A reassessment of sensory evoked potential parameters in multiple sclerosis: a discriminant analysis approach.

Abstract

The sensitivity of the different parameters (absolute latency, interwave latency, latency asymmetry, amplitude) of both cervical and cerebral responses evoked by stimulation of the median nerve at the wrist was assessed in patients with multiple sclerosis by discriminant analysis. The peak latency of N13 or N20 SEP [somatosensory evoked potential] components or both was more sensitive than their amplitude, provided that a preliminary covariation with the height of the subjects was performed. The measurement of latency asymmetry between the 2 sides increased the test''s sensitivity, while amplitude asymmetry turned out to be of little diagnostic value. A linear discriminant function with 4 variates (i.e., mean amplitude, mean latency, latency asymmetry and height of the subject) was computed to summarize the information provided by the different parameters to give a rapid and exact method for the assessment of SEP abnormalities in multiple sclerosis patients.