M. Tinazzi et al., EFFECTS OF VOLUNTARY CONTRACTION ON TIBIAL NERVE SOMATOSENSORY-EVOKEDPOTENTIALS - GATING OF SPECIFIC CORTICAL RESPONSES, Neurology, 50(6), 1998, pp. 1655-1661
We evaluated vertex-parietal P37, N50, and contralateral N37 somatosen
sory evoked potentials (SEPs) to posterior tibial nerve stimulation du
ring weak (20 to 30%) and strong (80 to 90%) ipsilateral gastrocnemius
-soleus contraction. The results were compared with data obtained duri
ng full relaxation. P37 and N50 were attenuated significantly during w
eak contraction and then abolished during strong contraction, whereas
the contralateral N37 was not. The N37 potential spreads over the vert
ex and over the ipsilateral parietal region during strong contraction.
The Cz'-F3 montage was not appropriate for detecting these SEP patter
ns. These findings suggest that thalamic or cortical gating mechanisms
affect specific cortical responses. P37 and N50 could reflect the arr
ival of the afferent volley into the motor areas from thalamic and cor
tical (subareas 1 and 2 of S1) projections. N37 could be generated in
subarea 3b. Differential analysis of N37 and P37 is required in clinic
al practice, mainly in those conditions that involve the motor system
and in those conditions in which tonic muscular activity is increased.