title: [Recommendations for the clinical use of motor evoked potentials in multiple sclerosis].
abstract: OBJECTIVE
  To establish clinical guidelines for the clinical use and interpretation of motor evoked potentials (MEP) in diagnosing and monitoring patients with multiple sclerosis (MS). Recommendations for MEP use and interpretation will help us rationalise and optimise resources used in MS patient diagnosis and follow up.
  
  
  METHODS
  We completed an extensive literature review and pooled our own data to produce a consensus statement with recommendations for the clinical use of MEPs in the study of MS.
  
  
  RESULTS
  MEPs, in addition to spinal and cranial magnetic resonance imaging (MRI), help us diagnose and assess MS patients whose disease initially presents as spinal cord syndrome and those with non-specific brain MRI findings, or a normal brain MRI and clinical signs of MS.
  
  
  CONCLUSIONS
  Whenever possible, a multimodal evoked potential study should be performed on patients with suspected MS in order to demonstrate involvement of the motor pathway which supports a diagnosis of dissemination in space.
authors.affiliation: Red Española de Esclerosis Múltiple (REEM), España; Instituto Neurociencias Clínicas, Servicio de Neurofisiología Clínica, Hospital Regional Universitario Carlos Haya, Málaga, España. Electronic address: victoriae.fernandez.sspa@juntadeandalucia.es.
authors.forename: V
authors.initials: V
authors.lastname: Fernández
authors.forename: J
authors.initials: J
authors.lastname: Valls-Sole
authors.forename: J L
authors.initials: JL
authors.lastname: Relova
authors.forename: N
authors.initials: N
authors.lastname: Raguer
authors.forename: F
authors.initials: F
authors.lastname: Miralles
authors.forename: L
authors.initials: L
authors.lastname: Dinca
authors.forename: S
authors.initials: S
authors.lastname: Taramundi
authors.forename: L
authors.initials: L
authors.lastname: Costa-Frossard
authors.forename: M
authors.initials: M
authors.lastname: Ferrandiz
authors.forename: Ll
authors.initials: L
authors.lastname: Ramió-Torrentà
authors.forename: P
authors.initials: P
authors.lastname: Villoslada
authors.forename: A
authors.initials: A
authors.lastname: Saiz
authors.forename: C
authors.initials: C
authors.lastname: Calles
authors.forename: A
authors.initials: A
authors.lastname: Antigüedad
authors.forename: J C
authors.initials: JC
authors.lastname: Alvarez-Cermeño
authors.forename: J M
authors.initials: JM
authors.lastname: Prieto
authors.forename: G
authors.initials: G
authors.lastname: Izquierdo
authors.forename: X
authors.initials: X
authors.lastname: Montalbán
authors.forename: O
authors.initials: O
authors.lastname: Fernández
mesh_terms: D032921:Consensus; D003711:Demyelinating Diseases / Q000473:pathology; D004558:Electric Stimulation; D004574:Electromagnetic Fields; D019054:Evoked Potentials, Motor / Q000502:physiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D009103:Multiple Sclerosis / Q000175:diagnosis* / Q000503:physiopathology; D009431:Neural Conduction; D009460:Neurologic Examination