[Recommendations for the clinical use of motor evoked potentials in multiple sclerosis].


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. METHOD 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.

DOI: 10.1016/j.nrl.2012.07.007

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@article{Fernndez2013RecommendationsFT, title={[Recommendations for the clinical use of motor evoked potentials in multiple sclerosis].}, author={Victoria E Fern{\'a}ndez and Josep Valls-Sol{\'e} and Jos{\'e} Luis Relova and N{\'u}ria Raguer and Francesc Miralles and Laurian Dinca and S Taramundi and Lucienne Costa-Frossard and Ma Luisa Ferr{\'a}ndiz and Ll Rami{\'o}-Torrent{\'a} and Pablo Villoslada and Albert Saiz and Carmen Calles and Alfredo Rodr{\'i}guez Antig{\"{u}edad and Jc Alvarez-Cerme{\~n}o and Jos{\'e} Mar{\'i}a Prieto and Guillermo Izquierdo and Xavier Montalban and Oscar Fern{\'a}ndez}, journal={Neurología}, year={2013}, volume={28 7}, pages={408-16} }