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Journal of the Korean Academy of Rehabilitation Medicine 1993;17(3):451-458.
Visual evoked potential study in normal neonates.
Park, Jeong Mee , Cho, Mi Ae
Department of Rehabilitation Medicine, Wonju College of Medicine, Yonsei University.
정상 신생아에서의 시각유발전위검사에 대한 고찰
박정미, 조미애
연세대학교 원주의과대학 재활의학교실
Abstract

The visual evoked potential(VEP) test is one of the important tools, useful for screening visual impairment and measuring brain maturity in the neonatal stage. The purpose of this study is to standardize the VEP latency and amplitude. VEP to flash light stimulation by use of goggle have been obtained in fifty seven healthy neonates. The babies were born between thirty five to forty two weeks gestational age (mean 39 weeks) and VEP study was taken below three days after birth during their natural sleep.

The results were as follows;

1) In the VEP study stimulating right eye, the mean latency of N1(initial negative peak) was 143.09 msec. P1 (initial positive peak) was 209.67 msec and N2 (negative peak) was 326.97 msec. The mean amplitude of I(N1-P1) was 5.00μV and II(P1-N2) was 11.80μV.

2) In the VEP study stimulating left eye, the mean latency of N1 was 145.40 msec, P1 was 211.44 msec and N2 was 331.12 msec. The mean amplitude of I was 5.28μV and II was 10.84μV.

3) In the VEP study stimulating, both eyes simultaneously, the mean latency of N1 was 141.00msec, P1 was 201.46 msec and N2 was 326.52msec. The mean amplitude of I(N1-P1) was 6.13μV and II(P1-N2) was 15.05μV.

4) There are no significant correlations between right or left N1 latencies and gestational age(P>0.05), but bilateral N1 latency significantly decreased as gestational age increased (P<0.05).

5) The latencies of P1 and N2 of the right and left eye individually or simultaneously were inversely related to gestational age(P<0.05).

6) Statistically, the amplitudes of I(N1-P1), II(P1-N2) and the ratio of II/I of the right and left eye individually or simultaneously had no significant correlations with gestational age(P>0.05).

7) The P1 latency of VEP was significantly shorter in female babies than in male (P<0.05), but there was no significant differences in head circumference between the group (P>0.05).

8) The VEP latencies or amplitudes were not significantly related to head circumference, body weight or APGAR score (P>0.05).

Key Words: Visual evoked potential study, Normal neonates


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