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Can the spotlight of attention be shaped like a doughnut? Evidence from steady-state visual evoked potentials.

Visual attention enables observers to extract and process high-priority information in the visualfield. Controversy remains as to whether or not observers can ignore information that falls within the spatial beam of attention. We used an objective physiological measure, the steady-state visual evoked potential (SSVEP), to investigate this question. A stream of flickering small, uppercase letters was embedded in the center of a stream of large, uppercase letters. A unitary beam would result in no difference of the SSVEP amplitude elicited by the small letter stream when it was attended versus ignored (i.e., when subjects attended the large letter stream). Contrary to this prediction, SSVEP amplitude increased by almost 100% when the small letter stream was attended compared with when it was ignored. The results support the notion that the attentional spotlight can be formed like a doughnut, processing central information differentially depending on whether it is attended or ignored.

Adult↗

Epilepsy and medication effects on the pattern visual evoked potential.

Visual disruption in patients diagnosed with epilepsy may be attributable to either the disease itself or to the anti-epileptic drugs prescribed to control the seizures. Effects on visual function may be due to perturbations of the GABAergic neurotransmitter system, since deficits in GABAergic cortical interneurons have been hypothesized to underlie some forms of epilepsy, some anti-epileptic medications increase cortical GABA levels, and GABAergic neural circuitry plays an important role in mediating the responses of cells in the visual cortex and retina. This paper characterizes the effects of epilepsy and epilepsy medications on the visual evoked response to patterned stimuli. Steady-state visual evoked potentials (VEP) evoked by onset-offset modulation of high-contrast sine-wave stimuli were measured in 24 control and 54 epileptic patients. Comparisons of VEP spectral amplitude as a function of spatial frequency were made between controls, complex partial, and generalized epilepsy groups. The effects of the GABA-active medication valproate were compared to those of carbamezepine. The amplitude of the fundamental (F1) component of the VEP was found to be sensitive to epilepsy type. Test subjects with generalized epilepsy had F1 spatial frequency-amplitude functions with peaks shifted to lower spatial frequencies relative to controls and test subjects with complex partial epilepsy. This shift may be due to reduced intracortical inhibition in the subjects with generalized epilepsy. The second harmonic component (F2) response was sensitive to medication effects. Complex partial epilepsy patients on VPA therapies showed reduced F2 response amplitude across spatial frequencies, consistent with previous findings that showed the F2 response is sensitive to GABA-ergic effects on transient components of the VEP.

Adult↗

Air- and bone-conduction brainstem auditory evoked potentials and flash visual evoked potentials in cats.

OBJECTIVE: To document normal values for air- and bone-conducted brainstem auditory evoked potentials (BAEP) and for flash visual evoked potentials (VEP) in cats. ANIMALS: 10 mixed-breed cats (5 males) with normal physical, neurologic, otoscopic, and funduscopic examination results. PROCEDURE: BAEP in response to air- and bone-conducted click stimuli and VEP in response to flash stimuli were recorded to document species normative data. Mean and SD values were calculated for amplitudes and latencies of 4 peaks in the BAEP in response to air- and bone-conducted stimuli, and for latencies to 5 peaks and the 4 associated peak-to-peak amplitudes in the VEP. RESULTS: BAEP peak latencies increased and peak amplitudes decreased with decreasing stimulus intensity. Latencies were shorter for bone-conducted stimuli owing to the shorter transit time to the cochlea through bone, compared with air, but there were no differences for interpeak latencies. The BAEP and VEP recordings were similar to those reported for cats in other reports and were similar to those seen in other species. CLINICAL RELEVANCE: Normative data will permit performance of noninvasive electrodiagnostic evaluation of feline auditory and visual systems.

Acoustic Stimulation↗

Visual evoked potentials and visual acuity after transurethral resection of the prostate.

Changes in visual evoked potentials, visual acuity, blood ammonia levels and serum electrolytes (Na+ and K+) after transurethral resection of the prostate using glycine as an irrigating fluid performed under subarachnoid block were studied in 12 patients, in the pre-operative and immediate postoperative periods. Visual evoked potentials (p100 latency), recorded by shift of a checkerboard pattern, increased significantly from a pre-operative value of mean (SEM) 101.18 (1.63) msec in the right eye, and 102.5 (1.47) msec in the left eye to 108.91 (1.8) msec (p less than 0.01) and 108.08 (2.53) msec (p less than 0.01) respectively in the postoperative phase. There were no changes in visual acuity as assessed by a Snellen's chart, blood ammonia levels and serum electrolyte concentrations. The amount of glycine used intra-operatively for irrigation ranged from 3 to 31 litres.

Aged↗

Effects of stimulus orientation on spatial frequency function of the visual evoked potential.

Visual performance is better in response to vertical and horizontal stimuli than oblique ones in many visual tasks; this is called the orientation effect. In order to elucidate the electrophysiological basis of this psychophysical effect, we studied the effects of stimulus orientation on the amplitudes and latencies of visual evoked potentials (VEPs) over different spatial frequencies of the visual stimulation. VEPs to sinusoidal gratings at four orientations (vertical, horizontal, and oblique at 45 degrees and 135 degrees) with eight spatial frequencies (0.5-10.7 cycles/deg) at reversal rates of 1 Hz and 4 Hz were recorded in nine subjects. At 1-Hz stimulation, the amplitude and latency of P100 were measured. At 4-Hz stimulation, VEPs were Fourier-analyzed to obtain phase and amplitude of the second harmonic response (2F). At 1-Hz stimulation, P100 latencies were decreased for oblique stimuli compared with those for horizontal and vertical stimuli at lower spatial frequencies. Conversely, those for oblique stimuli were increased compared with those for horizontal and vertical stimuli at higher spatial frequencies. At 4-Hz stimulation, spatial tuning observed in 2F amplitude of the oblique gratings shifted to lower spatial frequencies when compared with those of vertical stimulation. The alteration of the VEP spatial frequency function caused by the oblique stimuli was in good agreement with the orientation effect observed in psychophysical studies. Our study may have a clinical implication in that VEP testing with stimuli in more than one orientation at slow and fast temporal modulations can be useful in evaluating neurological disease affecting the visual system.

Adult↗

Aging and pattern visual evoked potentials.

Visual abilities decline during senescence. Age-related declines cannot be attributed entirely to changes in optical factors (senile miosis and opacification of the ocular media) and must therefore be caused by changes in the visual pathways. Because pattern visual evoked potentials (VEPs) provide information regarding the sensory function and integrity of the visual system, recent research on age-related changes in VEPs is reviewed. The results of this review show that stimulus parameters of VEPs (luminance, contrast, spatial and temporal frequencies) modify the age-related changes in VEPs. The visual system consists of multiple, parallel channels which process different information. Therefore, it is hypothesized that aging may affect the specific functional subdivisions in the visual pathways differentially.

Adolescent↗

Clinical aspects of the visually evoked potential.

The visually evoked potential (VEP) was studied in normal and abnormal human subjects, and in Rhesus monkeys. A relatively simple protocol for clinical VEP testing is described. The monkeys showed similar but smaller VEP responses compared to those obtained from human subjects. Central, but not paracentral or peripheral photocoagulation retinal lesions were associated with VEP abnormalities. The second, smaller wave of the response complex to 10 Hz flash stimuli corresponds to the primary evoked response, and is closely related to visual acuity. It was possible to recognize visually this VEP waveform and subjectively interpret the record correctly in 85% of eyes with regard to visual acuity. Therefore, the clinician can "read" the VEP record in response to non-patterned flash stimuli. This test was further validated in a series of patients with opacities of the ocular media. VEP promises to become a procedure of diagnostic and prognostic value in ophthalmology.

Adolescent↗

Comparison of the effects of Alzheimer's disease, normal aging and scopolamine on human transient visual evoked potentials.

Transient visual evoked potentials elicited by the onset of a patterned stimulus were recorded in patients suffering from Alzheimer's disease (AD), in healthy elderly controls and in healthy young individual. The latencies and amplitudes of both the components studied were adversely affected by normal aging and one of the components, CI, but not the other, CII, showed further deterioration in AD. These changes occurred over a range of stimulus contrast levels. The changes found in AD, but not those seen in normal aging, could be mimicked by administration of the cholinergic antagonist scopolamine to young volunteers.

Adult↗

The effect of standing contrast and pattern adaptation on the human visually evoked potential.

Human visually evoked potentials (VEPs) were recorded with sinusoidal gratings of low (0.5 c/deg), medium (4 c/deg) and high (16 c/deg) spatial frequency (SF). Simultaneous recording from Oz-A1, O2-A1 and Oz-O2 allowed the separation of the early and late VEP waves for most subjects. The effect of standing contrast and pattern adaptation on these waves was studied. At low SF both early and late waves were not affected by standing contrast or adaptation with motionless grating, while adaptation with a drifting grating reduced them. At medium and high SFs both principal negative waves. N1 and N2, were reduced by standing contrast and pattern adaptation. The amplitude of N2 saturated at low contrast level (0.1) and was reduced after adaptation regardless of the SF of test and adapting stimuli, while the amplitude of N1 did not saturate up to the contrast level of 0.3 and exhibited SF-selective adaptation. The adapted onset-VEP was similar to the offset-VEP. The data suggest that: the early wave is generated by multiple narrowly tuned SF-selective structures that are medially positioned while the generators of the late wave are not SF-selective and occupy a wider area centered laterally; the effects of standing contrast and pattern adaptation on VEPs, as well as the relationship of onset and offset VEPs, reflect the time-course of neural activity evoked by long-lasting stimuli.

Adaptation, Ocular↗

Amplitude and phase variations of harmonic components in human achromatic and chromatic visual evoked potentials.

Occipital visual evoked potentials (VEPs) were recorded in response to low-contrast, low spatial-frequency chromatic, and achromatic gratings. Fast Fourier Transform (FFT) and time-domain analysis were used to reveal differences in harmonic content and amplitude of chromatic and achromatic response components over a wide range of temporal frequencies. The chromatic ON/OFF VEP is dominated by the fundamental component indicating that onset and offset responses are different. This type of response is typical of neurons with sustained type response characteristics. Conversely, the achromatic onset VEP contains a predominant second harmonic component in addition to the fundamental. This similarity between onset and offset responses suggests that transient mechanisms are responsible for the generation of achromatic components. Frequency analysis of VEPs elicited by phase-reversing stimuli reveals that all of the response energy is concentrated at the second harmonic of the stimulating frequency. The magnitude of the second harmonic component is maximal for achromatic stimuli and undergoes a distinct minimum for isoluminant, chromatic stimuli. This behavior indicates that under the stimulus conditions used, magnocellular neurons with transient characteristics dominate the reversal VEP.

Adult↗

Refractive state, contrast sensitivity, and resolution in the freshwater turtle, Pseudemys scripta elegans, determined by tectal visual-evoked potentials.

Visual-evoked potentials (VEPs) were recorded from the surface of the optic tectum of the freshwater turtle, Pseudemys scripta elegans, in response to phase reversal of square-wave gratings of different spatial frequency and contrast. The refractive state of a group of 12 turtles in air was assessed from VEPs by placing trial lenses in front of the eye. The group mean refraction did not differ significantly from emmetropia, as compared to 4.8 diopters of hyperopia when refracted retinoscopically. The difference was explained by the retinoscopic reflex originating from the interface between vitreous humor and retina. Peak VEP amplitude was approximately linear with log grating contrast; extrapolation to zero VEP amplitude yielded contrast thresholds as low as 1%. High spatial-frequency cutoffs ranged from 4.4-9.9 cycle/deg in different animals, the highest values corresponding to the intercone spacing in the area centralis and to behavioral measures of acuity in a related species.

Adaptation, Ocular↗

Phase information in visual evoked potentials.

The Visual Evoked Potential (VEP) is an electrophysiological commonly used test in investigating various neurophysiological disorders. Through the years many methods have been developed, but there are not many objective criteria in distinguishing a normal VEP waveform from an abnormal. In this communication we use the phase characteristics of the power spectrum as a criterion of distinguishing normals and abnormals. From our analysis, it was shown that the phase spectrum of a VEP has a certain periodicity in the 0- to 40-Hz region. By studying these periodicities we were able to determine the range of the period that characterizes normal and abnormal populations and to establish an experimental method for objectively examining any kind of VEP waveforms.

Alzheimer Disease↗

Effects of prefrontal cortex lesions on visual evoked potential augmenting/reducing.

Visual evoked potentials to 4 stimulus intensities were recorded from Fz, Cz, and Oz, all referred to A2, in 23 neurologically normal subjects and 21 neurosurgical patients with prefrontal lesions. The response amplitude as a function of intensity was evaluated for P1/N1 and N1/P2 components. At the Oz lead, the EP amplitude consistently increased with brighter stimuli more rapidly in the prefrontal group than in the controls. Similar, though less consistent, effects were seen at Fz and Cz. These findings suggest that the phenomenon of augmenting/reducing is at least partially influenced by prefrontal-mediated inhibition of sensory processes.

Adult↗

[Event-related potential and visual evoked potential in patients with Parkinson's disease].

The event-related potential (ERP) and visual evoked potential (VEP) were recorded in 28 patients with Parkinson's disease (PD) and 28 normal subjects. Nine of the PD patients had dementia and 19 did not. Dementia was evaluated according to the criteria for dementia assigned by the DSM III-R, and mental faculties were estimated using the Mini-Mental State Examination (MMSE). ERP was recorded during auditory discriminative tasks. The latencies of N100, P200, N200 and P300 from the Pz region were measured. VEP was recorded during pattern reversal stimulation. The latency of P100 was measured for each eye stimulated. PD patients with dementia showed significant prolongation of the N200 and P300 latencies of ERP and of the P100 latency of VEP compared with the values in normal subjects and in PD patients without dementia. There was a significant correlation between the N200 latency of ERP and the P100 latency of VEP in PD patients with dementia. The findings indicate that the N200 and P300 latencies of ERP are related to cognitive information processing and also suggest that dysfunction in the central visual system plays a role in abnormal pattern VEP in patients with dementia. Furthermore, the disturbance of early sensory processing in response to visual stimuli may roughly parallel the impairment of cognitive information processing in terms of ERP in PD patients with dementia.

Aged↗

Diagnosing functional visual deficits with the P300 component of the visual evoked potential.

The visual evoked potential (VEP) is routinely used to assess visual function, though it occasionally does not reflect a patient's conscious experience. Reports of normal flash or pattern VEPs obtained from blind persons are extreme examples of this problem. The difficulty in interpreting VEPs in light of such findings can be partly overcome by obtaining a cognitive component of the evoked potential, P300. We obtained traditional visual acuity measurements, pattern-reversal VEPs, and VEPs containing P300s from three patients with clinically diagnosed functional visual deficits. The P300s were obtained in response to stimuli that the patients claimed they could not see, supporting the clinical conclusions that malingering or hysteria was involved. The P300 component can be helpful in assessing the subjective visual experience of patients suspected of having functional visual loss.

Clinical Trials as Topic↗

Component-specific effects of physostigmine on the cat visual evoked potential.

Pattern visual evoked potentials (VEPs) were recorded from the pial surface of the cat primary visual cortex prior to and following the intravenous administration of physostigmine, an agent which blocks the enzyme responsible for the breakdown of synaptically released acetylcholine. The control VEP was composed of a small initial positive deflection (P1), a subsequent large negative wave (N1) and a second large positive wave (P2). Following physostigmine, the amplitude of P1-N1 was diminished whereas that of N1-P2 increased. These effects were long lasting and were blocked by prior treatment with scopolamine, a result consistent with mediation by a muscarinic cholinergic pathway. Waveform subtraction revealed that the physostigmine-sensitive component had a slow, negative polarity waveform while the physostigmine-insensitive component was also slow, but positive in polarity. The fundamental nature of these components remains to be assessed. Nevertheless, the results indicate that waveforms of different polarity combine algebraically to yield the conventional VEP.

Acetylcholine↗

Oscillatory potentials of visual evoked potentials using source derivation technique in rabbits.

The topographic distribution of epidurally recorded flashed visual evoked potentials (VEPs) in unanesthetized rabbits was studied using 2 montages. VEPs with linked ears reference and source derivation were compared. With the linked-ears reference, N34 of VEPs which consisted of slow potentials and superimposed oscillations were recorded diffusely over the head. When source derivation was used, the slow negative potentials of N34 present on the recordings in P3 and P4 were not obtained in F3, Fz and F4. In a digital filtering study of the oscillatory potentials, N34 in oscillatory potentials which were recorded diffusely over the head were localized to the visual cortex by source derivation. It was concluded that N34 in the oscillatory potentials generated from the visual cortex are enhanced and localized with source derivation.

Animals↗

The evaluation of sellar region tumours with pattern visual evoked potentials.

Pattern visual evoked potentials (PVEPs) were performed on 20 patients with sellar tumours. The aim was to assess the validity of full-field PVEPs combined with a topographic recording in chiasmatic compression. They were abnormal in 95% of the patients, with variable patterns (absent or distorted responses). Our results show that PVEPs are very sensitive in revealing compression on visual pathways and that they correlate with the progression of the tumour. However, they are not reliable in detecting the chiasmatic or retrochiasmatic site of the lesion and relative visual field defect, because of the multidirectional extension of the tumour.

Adult↗