BRAIN-STEM SOMATOSENSORY DYSFUNCTION IN A CASE OF LONG-STANDING LEFT HEMISPHERECTOMY WITH REMOVAL OF THE LEFT THALAMUS - A NASOPHARYNGEAL AND SCALP SEP STUDY
D. Restuccia et al., BRAIN-STEM SOMATOSENSORY DYSFUNCTION IN A CASE OF LONG-STANDING LEFT HEMISPHERECTOMY WITH REMOVAL OF THE LEFT THALAMUS - A NASOPHARYNGEAL AND SCALP SEP STUDY, Electroencephalography and clinical neurophysiology. Evoked potentials, 100(3), 1996, pp. 184-188
We have studied median nerve somatosensory evoked potentials (SEPs) in
a patient who had undergone early surgical removal of the left cerebr
al hemisphere and left thalamus. Stimulation of the right side evoked
normal latency P9, P11 and P13 potentials at scalp as well as at nasop
haryngeal (NP) leads, while P14 and N18 potentials were absent. These
SEP abnormalities, that have been described previously in cervico-medu
llary lesions and in comatose patients with upper brain-stem involveme
nt, suggest that in our patient the removal of the left thalamus has c
aused retrograde degeneration of the cuneate-thalamic projections. Mor
eover, this study confirms that P13 and P14 potentials have different
generators.