Reavaliação crítica da utilidade dos potenciais evocados em neurologia clínica

Brasil-Neto, Joaquim P.

doi:10.1590/S0004-282X1992000200001

Resumos

O autor se propõe a revisar a literatura acerca das indicações clinicas dos potenciais evocados multimodais, com ênfase em sua relação custo-benefício, eficácia diagnóstica e comparação às modernas técnicas de diagnóstico por imagem.

potenciais evocados; indicação clínica; avaliação crítica

The author makes a review of the literature on the clinical uses of multi-modality evoked potential studies, emphasizing cost-effectiveness relationship, diagnostic yield and comparison with modern central nervous system imaging techniques.

evoked potentials; clinical use; critical evaluation

Joaquim P. Brasil-Neto

Neurologista e Neurofisiologista Clínico, Hospital das Doenças do Aparelho Locomotor, HDAL-SARAH Brasília; Visiting Fellow, National Institute of Neurological Disorders and Stroke, Bethesda, USA

RESUMO

O autor se propõe a revisar a literatura acerca das indicações clinicas dos potenciais evocados multimodais, com ênfase em sua relação custo-benefício, eficácia diagnóstica e comparação às modernas técnicas de diagnóstico por imagem.

Palavras-chave: potenciais evocados, indicação clínica, avaliação crítica.

SUMMARY

The author makes a review of the literature on the clinical uses of multi-modality evoked potential studies, emphasizing cost-effectiveness relationship, diagnostic yield and comparison with modern central nervous system imaging techniques.

Key words: evoked potentials, clinical use, critical evaluation.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Agradecimentos  O autor agradece aos Drs. Elza Márcia e Alberto Yacubian, que gentilmente revisaram o manuscrito.

Dr. Joaquim P. Brasil-Neto 261 Congressional Lane apt 215 - Rockville, MD 20852 - USA.

1. Aminoff MJ. Evoked potential studies in neurological diagnosis and management. Ann Neurol 1990, 28:706-710.
2. Bartolomei L, Lelli S, Negrin P. Somato-sensory evoked potentials in diabetes type 1. Electromyogr Clin Neurophysiol 1991, 31:43-46.
3. Brasil-Neto JP. Potenciais evocados na esclerose múltipla: experiência recente no HDAL-SARAH. Arq Neuro-Psiquiat (São Paulo) 1991, 49:204-207.
4. Brasil-Neto JP, Cohen LG, Panizza M, Nilsson J, Hallett M. Optimal focal transcranial magnetic activation of the human motor cortex as a function of coil orientation, shape of energizing electric pulse, and stimulation intensity. Neurology 1991, 41 (Suppl 1).
5. Brasil-Neto JP, Kouyoumdjian JA, Kouyoumdjian NC, Fernandez RN, Ferreira JC. Potenciais evocados multimodals: estudo normativo em 51 indivíduos de uma população brasileira. Arq Neuro-Psiquiat (São Paulo) 1989, 47:423-429.
6. Brasil-Neto JP, McShane L, Fuhr P, Hallett M, Cohen LG. Topographic mapping of the human motor cortex with magnetic stimulation: factors affecting accuracy and reproducibility. Electroenceph Clin Neurophysiol 1991, in press.
7. Burdo S. Evoked potentials of the brain stem in normal and pathologic conditions: experience with 692 adult subjets. Acta Otorhinoffaryngol Ital 1989 9 (Suppl 24) :l-36.
8. Chiappa KH. Clinical utility of evoked potentials: an overview. Aula: Curso Advanced Evoked Potentials, American Academy of Neurology, Boston, 21-abril-1991.
9. Cohen LG, Hallett M. Methodology for non-invasive mapping of human motor cortex with electrical stimulation. Electroenceph Clin Neurophysiol 1988, 69:403-411.
10. Cohen LG, Roth BJ, Nilsson J, Dang N, Panizza M, Bandinelli S, Friauf W, Hallett M. Effect of coil design on delivery of focal magnetic stimulation: technical considerations. Electroenceph Clin Neurophysiol 1990, 75:350-357.
11. Comi G, Martinelli V, Medaglini S, Locatelli T, Filippi M, Canal N, Triulzi F, Del Maschio A. Correlation between multimodal evoked potentials and magnetic resonance imaging in multiple sclerosis. J Neurol 1989, 236:4-8.
12. Dvorak J, Herdmann J, Janssen B, Theiler R, Grob D. Motor-evoked potentials in patients with cervical spine disorders. Spine 1990, 15:1013-1016.
13. Eisen A, Shtybel W. AAEM minimonograph 35: clinical experience with transcranial magnetic stimulation. Muscle & Nerve 1990, 13:995-1011.
14. Farlow MR, Markand ON, Edwards MK, Stevens JC et al. Multiple sclerosis: magnetic resonance imaging, evoked responses, and spinal fluid electrophoresis. Neurology 1986, 36:828-831.
15. Firsching R, Frowein RA. Multimodality evoked potentials and early prognosis in comatose patients. Neurosurg Rev 1990, 13:141-146.
16. Frederiksen JL, Larsson HBW, Olesen J, Stigsby B. MRI, VEP, SEP and biothesiome-try suggest monosymptomatic acute optic neuritis to be a first manifestation of multiple sclerosis. Acta Neurol Scand 1991, 83:343-350.
17. Gebarski SS, Gabrielsen TO, Gilman S, Knake JE et al. The initial diagnosis of multiple sclerosis: clinical impact of magnetic resonance imaging. Ann Neurol 1985, 17:469-474.
18. Giesser BS, Kurtzberg D, Vaughan HG, Arezzo JC et al. Trimodal evoked potentials compared with magnetic resonance imaging in the diagnosis of multiple sclerosis: comparison with auditory and visual evoked potentials. Arch Neurol 1987, 44:281-284.
19. Guerit JM, Monje Argiles A. The sensitivity of multimodal evoked potentials in multiple sclerosis: a comparison with magnetic resonance imaging and cerebrospinal fluid analysis. Electroenceph Clin Neurophysiol 1988, 70:230-238.
20. Harris JO, Frank JA, Patronas N. McFarlin DE, McFarland HF. Serial gadolinium--enhanced magnetic resonance imaging scans in patients with early, relapsing-remitting multiple sclerosis: implications for clinical trials and natural history. Ann Neurol 1991, 29:548-555.
21. Jacobs L, Munschauer FE, Kaba SE. Clinical and magnetic resonance imaging in optic neuritis. Neurology 1991, 41:15-19.
22. Kirshner HS, Tsai SS, Runge VM, Price A. Magnetic resonance imaging and other techniques in the diagnosis of multiple sclerosis. Arch Neurol 1985, 42:859-863.
23. Lee KH, Hashimoto SA, Hooge JP, Kastrukoff LF, Oger JJF, Li DKB, Paty DW. Magnetic resonance imaging of the head in the diagnosis of multiple sclerosis: a prospective 2-year follow-up with comparison of clinical evaluation, evoked potentials, oligo-clonal banding, and CT. Neurology 1991, 41:657-660.
24. Luccas FJ, Lopes JA, Plastino FR, Knobel E. Neurophysiological evaluation using multimodal sensory evoked potentials in patients in coma: general aspects. Arq Neuro-Psiquiat (São Paulo) 1990, 48:320-328.
25. Mayr N, Baumgartner C, Zeitlhofer J, Deecke L. The sensitivity of transcranial magnetic stimulation in detecting pyramidal tract lesions in clinically definite multiple sclerosis. Neurology 1991, 41:566-569.
26. Pimenta LH, Luccas FJ, Souza HL, Medugno E, Auditory evoked potentials in the monitoring of 15 laser microsurgeries of the brain stem. Arq Neuro-Psiquiat (São Paulo) 1989, 47:438-443.
27. Robison LR, Little JW. Motor-evoked potentials reflect spinal cord function in post--traumatic syringomyelia. Am J Phys Med Rehabil 1990, 69:307-310.
28. Rossini PM. Methodological and physiological aspects of motor evoked potentials. Electroenceph Clin Neurophysiol 1990, 41 (Suppl):124-133.
29. Rossini PM, Zarola F, Floris R, Bernardi G, Perretti A, Pelosi L, Caruso G, Caramia MD. Sensory (VEP, BAEP, SEP) and motor-evoked potentials, liquoral and magnetic resonance findings in multiple sclerosis. Eur Neurol 1989, 29:41-47.
30. Turano G, Jones SJ, Miller DH, du Boulay GH, Kakigi R, McDonald I. Correlation of SEP abnormalities with brain and cervical cord MRI in multiple sclerosis. Brain 1991, 114:663-681.
31. Zentner J, Rieder G. Diagnostic significance of motor evoked potentials in space-occupying lesions of the brain stem and spinal cord. Eur Arch Psychiat Neurol Sci 1990, 239:285-289.

Reavaliação crítica da utilidade dos potenciais evocados em neurologia clínica

Critical review of the usefulness of evoked potential studies in clinical neurology

Datas de Publicação

Publicação nesta coleção
22 Fev 2011
Data do Fascículo
Jun 1992

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Aminoff MJ. Evoked potential studies in neurological diagnosis and management. Ann Neurol 1990, 28:706-710.

[2] 2. Bartolomei L, Lelli S, Negrin P. Somato-sensory evoked potentials in diabetes type 1. Electromyogr Clin Neurophysiol 1991, 31:43-46.

[3] 3. Brasil-Neto JP. Potenciais evocados na esclerose múltipla: experiência recente no HDAL-SARAH. Arq Neuro-Psiquiat (São Paulo) 1991, 49:204-207.

[4] 4. Brasil-Neto JP, Cohen LG, Panizza M, Nilsson J, Hallett M. Optimal focal transcranial magnetic activation of the human motor cortex as a function of coil orientation, shape of energizing electric pulse, and stimulation intensity. Neurology 1991, 41 (Suppl 1).

[5] 5. Brasil-Neto JP, Kouyoumdjian JA, Kouyoumdjian NC, Fernandez RN, Ferreira JC. Potenciais evocados multimodals: estudo normativo em 51 indivíduos de uma população brasileira. Arq Neuro-Psiquiat (São Paulo) 1989, 47:423-429.

[6] 6. Brasil-Neto JP, McShane L, Fuhr P, Hallett M, Cohen LG. Topographic mapping of the human motor cortex with magnetic stimulation: factors affecting accuracy and reproducibility. Electroenceph Clin Neurophysiol 1991, in press.

[7] 7. Burdo S. Evoked potentials of the brain stem in normal and pathologic conditions: experience with 692 adult subjets. Acta Otorhinoffaryngol Ital 1989 9 (Suppl 24) :l-36.

[8] 8. Chiappa KH. Clinical utility of evoked potentials: an overview. Aula: Curso Advanced Evoked Potentials, American Academy of Neurology, Boston, 21-abril-1991.

[9] 9. Cohen LG, Hallett M. Methodology for non-invasive mapping of human motor cortex with electrical stimulation. Electroenceph Clin Neurophysiol 1988, 69:403-411.

[10] 10. Cohen LG, Roth BJ, Nilsson J, Dang N, Panizza M, Bandinelli S, Friauf W, Hallett M. Effect of coil design on delivery of focal magnetic stimulation: technical considerations. Electroenceph Clin Neurophysiol 1990, 75:350-357.

[11] 11. Comi G, Martinelli V, Medaglini S, Locatelli T, Filippi M, Canal N, Triulzi F, Del Maschio A. Correlation between multimodal evoked potentials and magnetic resonance imaging in multiple sclerosis. J Neurol 1989, 236:4-8.

[12] 12. Dvorak J, Herdmann J, Janssen B, Theiler R, Grob D. Motor-evoked potentials in patients with cervical spine disorders. Spine 1990, 15:1013-1016.

[13] 13. Eisen A, Shtybel W. AAEM minimonograph 35: clinical experience with transcranial magnetic stimulation. Muscle & Nerve 1990, 13:995-1011.

[14] 14. Farlow MR, Markand ON, Edwards MK, Stevens JC et al. Multiple sclerosis: magnetic resonance imaging, evoked responses, and spinal fluid electrophoresis. Neurology 1986, 36:828-831.

[15] 15. Firsching R, Frowein RA. Multimodality evoked potentials and early prognosis in comatose patients. Neurosurg Rev 1990, 13:141-146.

[16] 16. Frederiksen JL, Larsson HBW, Olesen J, Stigsby B. MRI, VEP, SEP and biothesiome-try suggest monosymptomatic acute optic neuritis to be a first manifestation of multiple sclerosis. Acta Neurol Scand 1991, 83:343-350.

[17] 17. Gebarski SS, Gabrielsen TO, Gilman S, Knake JE et al. The initial diagnosis of multiple sclerosis: clinical impact of magnetic resonance imaging. Ann Neurol 1985, 17:469-474.

[18] 18. Giesser BS, Kurtzberg D, Vaughan HG, Arezzo JC et al. Trimodal evoked potentials compared with magnetic resonance imaging in the diagnosis of multiple sclerosis: comparison with auditory and visual evoked potentials. Arch Neurol 1987, 44:281-284.

[19] 19. Guerit JM, Monje Argiles A. The sensitivity of multimodal evoked potentials in multiple sclerosis: a comparison with magnetic resonance imaging and cerebrospinal fluid analysis. Electroenceph Clin Neurophysiol 1988, 70:230-238.

[20] 20. Harris JO, Frank JA, Patronas N. McFarlin DE, McFarland HF. Serial gadolinium--enhanced magnetic resonance imaging scans in patients with early, relapsing-remitting multiple sclerosis: implications for clinical trials and natural history. Ann Neurol 1991, 29:548-555.

[21] 21. Jacobs L, Munschauer FE, Kaba SE. Clinical and magnetic resonance imaging in optic neuritis. Neurology 1991, 41:15-19.

[22] 22. Kirshner HS, Tsai SS, Runge VM, Price A. Magnetic resonance imaging and other techniques in the diagnosis of multiple sclerosis. Arch Neurol 1985, 42:859-863.

[23] 23. Lee KH, Hashimoto SA, Hooge JP, Kastrukoff LF, Oger JJF, Li DKB, Paty DW. Magnetic resonance imaging of the head in the diagnosis of multiple sclerosis: a prospective 2-year follow-up with comparison of clinical evaluation, evoked potentials, oligo-clonal banding, and CT. Neurology 1991, 41:657-660.

[24] 24. Luccas FJ, Lopes JA, Plastino FR, Knobel E. Neurophysiological evaluation using multimodal sensory evoked potentials in patients in coma: general aspects. Arq Neuro-Psiquiat (São Paulo) 1990, 48:320-328.

[25] 25. Mayr N, Baumgartner C, Zeitlhofer J, Deecke L. The sensitivity of transcranial magnetic stimulation in detecting pyramidal tract lesions in clinically definite multiple sclerosis. Neurology 1991, 41:566-569.

[26] 26. Pimenta LH, Luccas FJ, Souza HL, Medugno E, Auditory evoked potentials in the monitoring of 15 laser microsurgeries of the brain stem. Arq Neuro-Psiquiat (São Paulo) 1989, 47:438-443.

[27] 27. Robison LR, Little JW. Motor-evoked potentials reflect spinal cord function in post--traumatic syringomyelia. Am J Phys Med Rehabil 1990, 69:307-310.

[28] 28. Rossini PM. Methodological and physiological aspects of motor evoked potentials. Electroenceph Clin Neurophysiol 1990, 41 (Suppl):124-133.

[29] 29. Rossini PM, Zarola F, Floris R, Bernardi G, Perretti A, Pelosi L, Caruso G, Caramia MD. Sensory (VEP, BAEP, SEP) and motor-evoked potentials, liquoral and magnetic resonance findings in multiple sclerosis. Eur Neurol 1989, 29:41-47.

[30] 30. Turano G, Jones SJ, Miller DH, du Boulay GH, Kakigi R, McDonald I. Correlation of SEP abnormalities with brain and cervical cord MRI in multiple sclerosis. Brain 1991, 114:663-681.

[31] 31. Zentner J, Rieder G. Diagnostic significance of motor evoked potentials in space-occupying lesions of the brain stem and spinal cord. Eur Arch Psychiat Neurol Sci 1990, 239:285-289.