F-wave and Cervical Somatosensory Response Conduction from the Seventh Cervical Spinous Process to Cortex in Multiple Sclerosis

Abstract

SUMMARY: Transit (conduction) times from the wrist to the seventh cervical spinous process (C₇) were measured by using the F-wave response (TA) and the cervical somatosensory response (SEPC). The mean values obtained in 25 controls were 10.1 ± 0.9 s-³ and 10.9 ± 1.0 s-³ respectively. The 0.8 ± 1.0 s-³ difference between the two methods represents central delay of SEPC, possibly at the level of the dorsal root ganglion. The mean onset latency of the cortical somatosensory response (SEPA) evoked by median nerve stimulation in the same subjects was 15.5 ± 1.0 s-³. Transit time from C₇ to the cortex (TB) given by either SEPA - TA or SEPA - SEPC - 0.8, where 0.8 is the necessary corrective factor for central delay of SEPC, was 5.3 ± 1.0 s-³. These techniques were applied to 10 patients suspected of having multiple sclerosis, but without clinical evidence of involvement above C₇. Six of the 10 cases showed prolongation of TB. In 4 of these, this could only be calculated by the F-wave method since SEPC was absent. It is concluded that transit times derived from either the F-wave or SEPC are equally valid and interchangeable. The absence of one response allows for its replacement by the other.