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Far-field somatosensory evoked potentials after stimulation of the tibial nerve

Division of Clinical Electrophysiology, Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA.

In 21 normal subjects, far-field somatosensory potentials were recorded from the scalp after stimulation of the tibial nerve at the ankle (tibial SEP). With the use of a knee reference contralateral to the side of stimulation, the tibial SEP consisted of three major positive peaks, P17, P24, and P31, and three additional but inconsistent components, P11, P21, and P27. Presumable generator sources of the tibial SEP are the popliteal fossa for P11, entry to the sacral plexus for P17, the cauda equina for P21, entry to the conus medullaris for P24, the rostral spinal cord for P27, and the brainstem for P31.

Address correspondence and reprint requests to Dr. Yamada, Division of Clinical Electrophysiology, Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242.

Accepted for publication March 8, 1982.