CLINICAL NEUROPHY$IOLOGY LABORATORY

$t, Luke's EVOKECI POTENTIAL

AAedicsl Center
Que:on City
FATIENTS NA[it {last. F+sl Middie !!319
Dec-?6-?016 09:00 AM
GILL, $at*ant $ingh

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Evoked Potsntial$

VISUAL EVOKED RESPONSE . PAttCM REVCTSAI

FINDINGS:

The right eye evoked a latency response { 1'tSmq (RP100} using the pattern revertal
stimulus witfr tfrb active electrode piaced at the Oz. The latency re$ponse of the right eye was
slightly prolonged.

The left eye failed to produce a reprcducible response despite repeated etimulation.

CONCLUSION:

This is an ebnormal VER showing a mild (right eyei lo severe {left eye) conduction disorder along
the visual pathwayo. Please corelate clinically.

RAUL S. CRUZ, hd.D

Pgc*52''S3
Hesrs-Ophlhalsclegy

Thi! report fiNs basn slrctronically vrlidatod. No sigoalqte ts rsquired

OR/cr # ss932s161?00931 5 PRINT DATEffIME 1? 28 2016 02:12 PM

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Nicolet Viking$elect VIASYS Healthcare Neurocare

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