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Results for “Evoked Potentials, Visual”

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PubMed2000

Visual pathway abnormalities Wilson's disease: an electrophysiological study using electroretinography and visual evoked potentials.

The pathogenesis of the pattern reversal visual evoked potential (PRVEP) abnormalities in patients with Wilson's disease (WD) has not been investigated earlier. Since electroretinography (ERG) assesses the functional integrity of the retina, it was used along with PRVEP to localize the abnormalities in PRVEP in Wilson's patients. Ten newly diagnosed Wilson's disease patients underwent PRVEP and flash ERG soon after the diagnosis was established. The PRVEP latencies were prolonged in comparison with the controls (P<0.001). Photopic and scotopic A waves and oscillatory potentials were prolonged (P<0. 02) with reduction in amplitudes of photopic A and B waves (P<0.001). Six of these patients were subjected to repeat PRVEP and flash ERG after the clinical improvement with specific therapy. Comparison of the pre and post-treatment visual electrophysiological studies revealed significant reduction in latencies of PRVEP and flash ERG A wave (P<0.05) with increase in amplitudes of P100 of PRVEP (P<0.05), A and B waves of flash ERG (P<0.01). These findings confirm the reported PRVEP changes in WD and in addition demonstrate the reversibility of the retinal dysfunction which partially contributes to the PRVEP abnormalities. To the best of our knowledge this is the first study of ERG in patients with Wilson's disease in the literature. Further, there have been no earlier reports in the literature evaluating the effect of specific treatment on the PRVEP and ERG in Wilson's disease.

Adolescent↗

PubMed1990

The effect of electrode position on flash visual evoked potentials in the newborn.

We examined how changes in electrode position affected the visual evoked potential in 74 high-risk newborns using a multiple electrode technique. The variation in the visual evoked potential across the occiput was documented. Visual evoked potentials that were visible at one occipital electrode position were absent at a different electrode position in 21 of 87 recordings (24%). Changes of greater than 20 msec between electrodes in latency of waves P1 or N2 occurred in 34% and 29% of recordings, respectively. The amplitude of response varied by a factor of 2.36 between mid occipital and lateral occipital electrodes. The results demonstrated that large changes in morphologic characteristics, latency, and amplitude in the visual evoked potential of the newborn result from small changes in the position of recording electrodes. These findings underscored the importance of electrode position and accurate electrode placement. Our observations also indicated that recordings from a single electrode are inadequate in providing an accurate representation of the neonatal visual evoked potential.

Evoked Potentials, Visual↗

PubMed1983

Visual evoked potentials in spinocerebellar degenerations.

Pattern reversal visual evoked potentials were studied in 21 patients with spinocerebellar ataxias among whom 6 had Friedreich's ataxia, 10 had hereditary spastic ataxia and 5 had spinocerebellar degeneration with slow eye movements (olivopontocerebellar degeneration). The VEP abnormalities found in 4 cases of Friedreich's ataxia and one with spinocerebellar degeneration with slow eye movements, consisted of, bilaterally absent VEP in 3 patients and bilaterally abnormal responses with asymmetry in two. All the patients with spastic ataxia had normal VEP latencies. The N 70 - P 100 amplitudes, in patients with hereditary ataxias were significantly reduced compared to controls (P less than 0.001). The VEP abnormalities correlated best with neuroophthalmic findings, but had no relation to age, sex, inheritance or duration of illness. The VEP findings are probably suggestive of progressive nerve fibre loss in the visual pathways with associated slowing of conduction. The higher incidence of visual pathway involvement in Friedreich's ataxia compared to other hereditary ataxias as reported in recent studies is confirmed.

Adult↗

PubMed1993

Flash and pattern reversal visual evoked potentials in C57BL/6J and B6CBAF1/J mice.

Visual system responses (visual evoked potentials) to flash (FVEP) and pattern reversal (PRVEP) stimuli were recorded in mice. Two strains were used: black C57BL/6J mice and agouti B6CBAF1/J mice (first generation offspring of C57BL/6J females and CBA/J males.) Subjects were sedated with ketamine and xylazine. Flash rate (FVEP) and stimulus spatial frequency and pattern reversal rate (PRVEP) were varied to determine optimum stimulus parameters. Normative FVEP and PRVEP data were collected from mice of both strains after determination of optimum parameters. Five positive and four negative alternating peaks were routinely observed in the FVEP, while three positive and three negative alternating peaks were seen with the PRVEP. Varying the flash rate, the pattern reversal rate, and spatial frequency significantly affected nearly all amplitude and latency measures in the responses. Significant differences between strains were seen on some, but not all, latency and amplitude measures when the stimulus parameters were varied.

Animals↗

PubMed1986

Electroretinographic and visual evoked potential abnormalities in myotonic dystrophy.

Pattern visual evoked potentials (VEPs) and electroretinograms (ERGs) were recorded in 20 patients with myotonic dystrophy. Thirteen out of 20 cases presented both VEP and ERG abnormalities, 3 only ERG alterations, 2 only abnormal VEPs. A significant inverse correlation between P100 latencies and b1 wave amplitude was observed, while N1-P100 and b1 wave amplitude exhibited a parallel change. These data suggest that retinal abnormalities may have a role in inducing subclinical visual pathway alterations in myotonic dystrophy.

Adolescent↗

PubMed2002

Effects of repetitive transcranial magnetic stimulation on visual evoked potentials in migraine.

Between attacks, migraine patients are characterized by potentiation instead of habituation of stimulation-evoked cortical responses. It is debated whether this is due to increased or decreased cortical excitability. We have studied the changes in visual cortex excitability by recording pattern-reversal visual evoked potentials (PR-VEP) after low- and high-frequency repetitive transcranial magnetic stimulation (rTMS), known respectively for their inhibitory and excitatory effect on the cortex. In 30 patients (20 migraine without, 10 with aura) and 24 healthy volunteers, rTMS of the occipital cortex was performed with a focal figure-of-eight magnetic coil (Magstim). Nine hundred pulses were delivered randomly at 1 or 10 Hz in two separate sessions. Stimulus intensity was set to the phosphene threshold or to 110% of the motor threshold if no phosphenes were elicited. Before and after rTMS, PR-VEP were averaged sequentially in six blocks of 100zztieresponses during uninterrupted 3.1 Hz stimulation. In healthy volunteers, PR-VEP amplitude was significantly decreased in the first block after 1 Hz rTMS and the habituation normally found in successive blocks after sustained stimulation was significantly attenuated. In migraine patients, 10 Hz rTMS was followed by a significant increase of first block PR-VEP amplitude and by a reversal to normal habituation of the potentiation (or dishabituation) characteristic of the disorder. This effect was similar in both forms of migraine and lasted for at least 9 min. There were no significant changes of PR-VEP amplitudes after 1 Hz rTMS in migraineurs and after 10 Hz rTMS in healthy volunteers, nor after sham stimulation. The recovery of a normal PR-VEP habituation pattern after high-frequency rTMS is probably due to activation of the visual cortex and the dishabituation in healthy volunteers to cortical inhibition. We conclude, therefore, that the deficient interictal PR-VEP habituation in migraine is due to a reduced, and not to an increased, pre-activation excitability level of the visual cortex.

Adult↗

PubMed1987

The deafferented visual cortex: neuronal activity and visual evoked potentials.

The callosal transfer of information to the visual cortex following its unilateral deafferentation from its geniculate input was studied in both hemispheres. Deafferentation was performed in adult cats by sectioning the optic tract. Action potentials of single cortical cells and visual evoked potentials were recorded from area 17-18 boundary in acute and chronic operated cats. In the deafferented hemisphere, cortical cells were usually visually inactive. However, some recovery of function took place in this hemisphere in the chronic cats, as expressed by the increase in the proportion of S-cells. In the intact hemisphere diminution of responsiveness and reduction of selectivity to the stimulus orientation and direction were found. The responsiveness and selectivity level in the intact hemisphere increased with postoperative time. The ocular dominance distribution in this hemisphere was similar to that of our normal control cats. The characteristics of the visual evoked potentials were in keeping with the hemispheric dominance of the cortical cells found in the experimental cats. It was concluded that a plasticity related mechanism is involved in the recovery of callosal activation of visual cortical cells following deafferentation.

Animals↗

PubMed1994

Visual evoked potential measurement by adaptive filtering.

The method of ensemble averaging (EA), commonly used to improve signal-to-noise ratio (SNR) in evoked potential measurements, loses potentially useful information regarding response variability across trials. Due to the usually low SNR, it is difficult to extract the response from individual trials. The present paper describes an adaptive signal enhancer (ASE) that is capable of tracking the variation of visual evoked potential (VEP) from trial to trial as well as improving SNR. This ASE requires two inputs: a primary input, which is the raw noise-corrupted response, and a reference input, which is designed for an optional performance of ASE. We used moving ensemble averaging (MEA) to form the dynamic reference input. Experimental results in humans show a satisfactory performance of the ASE in determining VEP to single stimulus and in tracking the temporal changes of the signal.

Algorithms↗

PubMed1984

The effect of stimulus intensity on visual evoked potential estimates of interhemispheric transmission time.

Visual evoked potentials (VEPs) to bright or dim lateralised light flashes were recorded from homologous occipital and central sites. In a GO/NOGO reaction time task (Experiment 1) the latency of the N160 component of the VEP was found to be shorter from the contralateral hemisphere by approximately 16 ms at occipital sites, but only 3 ms centrally. In addition, there was a trend for the occipital contralateral latency advantage to increase with decreasing stimulus brightness. In Experiment 2 a wider intensity range and a simple visual reaction time task were employed. Contralateral N160 latency advantages were again found to be larger occipitally (approx 13 ms) than centrally (3 ms). Furthermore the occipital contralateral latency advantage was significantly increased at the lower stimulus intensity, while that from central sites remained constant. These data suggest that two types of interhemispheric relay can be distinguished-a sensory one recorded occipitally and a non-sensory one recorded from central sites.

Corpus Callosum↗

PubMedDate not supplied

Prognostic value of preoperative flash and pattern visual evoked potentials for diabetic retinopathy vitrectomy.

In view of the continuing controversy about the prognostic value of preoperative visual evoked potentials in diabetic vitrectomy, we retrospectively studied 31 eyes undergoing vitrectomy for diabetic retinopathy after recording pattern and/or flash visual evoked potential recording. Preoperative pattern visual evoked potentials were of no prognostic value in these eyes but a decrease in the amplitude of preoperative flash visual evoked potentials was significantly correlated with unchanged or worsened postoperative visual acuity when compared with preoperative visual acuity (P = 0.0156, Fisher's exact test). Therefore, while acknowledging that diabetic vitrectomy functional prognosis is actually multifactorial, we still recommend recording preoperative flash visual evoked potentials for diabetic patients in whom significant opacities of the intraocular media preclude correct examination of the ocular fundus, because a decrease in peak III amplitude may indicate a guarded vitrectomy functional prognosis.

Adult↗

PubMed1992

Pattern visual evoked potential luminance and multiple sclerosis.

Pattern visual evoked potentials (PVEPs) were recorded from 111 patients classified as having possible, probable or definite multiple sclerosis. Patients were stimulated with a checkerboard pattern using high and low luminances in order to test the hypothesis that an attenuated pattern luminance increases the detection rate of PVEP abnormalities. With increasing certainty of diagnosis, there was a concomitant increase in the incidence of PVEP abnormalities. However, there was no evidence that stimulating with a lower luminance pattern enhanced the sensitivity of the test. The same findings were also apparent when the patient data was analyzed according to the presence or absence of a history of optic neuritis or other visual symptoms. It is concluded that, within the luminance limits used in this study, the role of varied luminance in detecting demyelinating lesions in the optic nerves using the PVEP is minimal, although there was some limited evidence that a high level of luminance may be more appropriate than a low level.

Adolescent↗

PubMed1991

Visual evoked potentials in macular hole.

Pattern reversal visual evoked potentials (VEPs) with checks of 50' and 12' were recorded in 15 patients with idiopathic unilateral macular hole. VEPs from the affected eyes were reduced in amplitude compared with those from the fellow eyes, especially with checks of 12' (percentage of the amplitude in the affected eye to that in the fellow eye was 86% +/- 19% with checks of 50' and 61% +/- 35% with checks of 12'). The latencies showed no statistically significant difference between the affected and the fellow eyes, although a marked interocular delay was found in a few patients. The degree of amplitude reduction and interocular delay had no relation to the size of the macular hole or visual acuity. The effects of experimental scotomata of various sizes on the VEPs, which were evaluated in nine normal subjects, were also variable among the subjects. We conclude that although the macula predominantly participates in the pattern VEP, an estimation of the extent of macular pathology from the VEP changes may be difficult because the VEP changes induced by a macular hole have wide individual variation and have no relation to the size of the hole.

Adult↗

PubMed1982

Orientation-specific visual evoked potential deficits in multiple sclerosis.

Checkerboard pattern reversal visual evoked potentials (VEPs) have proved useful in the confirmation of optic nerve disease in patients with multiple sclerosis (MS). Recently evidence of orientation-specific loss in contrast sensitivity and the presence of orientation-specific visual evoked potential (VEP) deficits in MS patients has been obtained using sinusoidal gratings as stimuli. This study reports the presence of orientation-specific VEP delay in MS using the conventional checkerboard pattern presented in two orientations: normally oriented (check condition) or diagonally oriented (diamond condition). Peak latency values of the N70 and P100 components of the VEP were statistically analyzed using appropriate ANOVA and nonparametric statistics. As a group of MS patients showed significant VEP delays under check and diamond pattern conditions. However, individual subject analysis revealed that about 20% of the MS population show VEP delay to only one pattern orientation. It was shown that by including a diamond pattern condition the diagnostic yield of VEP delay in these clinically definite MS patients was increased 11% over that obtained with check stimulation alone.

Electroretinography↗

PubMed1981

Visual evoked potentials with hemifield pattern stimulation. Their use in the diagnosis of retrochiasmatic lesions.

We measured several parameters of cortical potentials evoked by visual stimulation to produce a profile suggestive of retrochiasmatic lesions. Characteristic abnormal responses included (1) very low amplitude or absent transient visual evoked potentials (T-VEPs) after stimulation of the affected hemifield, (2) reversal of normal pattern amplitude of the T-VEP distribution after stimulation of the affected hemifield, (3) abnormal lateral occipital ratio, (4) absent or very low amplitude steady-state VEPs after stimulation of affected hemifield, and (5) abnormal midoccipital ratio.

Adult↗

PubMed1989

[Experimental conditions which modify the visual evoked potential].

The effect of the visual stimulus intensity on the latency and morphology of the visual evoked potential (VEP) components is studied in cats with chronic implanted electrodes. A lessening in the luminous stimulus intensity is observed to produce a progressive diminution in the amplitude of the initial waves of the VEP till its disappearance, as well as a progressive increase in the latency, following an exponential function. Since the integration in a cortex zone is achieved by pathways of various lengths, the impulses arrive with different delays. It is suggested that stimuli of little intensity generate trains of impulses whose integration, in a small cortex area, is likely characterized by a delay in the appearance of high relative frequencies; whereas high intensity stimuli are more likely to produce high frequencies, in the same cortex area, and with earlier appearance. This may be considered as the explanation for the delay of analogous waves generated by stimuli of lesser intensity.

Animals↗

PubMed1989

Cerebrospinal fluid immunoglobulins and multiple sclerosis. Correspondence with magnetic resonance imaging and visually evoked potential changes.

The clinical (disability) and paraclinical (visually evoked potential [VEP]/magnetic resonance imaging [MRI]) data of patients with definite or probable multiple sclerosis (MS) were compared with their cerebrospinal fluid (CSF) immunoglobulins taken within the same period of time. For patients with definite diagnosis by the Schumacher criteria (n = 61) we found significant correlations between CSF immunoglobulin content (absolute gamma-globulin value [aggv]) and quantified MRI factors (r = .47), between aggv and the sum of VEP latencies of both eyes (r = .53), and also between MRI and VEP changes (r = .62). This was not true for the patients with a probable MS diagnosis and for patients with first attacks. No correlations were evident between aggv and disability status or duration of the illness. The results give support to recent neuropathologic and experimental findings in animals indicating close pathogenic connections between CSF immunoglobulins and demyelination in MS.

Adolescent↗

PubMed1989

Visual evoked potential abnormalities in chiasmal lesions.

Pattern reversal visual evoked potentials (VEPs) were recorded from 38 patients with lesions affecting the chiasmal area. Lesions were confirmed by computer tomography and all patients had ophthalmologic examination. VEPs to full-field stimulation (0-16 degrees r) were compared with those obtained with half-field stimulation. Changes in VEPs were seen as a nonrecordable or attenuated P 100 (abnormal amplitude ratio) or as a prolonged P 100. Analysis of the records showed that temporal half-field stimulation (crossed fibers) yielded a higher rate of abnormal responses (80%) than full-field stimulation (66%). The most frequent abnormality in the former stimulation was a nonrecordable P 100 (42%) and in the latter an abnormal amplitude ratio of P 100 (41%). When the uncrossed fibers were stimulated with the nasal half-field, abnormalities were detected in 32% of responses. Lesions in the region of the sella turcica were also associated with a high incidence of delayed responses (39% of patients when crossed fibers were stimulated). However, the magnitude of the delays was smaller (1-32 ms) compared with delays in patients with demyelinating disease. Findings of this study show that half-field stimulation assists in the interpretation of responses to full-field stimulation. In addition, half-field stimulation can reveal abnormalities that are not detected with full-field stimulation.

Adolescent↗

PubMed1987

Pattern-reversal visual evoked potentials in phenylketonuric children.

Pattern-reversal visual evoked potentials (PR-VEPs) and EEG were recorded in 14 phenylketonuric (PKU) children on a low-phenylalanine (phe) diet; the data obtained were correlated with metabolic parameters, namely, the actual phe plasma level, the mean phe plasma level in the last year, an the beginning of the diet. PR-VEPs seem to be more sensitive than EEG in detecting neurophysiological derangements in these subjects; in fact PR-VEPs were pathological in six patients while EEG detected three; no significant alterations were found in the neurophysiological tests among the children with good metabolic control, and only one child was abnormal among the six on an early dietetic regimen; in contrast, six of the nine subjects presenting with high mean phe plasma levels (greater than 10 mg/100 ml) and five of the eight whose diet started after the 2nd month of life showed pathological PR-VEPs.

Adolescent↗