Dermatomal somatosensory evoked potentials in brachial plexus injuries

The dermatomally stimulated somatosensory evoked potential is an essentially painless, noninvasive procedure that can add useful information to the diagnosis of the site and extent of brachial plexus injuries. In this study, 13 patients with unilateral brachial plexus injuries who had previously undergone conventional electromyographic testing underwent somatosensory evoked potential recording with median, ulnar, radial, musculocutaneous nerve and C5, C6, C7, C8 and T1 dermatomal stimulation. There was no significant difference in the peak latencies, interpeak latencies, or amplitudes of the major peaks between the normal values and the values from the affected levels. However, analysis for absence or presence of major peaks from side-to-side was useful in supporting the data from electromyographic and radiologic studies, as well as in providing more specific information as to the level of injury and extent of injury in two of the cases. The accurate diagnosis can provide the information needed to determine patient treatment as well as plan the rehabilitation program of the patient. The dermatomal somatosensory evoked potential can be a useful supplement to the assessment of the patient with a brachial plexus injury.