PROGNOSTIC-SIGNIFICANCE OF ELECTROPHYSIOLOGICAL INVESTIGATIONS IN STROKE PATIENTS - SOMATOSENSORY AND MOTOR EVOKED-POTENTIALS AND SYMPATHETIC SKIN-RESPONSE
Y. Pereon et al., PROGNOSTIC-SIGNIFICANCE OF ELECTROPHYSIOLOGICAL INVESTIGATIONS IN STROKE PATIENTS - SOMATOSENSORY AND MOTOR EVOKED-POTENTIALS AND SYMPATHETIC SKIN-RESPONSE, Neurophysiologie clinique, 25(3), 1995, pp. 146-157
A prospective 3-month follow-up examination was carried out in 12 pati
ents with supratentorial stroke. Motor evoked potentials (MEP), somato
sensory evoked potentials (SEP) and sympathetic skin responses (SSR) w
ere performed 1-7 days, 30 days and 3 months after stroke. The functio
nal outcome measured by a daily activity index (Barthel index) was ass
essed 3 months after the stroke. There was a significant correlation b
etween SEP and MEP results obtained for the first week and recovery of
sensation and motility 3 months later. When initially normal, motor p
otentials evoked by transcranial magnetic stimulation had a significan
t predictive value for long-term functional outcome, whereas SEP and S
SR did not. SSR present at the initial stage was correlated with the s
tate of consciousness.