Comparative study of VEPs and MRI
in multiple sclerosis
Szanyi J., Kuba M., Kremláček J., Taláb R.1, Žižka J.2
Ústav patologické fyziologie, LF UK, Hradec Králové 1Neurologická klinika a 2Radiologická klinika, FN, Hradec Králové |
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Summary:
The aim of this study was to verify a diagnostic value of our enlarged set of visual evoked potentials
(VEPs) in patients with possible multiple sclerosis (MS). Only 67 patients (45 females and 22 males, age
range 16–60 years, mean age 38 ± 10.6 years) were included in whom simultaneously MRI examination
was performed. VEPs examination used pattern-reversal andmotion onset stimuli (with more selective
magnocellular system activation). In 39 patients (58%) who were referred for possibleMS, the diagnosis
was later confirmed as definite. In this subgroup MRI scanswere abnormal in 79 % of patients and VEPs
in 64 %. Although the sensitivity of MRI seems to be higher, in 4 patients with normal MRI VEPs
contributed to the diagnostics ofMS(prolonged latency of VEPs). VEPs may provide additional support,
particularly in situations in which MRI abnormalities are few or when MRI abnormalities have lesser
specificity. Therefore, on the basis of this study,we support to include VEPs examination into the basic
set of diagnostic tools in MS.
Key words:
multiple sclerosis (MS), visual evoked potentials (VEPs), magnetic resonance imaging (MRI)
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