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PubMed1991

Detection of hidden visual loss in multiple sclerosis. A comparison of pattern-reversal visual evoked potentials and contrast sensitivity.

The detection of hidden visual loss is important in establishing the diagnosis of multiple sclerosis, especially in patients who have neurologic symptoms of the disease. Both visual evoked potentials and contrast sensitivity have been used for this purpose. We compared the sensitivities of pattern-reversal visual evoked potentials and contrast sensitivity, measured with the Vistech VCTS 6500 chart, in detecting hidden visual loss in 18 patients with multiple sclerosis whose visual acuity was correctable to 20/20 (6/6) or better in the examined eye. Thirteen patients had delayed visual evoked potential latencies. An additional four patients had reduced P100 amplitudes without prolonged latencies. Nine patients had abnormal contrast sensitivity. The visual evoked potential was more sensitive than contrast sensitivity at detecting hidden visual loss in patients with multiple sclerosis (p less than 0.01).

Adult↗
PubMed1986

The influence of visual field disorders on visual identification tasks.

Visual identification of shapes, figures, objects and faces was tested in a group of 26 patients with homonymous field defects due to unilateral "posterior" brain damage. In addition, a search test was used for evaluation of the effect of visual field loss on visual information acquisition. Of the patients, 5 performed entirely normally, i.e. errorless and within age-matched time limits, in all tests. The majority of patients (n = 15) also performed correctly but required significantly more time than normals. In contrast, 6 patients showed a rather specific impairment in visual identification tasks. It is argued that visual field loss per se does not impair visual identification but may affect visual search and, thus, information acquisition. Visual identification may be impaired, however, if brain damage involves the inferotemporal cortex.

Adult↗
PubMed1988

[Behavior of visual acuity, visual fields and contrast sensitivity in simulated cataract].

Visual acuity, contrast sensitivity, and visual fields were examined with and without occluders both in a group of healthy subjects and in a group of patients with field defects (mostly caused by glaucoma). The various results were compared with one another as well as with the results obtained from a group of cataract patients examined before and after surgery. The results confirm clinical experience: visual acuity enables some conclusions to be drawn on the degree and progression of opacity of a lens. The changes in contrast sensitivity and in the visual field, however, represent rather the quality of the visual degradation. Contrast sensitivity and diffuse alterations in the visual field have similar progression patterns. The alterations in contrast sensitivity are more pronounced at higher frequency levels. The contrast sensitivity test can be recommended as a simple and complementary functional test, particularly on cataract patients with severe complaints and relatively good visual acuity. The results of occlusive experiments afford some practical conclusions which enhance knowledge and differentiation of visual field changes induced by cataract and glaucoma. These conclusions can provide a basis for further and more detailed investigations.

Adult↗
PubMed1991

Flashed pattern-induced activity in the visual system: I. The short latency evoked response recorded from the cat visual cortex.

Previous methods for estimating visual acuity have used the visual evoked response conventionally the late visual evoked response components or the steady-state potential. The present experiments were undertaken to evaluate the possible use of short latency flashed pattern evoked responses in estimating pattern dependent activity in the cat visual system. Recordings were made from the skull bone and the dura above the primary visual cortex and intracortically. The visual evoked responses to patterned (checks) and non-patterned light flashes of high intensity and short duration were recorded. The visual evoked response activity recorded from the cortical surface had an onset latency of 14-15 ms. The initial positive-negative potential sequences of the responses were similar for patterned and non-patterned stimuli, however a difference was recorded from 35-40 ms after stimulus. The smallest check size which separated a pattern from a non-pattern VER was in the order of 10 min of arc. The results indicate that the short-latency cortical VER may be used to estimate visual resolution.

Animals↗
PubMed1987

Are flash-evoked visual potentials useful for intraoperative monitoring of visual pathway function?

Flash-evoked visual potentials (VEPs) recorded from the scalp were used in a series of 35 patients with tumors along the visual pathway: 3 orbital tumors, 25 perisellar tumors, 4 intraventricular tumors, and 3 occipital lesions. Preoperatively, various combinations of impaired visual fields and visual acuity were observed in over 90% of the patients. A postoperative decrease in visual function was observed in 3 cases. Of the 25 perisellar lesions, 13 were operated through a standard frontotemporal craniotomy and 12 were operated through a transnasal-transsphenoidal approach. VEPs were highly susceptible to volatile anesthetics, and there was a significant incidence of spontaneous latency increases and amplitude decreases in a large number of patients. There was an unacceptably high number of cases with significant VEP alteration occurring without concomitant visual function change. During trepanation or the transnasal approach, a reversible potential loss was observed in 11 patients, a profoundly altered wave form was seen in 8 cases, and a loss of single peaks was observed in 15 patients. During dissection of the tumor, a reversible potential loss or a potential with unidentifiable peaks was found in 25 cases; however, the VEPs recovered during closure or in the recovery room. There was no correlation between intraoperative VEP changes and the postoperative changes in visual function. In only 1 patient with an insignificant postoperative decrease in visual acuity from 0.4 to 0.3 was there a concomitant intraoperative potential loss. The major conclusion of our findings is that light-emitting diode flash-evoked VEPs demonstrate intraoperative changes that appear too early and too prominently to be caused solely by manipulation of the optic pathways.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1991

[Disorders of the afferent visual pathway in HIV infection. 1. Optic nerve and 2. Visual pathways/visual cortex].

Up to now little involvement of the afferent visual pathway (optic nerve and optic radiation and visual cortex) in HIV infection has been apparent. These results are based on our prospective investigations of 538 HIV-infected individuals, among them 261 patients with full-blown AIDS carried out by the same examiner over a 6-year period (1984-1990). Diseases of the optic nerve were observed in 22/261 (8.4%) of Aids patients but in only 1/227 (0.4%) of patients with earlier stages of HIV infection. Optic neuritis was the most common disease (in 14/261 = 5.4% of Aids patients), for the most part occurring in the course of CMV (cytomegalovirus) retinitis. For this form the prognosis was primarily good under virustatic therapy with ganciclovir in contrast to primary CMC papillitis. Furthermore, a few cases of optic perineuritis, optic neuropathy in basal meningitis, ischemic optic neuropathy and papilloedema with increased intracranial pressure were observed, most of them caused by opportunistic infections of the central nervous system. In single cases the HIV might hypothetically have played a role in the etiology. Visual impairment of the patients varied from subtle disturbances to blindness. Often optic atrophy resulted. Homonymous hemianopsia was the principal sign in diseases of the visual pathway between the lateral geniculate body and the visual cortex (in 10/261 = 3.8% of Aids patients). This symptom resulted from cerebral toxoplasmosis in 7 cases, progressive multifocal leukoencepalopathy (PML) in 2 cases and primary intracerebral malignant lymphoma in 1 case. The visual fields and neuroradiological findings are demonstrated. In 3 cases the homonymous hemianopsia was the first clinical appearance of Aids. Involvement of the afferent visual pathway in HIV infection may be a cause of blindness or visual disturbances despite normal findings on examination of the eyes themselves.

Fluorescein Angiography↗
PubMed1985

Dynamic topography of visual evoked potential in children: a study of the development of the visual system.

To study the development of the visual system, the dynamic topography of the visual evoked potential (VDT) was investigated in 30 normal children aged from two weeks to four years. Twenty-three of the 30 children (77%) showed reliable VDT. The results showed three steps in the development of the visual system in these young children. The first step was seen during the first 4 months after birth, and it was represented by a shortening of duration and an increasing of amplitude in N70 in the occipital region. The second step was seen between 9 months and 2 years of age, and it was represented by a shortening of duration and an increasing of amplitude in P100 and P150 over a widespread area in the occipito-parieto-temporal region. The third step was not clearly seen until 3 years of age, and was represented by the appearance of P200, the so called "vertex potential", around the occipitoparietal region. These three steps in the development of the visual system seemed to be closely related to the time-course of the development in the myelination and maturation of the neuron synapses in the visual pathway and visual cortex. With the aid of VDT, it was possible to clarify that the visual system in children develops step by step from a low level to a high level of the visual function.

Aging↗
PubMedDate not supplied

Visual-discrimination deficits after lesions of the centrifugal visual system in pigeons (Columba livia).

The effects of bilateral lesions of the centrifugal visual system (CVS) on the visual-discrimination capacity were studied in pigeons. Three different behavioral experiments, each testing different aspects of visual analysis, were performed. In the first two experiments, a grain-grit discrimination task and a visual-acuity determination, stimuli were presented in the frontal binocular visual field. A third experiment investigated the early detection of slow moving objects, introduced into the monocular lateral visual field. After bilateral lesions in the nucleus isthmo-opticus (ION) and in the ectopic nucleus isthmo-opticus (EION), a multiple linear regression analysis was employed to correlate the postoperative performance in all three tasks with the amount of structure loss within ION and EION. Deficits in the grain-grit discrimination procedure were a function of the ION lesion extent and did not depend on EION damage. Thus, these two structures could be functionally differentiated for the first time. Neither the ION nor the EION seems to be involved in visual-acuity performance or the early detection of large shadows moving forward through the visual field. Our data support the hypothesis that the CVS is involved in pecking and food selection among static stimuli at a short viewing distance in ground-feeding birds such as pigeons and chickens.

Animals↗
PubMed1992

Brief visual experience induces immediate early gene expression in the cat visual cortex.

Brief visual experience causes rapid physiological changes in the visual cortex during early postnatal development. A possible mediator of these effects is the immediate early genes whose protein products are involved in the rapid response of neurons to transsynaptic stimulation. Here we report evidence that the levels of immediate early gene mRNAs in the visual cortex can be altered by manipulating the visual environment. Specifically, we find that brief (1 h) visual experience in dark-reared cats causes dramatic transient inductions of egr1, c-fos, and junB mRNAs in the visual cortex but not in the frontal cortex. Levels of c-jun and c-myc mRNAs are unaffected. These results suggest that select combinatorial interactions of immediate early gene proteins are an important step in the cascade of events through which visually elicited activity controls visual cortical development.

Animals↗
PubMed1991

Cortical blindness and residual vision: is the "second" visual system in humans capable of more than rudimentary visual perception?

We studied 12 patients with static cortical blindness to evaluate residual vision after destruction of area 17 and to assess the visual capacity of the subcortical "second" visual system in humans. In each case, the cause was bilateral infarction of the occipital lobes. Five patients had total blindness, and four had residual rudimentary vision (RRV), characterized by homonymous areas of light perception in the peripheral field and ability to detect moving objects. Only three patients had the ability to read; two of these had spared macular vision, and the other had spared left homonymous hemimaculae and spared temporal crescent. Neuroimaging and visual evoked potentials (VEPs) correlated with the extent of the visual dysfunction. Total destruction of area 17 bilaterally was associated with total permanent visual loss. The larger the amount of spared visual cortex, the better the vision. Positron emission tomography (PET) or single photon emission computed tomography (SPECT) demonstrated retained metabolic activity in islands of preserved area 17 in patients with some residual vision. VEPs were present in totally blind individuals. We conclude that, in humans, useful visual function is preserved only when a critical amount of area 17 is spared. The subcortical second system may participate in the generation of VEPs, but is incapable of conscious visual perception.

Aged↗
PubMed1987

Visual function and pattern visual evoked response in optic neuritis.

The disparity between clinical visual function and pattern visual evoked response (VER) was studied in 53 patients who had suffered an attack of optic neuritis (ON) more than six months before. The visual functions tested included Snellen visual acuity, colour vision, visual field, and contrast sensitivity. The effect of pattern presentation, check size, and luminance was tested by recording VERs with several stimulus configurations. VER amplitudes were found to be associated with the outcome of all four clinical tests, independently of check size, luminance, or the presentation method used. On the other hand VER latencies were hardly ever related to the results of any of the four clinical visual tests. These findings support the idea that VER amplitude provides information about visual spatial perception, while VER latency is more related to the extent of demyelination.

Adolescent↗
PubMed1988

Representation of the visual field in the second visual area in the Cebus monkey.

The representation of the visual field in the second visual area (V2) was reconstructed from multiunit visual responses and anatomical tracers. Receptive field plotting was performed during multiple recording sessions in seven Cebus apella monkeys under N2O/O2 and immobilized with pancuronium bromide. V2 forms a continuous belt of variable width around striate cortex (V1) except at the most anterior portion of the calcarine sulcus. In each hemisphere V2 contains a visuotopic representation of the contralateral visual hemifield. The representation of the vertical meridian is adjacent to that of V1 and forms the posterior border of V2. The representation of the fovea of V2 is adjacent to that of V1. The representation of the horizontal meridian (HM) is continuous with that of V1; then it splits to form the anterior border of V2, both dorsally and ventrally. The lower quadrant of the visual field is represented dorsally and the upper quadrant ventrally. The visual topography of V2 is coarser than that of V1. In V2, receptive fields corresponding to recording sites separated by a cortical distance of up to 4 mm may represent the same portion of the visual field. In three additional animals, combined injections of fluorescent tracers along the HM representation in V1 yielded two projection sites at the anterior border of V2. The split of the HM representation is estimated to occur at an eccentricity below 1 degree. Quantitative analysis showed that in V2 the representation of the central visual field is magnified relative to that of the periphery. The cortical magnification factor is greater along the isopolar dimension than along the isoeccentric one. Receptive field size in V2 increases with increasing eccentricity. In sections stained for myelin by the Heidenhein-Wöelcke method V2 can be distinguished from the surrounding cortex for most of its extent.

Animals↗
PubMed1989

Effect of early visual pattern deprivation on development and laminar distribution of cholinergic markers in rat visual cortex.

In order to evaluate the role of cholinergic cortical mechanisms in the shaping of visual cortical plasticity in more detail the present paper summarizes recent studies on the laminar distribution of muscarinic acetylcholine receptors, choline acetyltransferase, and sodium-dependent high-affinity choline uptake sites during postnatal ontogenesis of the visual cortex of monocularly derived rats using autoradiographic techniques as well as quantitative biochemical methods after separating the different cortical layers by a cryocut technique. The data are correlated to the laminar distribution of cholinergic fibers within the visual cortex as studied by the immunohistochemical visualization of choline acetyltransferase. The laminar distribution of cholinergic receptor binding in the visual cortex changes during ontogenesis. In adult rats, the highest muscarinic acetylcholine receptor density is found in layer I. The activity of the choline acetyltransferase is rather uniformly distributed in all cortical layers. Adult activity values are reached at the age of 25 days. In adult rats the enzyme activity is highest in layer V. In all visual cortical layers the highest 3H-hemicholinium-3 binding to choline uptake sites during the postnatal period studied is already detectable at the age of 10 days, then binding decreases sharply until day 25 at which age it nearly equals the value found in the adult brain. Binding sites exhibit highest density in layers I and IV of the adult rat visual cortex. Monocular deprivation resulted in significant changes in all three parameters studied with different cortical laminae preferentially affected. The data suggest that the normal laminar development of the modulatory function of cholinergic transmission in the rat visual cortex depends on the presence of physiological light stimulation.

Aging↗
PubMed1986

Visual properties and spatial distribution of neurones in the visual association area on the prelunate gyrus of the awake monkey.

We have analysed, in the awake monkey (Macaca sylvana) the functional properties of 489 neurones in the prelunate visual area (PVA, largely corresponding to V4). PVA has a coarse retinotopic organization with the lower quadrant of the visual field represented along the prelunate gyrus. The visual periphery is located medio-dorsally, the central visual field laterally near (and within?) the inferior occipital sulcus and the upper quadrant latero-ventrally. The vertical meridian runs caudally within the lunate sulcus, the horizontal meridian crosses the prelunate gyrus and continues into the superior temporal sulcus. Receptive field diameters of neurones vary between 1 degree and 10 degrees with increase towards the visual periphery, but are strictly confined to the contralateral visual field. 28% of the neurones showed spectral sensitivity. About half of these cells had strong spectral opponency, the other half showed only weak opponency with broader spectral response curves. 11 cells (2%) showed striking centre/surround interactions with inhibition, disinhibition or occlusion of the two mechanisms, and different spectral response ranges of the centre and the surround, respectively. 43% of the prelunate cells were responsive to various spatial features without spectral sensitivity. We distinguished on- and off-center cells (2%), direction and movement sensitive cells (10%) and cells sensitive to gratings of parallel lines within a limited range of orientations (about 10%). A special group were cells which responded strongly to stimuli which contained many contrasts (textures without specific orientations and without regular spatial arrangements) (9%). Many of these cells were specifically responsive to variations of the internal structure of such stimuli. 3% of the cells were strongly activated in connection with behaviour: 11 neurones discharged strongly when the monkey looked attentively at a human face or when he responded with facial expressions to a threatening expression of a person. Photographs of faces were not effective. Some neurones (1%) were activated in connection with eye movement. These neurones were found in the lateral part of the prelunate gyrus. Neurones with spectral or non-spectral properties were clustered within small, irregularly shaped patches of 1-4 mm diameter. It is concluded that the prelunate visual cortex, which we consider as part of area 19, is not just a "colour area", but represents various features of the visual environment (including colour, luminance, movement, texture and behavioral significance), and relates them - through its subcortical and cortical outputs - to behaviour.(ABSTRACT TRUNCATED AT 400 WORDS)

Action Potentials↗