Non-cephalic reference recording of early somatosensory potentials to finger stimulation in adult or aging normal man: differentiation of widespread N18 and contralateral N20 from the prerolandic P22 and N30 components.

Prerolandic and parietal SEPs to electrical stimulation of fingers or median nerve were studied with non-cephalic reference in 40 normal young adults and in 35 healthy octogenarians. Limb temperatures were 36-37 degrees C. Intersubject variations of SEP components were analysed. A new widespread component N18 was identified and shown to be generated below the cortex. This N18 is about the only early component recorded at the parietal ipsilateral region after the positive far-field potentials P9, P11 and P13-P14. Transit times along the central somatosensory pathway were replicated and discussed as well as other evidence about the sequential activation of the various neural structures involved. The N20 potential representing the earliest cortical response is recorded from the contralateral parietal region, but is absent ipsilaterally. The prerolandic potential is related to distinct generators and is elicited by a separate thalamocortical pathway rather than by corticocortical connections from areas 2 and 5 in parietal cortex. The changes associated with normal aging have been confirmed and extended.