Vagus somatosensory evoked potentials--a possibility for diagnostic improvement in patients with mild cognitive impairment?

Dement Geriatr Cogn Disord. 2012;33(5):289-96. doi: 10.1159/000339359. Epub 2012 Jul 2.

Abstract

Objective: Vagus somatosensory evoked potentials (VSEP) are far-field potentials probably generated in nuclei of then. vagus in the lower brainstem. They represent a putative, easily applicable method for discrimination between patients with Alzheimer's disease (AD), patients with mild cognitive impairment (MCI), and healthy controls (HC).

Methods: Thirteen patients with AD, 12 with MCI, and 27 age- and gender-matched HC were investigated by stimulating the cutaneous branch of the n. vagus; 8, 6, and 20, respectively, were included in the main part of the analysis.

Results: In fronto-central recordings (electrode positions Fz-F4) a grading from HC over MCI to AD could be found, with a significant linear trend over the three groups and significantly increased latencies of the cognitively impaired patients but no significant difference between MCI and AD.

Conclusion: The results indicate that the method of VSEP is able to discriminate between cognitively declined patients and HC, whereas no clear-cut differences were detected between MCI and AD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Alzheimer Disease / diagnosis*
  • Brain Stem / physiopathology*
  • Case-Control Studies
  • Cognitive Dysfunction / diagnosis*
  • Diagnosis, Differential
  • Evoked Potentials, Somatosensory / physiology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Vagus Nerve / physiopathology*