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How somatosensory evoked potentials improve the diagnosis of the disturbance of consciousness: A retrospective analysis.

Xinwei WangHongliang GaoJiulong SongPeng JingChao WangNuanxin YuShanshan WuJianxiong ZhuZhiqiang Gao
Published in: Network (Bristol, England) (2023)
The interpeak latency is a crucial characteristic of upper limb somatosensory evoked potentials (USEPs). However, the existing research on the correlation between interpeak latency and consciousness disorders is currently limited. We aimed to investigate how USEPs can contribute to the diagnosis of consciousness disorders. A retrospective analysis was conducted on 10 patients who underwent repetitive transcranial magnetic stimulation (rTMS) for consciousness disorders. The interpeak latency N13-N20, Glasgow coma scale (GCS), and Chinese Nanjing persistent vegetative state scale (CNPVSS) were evaluated before and after rTMS treatment, and the linear correlation between N13-N20, GCS, and CNPVSS was analysed. The scores of CNPVSS and GCS significantly increased in the first, second, and third months after rTMS. The N13-N20 was shorter in the second and third months after rTMS compared to before treatment. rTMS was found to shorten the N13-N20 latency, and there was a negative correlation between N13-N20 and the score of consciousness disorders. N13-N20 can serve as an objective index for evaluating consciousness disorders. This research provides potential insights for doctors in diagnosing patients with consciousness disorders.
Keyphrases
  • transcranial magnetic stimulation
  • high frequency
  • upper limb
  • ejection fraction
  • newly diagnosed
  • risk assessment
  • prognostic factors
  • transcranial direct current stimulation
  • replacement therapy
  • neural network