Pattern-reversal visual evoked potentials as a diagnostic tool for ocular malingering
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.5935/0004-2749.20160087 http://repositorio.unifesp.br/handle/11600/51037 |
Resumo: | Purpose: To investigate the contributions of transient pattern-reversal visual evoked potentials in the diagnosis of ocular malingering at a Brazilian university hospital. Methods: Adult patients with suspected malingering in one or both eyes were referred for visual evoked potential testing. Data from patients' medical records were reviewed and analyzed retrospectively. Data analysis included the distance optotype visual acuity based on a ETDRS retro-illuminated chart and the transient pattern-reversal visual evoked potential parameters of latency (milliseconds) and amplitude (microvolts) for the P100 component, using checkerboards with visual subtenses of 15' and 60'. Motivations for malingering were noted. Results: The 20 subjects included 11 (55%) women. Patient ages ranged from 21 to 61 years (mean = 45.05 +/- 11.76 years |
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Repositório Institucional da UNIFESP |
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spelling |
Pattern-reversal visual evoked potentials as a diagnostic tool for ocular malingeringPotenciais visuais evocados por padrões reversos como uma ferramenta diagnóstica de simulaçãoEvoked potentialsvisual/physiologyMalingeringPattern recognitionvisualVision disordersVisual acuityPurpose: To investigate the contributions of transient pattern-reversal visual evoked potentials in the diagnosis of ocular malingering at a Brazilian university hospital. Methods: Adult patients with suspected malingering in one or both eyes were referred for visual evoked potential testing. Data from patients' medical records were reviewed and analyzed retrospectively. Data analysis included the distance optotype visual acuity based on a ETDRS retro-illuminated chart and the transient pattern-reversal visual evoked potential parameters of latency (milliseconds) and amplitude (microvolts) for the P100 component, using checkerboards with visual subtenses of 15' and 60'. Motivations for malingering were noted. Results: The 20 subjects included 11 (55%) women. Patient ages ranged from 21 to 61 years (mean = 45.05 +/- 11.76 yearsmedian = 49 years). In 8 patients (6 women), both eyes exhibited reduced visual acuity with normal pattern-reversal visually evoked potential parameters (pure malingerers). The remaining 12 patients (7 men) exhibited reduced vision in only 1 eye, with simulated reduced vision in the contralateral eye (exaggerators). Financial motivation was noted in 18 patients (9 men). Conclusion: Normal pattern-reversal visually evoked potential parameters with suspected ocular malingering were observed in a 20 patient cohort. This electrophysiological technique appeared to be useful as a measure of visual pathway integrity in this specific population.Univ Fed Sao Paulo UNIFESP, Dept Oftalmol & Ciencias Visuais, Lab Eletrofisiol Visual Clin, EPM, Sao Paulo, SP, BrazilUniv Fed Sao Paulo UNIFESP, Dept Oftalmol & Ciencias Visuais, Lab Eletrofisiol Visual Clin, EPM, Sao Paulo, SP, BrazilWeb of ScienceConsel Brasil Oftalmologia2019-07-22T15:46:42Z2019-07-22T15:46:42Z2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion303-307http://dx.doi.org/10.5935/0004-2749.20160087Arquivos Brasileiros De Oftalmologia. Sao Paulo, v. 79, n. 5, p. 303-307, 2016.10.5935/0004-2749.20160087S0004-27492016000500303.pdf0004-2749S0004-27492016000500303http://repositorio.unifesp.br/handle/11600/51037WOS:000391431500006enginfo:eu-repo/semantics/openAccessSoares, Tarciana de Souza [UNIFESP]Sacai, Paula Yuri [UNIFESP]Berezovsky, Adriana [UNIFESP]Rocha, Daniel Martins [UNIFESP]Watanabe, Sung Eun Song [UNIFESP]Salomao, Solange Rios [UNIFESP]reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2022-02-07T21:51:35Zoai:repositorio.unifesp.br/:11600/51037Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652022-02-07T21:51:35Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Pattern-reversal visual evoked potentials as a diagnostic tool for ocular malingering Potenciais visuais evocados por padrões reversos como uma ferramenta diagnóstica de simulação |
title |
Pattern-reversal visual evoked potentials as a diagnostic tool for ocular malingering |
spellingShingle |
Pattern-reversal visual evoked potentials as a diagnostic tool for ocular malingering Soares, Tarciana de Souza [UNIFESP] Evoked potentials visual/physiology Malingering Pattern recognition visual Vision disorders Visual acuity |
title_short |
Pattern-reversal visual evoked potentials as a diagnostic tool for ocular malingering |
title_full |
Pattern-reversal visual evoked potentials as a diagnostic tool for ocular malingering |
title_fullStr |
Pattern-reversal visual evoked potentials as a diagnostic tool for ocular malingering |
title_full_unstemmed |
Pattern-reversal visual evoked potentials as a diagnostic tool for ocular malingering |
title_sort |
Pattern-reversal visual evoked potentials as a diagnostic tool for ocular malingering |
author |
Soares, Tarciana de Souza [UNIFESP] |
author_facet |
Soares, Tarciana de Souza [UNIFESP] Sacai, Paula Yuri [UNIFESP] Berezovsky, Adriana [UNIFESP] Rocha, Daniel Martins [UNIFESP] Watanabe, Sung Eun Song [UNIFESP] Salomao, Solange Rios [UNIFESP] |
author_role |
author |
author2 |
Sacai, Paula Yuri [UNIFESP] Berezovsky, Adriana [UNIFESP] Rocha, Daniel Martins [UNIFESP] Watanabe, Sung Eun Song [UNIFESP] Salomao, Solange Rios [UNIFESP] |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Soares, Tarciana de Souza [UNIFESP] Sacai, Paula Yuri [UNIFESP] Berezovsky, Adriana [UNIFESP] Rocha, Daniel Martins [UNIFESP] Watanabe, Sung Eun Song [UNIFESP] Salomao, Solange Rios [UNIFESP] |
dc.subject.por.fl_str_mv |
Evoked potentials visual/physiology Malingering Pattern recognition visual Vision disorders Visual acuity |
topic |
Evoked potentials visual/physiology Malingering Pattern recognition visual Vision disorders Visual acuity |
description |
Purpose: To investigate the contributions of transient pattern-reversal visual evoked potentials in the diagnosis of ocular malingering at a Brazilian university hospital. Methods: Adult patients with suspected malingering in one or both eyes were referred for visual evoked potential testing. Data from patients' medical records were reviewed and analyzed retrospectively. Data analysis included the distance optotype visual acuity based on a ETDRS retro-illuminated chart and the transient pattern-reversal visual evoked potential parameters of latency (milliseconds) and amplitude (microvolts) for the P100 component, using checkerboards with visual subtenses of 15' and 60'. Motivations for malingering were noted. Results: The 20 subjects included 11 (55%) women. Patient ages ranged from 21 to 61 years (mean = 45.05 +/- 11.76 years |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016 2019-07-22T15:46:42Z 2019-07-22T15:46:42Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.5935/0004-2749.20160087 Arquivos Brasileiros De Oftalmologia. Sao Paulo, v. 79, n. 5, p. 303-307, 2016. 10.5935/0004-2749.20160087 S0004-27492016000500303.pdf 0004-2749 S0004-27492016000500303 http://repositorio.unifesp.br/handle/11600/51037 WOS:000391431500006 |
url |
http://dx.doi.org/10.5935/0004-2749.20160087 http://repositorio.unifesp.br/handle/11600/51037 |
identifier_str_mv |
Arquivos Brasileiros De Oftalmologia. Sao Paulo, v. 79, n. 5, p. 303-307, 2016. 10.5935/0004-2749.20160087 S0004-27492016000500303.pdf 0004-2749 S0004-27492016000500303 WOS:000391431500006 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
303-307 |
dc.publisher.none.fl_str_mv |
Consel Brasil Oftalmologia |
publisher.none.fl_str_mv |
Consel Brasil Oftalmologia |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1814268305602510848 |