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Results for “Evoked Potentials, Visual”

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PubMed2003

Multifocal visual evoked potential responses in glaucoma patients with unilateral hemifield defects.

PURPOSE: To determine whether the multifocal visual evoked potential (mfVEP) technique can detect damage to the visual system in the unaffected hemifields of patients with glaucoma and unilateral hemifield defects. DESIGN: Experimental study. METHODS: Monocular mfVEPs and achromatic automated perimetry (AAP) were obtained in both eyes of 16 patients with open-angle glaucoma and unilateral hemifield defects. The mfVEPs were obtained using a pattern-reversal dartboard array with 60 sectors; the entire display was 44.5 degrees in diameter. For each pair of mfVEP responses an interocular ratio of root-mean-square amplitude was calculated. These values were compared with the mean values obtained from 30 control subjects. Probability plots for MfVEP were derived. A cluster analysis was used to determine whether an mfVEP hemifield was normal or abnormal. RESULTS: Three of 60 (5.0%) mfVEP hemifields from control subjects had significant mfVEP deficits based upon a cluster of abnormal points. Significant mfVEP deficits were detected in the affected AAP hemifield in 15 of 16 (93.8%) glaucoma patients and in 6 of 16 patients in hemifields with apparently normal AAP. The percentage of hemifields with abnormal mfVEPs, but normal AAP, was significantly higher for the glaucoma patients than for the controls (37.5% vs 5.0%, P <.001, chi square).In glaucomatous eyes with achromatic visual fields defects limited to one hemifield, the mfVEP technique can detect evidence of glaucomatous damage in the unaffected hemifield.

Adult↗

PubMed1980

Visual evoked potentials to stimulus trains: normative data and application to photosensitive seizures.

Visual evoked potentials (VEPs) to intermittent flash trains of various stimulus frequencies (VEP-T) were studied in 10 normal subjects and in 10 patients with photosensitive generalized seizures, 5 on medication and another 5 subjects without medication. In the normal group, early negative peaks were consistently demonstrated at 71 +/- 8 msec for monocular stimuli and 67 +/- 9 msec for binocular stimuli, regardless of different frequencies of stimuli. An oscillatory potential, poststimulus continuation of the oscillatory activity and damping out within 100 msec followed the initial peaks. The RMS values of the response epochs were stable and demonstrated consistent temporal changes at each stimulation frequency. In photoconvulsive seizures, the responses were facilitated with most marked changes over the second and third 125 msec epoch of the VEP-Ts with late slow negative deflections in some cases. These changes were pronounced in patients who were not taking anticonvulsant medication, but were not significantly different than controls in patients whose seizures were controlled with medication. It is suggested that the VEP-T is a more effective technique than single flash stimuli in consistently identifying early significant peaks and demonstrating neuronal excitability changes within the visual system.

Adolescent↗

PubMed1996

The effects of ultraviolet-A radiation on visual evoked potentials in the young human eye.

A recent study from this laboratory using visual evoked potentials (VEPs) demonstrated that children's eyes are capable of detecting ultraviolet radiation. The aim of this study was to compare dose-response relationships in two age groups, 6-10 years (n = 10) and 20-25 years (n = 10). Under photopic viewing conditions (550 lux), exposures of monochromatic UV-A (339 nm) and visible radiation (502 nm) were correlated to VEPs. The results demonstrate that monochromatic UV-A can elicit age and dose dependent responses in the human visual system, suggesting that the eyes of children are more responsive to UV stimuli than the eyes of young adults.

Adult↗

PubMed1991

Frontal negativity of pattern-reversal visual evoked potentials in humans.

We investigated the nature of negative potential in the frontal region with an approximate latency of 100 ms ('frontal negativity') as a component of pattern-reversal visual evoked potential (PVEP) in healthy human subjects. It was recorded by stimulation of one-half of the visual field, with different reference electrodes and with experimental manipulations of the stimulating visual field ('central scotomata' and 'peripheral constriction'). A negative potential field was demonstrated to be localized in the frontal region, and its physiological properties detected by the visual field manipulations were shown to be different from those of the occipital positive (P100) and negative (N105) components of PVEP. We conclude, therefore, that frontal negativity of PVEP is an actual electrical event generated in the frontal region, independent of P100 and N105.

Adult↗

PubMed2002

Monitoring glaucoma progression with visual evoked potentials of the blue-sensitive pathway.

PURPOSE: To determine the value of visual evoked potentials with blue-on-yellow pattern stimulation in follow-up of glaucoma. METHODS: This prospective longitudinal concurrent study included a heterogeneous cohort of two groups, perimetric (n = 161) and preperimetric (n = 118), of patients with chronic open-angle glaucoma and 113 healthy control subjects. In the preperimetric glaucoma group, patients showed glaucomatous abnormalities of the optic disc, maximum intraocular pressure higher than 21 mm Hg, and unremarkable computerized visual field examination results. Patients underwent up to three VEP measurements with blue-on-yellow pattern stimulation, as well as qualitative and morphometric evaluation of color stereo optic disc photographs. Mean follow-up time between measurements was 24 months. VEP measurements were separately analyzed in preperimetric subjects, with and without progression of optic nerve damage. Progression of glaucoma was defined as increasing loss of neuroretinal rim. RESULTS: A separate analysis of VEP peak times in patients in the preperimetric group, with and without progression of glaucomatous optic nerve damage, showed no significant difference at baseline but a significant prolongation (P = 0.01) in patients with progressive disease, 2 years before morphologic changes were evident. VEPs in patients with nonprogressive disease were statistically unchanged during the observation period. The perimetric group and both preperimetric groups showed significantly prolonged VEP peak times in comparison with the control group (P < 0.001). CONCLUSIONS: In addition to photographic evaluation to detect glaucomatous disc atrophy, the blue-on-yellow VEP may be an objective electrophysiological tool for monitoring patients with glaucoma, because peak times are significantly associated with progression of optic nerve damage.

Chronic Disease↗

PubMed2004

The relationship between visually evoked cerebral blood flow velocity responses and visual-evoked potentials.

A noninvasive assessment of neurovascular coupling would be of great importance. For this reason, we simultaneously studied graded responses of visually evoked cerebral blood flow (CBF) velocity responses (VEFR) and visual-evoked potentials (VEP) to visual contrasts. The records were made from 30 healthy volunteers aged 38.0 +/- 9.6 years. The stimulus was a black-and-white checkerboard with visual contrasts (VC) of 1%, 10%, and 100%. The VEFR were measured in the posterior cerebral artery using transcranial Doppler, and the VEP were recoded from the scalp from occipital leads. To test the relationship between the VEFR and the VEP, a linear regression analysis was performed. We found that the VEFR at 100% VC were 36% higher than those at 10% VC (P < 0.01). The VEFR at 10% VC were 81% higher than those at 1% VC (P < 0.01). The VEP at 100% VC were 76% higher than those at 10% VC (P < 0.01). The VEP at 10% VC were 184% higher than those at 1% VC (P < 0.01). The linear regression showed a significant, moderate association between the VEP and the VEFR (r = 0.66, P < 0.01). The analysis of the regression slopes (b = 0.48 in older subjects vs. b = 0.58 in younger subjects) between two different age subgroups (P < 0.01) did not show any significant difference (P = 0.035). We concluded that a simultaneous recording of VEFR and VEP to graded visual contrasts could allow an assessment of neurovascular coupling.

Adult↗

PubMed1982

Behaviour-dependent changes of visually evoked potentials and their correlation to the respiration rate in freely moving rats.

The variability of visually evoked potentials (VEP) during spontaneous changes of behavioural activity was investigated in freely moving rats with electrodes in the visual and frontal cortex, olfactory bulb and other brain structures. Averaged VEP were recorded and compared during periods of characteristic behaviour types like drowsiness, relaxed wakefulness, attentiveness, grooming and exploratory behaviour. These behavioural patterns, which are clearly distinguishable by observation, were characterized by a certain degree of visually evoked afterdischarges, recorded movements, EEG-patterns and mean respiration rate. The evaluation of early components of the VEP from single recorded samples and of the correspondent momentary respiration rate (respiration intervals) revealed strongly negative correlations. In general, the increasing behavioural activity is characterized by a decrease in the amplitudes of VEP-components, inversely correlated to the log of momentary respiration rate. During drowsiness and enhanced attentiveness, certain components are increased. During strong movements and distraction of attention (e.g. intensive scratching and licking) the VEP-components were decreased stronger. The negative complex around 62 ms increased during certain forms of behavioural activation and locomotion. The VEP-component N31, the respiration rate, and the quotient N31: N61 were found suitable parameters to characterize certain types of behaviour in comparison to relaxed wakefulness.

Animals↗

PubMed2003

Sweep visual evoked potential evaluation of contrast sensitivity in Alzheimer's dementia.

PURPOSE: The purpose of this study was to evaluate primary afferent visual pathway function by objectively testing contrast sensitivity in persons with Alzheimer's dementia (AD), using a sweep visual evoked potential technique. METHODS: Twenty-five patients, 16 with AD and 9 elderly control (EC) subjects, were enrolled from the University of Southern California Rancho Los Amigos Medical Center. The patients with AD had clinical dementia ratings ranging from 0.5 to 3, corresponding to mild to moderate disease. All participants underwent refraction and screening for ophthalmic disease. Subjects were evaluated with the sweep visual evoked potential technique. Each trial consisted of logarithmically increasing contrast over a 10-second period. Subjects were evaluated monocularly at spatial frequencies of 1, 5, and 8 cyc/deg. Patients were not required to integrate and respond to stimuli. RESULTS: Mean contrast sensitivity thresholds were significantly higher in patients with AD than in EC subjects. The mean contrast sensitivities in the AD group were 4.0%, 9.6%, and 18.6%, at 1, 5, and 8 cyc/deg, respectively. The corresponding sensitivities in the EC group were 2.1%, 5.3%, and 11.4%, at 1, 5, and 8 cyc/deg, respectively. These threshold differences were significant at probabilities of 0.01, 0.05, and 0.07. There was no correlation between clinical dementia ratings and reduction of contrast sensitivity thresholds. Confounding factors such as age, gender, nuclear sclerosis, and visual acuity were evaluated. Visual acuity was the only factor significantly different between AD responders and AD nonresponders at 1 and 5 cyc/deg. CONCLUSIONS: These results suggest patients with AD have deficits in contrast sensitivity attributable to dysfunction of the primary afferent visual pathway.

Aged↗

PubMed2000

Visual-evoked potentials: assessment of retrobulbar and peribulbar anesthesia.

PURPOSE: To assess the effects of retrobulbar and peribulbar anesthesia on nerve function as detected by visual-evoked potentials (VEPs). SETTING: University hospital in southern Brazil. METHODS: In a prospective study, 7 patients had peribulbar anesthesia and 9 had retrobulbar anesthesia for extracapsular cataract extraction. Visual-evoked potentials with pattern reversal and flash stimulation were performed at least 1 month before and 1 month after surgery. Study participants did not have ocular pathology other than cataract. The Lens Classification System III was used to grade the opacities before surgery. RESULTS: No significant difference was found between preoperative and postoperative evaluations in VEP flash and pattern-reversal amplitude and latency in either group (P >.05). Postoperative amplitude and latency was not significantly different between the peribulbar and retrobulbar groups. Two cases in the peribulbar group had altered wave morphology without clinical manifestation postoperatively. All patients had a final best spectacle-corrected visual acuity of 20/20. CONCLUSION: Block anesthetic procedures were safely used in cataract surgery, with no clinical sequelae to the optic nerve.

Aged↗

PubMed1998

Cortical and thalamic visual evoked potentials during sleep-wake states and spike-wave discharges in the rat.

Flash visual evoked potentials (VEP) were simultaneously recorded from the primary visual cortex and the dorsal lateral geniculate nucleus in freely-moving WAG/Rij rats, to investigate whether the thalamic VEP shows the same state-dependent alterations as the cortical VEP. VEPs obtained during active and passive wakefulness (AW and PW), slow-wave sleep (SWS), REM sleep and during the occurrence of spike-wave discharges (SWD), a specific trait of the genetically epileptic WAG/Rij rat, were compared. The general architecture of the thalamic VEP resembles the cortical VEP, although its polarity is reversed. This facilitated the interpretation of components in terms of underlying neuronal events. The primary excitation peak is differently modulated in cortex and thalamus. Whereas the thalamic component (P30) is not affected by brain-state, the cortical component (N1) shows a strong increase in latency during SWS and SWD. In contrast, the modulation of later components is highly similar for cortex and thalamus. VEPs obtained during AW and REM resemble each other. During SWS and SWD there is a considerable, and during PW a moderate, enlargement of primarily inhibitory components. After-discharges are enhanced during SWS, SWD and REM. No evidence is found for a major impairment of sensory transmission during SWD.

Action Potentials↗

PubMed1986

Source derivation of the visually evoked potential.

There has been much recent conjecture over the apparent source location of the visually evoked potential, particularly in considering the lateralization found in halffield pattern reversal stimulation. This paper presents an alternative by directly identifying the sinks or sources present in the scalp current flow as these correspond to the maximal current flow into or out of the cortex (Nunez, 1981). Hjorth (1975) introduced a practical procedure for source derivation which has proved useful in the interpretation of the electroencephalogram (Wallin and Stalberg, 1980). We have applied source derivaton to cortical evoked potentials and present results obtained from right and left half-field stimulation, (Clement, Flanagan and Harding, 1985) and upper and lower field stimulation in normal subjects and patients with visual deficits.

Cerebral Cortex↗

PubMed1999

Characteristics of visual evoked potentials generated by motion coherence onset.

Prior studies have shown that an electrophysiological correlate of visual motion processing can be found in the N2, a transient negativity occurring at about 200 ms in the visual evoked potential (VEP). In most of the studies, N2 was triggered by the onset of a coherent motion. Results of our first experiment revealed that topography of the negative potential can be modified by motion direction information. In contrast to the onset of uncorrelated motion of pixels in a random dot kinematogram (RDK) correlated motion leads to an right hemispheric amplitude advantage. Hemispheric differences can be increased when the negativity is triggered by the onset of a coherent motion direction preceded by uncorrelated motion in RDKs. In a second experiment, we examined whether the negativity elicited by direction is related to the strength of the impression of motion direction measured psychophysically. The latter was modified by varying the percentage of correlated moving pixels in the RDK. Increasing the proportion of these 'direction signals' was associated with both an increase in the strength of the impression of motion direction and an increase in VEP amplitude. Mean correlations of electrophysiological and psychophysical data, which exceeded 0.7, revealed a higher sensitivity of the right hemisphere. The close relationship between the global motion impression and VEP negativity indicate that electrophysiological correlates of processing stages within visual motion analysis can be isolated. The recorded negativity seems to be associated primarily with the process of global motion integration.

Adult↗

PubMed1988

Application of the equiweight analysis method for the evaluation of the origin of the N1 and N2 waves of visual evoked potentials.

The applicability of the equiweight analysis method was studied with a view to evaluating the position in depth of the two dominating waves of the visual evoked potentials, recorded from the scalp of human subjects upon the appearance of a sinusoidal grating. The stimulus spatial frequency was 2, 4, 8 or 16 c/deg and its contrast was 0.2 or 0.3. The data of the topographic studies confirm earlier observations that the N1 wave with latency of about 100 ms was localized medially with maximum in Oz, while the N2 wave with latency of about 150 ms was spread over a wider area of the scalp. The results of the equiweight analysis corresponded to the evidence of cortical origin of N1. The wide propagation of the N2 wave proved to be an obstacle for the applicability of the method, although it seems promising when the source of the visual evoked potential is limited in area.

Electrodes↗

PubMed1994

Visual evoked potentials after photostress in insulin-dependent diabetic patients with or without retinopathy.

Visual evoked potentials (VEPs) were assessed under basal conditions and after photostress in normal control subjects, in insulin-dependent diabetic patients with retinopathy (IDDPWR) and in insulin-dependent diabetic patients without retinopathy (IDDP). The VEPs recorded under basal conditions showed a P100 latency significantly higher in IDDP and IDDP-WR eyes than in control eyes and in IDDPWR than in IDDP eyes (P < 0.01). N75-P100 amplitude was significantly lower in IDDP and IDDPWR eyes than in control eyes (P < 0.01). No difference was recorded in the N75-P100 amplitudes between IDDP and IDDPWR eyes. In all eyes, the VEPs recorded after photostress showed an increase in latency and a decrease in amplitude. In both IDDPWR eyes and IDDP eyes VEPs recorded at 20, 40 and 60 s after photostress showed higher mean increments in P100 latency than in C control eyes, and IDDPWR eyes showed higher mean increments in P100 latency than IDDP eyes (IDDP vs control P < 0.01, IDDPWR vs control P < 0.01, IDDPWR vs IDDP P < 0.017). The mean reductions in amplitude observed at 20, 40 and 60 s after photostress in IDDP and IDDPWR eyes were lower than in control eyes (IDDP vs control P = 0.01, IDDPWR vs control P < 0.01, IDDPWR vs IDDP P < 0.01). VEPs were superimposable on the basal VEP (recovery time) at 73.9 s in control eyes, at 88.17 s in IDDP eyes and at 113.3 s in IDDPWR eyes. VEPs after photostress in IDDP patients with normal visual acuity and no fluorangiographic signs of retinopathy may show multiple modifications. This may indicate the presence of an early functional deficiency of the central retinal layers.

Adult↗

PubMed1963

LONG-TERM STABILITY OF VISUALLY EVOKED POTENTIALS IN MAN.

Although the variability of averaged evoked potentials as recorded from cortex in man has been a constant source of concern among investigators, the degree of variability has not received systematic treatment. The authors have accordingly undertaken an exploratory study of reliable differences that may occur in the first 300 msec of the averaged evoked response over long periods of time. Computer analysis of visually evoked responses in seven subjects over several weeks indicated stability of the response of each individual, with reliable intra-individual correlations. Inter-individual differences, however, were large. The evoked responses of different individuals were found to be unique.

Cerebral Cortex↗

PubMed1983

Visual evoked potential abnormalities in Charcot-Marie-Tooth disease and comparison with Friedreich's ataxia.

Pattern-reversal visual evoked potentials (VEPs), recorded in 15 visually asymptomatic patients fulfilling the clinical and electrophysiological criteria of Charcot-Marie-Tooth disease (CMTD), were abnormal in 5 and possibly abnormal in another 3. Five patients showed a prolongation of P100 latency, one a reduction of amplitude and one a possibly abnormal "scotomatous" waveform. In 9 cases abnormalities were detected on neuro-ophthalmological examination. These were poorly correlated with VEP abnormalities, except for patients with 2 or more clinical eye signs. Relative central scotomata were found in the patient with an abnormal waveform. VEP abnormalities, where present, were usually fairly comparable in the 2 eyes. In comparison with a group of Friedrich's ataxia cases there was a lower overall incidence of VEP abnormalities in CMTD, but little to suggest a qualitative difference in the nature of the visual pathway pathology. All 4 patients with unequivocally abnormal VEPs had experienced atypical symptoms suggestive of CNS involvement. In none of these was it possible to sustain an alternative diagnosis. It is concluded that a minor degree of visual pathway involvement may be present in many CMTD cases, in spite of the fact that optic atrophy is only rarely reported, and that the VEP latency may reflect the degree to which other parts of the CNS are involved.

Adolescent↗

PubMedDate not supplied

[Visual evoked potentials in children with gliomas of the optic nerve and chiasm].

Marked changes of visual evoked potentials (VEP) were revealed in patients with gliomas of the optic nerves and chiasm in preserved visual acuity of one eye. The more caudal the spread of the tumor, the more manifest were the prolongation of the peak latencies of the main VEP components, the diminution of their amplitude, and the change of the relation of the signal to the noise. It is shown that VEP examination together with analysis of the ophthalmological picture may facilitate the differential diagnosis of glioma of the optic nerves and chiasm from inflammatory processes and suprasellar tumors.

Child↗

PubMed1982

Hemispheric differences in the neural processing of stimulus location and type: effects of selective attention on visual evoked potentials.

Hemispheric differences in a negative brain potential associated with selectively attending the location and type of stimulation were investigated. The earlier portion of this negativity (between 125 and 222 msec after stimulation) was associated with attending the location of the stimulus. It was symmetrical in the central scalp regions but was greater in the hemisphere contralateral to the attended visual field in the posterior scalp region. The latter portion of this negativity (from 222 to 272 msec after stimulation) primarily was associated wih attending one of the different types of stimuli presented at a given location and was greater over the left posterior regions of the scalp. These results were interpreted in relationship to the time-course of different types of information processing in the left and right hemisphere.

Adult↗