcommittee. American association of electrodiagnostic medicine. Muscle Nerve. 1998 Feb;21(2):252-8. https://doi.org/10.1002/(SICI)1097-4598(199802)21:2<252::AID-MUS17>3.0.CO;2-3
  • 8 Emerson RG, Pedley TA. Generator sources of median somatosensory evoked potentials. J Clin Neurophysiol. 1984 Apr;1(2):203-18. https://doi.org/10.1097/00004691-198404000-00004
  • 9 Baumgärtner U, Greffrath W, Treede R-D. Contact heat and cold, mechanical, electrical and chemical stimuli to elicit small fiber-evoked potentials: merits and limitations for basic science and clinical use. Neurophysiol Clin. 2012 Oct;42(5):267-80. https://doi.org/10.1016/j.neucli.2012.06.002
  • 10 Mauguiere F, Challet ME, Brechler MT. Cervical somatosensory evoked potentials in the healthy subject: analysis of the effect of the location of the reference electrode on aspects of the responses. Rev Electroencephalogr Neurophysiol Clin. 1983 Dec;13(3):259-72. https://doi.org/10.1016/S0370-4475(83)80037-9
  • 11 Logi F, Fischer C, Murri L, Mauguière F. The prognostic value of evoked responses from primary somatosensory and auditory cortex in comatose patients. Clin Neurophysiol. 2003 Sep;114(9):1615-27. https://doi.org/10.1016/S1388-2457(03)00086-5
  • 12 Martín MMB, Fernández LG, Abreu IC, González LA, Araujo F. Potenciales evocados gigantes. Rev Neurol. 2001 Dec 16-31;33(12):1120-5.
  • 13 Berkovic SF, Cochius J, Andermann E, Andermann F. Progressive myoclonus epilepsies: clinical and genetic aspects. Epilepsia. 1993;34 Suppl 3:S19-30. https://doi.org/10.1111/j.1528-1167.1993.tb06256.x
  • 14 Vidal-Dourado M, Nunes KF, Guaranha MSB, Giuliano LMP, Yacubian EMT, Manzano GM. Expression of praxis induction on cortical excitability in juvenile myoclonic epilepsy. Clin Neurophysiol. 2016 Jul;127(7):2551-60. https://doi.org/10.1016/j.clinph.2016.03.028
  • 15 Ramanathan S, Lenton K, Burke T, Gomes L, Storchenegger K, Yiannikas C, et al. The utility of multimodal evoked potentials in multiple sclerosis prognostication. J Clin Neurosci. 2013 Nov 1;20(11):1576-81. https://doi.org/10.1016/j.jocn.2013.01.020
  • 16 Crnošija L, Gabelić T, Barun B, Adamec I, Skorić MK, Habek M. Evoked potentials can predict future disability in people with clinically isolated syndrome. Eur J Neurol. 2020 Mar;27(3):437-44. https://doi.org/10.1111/ene.14100
  • 17 Sand T, Bu Kvaløy M, Wader T, Hovdal H. Evoked potential tests in clinical diagnosis. Tidsskr Nor Laegeforen. 2013 May 7;133(9):960-5. https://doi.org/10.4045/tidsskr.12.1176
  • 18 Tsao W-C, Lyu R-K, Ro L-S, Lao M-F, Chen C-M, Wu Y-R, et al. Clinical correlations of motor and somatosensory evoked potentials in neuromyelitis optica. PLoS One. 2014 Nov 25;9(11):e113631. https://doi.org/10.1371/journal.pone.0113631
  • 19 Tagliati M, Di Rocco A, Danisi F, Simpson DM. The role of somatosensory evoked potentials in the diagnosis of AIDS-associated myelopathy. Neurology. 2000 Apr 11;54(7):1477-82. https://doi.org/10.1212/WNL.54.7.1477
  • 20 Misra UK, Kalita J, Das A. Vitamin B12 deficiency neurological syndromes: a clinical, MRI and electrodiagnostic study. Electromyogr Clin Neurophysiol. 2003 Jan-Feb;43(1):57-64.
  • 21 Nuwer MR, Perlman SL, Packwood JW, Kark RAP. Evoked potential abnormalities in the various inherited ataxias. Ann Neurol. 1983 Jan;13(1):20-7. https://doi.org/10.1002/ana.410130106
  • 22 Thomas PK, Jefferys JG, Smith IS, Loulakakis D. Spinal somatosensory evoked potentials in hereditary spastic paraplegia. J Neurol Neurosurg Psychiatry. 1981 Mar;44(3):243-6. https://doi.org/10.1136/jnnp.44.3.243
  • 23 Machado C. An early approach to brain death diagnosis using multimodality evoked potentials and electroretinography. Minerva Anestesiol. 1994 Oct;60(10):573-7.
  • 24 Luccas FJC, Lopes JÁ, Plastino FRT, Knobel E. Avaliação neurofisiológica por potenciais evocados sensoriais multimodais em pacientes em coma. Arq Neuropsiquiatr. 1990 Sep;48(3):320-8. https://doi.org/10.1590/S0004-282X1990000300009
  • 25 Young GB, Wang JT, Connolly JF. Prognostic determination in anoxic-ischemic and traumatic encephalopathies. J Clin Neurophysiol. 2004 Sep-Oct;21(5):379-90.
  • 26 Carter BG, Butt W. Review of the use of somatosensory evoked potentials in the prediction of outcome after severe brain injury. Crit Care Med. 2001 Jan;29(1):178-86. https://doi.org/10.1097/00003246-200101000-00036
  • 27 Robinson LR, Micklesen PJ, Tirschwell DL, Lew HL. Predictive value of somatosensory evoked potentials for awakening from coma. Crit Care Med. 2003 Mar;31(3):960-7. https://doi.org/10.1097/01.CCM.0000053643.21751.3B
  • 28 Amantini A, Fossi S, Grippo A, Innocenti P, Amadori A, Bucciardini L, et al. Continuous EEG-SSEP monitoring in severe brain injury. Neurophysiol Clin. 2009 Apr;39(2):85-93. https://doi.org/10.1016/j.neucli.2009.01.006
  • 29 Rosenthal ES. The utility of EEG, SSEP, and other neurophysiologic tools to guide neurocritical care. Neurotherapeutics. 2012 Jan;9(1):24-36. https://doi.org/10.1007/s13311-011-0101-x
  • 30 Iglesias C, Sangari S, El Mendili M-M, Benali H, Marchand-Pauvert V, Pradat P-F. Electrophysiological and spinal imaging evidences for sensory dysfunction in amyotrophic lateral sclerosis. BMJ Open. 2015 Feb 24;5(2):e007659. https://doi.org/10.1136/bmjopen-2015-007659
  • 31 Fagan ER, Taylor MJ, Logan WJ. Somatosensory evoked potentials: part II. A review of the clinical applications in pediatric neurology. Pediatr Neurol. 1987 Sep-Oct;3(5):P249-55. https://doi.org/10.1016/0887-8994(87)90063-4
  • 32 Salhi H, Corcia P, Remer S, Praline J. Somatosensory evoked potentials in chronic inflammatory demyelinating polyradiculoneuropathy. J Clin Neurophysiol. 2014 Jun;31(3):241-5. https://doi.org/10.1097/WNP.20200427202004270050
  • 33 Dziadkowiak E, Ejma M, Wieczorek M, Pec P, Slotwiński K, Budrewicz S, et al. Abnormality of multimodal evoked potentials in chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). Neurol Sci. 2020 Sep;41(9):2495-2501. https://doi.org/10.1007/s10072-020-04351-3
  • 34 Brown WF, Feasby TE. Sensory evoked potentials in Guillain-Barre polyneuropathy. J Neurol Neurosurg Psychiatry. 1984 Mar;47(3):288-91. https://doi.org/10.1136/jnnp.47.3.288
  • 35 Soares Dias RJ, de Souza L, de Morais WF, Carneiro AP. SEP-diagnosing neuropathy of the lateral cutaneous branch of the Iliohypogastric nerve. Arq Neuropsiquiatr. 2004 Sep;62(3B):895-8. https://doi.org/10.1590/S0004-282X2004000500032
  • 36 Triplett JD, Robertson A, Yiannikas C. Compressive lateral femoral cutaneous neuropathy secondary to sartorius muscle fibrosis. JAMA Neurol. 2019 Jan 1;76(1):109-10. https://doi.org/10.1001/jamaneurol.2018.2955
  • 37 Cosi V, Lombardi M, Zandrini C, Gerosa E, Callieco R. Somatosensory evoked potentials in Charcot-Marie-Tooth disease. Neurophysiol Clin. 1989 Nov;19(5):359-65. https://doi.org/10.1016/S0987-7053(89)80088-7
  • 38 Palma V, Serra LL, Armentano V, Serra FP, Nolfe G. Somatosensory evoked potentials in non-insulin-dependent diabetics with different degrees of neuropathy. Diabetes Res Clin Pract. 1994 Sep;25(2):P91-6. https://doi.org/10.1016/0168-8227(94)90033-7
  • 39 Synek VM. Role of somatosensory evoked potentials in the diagnosis of peripheral nerve lesions: recent advances. J Clin Neurophysiol. 1987 Jan;4(1):55-73. https://doi.org/10.1097/00004691-198701000-00004
  • 40 Beyaz EA, Akyüz G, Us O. The role of somatosensory evoked potentials in the diagnosis of lumbosacral radiculopathies. Electromyogr Clin Neurophysiol. 2009 May-Jun;49(4):131-42.
  • 41 Yue Q, Hale T, Knecht A. A comparison of interside asymmetries of lower extremity somatosensory evoked potentials in anesthetized patients with unilateral lumbosacral radiculopathy. Asian Spine J. 2017 Feb 17;11(1):99-104. https://doi.org/10.4184/asj.2017.11.1.99
  • 42 Cruz MW, Corrêa RB, Puccioni-Sohler M, Novis SA. Eletroneuromiografia e potenciais evocados somatossensitivos na mielopatia pelo HTLV-I. Arq Neuropsiquiatr. 1998 Dec;56(4):756-62. https://doi.org/10.1590/S0004-282X1998000500009
  • 43 Cristante AF, Barros-Filho TEP, Tatsui N, Mendrone A, Caldas JG, Camargo A, et al. Stem cells in the treatment of chronic spinal cord injury: evaluation of somatosensitive evoked potentials in 39 patients. Spinal Cord. 2009 Oct;47(10):733-8. https://doi.org/10.1038/sc.2009.24
  • 44 Furlong P, Barczak P, Hayes G, Harding G. Somatosensory evoked potentials in schizophrenia. A lateralisation study. Br J Psychiatry. 1990 Dec;157:881-7. https://doi.org/10.1192/bjp.157.6.881
  • 45 Lehtonen J. Somatosensory evoked potentials and the psychology of chronic schizophrenia. An integrative view. J Nerv Ment Dis. 1981 Apr;169(4):256-8.
  • 46 Waberski TD, Norra C, Kawohl W, Thyerlei D, Hock D, Klostermann F, et al. Electrophysiological evidence for altered early cerebral somatosensory signal processing in schizophrenia. Psychophysiology. 2004 May;41(3):361-6. https://doi.org/10.1111/1469-8986.2004.00163.x
  • 47 Daskalakis AA, Zomorrodi R, Blumberger DM, Rajji TK. Evidence for prefrontal cortex hypofunctioning in schizophrenia through somatosensory evoked potentials. Schizophr Res. 2020 Jan;215:197-203. https://doi.org/10.1016/j.schres.2019.10.030
  • 48 Hagenmuller F, Heekeren K, Theodoridou A, Walitza S, Haker H, Rössler W, et al. Early somatosensory processing inindividuals at risk for developing psychoses. Front Behav Neurosci. 2014 Sep 11;8:308. https://doi.org/10.3389/fnbeh.2014.00308
  • 49 Fotakopoulos G, Alexiou GA, Karagiorgiadis D, Voulgaris S. Somatosensory evoked potentials monitoring in cervical spine surgery. Neurol India. 2010 Nov-Dec;58(6):980. https://doi.org/10.4103/0028-3886.73759
  • 50 Nuwer MR, Schrader LM. Spinal cord monitoring. Handb Clin Neurol. 2019;160:329-44. https://doi.org/10.1016/B978-0-444-64032-1.00021-7
  • 51 MacDonald DB, Dong C, Quatrale R, Sala F, Skinner S, Soto F, et al. Recommendations of the international society of intraoperative neurophysiology for intraoperative somatosensory evoked potentials. Clin Neurophysiol. 2019 Jan;130(1):161-79. https://doi.org/10.1016/j.clinph.2018.10.008
  • 52 Rosner J, Hostettler P, Scheuren PS, Sirucek L, Rinert J, Curt A, et al. Normative data of contact heat evoked potentials from the lower extremities. Sci Rep. 2018 Jul 20;8(1):11003. https://doi.org/10.1038/s41598-018-29145-8
  • 53 Di Stefano G, La Cesa S, Leone C, Pepe A, Galosi E, Fiorelli M, et al. Diagnostic accuracy of laser-evoked potentials in diabetic neuropathy. Pain. 2017 Jun;158(6):1100-7. https://doi.org/10.1097/j.pain.20200427202004270889
  • 54 Hüllemann P, von der Brelie C, Manthey G, Düsterhöft J, Helmers AK, Synowitz M, et al. Laser-evoked potentials in painful radiculopathy. Clin Neurophysiol. 2017 Nov;128(11):2292-9. https://doi.org/10.1016/j.clinph.2017.09.100
  • 55 Brasil-Neto JP. Reavaliação critica da utilidade dos potenciais evocados em neurologia clínica. Arq Neuropsiquiatr. 1992 Jun;50(2):141-6. https://doi.org/10.1590/S0004-282X1992000200001
  • 56 Dawson GD. Cerebral responses to electrical stimulation of peripheral nerve in man. J Neurol Neurosurg Psychiatry. 1947 Aug;10(3):134-40. https://doi.org/10.1136/jnnp.10.3.134
  • 57 Dawson GD. Investigations on a patient subject to myoclonic seizures after sensory stimulation. J Neurol Neurosurg Psychiatry. 1947 Nov;10(4):141-62. https://doi.org/10.1136/jnnp.10.4.141
  • 58 Dawson GD, Elithorn A. A two channel chronograph. J Physiol. 1954 Feb 26;123(2):16-8.