Evoked brain potentials

Why is the study of evoked potentials carried out, indications and contraindications. Study of visual, cognitive, acoustic brainstem potentials.

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About the service

About the service

The brain controls every aspect of our lives, from conscious thinking to automatic reactions. However, to understand its operation and identify possible violations, a specialized research method is required.

Evoked potentials are electrical signals that the brain generates in response to external stimuli or internal tasks. They serve as a kind of “reaction” of the brain to the environment and internal processes. These potentials allow us to understand how the brain processes information, responds to external influences, and controls a variety of bodily functions.

Doctors of the department of functional diagnostics of the multidisciplinary clinic “K+31” have experience and professional training in the field of clinical neurophysiology and neurology. This knowledge ensures that the study is carried out accurately and the results are interpreted. This makes it possible to identify pathological changes at an early stage, start therapy on time and change the patient’s quality of life.

Principle of the research method

The method is based on measuring the electrical signals that the brain generates in response to stimuli or tasks. They are called evoked potentials. These are short and weak impulses that occur in neurons of the brain and nervous system in response to various influences.

Key aspects
  • First months The study focuses on so-called "event-related activity" in the brain that occurs in response to specific stimuli or tasks. And, which can be measured and recorded.
  • Total The recorded signals are analyzed and processed using special programs and equipment. This makes it possible to isolate evoked potentials and determine their time and amplitude characteristics.
  • 1.5 - 2 Years Special or electroencephalographic (EEG) electrodes are placed on the patient's skin or head. They record electrical potentials that occur in neurons of the brain in response to a stimulus.
  • Additional Effect The test results are interpreted by doctors specializing in clinical neurophysiology or neurology. They can determine how the brain responds to a stimulus and use this information to diagnose or evaluate the functional state of the brain and nervous system.
Indications and contraindications for the study
Recommended for implementation
  • Suspicion of migraine, epilepsy, multiple sclerosis, etc.

  • Assessing the functional state of the nervous system and identifying disorders associated with neuropathy or nerve compression, as well as monitoring the effectiveness of treatment and assessing the dynamics of the condition, for example after a traumatic brain injury.

  • Clarification of the nature of hearing impairment, coordination, dizziness, as well as disorders of the somatosensory system - problems with deep sensitivity.

  • Suspicions of damage to the brain stem, focal damage to the spinal cord.

Contraindications for carrying out
  • Presence of epileptic seizures. IVP can provoke seizures in patients with this problem.

  • Skin pathology (for example, ulcers and burns) at the site where the electrodes are installed.

  • Failure to cooperate. If the patient is unable to follow instructions, for example in young children or patients with severe mental disorders.

  • Presence of metal implants. For example, pacemakers can distort electrical signals.

How the research is carried out

Knowledge of the stages of the procedure helps to interact productively with a medical specialist, which speeds up the process and improves the quality of data.

The research consists of the following stages:

1

Preparation. The patient is usually located in a specially equipped room or office where he is conveniently located. Electrodes are attached to the skin to record electrical activity in the brain.

2

Selecting the stimulus type. Depending on the purpose of the study, the type of impact is selected. This may be a visual, auditory, tactile or other stimulus. For example, light flashes can be used to study visual evoked potentials (VEPs), and click sounds can be used to study acoustic evoked potentials.

3

Feeding impact. For example, for visual potentials this may be changes in light conditions, and for auditory potentials this may be sound signals

4

Registration of potentials. Electrodes record the electrical activity of the brain in response to a stimulus. These signals are called evoked potentials

5

Analysis of results. The recorded potentials are analyzed based on their time and amplitude characteristics. Experts determine how the brain responds to a stimulus and extract useful information about the state of the nervous system from this information

6

Interpretation. The doctor identifies the presence of disorders, assesses the functional state of the brain and nervous system, and also uses this data for diagnosis and treatment planning

At the end of the procedure, based on the data obtained, doctors draw up a conclusion and, if necessary, recommend further treatment or medical monitoring.

Types of diagnostics using the study of evoked potentials of the brain

Visual potentials

Visually evoked potentials (VEPs) are electrical signals that are generated by the brain in response to visual stimuli or tasks.

VEPs play an important role in ophthalmology, especially when assessing visual function in patients with eye diseases. Using the method, the doctor studies:

  • Condition of the optic nerves. The functional status is examined, including the optic nerve and its pathways. This can be useful in diagnosing and monitoring diseases such as glaucoma, eyeball tumors and other conditions that can affect the optic nerves.
  • Functions of the organ of vision. The brain's ability to process visual information signals is assessed.
  • Effectiveness of treatment. Repeated VEP measurements can be used to monitor the effectiveness of treatments for ophthalmic diseases. Changes may indicate improvement or worsening of the patient's condition after treatment.

Important to note

VEPs in ophthalmology are often used in combination with other imaging modalities, such as optical coherence tomography (OCT) and electroretinography (ERG), to comprehensively assess patients' ocular health and visual function.

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Visual potentials

Acoustic (auditory) brainstem potentials

Acoustic brainstem evoked potentials help assess hearing impairment in adults and children. In the case of infants, the diagnosis of ASVP in children may have several important clinical implications:

  • Diagnosis of hearing impairment in newborns. In children of this age, it is impossible to conduct a routine audiometric study. ASVPs assess hearing in newborns and may be important in identifying congenital problems.
  • Screening. The test is used as part of routine examinations in children's hospitals or maternity centers.
  • Diagnosis of hearing disorders in early childhood. When there is a suspicion of hearing problems, the method helps to determine the nature and extent of these disorders.
  • Evaluation of treatment effectiveness. If the child is receiving therapy or has hearing aids.

Important to note

Carrying out ASVP in children requires special training and cooperation on the part of young patients. However, this method can be very valuable for the early diagnosis and management of hearing disorders in children.

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Stem potentials

Cognitive evoked potentials

Cognitive functions are a variety of mental processes that include perception, thinking, attention, memory, problem solving, analysis and abstract thinking.

Cognitive evoked potentials (CEPs) are electrical signals that are generated by the brain in response to specific stimuli or attention to certain aspects of information. They can provide valuable information about cognitive processes and brain function.

Allows you to evaluate:

  1. The time it takes the brain to respond to certain stimuli and tasks. This may be useful for studying the speed and efficiency of cognitive functions.
  2. How the brain processes information and maintains attention and concentration on tasks.
  3. Disorders in dementia.

The study of CEP allows us to deepen our understanding of the cognitive functions of the brain and can be useful for both clinical diagnosis and scientific research related to the human brain and mental processes.

Brain evoked potentials are an important tool for diagnosis, research and care of the health of the nervous system. The application of this method continues to expand and develop, making it a key element in the field of neurophysiology and medicine.

You can undergo this diagnosis at the functional diagnostics department of the K+31 clinic. Our highly qualified specialists and modern equipment will help you get accurate results, which will help you make the correct diagnosis and begin treatment in a timely manner.

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Cognitive evoked potentials

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Tatyana Valerievna
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I am in the neurology department, hospital. I express my deep gratitude to the doctor Omarova S.M., I also want to note the attentiveness of the medical staff, the manager, everything is coordinated and prompt!
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I would like to express my deep gratitude and appreciation to the neurologist Tatyana Valerievna Mitelmayer - an excellent specialist, a professional in her field, first of all for her competence, a doctor from God in her professional qualities, and empathy is enough for this title. In essence: I went to doctors with a problem in my eyes, from specialist to specialist - different diagnoses, I panicked, cried, I went through all the stages of accepting hopelessness. They advised me to contact Tatyana Valerievna Mitelmayer, I no longer hoped that they would hear me and help me. Tatyana Valerievna rushed between two offices during the appointment, an emergency patient was brought in, and then I thought that I would not get anything ... It is not easy to make an appointment with this doctor, since all the doctors of the clinic have a doctorate with a tight schedule and an increased cost of an appointment. During the appointment, Tatyana Valeryevna listened, conducted diagnostics, prescribed the necessary tests and examinations, while clearly torn between me and the other patient, which personally did not bother me at all, because it was immediately clear that the doctor is very energetic, young and beautiful, with extensive experience, sociable, responsive and most importantly - a professional in her field, knows, loves her job, no fluff in questions and actions, quickly, clearly, to the point. Tatyana Valeryevna referred me to an ophthalmologist, I was surprised when I saw her in the ophthalmologist's office and the conversation was about me, we discussed the plan for diagnostics, treatment, diagnosis, Tatyana Valeryevna went through all these stages with me and with other specialists, all appointments of other doctors were also under her control, I still do not understand how she manages everything, because she is not just a doctor, she is the head of neurology, also conducts appointments, and is also a mother of three children. I sincerely admire such women, there are very few of them, and THANK YOU SO MUCH for your help, for your hope, patience and work. With great respect, Voronina Victoria Anatolyevna.
22.08.2024
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