Origin of P16 median nerve SEP component identified by dipole source analysis--subthalamic or within the thalamo-cortical radiation?

Exp Brain Res. 1995;104(3):511-8. doi: 10.1007/BF00231985.

Abstract

Following median nerve stimulation, several monophasic peaks were recorded at the scalp in the 15-18 ms time range. Source analysis, using three different methods, modelled a source near the centre of the head with an orientation towards the activated hemisphere and a peak activity at 16 ms post stimulus. Magnetic recordings detected no signal in this time range, which confirmed a subcortical location of the source. From dipole localization it was not possible to assign the exact origin of the P16 source to either the subthalamic level or the thalamo-cortical radiation, because of the limited spatial resolution at the centre of the spherical head model. An estimate of the conduction velocity of the medial lemniscus pointed towards a subthalamic origin. The P16 source was preserved in two patients with a lesion of the thalamo-cortical radiation and the ventral thalamus. Further evidence for a subthalamic location of P16 was derived from the physical mechanisms generating far-field potentials.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cerebral Cortex / diagnostic imaging
  • Cerebral Cortex / physiology*
  • Cerebral Cortex / physiopathology
  • Cerebrovascular Disorders / diagnostic imaging
  • Cerebrovascular Disorders / physiopathology
  • Electric Stimulation
  • Electroencephalography
  • Electromagnetic Fields
  • Evoked Potentials, Somatosensory / physiology*
  • Female
  • Head / physiology
  • Humans
  • Male
  • Median Nerve / physiology*
  • Middle Aged
  • Models, Neurological
  • Orientation / physiology
  • Space Perception / physiology
  • Thalamic Nuclei / diagnostic imaging
  • Thalamic Nuclei / physiology*
  • Thalamic Nuclei / physiopathology
  • Tomography, X-Ray Computed