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Neurophysiol Clin. 1992 Dec;22(6):475-81. doi: 10.1016/s0987-7053(05)80022-x.

Sympathetic skin response in hemispheric lesions.

Neurophysiologie clinique = Clinical neurophysiology

A Uncini, A Di Muzio, A Lugaresi, D Gambi

Affiliations

  1. Institute of Clinical Neurology and Behavioral Sciences, University of Chieti, Italy.

PMID: 1488043 DOI: 10.1016/s0987-7053(05)80022-x

Abstract

We recorded the sympathetic skin response (SSR) from electrical nerve stimulation in 16 patients with cerebrovascular accident (CVA). Location and nature of the lesion were documented by computerized tomography (CT). Median (pre-rolandic and parietal) somatosensory evoked potentials (SEP) were also recorded. SSR was absent bilaterally in eight hemiplegics after stimulation of the plegic side and present bilaterally after stimulation of the normal side in the first weeks after CVA. Parietal and pre-rolandic SEPs were absent in the affected hemispheres. SSR was present bilaterally after stimulation of each side in the remaining CVA cases with reduced amplitude SEPs. Absence of the electrically evoked SSR in hemispheric lesions may be due to involvement of central afferent pathways or temporary suppression of suprasegmental excitatory influences.

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