SEPs in two patients with localized lesions of the postcentral gyrus

Electroencephalogr Clin Neurophysiol. 1991 Nov-Dec;80(6):536-46. doi: 10.1016/0168-5597(91)90136-l.

Abstract

Scalp distributions of median nerve SEPs were studied in normal controls and 2 patients with localized lesions of the postcentral gyrus. In controls, parieto-occipital electrodes registered N20-P27 while frontal electrodes registered P20-N27. Other small components, parieto-occipital P22 and frontal N22, were recognized in about half of the control records. The wave forms at a frontal and a parieto-occipital electrode, both distant from the central region, formed exact mirror images of each other concerning N20-(P22)-P27 and P20-(N22)-N27. Electrodes near the central region contralateral to the stimulation registered cP22-cN30 (central P22 and central N30). When the postcentral gyrus was damaged, N20/P20-P27/N27 and cP22-cN30 were eliminated and the only remaining components were a frontal negative wave (frN) and a contralateral parieto-occipital positive wave (poP). Digital nerve stimulation also evoked poP and frN in both cases. In case 2, poP coincided with P22 of the non-affected side. The following generators were proposed; N20/P20-P27/N27: area 3b, cP22-cN30: areas 1 and 2, poP/early frN (= P22/N22): area 4 at the anterior wall of the central sulcus (due to direct thalamic inputs to motor cortex), late frN: uncertain (SMA?, SII?).

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain Diseases / pathology
  • Brain Diseases / physiopathology*
  • Electric Stimulation
  • Electroencephalography
  • Evoked Potentials, Somatosensory / physiology*
  • Fingers / physiology
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Median Nerve / physiology
  • Middle Aged
  • Reaction Time
  • Scalp / physiology