STUDY OF VISUAL EVOKED POTENTIAL IN TERM, APPROPRIATE FOR GESTATIONAL AGE NEWBORNS IN A TERTIARY HEALTH CARE FACILITY OF KOLKATA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2016, Vol 3, Issue 15
Abstract
INTRODUCTION Evoked potentials are small magnitude electrical potentials that originate within neural tissues in response to a variety of stimuli which are depicted as a wave or a series of waves. Changes in the wave latencies and amplitudes have been shown to reflect disturbances in neuronal growth rates & myelination of the developing nervous system. Among the different evoked potentials, the Visual Evoked Potentials (VEP), have been shown to be a significantly accurate tool for assessing the degree of neurological handicap among survivors of perinatal asphyxia, especially in the full-term neonates. Thus, the development of a normative database of VEP parameters like wave latencies and amplitudes for term, appropriate-for-gestational age neonates in an Indian NICU set-up was the primary objective of our study as such data can be of great use for future clinical use. The study was a prospective observational study carried out jointly by the Departments of Neonatology and Physiology, of IPGME & R and SSKM Hospital, Kolkata from June’ 2012 to September’ 2013. Normative statistics like ‘mean±2SD’ values for N1, P1 & N2 wave latencies of both right & left eyes & also for inter-peak amplitudes (i.e. N1-P1 & P1-N2) of both the eyes was obtained by studying 40 healthy, term newborns. It was also observed that the ‘latencies’ of VEP waves do not vary significantly between normal male & female newborn babies and the latencies of both the eyes are comparable. The ‘inter-peak amplitudes’ on the other hand showed much more variability. Hence establishing a normative database of VEP parameters can be of much use and further studies with much larger sample size is highly recommended.
Authors and Affiliations
Koushik Ghosh, Anand Acharya, Anshuman Paria, Ardhendu Mazumdar, Debalina Das, Sabyasachi Mandal
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