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Effect of L-dopa on visual evoked potential in patients with Parkinson's disease.

In 47 patients with Parkinson's disease, we studied the visual evoked potential (VEP) using the pattern-reversal checkerboard (CBVEP) and the grating (GVEP) stimuli before and after 3 months of L-dopa therapy. The P100 latency in both CBVEP and GVEP was prolonged before L-dopa therapy, usually commensurate with the degree of motor disability. Clinical improvement of the parkinsonian state after L-dopa therapy was associated with shortening of the P100 latency in CBVEP, but not significantly in GVEP.

Aged↗

Visual alterations in de novo Parkinson's disease: pattern electroretinogram latencies are more delayed and more reversible by levodopa than are visual evoked potentials.

There are increased latencies of pattern-reversal visual evoked potentials (VEPs) and electroretinograms (PERGs) in Parkinson's disease (PD) patients who have not received therapy. This study aimed to evaluate whether these delays are present in the early stage of PD and whether they are dopamine-sensitive. The results show that both PERG P50 and VEP P100 latencies are increased (p < 0.0001) in a group of patients with de novo PD (13 subjects; 13.3 +/- 5.6 months' mean disease duration) before therapy in comparison with an age-matched control group (eight subjects). A larger latency increase (9.9% at the 47% contrast level and 7.8% at the 96% contrast level) was present in PERG recordings than in VEPs (6.2% at the 47% contrast level and 3.9% at the 96% contrast level). Levodopa therapy produced recovery of both PERG and VEP latency increases at both contrast levels, but only the PERG recovery at 47% of contrast was statistically significant. Before therapy, five eyes from PD patients showed no reproducible PERG at the 47% contrast level although the simultaneously recorded VEP was present. Both potentials were recordable in the same eyes at the 96% contrast level. During therapy, four of those five eyes showed a clear PERG even at the 47% contrast level. We conclude that, using an adequate midspatial frequency, both VEPs and PERGs are delayed even in the early stage of PD, and that PERGs are more sensitive if low contrast (47%) is used. The larger alterations, as well as the larger recovery during levodopa therapy, seem to correlate the PERG response more than the VEP response to dopaminergic transmission.

Aged↗

Results of visual information processing tests in elderly people with presbycusis.

In a group of 21 elderly subjects with mild to moderate hearing loss of presbycusis type, a series of tests of visual information processing was performed. Cortical-evoked potentials were recorded in response to flash and to checker-board pattern stimulation. Further, five speech reading tests were administered. The results obtained in this group of elderly subjects were compared to those of a group of young normal-hearing subjects and those of a group of young subjects with congenital hearing impairment. The visual-evoked potentials showed significantly smaller N1P2-amplitude in elderly subjects than in the other two groups for both flash and checker-board pattern stimulation. The average latency of the P2-component was shorter than in both the other two groups in response to checker-board pattern stimulation. The elderly subjects scored significantly less well than the young normal-hearing group on all five speech reading tests. Linear regression analysis between the results of the five speech reading tests and those of the latency and amplitude measures of the evoked visual responses showed no significant correlations.

Adolescent↗

Time-till-breakdown and scalp electrical potential maps of long-range apparent motion.

A series of psychophysical and electrophysiological experiments is reported using the apparent motion (AM) breakdown effect. Breakdown describes an effect in AM in which, during continuous viewing, the percept of smooth of a single stimulus alternates with the percept of two discrete alternating stimuli. Visual evoked potentials (VEPs) were recorded during periods of motion or breakdown ("nonmotion") in horizontal and vertical displays. VEPs were compared with synthetic VEPs ("composite-flash") produced by adding VEPs to each element of the display recorded in isolation. Subtraction of VEPs was used in an attempt to compare the electrical responses with the processing of information relating to the form of the stimulus, subthreshold motion processing, and suprathreshold motion processing. The results, presented as scalp electrical potential distribution maps, were interpreted as consistent with a central adaptation process underlying the breakdown effect. The results also indicated that the hemispheric asymmetries in AM VEPs described by Manning, Finlay, and Fenelon (1988) were most likely due to the position of the stimuli in the visual field, rather than as a lateralization of motion processes per se. The results also provided evidence that the subthreshold and suprathreshold motion responses to the display were the product of different populations of motion units.

Adult↗

Comparison between the lambda response of eye-fixation-related potentials and the P100 component of pattern-reversal visual evoked potentials.

The purpose of this study was to compare the lambda response of eye-fixation-related potentials (EFRPs) with the P100 component of pattern-reversal visual-evoked potentials. EFRPs were obtained by averaging EEGs time-locked to the offset of the saccade. The dipole of the lambda response and that of the P100 component were estimated by the dipole-tracing method (Musha & Homma, 1990). The locations of their dipoles at the occipital sites were very close to each other when the difference waveform, which was calculated by subtracting the EFRP to the patternless stimulus from the EFRP to the patterned stimulus, was used for the lambda response. This finding implies that the lambda response and P100 have a common neural generator in the visual cortex. However, the peak latency of the lambda response was shorter than that of P100. The saccades in the EFRP trial were considered to be the cause of the difference.

Adult↗

Effect of name agreement on prefrontal activity during overt and covert picture naming.

In recent neuroimaging studies, various tasks have been used to examine prefrontal cortex involvement in semantic retrieval and selection. One such task, picture naming, has yielded inconsistent results across studies. One potential explanation for this inconsistency is that the magnitude of prefrontal activity during picture naming depends on the extent to which a given picture evokes a single reliable meaning. To test this hypothesis, fMRI activity in the prefrontal cortex was measured while subjects named pictures with either high or low name agreement. In Experiment 1, subjects named black-and-white line drawings, either covertly or overtly. Across both modalities, we found more left inferior frontal gyrus (LIFG) activity when the subjects named low-agreement pictures than when they named high-agreement pictures. No significant difference in head movement was detected between the two modalities. In Experiment 2, we replicated the effect of name agreement on LIFG activity during picture naming, using black-and-white photographs. These results provide further support for the idea that the LIFG mediates selection among competing alternatives and suggest a means for understanding the naming deficits observed in nonfluent aphasia.

Adolescent↗

Sensory evoked potentials: PERG, VEP, and SEP.

The review summarizes current developments in pattern electroretinography practice and theory: generator sources and clinical applications. This is particularly relevant to neuronal disease of the central nervous system (CNS). Visual evoked potentials (VEPs) are discussed in reference to the evolution and follow up of multiple sclerosis (MS) and in conjunction with magnetic resonance imaging (MRI) demonstrated abnormalities. These reveal that the techniques are complementary. Sensory evoked potentials (SEPs) in conjunction with MRI studies are highlighted as quantitatively comparable in spinal cord disorders.

Central Nervous System Diseases↗

Visual-evoked cortical potentials in dissociated vertical deviation.

It is debatable whether chiasmatic misrouting of temporal optic-nerve fibers (similar to that found in ocular albinism) is also characteristic of dissociated vertical deviation. Pattern appearance, pattern reversal, and diffuse-flash, monocular full-field visual-evoked cortical potentials were recorded from albino and normal human subjects and subjects with dissociated vertical deviation. Pattern appearance was the most reliable stimulus for evaluating lateralization (albino-type misrouting) in adult albino patients, and diffuse-flash stimulation was almost as reliable in children. Pattern reversal was found to be an unreliable indicator. Lateralization was not evident among patients with dissociated vertical deviation, as determined by the three modes of stimulation. Our data supported earlier findings that pattern appearance is the most appropriate technique to detect lateralization. Our findings differed from those of previous reports in demonstrating that reliability of the lateralization phenomenon increases with age up to approximately 15 years. Pattern reversal stimulation was not reliable in patients with horizontal nystagmus.

Adolescent↗

Effect of decreased retinal illumination on simultaneously recorded pattern electroretinograms and visual-evoked potentials.

Sixteen normal subjects and three patients with optic neuritis were studied to determine the effect of decreased retinal illumination on simultaneously recorded pattern electroretinograms (PERG) and visual-evoked potentials (VEP). Using neutral-density filters (NDF), it was found that linear modeling is an excellent fit for VEP/PERG amplitudes and latencies as log functions of retinal illumination, both for individual eyes and averages of pooled data. Within narrow statistical limits, regression slopes show that mean PERG B-wave and VEP P100 latencies are affected almost identically by decreased illumination, leaving the mean retinocortical time (RCT) virtually unchanged. However, mean B-wave amplitude was greatly reduced at retinal illuminations at which P100 amplitude was unaffected. Of clinical significance was that these latency and amplitude effects were found in each eye tested, whether normal or pathologic. In particular, the RCT in normal subjects was never found to be statistically abnormal due to decreased retinal illumination, and it faithfully represented the optic nerve lesion in the patients with optic neuritis. This result was applied to a population of eight patients with uncomplicated cataracts. The significance of these results is discussed.

Adolescent↗

[Pattern reversal VEP and computer perimetry of the partner eye in optic neuritis].

The pattern-reversal VEP with different check size and the computerized perimetry in the 10 degrees and 30 degrees radius field were recorded in 22 patients suffering from unilateral optic neuritis diagnosed by historical as well as by clinical findings. During the acute attack 12/22 optic neuritis eyes and 3/22 partner eyes had a diminished visual acuity below 0.7. After the attack the visual acuity remained reduced in 9/22 of the affected and 2/22 of the nonaffected partner eyes. The VEP was prolonged in 19/22 optic neuritis eyes and in 12/22 partner eyes applying 50' checks and in 15/22 resp. applying 15' checks. The computed visual fields showed depressions in 21/22 optic neuritis-eyes and in 15/22 partner eyes within in the 30 degrees radius field. VEP and computerized perimetry, there for, can detect subclinical affections of partner eyes in unilateral optic neuritis in a very high percentage.

Computers↗

The influence of grating contrast on the human cortical potential visually evoked by motion.

A cortical potential was evoked by the onset of horizontal drift of a previously stationary vertical square-wave grating (motion-on VEP). The influence of contrast on the principal VEP waves N2 and P2 (peak latencies 180-220 ms and 250-350 ms, respectively) was investigated in five subjects for velocities between 0.3 and 4.1 deg/s, a spatial frequency of 2.6 c/deg and a mean luminance of 17 cd/m2. For low contrasts an ascending linear relation could be found between wave amplitude and logarithm of contrast, and a descending one between wave peak latency and log contrast. The waves remained constant for moderate and high contrasts. The lowest contrast value at which wave constancy occurred (saturation contrast) was determined by a method of least squares. All the data summarized yielded a saturation contrast of 0.058 for N2 and 0.084 for P2. The saturation contrast of the pattern VEP already known from the literature is essentially greater under comparable experimental conditions.

Adult↗

Responses of simple and complex cells to compound sine-wave gratings.

We have studied the responses of simple and complex cells in the primary visual cortex of the cat to rigidly drifting compound sine-wave gratings as a function of the phase offset between fundamental and harmonic frequencies that both fell within the passband of the cell. Simple cells show phase-dependent increases and decreases in peak and mean response which are predictable on the basis of a cell's line weighting function. However, the amplitudes and phases of the base and harmonic frequencies in the response are, in general, not well predicted by the relationships of these same components in the compound grating stimuli. These distortions are shown to be largely a consequence of the rectification that follows linear summation at the simple cell stage. Such distortions are, in principle, correctable when the responses of a second simple cell, as part of a 180 deg phase pair, are taken into account. Complex cells typically showed a strong nonlinear response component at the difference frequency of drifting compound gratings. This was sometimes accompanied by a linear response component at one, or both, of the separate stimulus frequencies. Information about the absolute phases of the frequency components of a compound grating is not preserved in the nonlinear response of complex cells; however, information about the local phase difference between the gratings is preserved. In effect, the nonlinear component of the complex cell response is proportional to the time-varying signal envelope that results from the mutual interference of stimulus frequencies that fall in the cell's spatial receptive field and frequency passband.

Animals↗

Assessment of visual function in MS patients: comparative study of some diagnostic tests.

Optic pathways are frequently involved in Multiple Sclerosis (MS). However, in some cases the involvement is asymptomatic or gives rise to only slight visual disturbances without alterations of visual acuity or of clinically evident visual field defects. In these cases several diagnostic tests permit an objective evaluation of the visual dysfunction. The aim of this study is to compare the value of contrast sensitivity test (CST), pattern reversal visual evoked potential (VEP), ophthalmoscopy, Goldmann perimetry in 45 MS patients with normal visual acuity. Examination of contrast sensitivity was carried out with a simple two-alternative forced choice test estimating the spatial frequency of 4 cycles/degree. The VEP was performed with a pattern reversal checkerboard at a spatial frequency of 1 and 2 cycles/degree. Fundus examination was abnormal in 12 patients; visual field defects were detected in 16 patients. 32 patients (71.1%) had abnormal CST in one or both eyes. VEP for the 30' checks was abnormal in 32 cases (71.1%) and that for the 15' checks in 36 cases (80.0%). All but 4 patients (91.2%) had one or more abnormal tests. All patients with abnormal perimetry and/or fundus examination had also CST and/or VEP altered. It is apparent that CST and VEP reveal a significant proportion of abnormalities in the visual system that have not been revealed by routine neuroophthalmological examination.

Adolescent↗

[Visual evoked potential studies on human cortical coding of the speed of movement of a grating pattern].

Knowledge referring to the kind of velocity coding in human cortex can be obtained either by psychophysical methods or by recording of visually evoked cortical potentials (VEPs). With the help of adaptation experiments it is possible to distinguish between the additive and substitutive coding principle. VEPs were evoked by the onset of movement of a grating pattern (test stimulus). The most prominent waves N2 and P2 increased with accelerating test stimulus velocity within a range of 0.2-4 deg/s (see strong curve in Fig. 6a and 7a). Moving gratings (adaptation stimuli) were additionally presented in corresponding runs during the intervals between the test stimuli to attain a stable level of movement adaptation. The additional movement stimulation reduced the VEP amplitudes in general (see weak lines in Figs. 6a, 7a and relative amplitudes in Figs. 6b, 7b). When the adaptation stimulus velocity was raised within a range of 0.1-4 deg/s (see values of the abscissas in Figs. 6 and 7 indicated by symbols with arrow) the relative VEP amplitude became smaller (decrease from curve to x). This result points to the validity of the additive coding principle. The different behavior of the delta-curve supports the hypothesis of a second channel for velocities faster than 1 deg/s.

Adult↗

[Fourier analysis of transient VECP in artificially increased intraocular pressure].

Usually, amplitudes and latencies are measured to analyze visual evoked cortical potentials (VECP). From the physical point of view this means an analysis in the time domain. Generally it is possible to get important information on oscillations by testing to see which frequency the power is transmitted at (frequency domain). We made such experiments on visual evoked cortical potentials with Fourier analysis during an artificial stepwise rise in the intraocular pressure. We recorded the VECP of 60 healthy young persons at a stimulus rate of 1.9 checkerboard reversals/second and analyzed the curves by Fourier transformations. We proceeded in the same way with 30 volunteers using a stimulus rate of 3.1 checkerboard reversals/second. In comparison to the VECP curves without Fourier analysis, no systemic changes in the amplitude spectra appeared during the rise in intraocular pressure. Because of this we feel that Fourier analysis mostly renders no further information and is probably dispensable for experienced clinicians when testing pressure tolerance of the optic nerve head. On the other hand, the analysis clearly showed the appearance of distortion frequencies. This may be of clinical interest in cases of severe distortion and in patients with almost extinguished VECPs. It might also be helpful to clinicians who are less experienced in electrophysiology.

Adult↗