When do you order SSEPs for evaluation of multiple sclerosis?

Occasionally, I order Visual EPs. SSEPs are largely worthless and Auditory VEPs, though occasionally helpful are rarely worth the trouble. A good thorough history, a detailed neurologic examination, a 3T MRI, and if necessary spinal fluid with good analysis for bands, IgG index, and kappa light chai...

SSEPs have a place, but it is rare that I order them at this point. Others may have a differing opinion. I estimate that I order SSEPs less than once yearly. They are helpful in patients who have clinical complaints that may localize to the spinal cord, but who may not have a visible lesion (imaging...