[Computer tomographic findings in the skulls of patients with Gorlin-Goltz syndrome].
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Biomedical subjects
Publications and source records attributed to A Sojka-Raytscheff.
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Pattern reversal visual evoked potentials (VEP), blink reflexes, auditory brainstem evoked potentials (ABEP), spinal and scalp recorded somatosensory evoked potentials (SSEP), and nystagmographic records were investigated in 55 patients with multiple sclerosis (MS), who were separated in different categories of probability according to the clinical history, symptoms, and signs. The combined use of different electrophysiological methods forms a sensitive battery for investigating clinically uncertain cases of MS. It was stressed that care should be taken in the interpretation of the electrophysiological findings, since a single lesion in the central nervous system, particularly in the brainstem, may affect different functional systems simultaneously and therefore mimic a disseminated disease.
Auditory brain stem evoked potentials (ABEPs) were investigated in 54 patients with the definite or presumed diagnosis of multiple sclerosis and compared with the results of 42 controls. All patients but one had no hearing impairment on clinical examinations. Investigation of ABEPs have shown to be useful when the diagnosis of multiple sclerosis is uncertain.
Cervical and cortical somatosensory evoked potentials were recorded in 42 patients with suspected and certain multiple sclerosis. Absolute peak latencies as well as latency differences between the cervical components N9, N11 and N13 and between N13 and cortical N20 were measured. In addition, the right/left differences of these values were analyzed. It ws demonstrated that the central conduction times (inter-peak differences) were more sensitive diagnostic indicators than the absolute peak latencies of the same components. Thus we conclude that conduction time measurement has a complementary role in investigating functional disturbances in multiple sclerosis.
Visual evoked potentials, elicited by checkerboard-pattern reversal were recorded from multiple sclerosis patients with different probabilities of diagnosis. Latencies and amplitudes of the different components were analyzed for diagnostic validity. It was demonstrated that the latency of the main positive peak (P2) was the most sensitive parameter. But in a few cases determination of P2 latency and interocular difference of this peak alone failed to detect involvement of the visual system. Additional evaluation of absolute latencies, asymmetries in latency and amplitudes of other components would give evidence in predicting abnormalities of the visual pathways.