Somatosensory evoked potentials in the ventrolateral thalamus.
Within the target area (VL) used for the stereotactic treatment of parkinsonian tremor and spasmodic torticollis, electrical stimulation as well as recording of somatosensory evoked potential (SEP) was performed. The effects of stimulation in the target area are facilitation of muscle tone showing some degree of somatotopic distribution. The recorded SEPs indicate a projection of an afferent system (probably of muscle afferents) to the target area. We assume that the target area is a relay station involved in the control of muscle tone. The interruption of muscle afferents in combination with the correct somatotopic localization of the lesion is important for the therapeutic efficacy in parkinsonian tremor and spasmodic torticollis.
Birk
P
P
Department of Neurology and Clinical Neurophysiology, Technical University of Munich, FRG.
Riescher
H
H
Struppler
A
A
Keidel
M
M
D000344:Afferent Pathways / Q000502:physiology; D004558:Electric Stimulation; D004576:Electromyography; D005073:Evoked Potentials, Somatosensory; D006801:Humans; D009129:Muscle Tonus; D010300:Parkinson Disease / Q000503:physiopathology*; D010525:Peripheral Nerves / Q000502:physiology; D013238:Stereotaxic Techniques; D013788:Thalamus / Q000503:physiopathology*