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Visual evoked potentials during etomidate administration in humans.

The effects of etomidate on visual evoked potentials (VEP) were studied in 22 patients undergoing gynaecological procedures. They were divided into two groups: the etomidate group (12 patients) and the fentanyl-N2O-etomidate group (ten patients). In the etomidate group, etomidate 0.3 mg.kg-1 was given as a bolus injection during induction of anaesthesia which was followed by an infusion of etomidate 0.05 mg.kg-1.min-1. No significant changes were observed in the amplitudes of P100 or N70. Latencies of the P60, N70, and P100 were slightly increased. In the fentanyl-N2O-etomidate group, a bolus injection of 0.3 mg.kg-1 of etomidate was given during anaesthesia with 3-4 micrograms.kg-1 of fentanyl and 60 per cent nitrous oxide. The amplitude of the P100 was significantly decreased and the latencies of the P60 and N70 were significantly increased. In conclusion, interpretation of the VEP during etomidate administration alone was not hard to perform but, when given together with fentanyl-nitrous oxide anaesthesia, the VEP was affected significantly making its interpretation difficult.

Adult↗

Anticholinergic drug effects on quantitative electroencephalogram, visual evoked potential, and verbal memory.

Electroencephalographic (EEG) power and coherence spectrum and visual evoked potential (VEP) recordings were made in a group of control subjects on two occasions, a week apart, before and after the subcutaneous administration of either 0.6 mg scopolamine (hyoscine-hydrobromide), a centrally acting anticholinergic drug, or 0.5 mg methscopolamine nitrate, a peripherally acting anticholinergic drug. After scopolamine administration, the EEG power spectrum significantly slowed and EEG coherence at the alpha and beta frequencies decreased. Left interhemispheric coherence increased at 1 Hz and 3-7 Hz. Methscopolamine had no significant effect on the quantitative EEG. The latency of the major positive components of the VEPs, to both flash and pattern stimuli, were not significantly affected by either drug. Verbal memory was significantly reduced after scopolamine. The results suggest that previous reports of scopolamine-induced changes in the EEG power spectrum and in verbal memory can be attributed to the central action of the drug rather than to peripheral side effects.

Adult↗

Transient visually evoked potentials to the pattern reversal and onset of sinusoidal gratings.

Transient visually evoked potentials (VEPs) recorded in response to the contrast reversal and onset of spatially sinusoidal gratings have been investigated. Previous reports of an increase in the latency of the response at higher spatial frequencies have been confirmed but only for spatial frequencies higher than 2 c/deg. At lower spatial frequencies it is suggested that two positive components interact resulting in a departure from a monotonic relationship between latency and spatial frequency. Below 1 c/deg pattern reversal and pattern onset modes of stimulation produced VEPs of similar amplitude and wave form. Above 1 c/deg the amplitude of the pattern onset response peaked at a higher spatial frequency than the response to pattern reversal, and the response was dominated by a negative (N1) rather than a positive component (P1). This distinction has been corroborated by investigating the effect of field size variation. The peak amplitudes shifted to a lower spatial frequency with increase in field size but at all field sizes the N1 component of the pattern onset response peaked at a higher spatial frequency than the other components measured. It is attempted to relate these findings to previous studies of both grating and checkerboard VEPs and to psychophysical studies of contrast sensitivity.

Electroencephalography↗

The refractory period of the visual evoked potential produced by pattern reversal in multiple sclerosis.

Refractoriness of the visual evoked potential to pattern-reversal stimulation has been studied using a light-emitting diode stimulator, the effect on a test P100 of a conditioning pattern reversal being determined for conditioning-test intervals of 20 ms, 50 ms and 100 ms. In 20 normal subjects, the latency of the test P100 was increased by a mean of 9.8% (SD 5.0%) with the 20-ms interval, 5.8% (SD 6.6%) with the 50-ms interval, and 2.8% (SD 4.7%) with the 100-ms interval. Patients with clinically definite multiple sclerosis were divided into 3 groups based on the latency of P100 in the conventional VEP: within 2 SD of the normal mean (7 patients), plus 3-6 SD (7 patients), and greater than 10 SD (7 patients), representing normal, mildly abnormal and grossly abnormal latencies, respectively. Only 4 patients had "abnormal" results in the conditioning-test paradigm, 2 of whom were in the "grossly abnormal" group and 1 in each of the other two groups. The prolongation in latency tended to be greater the longer the control P100. The conditioning-test paradigm did not reveal evidence of a significantly prolonged refractory period of demyelinated axons in the optic nerve, and did not assist in the identification of changes "typical of demyelination" in patients with normal or mildly abnormal control P100s. It is concluded that testing the refractoriness of the VEP may not enhance the diagnostic yield of the VEP in multiple sclerosis.

Brain↗

Short-term changes in the response characteristics of the human visual evoked potential.

The present study examined how the response characteristics of the visual evoked potential (VEP) varied during the course of trials using a sinusoidal grating stimulus that reversed contrast in a square-wave manner. To accomplish this, amplitude and phase values were derived in short segments during the course of continuous stimulation for three subjects. When stimulus spatial frequencies of 0.77 or 1.55 c/deg were used, VEP amplitude remained at a stable value throughout the trial. At 3.1 c/deg, 6-12 sec were required for VEP amplitude to increase to a stable value, which was on average 204% greater than the value noted during the first few seconds of the trial. At 6.2 and 12.4 c/deg, VEP amplitude changes were more complex, first increasing and then decreasing substantially, to levels that were on average 63.8% and 38% of the peak reached earlier in the trial. In all cases, VEP phase decreased during the trial. The magnitude of this decrease ranged up to 50 deg, corresponding to an approx. 10.5 msec delay for the 6.65 Hz stimulation rate used. Prior exposure to an adapting grating diminished the changes in VEP amplitude and advanced the phase changes. Therefore, these changes appear to represent a form of contrast adaptation that is restricted to responses to high spatial frequencies. In addition, the present results provide evidence against a fundamental assumption of signal averaging--that an invariant stimulus will evoke an invariant response.

Adaptation, Ocular↗

Visual evoked potentials in rats selected for high or low self-stimulation.

Visual evoked potentials (VEPs) were analyzed in order to distinguish between rats from genetically high (HI) and low (LO) self-stimulation lines (LC2-HI and LC2-LO). Secondary VEP components - slow secondary negative wave (SNW) and sensory afterdischarge (SAD) - which are considered to be most sensitive indices of normal and pharmacologically-induced behavioral changes, were used for the comparison. Small, albeit statistically significant enhancement of SNW and SAD was obtained in LO rats. Unlike LO animals, HI rats gained in SNW amplitude and SAD area during repeated photic stimulation. The difference being highly significant. D,L-Amphetamine (1 mg/kg, i.p.) suppressed SAD and reduced the SNW amplitude in both HI and LO animals, although the predrug difference in their values remained practically unaltered. Apomorphine (0.25, 2.75, 5.25 mg/kg i.p.) had no measurable effect on VEP parameters even though it caused a regular picture of dose-related enhancement of locomotion and stereotypy. The effect of amphetamine can, therefore, be attributed to the activation of the norepinephrinergic system. Correspondingly, VEP variance in the two lines of rats is interpreted as related to the peculiarities of norepinephrine modulation of neocortical activity.

Amphetamine↗

Contrast response of temporally sparse dichoptic multifocal visual evoked potentials.

Temporally sparse stimuli have been found to produce larger multifocal visual evoked potentials than rapid contrast-reversal stimuli. We compared the contrast-response functions of conventional contrast-reversing (CR) stimuli and three grades of temporally sparse stimuli, examining both the changes in response amplitude and signal-to-noise ratio (SNR). All stimuli were presented dichoptically to normal adult human subjects. One stimulus variant, the slowest pattern pulse, had interleaved monocular and binocular stimuli. Response amplitudes and SNRs were similar for all stimuli at contrast 0.4 but grew faster with increasing contrast for the sparser stimuli. The best sparse stimulus provided an SNR improvement that corresponded to a recording time improvement of 2.6 times relative to that required for contrast reversing stimuli. Multiple regression of log-transformed response metrics characterized the contrast-response functions by fitting power-law relationships. The exponents for the two sparsest stimuli were significantly larger (P < 0.001) than for the CR stimuli, as were the mean response amplitudes and signal-to-noise ratios for these stimuli. The contrast-dependent response enhancement is discussed with respect to the possible influences of rapid retinal contrast gain control, or intracortical and cortico-geniculate feedback.

Adult↗

Hemi-field pattern reversal visual evoked potentials in migraine.

A study of hemi-field pattern reversal visual evoked potentials recorded in the interictal phase was carried out in 44 patients (22 with migraine with aura, 22 without aura) in order to determine whether migraine patients with or without aura and with headaches with strong unilateral predominance, either left or right, exhibit abnormalities after hemi-field stimulation. No differences of P100 latency were found between them and a group of 20 normal individuals, between patients suffering from migraine with aura and migraine without aura and between the affected and the non-affected side of the head. Only in a subgroup of 14 patients with headaches constantly lateralized to a single side, either left or right, was the P100 latency significantly shorter on the affected side (p < 0.001, t-test) compared with the contralateral non-affected side. The results indicate that in both types of migraine there is a common underlying pathogenetic mechanism and the affected retrochiasmatic optic radiation has an increased response to sensory input modulation.

Adolescent↗

Visual evoked potentials in the older population: age and gender effects.

Pattern reversal Visual Evoked Potentials (VEPs) were elicited from 68 normal subjects (31 males, 37 females) in the age range 40-80 years. With VEP latency, a significant age effect, increasing values with age, was demonstrated, but none in relation to gender. The converse held true for VEP amplitude however, no age effect being observed, but some gender effect in that lower values were elicited from males as compared to females.

Adult↗

Pattern visual evoked potentials in traumatic optic neuropathy.

To evaluate the characteristics of pattern visual evoked potentials (PVEPs) in traumatic optic neuropathy (TON) compared with optic neuritis (ON), we retrospectively studied 47 patients with TON and 64 patients with unilateral ON. PVEPs elicited by the stimulation with 3 reversals/s were recorded in all patients. A PVEP could be recorded in 29.8% of the TON patients and 49.6% of the ON patients at their first visit. In the 14 patients with TON and recordable PVEPs, the mean amplitude ratio (affected/fellow eye) was 0.29 +/- 0.03 (SE) and the mean delay of the peak latency was 17.9 +/- 2.9 ms. In the 30 patients with ON and recordable PVEPs, the mean amplitude ratio was 0.48 +/- 0.04 (SE) and the mean delay of the peak latency was 23.5 +/- 2.5 ms. The amplitude ratio was significantly lower in patients with TON than in those with ON.

Adolescent↗

Effects of two anticholinergic drugs on electroretinograms and visual evoked potentials in healthy human subjects.

A battery of electroretinograms (ERGs) and visual evoked potentials (VEPs) were recorded from 12 normal, male volunteers after the intravenous administration of either biperiden 2.5 mg, atropine 1.5 mg or placebo, at weekly intervals. Self-reports indicated that both drugs caused significantly reduced levels of alertness compared to placebo, but more so with biperiden than atropine. Biperiden was not, however, associated with significant changes to ERGs, while atropine caused a few isolated, significant increases to implicit times. There were no significant treatment effects on pattern ERGs or VEPs. The flash VEP latencies and amplitudes recorded after the anticholinergics did not differ from placebo. These preliminary findings suggest that these anticholinergics do not have marked effects on either ERGs or VEPs.

Adult↗

Task-dependent hemisphere asymmetries of the visual evoked potential.

Stimulus-related and event-related components of the visual evoked potential were recorded in three separate tasks that required language comprehension or spatial discrimination. Task-dependent asymmetries in the evoked potential were found for both the language task and one of the tasks involving spatial discrimination. Moreover, an identical stimulus presented in two different contexts elicited potentials with a significantly different distribution over the two sides of the head. These asymmetries were largely confined to the event-related components and presumably reflect task-dependent differences in neural processing. Reaction-time studies for these tasks, however, indicated that these asymmetries occurred too late to arise from neural structures responsible for language comprehension or spatial discrimination per se, and must therefore reflect subsequent neural events.

Adult↗

Suppression and the pattern visual evoked potential.

We assessed the effect of amblyopic suppression on the pattern visual evoked potential (P-VEP). Since anisometropic amblyopia is associated with the monofixation syndrome and a central suppression scotoma in the amblyopic eye, patients with this functional defect were used for the study. Five anisometropic amblyopes and four normal subjects were studied using the P-VEP test. A modified haploscope was used to present a pattern stimulus to the area of suppression. By comparing responses generated under monocular conditions (non-suppression) with monocular responses under binocular viewing conditions (suppression), we measured the effect of suppression on the P-VEP. Our results show that amblyopic suppression completely abolishes P-1 amplitudes in patients with large suppression scotomas; in patients with small suppression scotomas the P-1 amplitudes were greatly reduced. Rivalry in normals also caused a reduction in P-1 amplitudes, but to a much lesser degree than that associated with anisometropic suppression. Patients with significant amblyopia did not show a rivalry effect on the P-VEP. Because the P-1 wave of the transient P-VEP is thought to represent activity at the level of the striate cortex, our results indicate that suppression probably occurs at the striate cortex or lateral geniculate nucleus.

Amblyopia↗

[The use of visual evoked potentials in clinical diagnostics].

In the presented work the use of visual evoked potentials in the diagnostics of multiple sclerosis, optic neuritis, vitamin deficiency, neurotoxic substance intoxication, brain tumours, Parkinson's and Alzheimer's disease and migraine was discussed.

Diagnosis↗

[The reconstruction of the perceptual spaces of brightness and color on the basis of visual evoked potentials and their comparison with the data from behavioral trials].

The visual evoked potentials to a change in color stimuli were studied. The amplitude of the N85 component was correlated with color discrimination. In cases when the brightness of one color was fixed and that of the other one changed, the amplitude dynamics of N85 was V-shaped with the minimum corresponding to the point of equal brightness of both colors. The N85 amplitude in this point serves as a measure of discrimination between stimuli chromaticity. The perceptual color space in rabbit (possessing two cone pigments) was constructed in accordance with the amplitudes of N85 to color change. This space represented a hypersphere in the four-dimensional Euclidean space. The perceptual spaces for brightness and color reconstructed on the basis of conditioning probabilities and N85 amplitudes evoked by replacement of colored and achromatic stimuli were shown to coincide. This suggests the common mechanism of the vector color coding.

Animals↗

[Visual evoked potential in guinea pigs].

The present study was designed to establish visual evoked potential (VEP) as one of clinical tests for veterinary medicine. Experiments were carried out on eight adult male guinea pigs weighed 350 to 750 g. We investigated influences of click sound, luminous intensity and habituation on VEP patterns. The VEP of the guinea pig was composed of primary (P 10, N 20, P 30, N 40) and secondary (P 55, N 75, P 100, N 140) components, followed by a rhythmic after-discharge. Click sound with flash produced some unclear peaks in VEP, while click sound without flash elicited clear six peaks. These different components of the response to stimulation suggested that the acoustically evoked potential induced some peaks in VEP. With the intensity used in the present study, changes in luminous intensity resulted in unrecognizable difference among the VEPs. Early components of VEP were not clearly influenced by the habituation to stimulation. As the stimulation was repeated, rhythmic after-discharge seemed to be suppressed in the half of experiments.

Acoustic Stimulation↗

Electroretinogram and visual-evoked potential measurements in Holstein cows.

The electroretinogram (ERG) and flash visual-evoked potential (FVEP) were recorded from 25 Holstein cows in a clinical setting without dark adaptation. Latencies to the a and b waves of the ERG were measured bilaterally. The ERG recordings were between the lower eyelid of the stimulated eye and the vertex, with ground on the nuchal crest. Stimuli for ERG and FVEP were 1.5 flashes of white light/s. Recorded ERG were highly consistent and repeatable. The average latencies for the a and b waves were 14 and 30 ms; the mean ab amplitude was 43 microV. The FVEP were recorded bilaterally between the middle of the interocular line and the midpoint of the nuchal crest, with ground on the vertex. The FVEP measurements included latencies to 5 alternating positive and negative peaks (P1, N1, P2, N2, and P3) and 4 peak-to-peak amplitudes (P1 to N1, N1 to P2, P2 to N2, and N2 to P3). The P2 peak was consistently the most prominent. Average latencies for the 5 peaks were 46, 64, 86, 106, and 137 ms for P1, N1, P2, N2, and P3, respectively. The FVEP peak-to-peak amplitudes had a high variability.

Animals↗