PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Evoked Potentials, Visual”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 685 records · Page 38Linked to original sources

Colour and brightness coding in the central nervous system: theoretical aspects and visual evoked potentials to homogeneous red and green stimuli.

We designed visual evoked potentials experiments to study the differential aspects of colour and brightness coding in man. The substitution of equally bright red and green stimuli for a background yellow was investigated and compared with different luminance increments and decrements of red and green. A dominant N87 component was found for a colour change from yellow to brighter red colours, which was less pronounced for green and absent for yellow luminance changes. It is also absent for pure red luminance increments and green luminance changes, but reappears with red luminance decrements or red-offset. The data are discussed within the framework of a new concept of how the visual system fuses red-green information and black-white border information. Retinal X-cells can transmit colour and high spatial frequency achromatic information simultaneously by encoding only the presence of edges (a.c.) for the black-white stimuli and the presence of both edges (a.c.) and uniform areas of colour (d.c.) for red-green stimuli. Phylogenetically this kind of information transmission enables colour vision to be implemented in a retina such as the cat's by adding only a second class of cones. Barlow's economy principle will be violated for colour in the periphery, but restored early in the striate cortex where there is an early decoding of the combined chromatic and achromatic information by the concentric double opponent cells. The N87 behaviour correlates with the proposed discharge of peripheral X-type cells, but not with the discharge of cortical double opponent concentric or simple cells, which no longer respond to homogeneous colour stimuli. It is suggested that N87 may be generated by geniculate afferents in the dendritic arborization of cortical cells, reflecting the behaviour of peripheral units, and thus the violation of the economy principle, rather than the next step in cortical processing. The early cortical restoration of the economy principle is supported by the absence of any further dissociated behaviour for colour and brightness in later components.

Adult↗

A comparative study of visual evoked potentials and of retinal nerve fiber layer photography in neuropathies of the optic nerve.

The degree of retinal nerve fiber loss within the papillomacular bundle in optic neuropathies was evaluated from red-free fundus photographs. Visual evoked potentials were obtained from pattern reversal with variable check sizes. A semiquantitative scale was used for the estimation of nerve fiber loss and amplitude reduction of the visual evoked potentials. A significant correlation was found between both. However, a few patients showed rather well-preserved visual evoked potentials with an atrophic nerve fiber layer. Possibly a small number of invisible remaining fibers are able to sustain nearly normal visual evoked potentials. On the other hand, some patients had abnormal visual evoked potentials in the presence of a normal nerve fiber layer. We conclude that evaluation of the nerve fiber layer of the papillomacular bundle without functional testing of the optic nerve is not sufficient to predict degree of foveal integrity.

Adult↗

Serial visual evoked potentials in 90 untreated patients with acute optic neuritis.

To establish the value of visual evoked potentials (VEPs) for monitoring disease evolution, we undertook a population-based study of 90 untreated patients 12 to 57 years of age (median, 32 years) at the onset of optic neuritis (ON) and after 2, 4, 12, and 52 weeks. Optic neuritis was monosymptomatic (AMON) in 58 patients and part of the clinically definite multiple sclerosis (CDMS) in 32 patients. The VEP was abnormal in eyes with acute ON in 69 (77%) of 90 patients at onset and in 80 (89%) of 90 patients at one or more of the follow-up sessions. In eyes with acute ON, normalization of an initially abnormal VEP was observed during 1-year follow-up in 13 (19%) of 69 patients. At onset of ON, VEP was abnormal in 35% of the clinically unaffected eyes. By parametric analysis of variance, the latencies (P = 0.0058), the amplitudes (P = 0.0298), and the combined VEP scores (P = 0.0345) in the eyes with acute ON were significantly associated with the time after onset. The latencies were influenced by the presence of CDMS (P = 0.0033), whereas the amplitudes were influenced by visual acuity (P = 0.0000). When visual acuity was included in a multifactor model, the time after onset was, however, not significantly associated with the amplitude (P = 0.8826). The mean latency of the VEPs in eyes with acute ON was significantly shorter in AMON than in ON as part of CDMS. This study provides evidence that VEP abnormality is often transitory, and that VEP often normalizes during follow-up. The diagnostic yield is increased by repeating VEP in the spontaneous course of acute ON. Visual evoked potential is a sensitive tool for revealing subclinical lesions.

Acute Disease↗

Visually evoked potential (VEP) acuity: testability in a clinical pediatric population.

The visually evoked potential (VEP) elicited by pattern response is used to assess the visual acuity of preverbal infants in research situations, but few reports indicate the percentage of patients successfully completing the tests (testability). Data are presented to illustrate the testability of acuity assessed by VEPs with clinical populations of preverbal and neurologically handicapped children. 166 referrals in a 9-month period to an electrodiagnostic clinic indicated that 75% of the referrals less than 3 years old, and 87% of the neurologically handicapped referrals were testable. The testability of VEP acuity is as great or greater than other procedures for examining the visual functions of non-verbal or unco-operative patients.

Adolescent↗

Reversible alteration of the visual evoked potential in hypothyroidism.

The pattern-shift evoked potential was measured in 19 hypothyroid patients before treatment, and after short- (one week) and long-term (12 to 24 weeks) thyroid hormone replacement therapy. Before treatment, nine patients had an abnormally prolonged visual evoked potential latency, more than 115 msec. After one week of therapy with 50 micrograms per day of L-triiodothyronine, the mean visual evoked potential latency for the entire group was unchanged, 114 +/- 8 to 114 +/- 7 msec. However, long-term therapy with 100 to 200 micrograms per day of L-thyroxine significantly shortened the visual evoked potential latency to 105 +/- 1 msec (p less than 0.001). In eight of the nine patients with initially abnormal results, the visual evoked potential latency was completely restored to normal. The visual evoked potential amplitude was also significantly changed by long-term L-thyroxine, 4.8 +/- 0.7 to 9.0 +/- 1.0 microV (p less than 0.01). It is concluded that the visual evoked potential is reversibly altered in hypothyroidism. This neurophysiologic parameter permits quantitation of the effects of hypothyroidism on the central nervous system and the extent and rate of response to thyroid hormone replacement therapy.

Electroretinography↗

Visual evoked potential characteristics and early diagnosis of Pelizaeus-Merzbacher disease.

OBJECTIVE: Early diagnosis of Pelizaeus-Merzbacher disease; assessment of disease progression. DESIGN: Pediatric neuro-ophthalmology evaluation of visual function with pattern and luminance visual evoked potentials; behavioral state assessment; electrophysiological diagnostic test; baseline estimates at the age of 11 weeks; 1-year follow-up. SETTING: University hospital electrodiagnostic vision research laboratory. PATIENTS CASE STUDY: X-linked Pelizaeus-Merzbacher disease; leukodystrophy; patient tested at the age of 11 weeks and at the age of 58 weeks for follow-up; five age-matched normal controls. INTERVENTIONS: Physical therapy, medication, evaluation. MAIN OUTCOME: Early diagnosis; diagnostic confirmation; objective monitor of disease progression. RESULTS: Abnormal spatial and temporal vision and abnormal visual pathway maturation; visual evoked potentials of proband with Pelizaeus-Merzbacher disease were grossly abnormal, reflecting myelination disorder. CONCLUSIONS: Visual evoked potential pediatric electrodiagnosis yields reliable measures of visual function and visual system maturation in leukodystrophy.

Behavior↗

Visual evoked potentials in two groups of prisoners of war after release from Serbian detention camps.

Visual evoked potentials (VEP) were determined in two groups of released prisoners of war (POWs) from Serbian detention camps during the war in Croatia 1991/92. The first group comprised 22 POWs (group I), examined 10 to 60 days after release, and the second group comprised 24 POWs (group II), examined 6 to 9 months after release. The third group comprised 36 control subjects. Statistically significant increases in the amplitude of waves P50, N75, P100, N145, and significant prolongation of the latencies of wave N145 were found in group I. In group II, significant increases were found in the latencies of waves P50, N75, P100 and N145, and increased amplitude of wave P50. The greater significance of wave latencies compared to amplitudes, and greater significance of changes in early VEP waves than later VEP waves, can be considered evidence of future progression of these changes in the released POWs. This was confirmed by the significant increases in VEP parameters in groups I and II, which exceed +/- 2SD of the relevant control group, and significantly greater number of the same parameters in group II in relation to group I. There was no significance (i.e. asymmetry) among the three groups when the parameters of the determined visual evoked potentials were compared for the left and right eye.

Adult↗

Intraoperative monitoring of the visual evoked potential during endoscopic sinus surgery.

Iatrogenic blindness resulting from conventional and endoscopic sinus surgery continues to be a major concern to the head and neck surgeon. A new electrophysiologic monitoring technique has been developed that can help avoid damage to the optic nerve and visual system. The approach involves monitoring the visual evoked potential with presentation of flash stimuli to the eyes. Thirty patients with chronic sinusitis underwent endoscopic sinus surgery with visual evoked potential monitoring. The procedures were carried out with patients under intravenous general anesthesia. Needle cortical electrodes were placed in the scalp. A modified light-emitting diode array/goggle was positioned in front of the patient's closed eyes. A triggered flash of 2 Hz was delivered through the goggle to stimulate the patient's retina. Cortical responses were amplified and averaged for 100 trials. Amplitude and peak-latency changes were monitored to alert the surgeon to any change in the visual response during the surgical dissection. Although no changes in response were noted during dissection, cold-water irrigation and reflected telescopic light could produce variations in the recorded responses, as will be discussed. Visual evoked potential monitoring may prevent a surgeon from continuing a bilateral procedure when there is indication of iatrogenic visual loss from dissection on the first side. Visual evoked potential also reassures the operator that no damage has occurred to the visual pathway at the conclusion of a case. Methods, case selection, operative technique, and documentation of monitoring will be discussed.

Blindness↗

Monocular and binocular visual evoked potentials before and after cataract surgery.

Visual evoked cortical potentials (VEPs) were recorded from an individual with a mature cataract in one eye. Stimulation was both monocular and binocular and VEPs were obtained from three occipital scalp sites. Comparisons of recordings taken prior to cataract removal and after removal showed a dramatic increase in amplitude of potentials derived through stimulation of the affected eye. Slight differences in hemispheric amplitude prior to surgery suggest a greater degree of opacity in one portion of the affected lens.

Cataract↗

[Clinical and genetic study of juvenile form of Huntington's disease].

Huntington's disease (HD) is an autosomal dominant neurodegenerative disorder caused by high instability and extension of CAG sequences within the coding region of IT15 gene. It affects both sexes and age at onset of the disease may be different but usually occurs in midlife. The term Juvenile Huntington's disease is generally applied to 10% of the cases with onset before 20. We present clinical features and results of DNA analysis in 16 patients from 14 families aged 9 to 36. The age of onset was between 5 to 20 years; duration of the disease was from 2 to 16 years. In 10 cases the mutated gene was transmitted by the affected father; only in two cases by the mother. In all cases anticipation manifested by earlier onset of the disease in subsequent generations and expansion of CAG repeats was documented. The number of CAG repeats was between 50 and 92 (mean 67.3). Progressive mental deterioration, declining school performance, hyperactivity and emotional disturbances were the first symptoms of juvenile HD. Neuropsychological assessment showed mean IQ in Wechsler test 59.6 and Mini-Mental State Examination scores 22.8. Rigidity and bradykinesia were predominant features in the cases with juvenile onset, the remaining ones developed choreatic movements. Three persons had epileptic seizures; two (both females) revealed behaviour and psychiatric disturbances. Amplitudes of somatosensory evoked potentials, visual evoked potentials and brainstem auditory evoked potentials were markedly reduced. MRI of the brain showed atrophy of heads of the caudate nuclei, putamen and globus pallidus.

Adenine↗

Multimodality evoked potentials in sarcoidosis.

Neurosarcoidosis is suspected on clinical grounds and then confirmed by radiography, by spinal fluid examination, or by biopsy. To determine whether evoked potential testing may also be of value in diagnosing and following the course of neurosarcoidosis, multimodality evoked potentials were obtained in 12 men with sarcoidosis, including two with neurosarcoidosis. Seven of 12 subjects, one of whom had neurosarcoidosis, manifested abnormal evoked potentials. Visual evoked potentials were abnormal in one patient and somatosensory evoked potentials were abnormal in one patient. Five additional patients, including one with neurosarcoidosis, had abnormal auditory evoked potentials suggestive of auditory nerve or low pons involvement. These data indicate that multimodality evoked potentials, especially auditory potentials, may show central nervous system involvement in patients with sarcoidosis in the absence of clinically apparent disease.

Adrenal Cortex Hormones↗

Diurnal variations in the cortical visual and auditory evoked potentials.

Visual and auditory evoked potentials (VEP and AEP) have been recorded for six subjects during the day (11.00-12.00 h) and during the night (23.00-24.00 h). For each subject the following parameters were estimated separately: the confidence limit of the averaged EP, the mean value and the standard error of the latencies of the EP components, EP energy and the product-manner correlation coefficient to evaluate waveform similarity of two evoked potentials. In order to estimate the diurnal variations of VEP and AEP, a comparison is made for each subject separately of the amplitudes and latencies, and their dispersions at N100, P200 for VEP and N100, P200 and P300 for AEP during the day and during the night. During the night hours the amplitudes of the different components and the EP energy are found to increase. The variativity of VEP and AEP increases during the night, while the degree of EP similarity and especially of their late components, decreases. The symmetry of the interhemispheric distribution of VEP, estimated by the peak amplitudes and the energy during the night hours of investigation, is disrupted.

Adult↗

[Multimodal evoked potentials and central mechanisms of afferentation in trigeminal neuralgia].

Multimodal evoked potentials in patients with trigeminal neuralgia are analyzed in the paper. The comprehensive studies of cortical trigeminal somatosensory evoked potentials, visual evoked potentials, and brainstem auditory evoked potentials have revealed their changes that are indicative of the impaired central mechanisms of afferentation in patients with trigeminal abnormality. The findings are discussed in the light of the theory of generator mechanisms of neuropathological pain syndromes.

Adult↗

Spatial frequency of the human short-wavelength-sensitive (blue) cone mechanism. Psychophysical studies and pattern-reversal visual evoked potentials.

The interactions of spatial and chromatic processing of the short-wavelength-sensitive cone mechanism were studied in humans with patterned (checkerboard) stimuli of various spatial frequency (10, 22, 44, and 85 min of are respectively), under steady exposure to yellow light (575 nm, 390 cd/m2). Psychophysical studies and pattern-reversal visual evoked potentials were employed. Parameters of the transient pattern-reversal visual evoked potentials (pattern reversal rate of 2.4 s-1) especially observed were the latencies of P2 (P100) and N3 and the amplitude of P2-N3. It was only with the largest applicable check size (85 min of arc) that both the psychophysical studies and visual evoked potentials could succeed in satisfactorily isolating the short-wavelength-sensitive cone mechanism. Pattern-reversal visual evoked potential latencies are recommended in the evaluation of this cone mechanism because of their smaller variance and higher selectivity in isolating the short-wavelength-sensitive cone mechanism than the amplitude. The peak sensitivity of this cone mechanism was shown to be about 449 nm at the corneal level. The short-wavelength sensitive cone mechanism represented the characteristics of low spatial resolution and long latencies of the pattern-reversal visual evoked potentials.

Adult↗

Visual evoked potentials in two forms of hereditary spastic paraplegia.

Visual evoked potentials (VEPs) were used to study two forms of hereditary spastic paraplegia. We recorded the VEP in 6 homozygotes and 5 obligate heterozygotes in one family with recessively transmitted disease and in 5 persons with dominantly transmitted hereditary spastic paraplegia. The VEPs in the affected persons from both families were similar; both had delayed conduction times and changes in the wave form. The VEPs of the obligate heterozygotes were indistinguishable from those of the unaffected control subjects. Comparison of our findings with those of other disease processes that affect the VEPs suggest that the conduction delays in our patients' VEPs may be associated with changes in myelin.

Adult↗

Effects of sustained, voluntary attention on amplitude and latency of steady-state visual evoked potential: a costs and benefits analysis.

OBJECTIVE: Steady-state visual evoked potentials (VEPs) were recorded to study the mechanisms that underlie visual attention. METHODS: VEPs were recorded from 1 cycle/degree sinusoidal grating contrast reversed at various temporal frequencies (6-10 Hz). This was displayed in one hemifield. A letter search display was flashed at a random rate in the other hemifield. The subject performed a demanding task on the recording stimulus (attended condition) or on the opposite side stimulus (unattended condition). Alternatively, he/she passively fixated on the fixation point (passive condition). RESULTS: Relative to the passive condition, attended stimuli elicited enhanced-amplitude and shortened-latency VEP (benefits). Costs (i.e. responses to passive vs. unattended stimuli) were more marked for latency. CONCLUSIONS: VEP latency may be the key of a priority-based attention mechanism acting at an early level.

Adult↗

Transient pattern visual evoked potentials in children with Down's syndrome.

Visual acuity and contrast sensitivity are lower in children with Down's syndrome than in those developing normally. In many cases, this difference might be accounted for by the relatively high incidence of ocular abnormalities (including refractive error and strabismus) in Down's syndrome. However, abnormal spatial vision persists in children with Down's syndrome in the absence of ocular abnormality, suggesting that abnormal retino-cortical visual processing explains reduced visual function in this group. The aim of the present study was to assess retino-cortical function in children with Down's syndrome by recording transient visual evoked potentials (VEPs) in response to pattern stimuli. Responses from children with Down's syndrome were compared with those recorded from children developing normally. Response latency is similar in the two groups, but morphology differs, with the N75 component being clearly present in the normal responses, but diminished or undetectable in responses from children with Down's syndrome. Our findings may suggest a cortical abnormality specific to the source of the N75 component of pattern-reversal achromatic VEPs.

Adolescent↗