Morphological characteristics of the scalp far-field potentials evoked by median nerve stimulation in infants and children

Electroencephalogr Clin Neurophysiol. 1992 Feb;82(2):133-8. doi: 10.1016/0013-4694(92)90156-c.

Abstract

We investigated the somatosensory evoked potentials (SEPs) produced by median nerve stimulation in normal infants, children and adults, focussing upon the wave forms of the scalp far-field potentials (FFPs). In adolescents and adults, 3 or 4 positive FFPs preceded the widespread N18 component on the scalp, corresponding to P9, P11, P13 and P14 (or P13-14). In infants and children, however, the scalp FFPs often included 5 positive waves, the initial three of which were characteristically sharp and brief. This distinctive wave form, with 5 positive FFPs, was correlated with an Erb's potential having a bipeaked negative phase. We studied the temporal relationship of the 5 positive FFPs to the Erb's potential and the cervical SEPs and concluded that the initial 3 brief positive waves were produced by overlapping of a bipeaked "P9" and bipeaked "P11." Both "P9" and "P11" are stationary waves that are thought to originate in the first-order afferents, so they probably reflect the bipeaked appearance of the compound nerve action potential.

MeSH terms

  • Action Potentials / physiology
  • Adolescent
  • Adult
  • Aging / physiology*
  • Cervical Vertebrae
  • Child
  • Child, Preschool
  • Evoked Potentials, Somatosensory / physiology*
  • Female
  • Humans
  • Infant
  • Male
  • Median Nerve / physiology*
  • Reaction Time / physiology
  • Reference Values
  • Scalp