Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1982 Dec;45(12):1139–1143. doi: 10.1136/jnnp.45.12.1139

Pattern reversal visual evoked potentials in Japanese patients with multiple sclerosis.

H Shibasaki, Y Kuroiwa
PMCID: PMC491698  PMID: 7161609

Abstract

Forty-seven Japanese patients with multiple sclerosis, 29 probable (clinically definite) and 18 possible, were studied by black-and-white checkerboard pattern reversal visual evoked potential and were compared with a control group of 20 healthy young adults. The major positive peak (P100) was found to be abnormal in 70% of all cases, 90% of probable cases and 39% of possible cases. P100 was delayed in 38% of all cases and was absent in 23% of all cases. None of the eyes showing a flat pattern response was in the acute stage of optic neuritis. The percentage of cases with no response (23% of all cases) was greater than any of the previously reported series from Western countries, substantiating the previously reported clinical features of oriental multiple sclerosis. The pattern response was absent only when testing eyes with severe visual impairment, whereas delayed latency of P100 was seen regardless of the severity of visual impairment, suggesting the usefulness of P100 latency for detecting subclinical optic nerve lesions.

Full text

PDF
1139

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Asselman P., Chadwick D. W., Marsden D. C. Visual evoked responses in the diagnosis and management of patients suspected of multiple sclerosis. Brain. 1975 Jun;98(2):261–282. doi: 10.1093/brain/98.2.261. [DOI] [PubMed] [Google Scholar]
  2. Bodis-Wollner I., Hendley C. D., Mylin L. H., Thornton J. Visual evoked potentials and the visuogram in multiple sclerosis. Ann Neurol. 1979 Jan;5(1):40–47. doi: 10.1002/ana.410050107. [DOI] [PubMed] [Google Scholar]
  3. Carroll W. M., Kriss A., Baraitser M., Barrett G., Halliday A. M. The incidence and nature of visual pathway involvement in Friedreich's ataxia. A clinical and visual evoked potential study of 22 patients. Brain. 1980 Jun;103(2):413–434. doi: 10.1093/brain/103.2.413. [DOI] [PubMed] [Google Scholar]
  4. Chain F., Mallecourt J., Leblanc M., Lhermitte F. Apport de l'enregistrement des potentiels évoqués visuels au diagnostic de la sclérose en plaques. Rev Neurol (Paris) 1977 Feb;133(2):81–88. [PubMed] [Google Scholar]
  5. Clifford-Jones R. E., Clarke G. P., Mayles P. Crossed acoustic response combined with visual and somatosensory evoked responses in the diagnosis of multiple sclerosis. J Neurol Neurosurg Psychiatry. 1979 Aug;42(8):749–752. doi: 10.1136/jnnp.42.8.749. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Collins D. W., Black J. L., Mastaglia F. L. Pattern-reversal visual evoked potential. Method of analysis and results in multiple sclerosis. J Neurol Sci. 1978 Mar;36(1):83–95. doi: 10.1016/0022-510x(78)90163-6. [DOI] [PubMed] [Google Scholar]
  7. Diener H. C., Scheibler H. Follow-up studies of visual potentials in multiple sclerosis evoked by checkerboard and foveal stimulation. Electroencephalogr Clin Neurophysiol. 1980 Sep;49(5-6):490–496. doi: 10.1016/0013-4694(80)90391-0. [DOI] [PubMed] [Google Scholar]
  8. Halliday A. M., Halliday E., Kriss A., McDonald W. I., Mushin J. The pattern-evoked potential in compression of the anterior visual pathways. Brain. 1976 Jun;99(2):357–374. doi: 10.1093/brain/99.2.357. [DOI] [PubMed] [Google Scholar]
  9. Halliday A. M., McDonald W. I., Mushin J. Delayed pattern-evoked responses in optic neuritis in relation to visual acuity. Trans Ophthalmol Soc U K. 1973;93(0):315–324. [PubMed] [Google Scholar]
  10. Halliday A. M., McDonald W. I., Mushin J. Delayed visual evoked response in optic neuritis. Lancet. 1972 May 6;1(7758):982–985. doi: 10.1016/s0140-6736(72)91155-5. [DOI] [PubMed] [Google Scholar]
  11. Halliday A. M., McDonald W. I., Mushin J. Visual evoked response in diagnosis of multiple sclerosis. Br Med J. 1973 Dec 15;4(5893):661–664. doi: 10.1136/bmj.4.5893.661. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Halliday A. M., Mushin J. The visual evoked potential in neuroophthalmology. Int Ophthalmol Clin. 1980 Spring;20(1):155–183. doi: 10.1097/00004397-198002010-00008. [DOI] [PubMed] [Google Scholar]
  13. Hennerici M., Wenzel D., Freund H. J. The comparison of small-size rectangle and checkerboard stimulation for the evaluation of delayed visual evoked responses in patients suspected of multiple sclerosis. Brain. 1977 Mar;100(Pt 1):119–136. doi: 10.1093/brain/100.1.119. [DOI] [PubMed] [Google Scholar]
  14. Kjaer M. Visual evoked potentials in normal subjects and patients with multiple sclerosis. Acta Neurol Scand. 1980 Jul;62(1):1–13. doi: 10.1111/j.1600-0404.1980.tb02998.x. [DOI] [PubMed] [Google Scholar]
  15. Kuroiwa Y., Hung T. P., Landsborough D., Park C. S., Singhal B. S. Multiple sclerosis in Asia. Neurology. 1977 Feb;27(2):188–192. doi: 10.1212/wnl.27.2.188. [DOI] [PubMed] [Google Scholar]
  16. Kuroiwa Y., Igata A., Itahara K., Koshijima S., Tsubaki T. Nationwide survey of multiple sclerosis in Japan. Clinical analysis of 1,084 cases. Neurology. 1975 Sep;25(9):845–851. doi: 10.1212/wnl.25.9.845. [DOI] [PubMed] [Google Scholar]
  17. Lowitzsch K., Kuhnt U., Sakmann C., Maurer K., Hopf H. C., Schott D., Thäter K. Visual pattern evoked responses and blink reflexes in assessment of MS diagnosis. A clinical study of 135 multiple sclerosis/pathol. J Neurol. 1976 Jul 15;213(1):17–32. doi: 10.1007/BF00316336. [DOI] [PubMed] [Google Scholar]
  18. Mastaglia F. L., Black J. L., Collins D. W. Visual and spinal evoked potentials in diagnosis of multiple sclerosis. Br Med J. 1976 Sep 25;2(6038):732–732. doi: 10.1136/bmj.2.6038.732. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Matthews W. B., Small D. G., Small M., Pountney E. Pattern reversal evoked visual potential in the diagnosis of multiple sclerosis. J Neurol Neurosurg Psychiatry. 1977 Oct;40(10):1009–1014. doi: 10.1136/jnnp.40.10.1009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Nilsson B. Y. Visual evoked responses in multiple sclerosis: comparison of two methods for pattern reversal. J Neurol Neurosurg Psychiatry. 1978 Jun;41(6):499–504. doi: 10.1136/jnnp.41.6.499. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Sandstedt P., Hydén D., Odkvist L. Bell's palsy - part of a polyneuropathy? Acta Neurol Scand. 1981 Jul;64(1):66–73. doi: 10.1111/j.1600-0404.1981.tb04386.x. [DOI] [PubMed] [Google Scholar]
  22. Shahrokhi F., Chiappa K. H., Young R. R. Pattern shift visual evoked responses. Two hundred patients with optic neuritis and/or multiple sclerosis. Arch Neurol. 1978 Feb;35(2):65–71. doi: 10.1001/archneur.1978.00500260003001. [DOI] [PubMed] [Google Scholar]
  23. Shibasaki H., Kuroda Y., Iwashita H., Kuroiwa Y. Clinical studies of multiple sclerosis in Japan. Multiple sclerosis starting with retrobulbar neuritis. J Neurol. 1974;208(1):17–25. doi: 10.1007/BF00313330. [DOI] [PubMed] [Google Scholar]
  24. Shibasaki H., McDonald W. I., Kuroiwa Y. Racial modification of clinical picture of multiple sclerosis: comparison between British and Japanese patients. J Neurol Sci. 1981 Feb;49(2):253–271. doi: 10.1016/0022-510x(81)90083-6. [DOI] [PubMed] [Google Scholar]
  25. Shibasaki H., Okihiro M. M., Kuroiwa Y. Multiple sclerosis among Orientals and Caucasians in Hawaii: a reappraisal. Neurology. 1978 Feb;28(2):113–118. doi: 10.1212/wnl.28.2.113. [DOI] [PubMed] [Google Scholar]
  26. Tackmann W., Strenge H., Barth R., Sojka-Raytscheff A. Diagnostic validity for different components of pattern shift visual evoked potentials in multiple sclerosis. Eur Neurol. 1979;18(4):243–248. doi: 10.1159/000115083. [DOI] [PubMed] [Google Scholar]
  27. Trojaborg W., Petersen E. Visual and somatosensory evoked cortical potentials in multiple sclerosis. J Neurol Neurosurg Psychiatry. 1979 Apr;42(4):323–330. doi: 10.1136/jnnp.42.4.323. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Zeese J. A. Pattern visual evoked responses in multiple sclerosis. Arch Neurol. 1977 May;34(5):314–316. doi: 10.1001/archneur.1977.00500170068015. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES