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Seven out of 12 normal subjects could deliberately produce abnormal pattern-reversal visual evoked potentials (VEPs) which simulated disorders of the anterior visual pathways without detection. In six the mechanism was near-point accommodation and in one eccentric fixation. If voluntary suppression of the VEPs is suspected various modifications to the recording technique may be of value. These include the use of a large check size and stimulus field and binocular stimulation.
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