Modifications of Visual Evoked Potentials in Patients with Glaucoma

We compared the visual evoked EEG potentials (VEP) elicited by presentation of a reversal chess pattern in patients with glaucoma and in the control group. Amplitudes, peak latencies of the main VEP components (N75, P100, and N145), interpeak intervals, and interpeak magnitudes were measured, and a spectral analysis of the averaged VEP was performed. In patients suffering from glaucoma, the latencies of the N75 and P100 components were greater, while the interpeak intervals P100-N145 and N75-N145 were shorter, than those in the control group. Glaucoma-related changes in the VEP spectral characteristics, in particular a drop in the spectral power of oscillations corresponding to the alpha rhythm, were observed.     

Pharmacological Mechanisms of Cortical Enhancement Induced by the Repetitive Pairing of Visual/Cholinergic Stimulation

Repetitive visual training paired with electrical activation of cholinergic projections to the primary visual cortex (V1) induces long-term enhancement of cortical processing in response to the visual training stimulus. To better determine the receptor subtypes mediating this effect the selective pharmacological blockade of V1 nicotinic (nAChR), M1 and M2 muscarinic (mAChR) or GABAergic A (GABA_AR) receptors was performed during the training session and visual evoked potentials (VEPs) were recorded before and after training. The training session consisted of the exposure of awake, adult rats to an orientation-specific 0.12 CPD grating paired with an electrical stimulation of the basal forebrain for a duration of 1 week for 10 minutes per day. Pharmacological agents were infused intracortically during this period. The post-training VEP amplitude was significantly increased compared to the pre-training values for the trained spatial frequency and to adjacent spatial frequencies up to 0.3 CPD, suggesting a long-term increase of V1 sensitivity. This increase was totally blocked by the nAChR antagonist as well as by an M2 mAChR subtype and GABA_AR antagonist. Moreover, administration of the M2 mAChR antagonist also significantly decreased the amplitude of the control VEPs, suggesting a suppressive effect on cortical responsiveness. However, the M1 mAChR antagonist blocked the increase of the VEP amplitude only for the high spatial frequency (0.3 CPD), suggesting that M1 role was limited to the spread of the enhancement effect to a higher spatial frequency. More generally, all the drugs used did block the VEP increase at 0.3 CPD. Further, use of each of the aforementioned receptor antagonists blocked training-induced changes in gamma and beta band oscillations. These findings demonstrate that visual training coupled with cholinergic stimulation improved perceptual sensitivity by enhancing cortical responsiveness in V1. This enhancement is mainly mediated by nAChRs, M2 mAChRs and GABA_ARs. The M1 mAChR subtype appears to be involved in spreading the enhancement of V1 cortical responsiveness to adjacent neurons.     

Visual Evoked Potentials and Disorders of Visual Function in Children Suffering from Cerebral Palsy

Using recording of visual evoked potentials (VEP), we examined 126 children (from 1 to 14 years old) suffering from spastic forms of cerebral palsy. In the overwhelming majority of cases (84.1%), we found in these patients significant modifications of the VEP related to dysfunctions of the visual analyzer system at different levels of the latter. We analyzed correlation of clinical manifestations of the disease with deviations of the VEP characteristics from the age norm. We conclude that an EEG examination, including VEP recording, allows one to obtain objective estimates of disorders of the visual function in the studied population of patients.     

Clinical Utility and Limitations of Intraoperative Monitoring of Visual Evoked Potentials

Objectives

During surgeries that put the visual pathway at risk of injury, continuous monitoring of the visual function is desirable. However, the intraoperative monitoring of the visual evoked potential (VEP) is not yet widely used. We evaluate here the clinical utility of intraoperative VEP monitoring.

Methods

We analyzed retrospectively 46 consecutive surgeries in 2011-2013. High luminance stimulating devices delivered flash stimuli on the closed eyelid during intravenous anesthesia. We monitored VEP features N75 and P100 and took patients'' preoperative and postoperative visual function from patient charts. Postoperative ophthalmologic workup was performed in 25 (54%) patients and preoperatively in 28 (61%) patients.

Results

VEP recordings were feasible in 62 of 85 eyes (73%) in 46 patients. All 23 eyes without VEP had impaired vision. During surgery, VEPs remained stable throughout surgery in 50 eyes. In 44 of these, visual function did not deteriorate and three patients (6 eyes) developed hemianopia. VEP decreased transiently in 10 eyes and visual function of all was preserved. VEPs were lost permanently in 2 eyes in two patients without new postoperative visual impairment.

Conclusions

Satisfactory intraoperative VEP monitoring was feasible in all patients except in those with severe visual impairment. Preservation of VEPs predicted preserved visual function. During resection of lesions in the visual cortex, VEP monitoring could not detect new major visual field defects due to injury in the posterior visual pathway. Intraoperative VEPs were sensitive enough to detect vascular damage during aneurysm clipping and mechanical manipulation of the anterior visual pathway in an early reversible stage. Intraoperative VEP monitoring influenced surgical decisions in selected patients and proved to be a useful supplement to the toolbox of intraoperative neurophysiological monitoring.     

Changes in Evoked Potentials Depending on Attention Level in Performance of Visual Tasks

Evoked potentials (EPs) in the parietal and temporal leads were recorded in 14 young subjects in response to successively administered right- and left-side simple visual symbols, squares and circles, during passive viewing and reactions to randomly presented target stimuli. Depending on task conditions and context, the stimuli were divided into four groups: (1) passively perceived stimuli, (2) irrelevant stimuli administered on the side opposite to the target, (3) irrelevant stimuli on the side of the target, and (4) target stimuli. The EPs were averaged over the groups. With an increase in the demands of attention from the first to the fourth groups of stimuli, a linear increase in activation, estimated by the total amplitude of the N1–P3 component, was observed in the parietal leads. The P3b component was mainly responsible for the growth of the EP amplitude. In the temporal leads, the activation was substantially weaker than in the parietal leads and displayed lower between-group differences. The results support the idea that the parietal cortex in humans is of primary importance in tasks involving visual attention and stimuli selection.     

Long-Term Changes in Spinal Cord Evoked Potentials After Compression Spinal Cord Injury in the Rat

SUMMARY 1. After traumatic spinal cord injury (SCI), histological and neurological consequences are developing for several days and even weeks. However, little is known about the dynamics of changes in spinal axonal conductivity. The aim of this study was to record and compare repeated spinal cord evoked potentials (SCEP) after SCI in the rat during a 4 weeks’ interval. These recordings were used: (i) for studying the dynamics of functional changes in spinal axons after SCI, and (ii) to define the value of SCEP as an independent outcome parameter in SCI studies.2. We have used two pairs of chronically implanted epidural electrodes for stimulation/recording. The electrodes were placed below and above the site of injury, respectively. Animals with implanted electrodes underwent spinal cord compression injury induced by epidural balloon inflation at Th8–Th9 level. There were five experimental groups of animals, including one control group (sham-operated, no injury), and four injury groups (different degrees of SCI).3. After SCI, SCEP waveform was either significantly reduced or completely lost. Partial recovery of SCEPs was observed in all groups. The onset and extent of recovery clearly correlated with the severity of injury.There was good correlation between quantitated SCEP variables and the volumes of the compressing balloon. However, sensitivity of electropohysiological parameters was inferior compared to neurological and morphometric outcomes.4. Our study shows for the first time, that the dynamics of axonal recovery depends on the degree of injury. After mild injury, recovery of signal is rapid. However, after severe injury, axonal conductivity can re-appear after as long as 2 weeks postinjury.In conclusion, SCEPs can be used as an independent parameter of outcome after SCI, but in general, the sensitivity of electrophysiological data were worse than standard morphological and neurological evaluations.     

Activation of Extrastriate Cortical Areas in a Human during Selection of Visual Stimuli by Their Shape and Localization: Analysis of Evoked Potentials

Monopolar evoked potentials (EPs) in the parietal and temporal leads were recorded in 23 young, healthy subjects in the process of selection of visual stimuli by shape and localization. Two different central stimuli (selection by shape) and two similar right and left stimuli (selection by localization) were presented in the first series. Two simple right and left stimuli were presented in the second series, and a subject had to respond either to their shape or their localization. During spatial attention and shape recognition in both tasks, characteristics of the prestimulus negativity (contingent negative variation (CNV)) and negative–positive N1–P3 complex pointed to the predominant activation of the parietal areas. The greatest differences were observed in the late P3b component, associated with the late selection, rather than in the early EP components. The dominance of parietal activation as compared to temporal activation was associated with attention demands; i.e., the dominance was highest in the case of target stimuli and was least pronounced during passive perception of stimuli. It is suggested that the parietooccipital visual system leads in tasks demanding spatial and nonspatial attention to stimuli in a simple visual environment (without surrounding elements).     

Reflection of the Emotional Significance of Visual Stimuli in the Characteristics of Evoked EEG Potentials

Healthy subjects (n = 88) were asked to passively visualize positive and passive emotiogenic visual stimuli and also stimuli with a neutral emotional content. Images of the International Affective Picture System (IAPS) were used. Amplitude/time characteristics of the components of evoked EEG potentials (EPs), P1, N1, P2, N2, and P3 and topographic distribution of the latter components were analyzed. The latencies, amplitudes, and topography of the EP waves induced by presentation of positive and negative stimuli were found to be different from the respective values for the EPs induced by neutral stimuli. The level and pattern of these differences typical of different EP components were dissimilar and depended on the sign of the emotions. Specificities related to the valency of an identified stimulus were observed within nearly all stages of processing of visual signals, for the negative stimuli, beginning from an early stage of sensory analysis corresponding to the development of wave Р1. The latencies of components Р1 in the case of presentation of emotiogenic negative stimuli and those of components N1, N2, and Р3 in the case of presentation of the stimuli of both valencies were shorter than the latencies observed at neutral stimuli. The amplitude of component N2 at perception of positive stimuli was, on average, lower, while the Р3 amplitude at perception of all emotiogenic stimuli was higher than in the case of presentation of neutral stimuli. The time dynamics of topographic peculiarities of processing of emotiogenic information were complicated. Activation of the left hemisphere was observed during the earliest stages of perception, while the right hemisphere was activated within the intermediate stages. Generalized activation of the cortex after the action of negative signals and dominance of the left hemisphere under conditions of presentation of positive stimuli were observed only within the final stages. As is supposed, emotiogenic stimuli possess a greater biological significance than neutral ones, and this is why the former attract visual attention first; they more intensely activate the respective cortical zones, and the corresponding visual information is processed more rapidly. The observed effects were more clearly expressed in the case of action of negative stimuli; these effects involved more extensive cortical zones. These facts are indicative of the higher intensity of activating influences of negative emotiogenic stimuli on neutral systems of the higher CNS structures.     

Extracting Visual Evoked Potentials from EEG Data Recorded During fMRI-guided Transcranial Magnetic Stimulation

Transcranial Magnetic Stimulation (TMS) is an effective method for establishing a causal link between a cortical area and cognitive/neurophysiological effects. Specifically, by creating a transient interference with the normal activity of a target region and measuring changes in an electrophysiological signal, we can establish a causal link between the stimulated brain area or network and the electrophysiological signal that we record. If target brain areas are functionally defined with prior fMRI scan, TMS could be used to link the fMRI activations with evoked potentials recorded. However, conducting such experiments presents significant technical challenges given the high amplitude artifacts introduced into the EEG signal by the magnetic pulse, and the difficulty to successfully target areas that were functionally defined by fMRI. Here we describe a methodology for combining these three common tools: TMS, EEG, and fMRI. We explain how to guide the stimulator''s coil to the desired target area using anatomical or functional MRI data, how to record EEG during concurrent TMS, how to design an ERP study suitable for EEG-TMS combination and how to extract reliable ERP from the recorded data. We will provide representative results from a previously published study, in which fMRI-guided TMS was used concurrently with EEG to show that the face-selective N1 and the body-selective N1 component of the ERP are associated with distinct neural networks in extrastriate cortex. This method allows us to combine the high spatial resolution of fMRI with the high temporal resolution of TMS and EEG and therefore obtain a comprehensive understanding of the neural basis of various cognitive processes.     

Modeling the Formation of Steady State Visual Evoked Potentials at Different Frequencies of Photostimulation

Biophysics - The formation of steady-state visual evoked potentials on the basis of visual evoked potentials was analyzed. Using the regression model, it was shown that the accumulation of...     

Correspondences in the Behavior of the Electroretinogram and of the Potentials Evoked at the Visual Cortex

Electrical potentials from the eye (ERG) and from the contralateral visual cortex were recorded in response to flashes of white and of colored light of various intensities and durations. The evoked potentials were found to parallel the behavior of the ERG in several significant respects. Selective changes in the ERG brought about by increasing the light intensity and by light adaptation led to parallel selective changes in the cortical responses. The dual waves (b₁, b₂) of the ERG were found to have counterparts in two cortical waves (c₁, c₂) which, in respect to changes in light intensity and to light adaptation, behaved analogously to the two retinal components. The responses evoked at high intensity showed only the diphasic c₁-potential. As stimulus intensity was lowered the c₁-wave decreased in magnitude and a delayed c₂-component appeared. The c₂-potential increased in amplitude as light intensity of the flash was further reduced. Eventually the c₂-wave, too, decreased as stimulus reduction continued. There was no wave length specificity in regard to either the duplex b-waves or duplex cortical waves. Both appeared at all wave lengths from 454 mµ to 630 mµ. The two cortical waves evoked by brief flashes of colored light showed all the behavior to changes in stimulus intensity and to light adaptation that occurred with white light.     

A Comparison Study of Canonical Correlation Analysis Based Methods for Detecting Steady-State Visual Evoked Potentials

Canonical correlation analysis (CCA) has been widely used in the detection of the steady-state visual evoked potentials (SSVEPs) in brain-computer interfaces (BCIs). The standard CCA method, which uses sinusoidal signals as reference signals, was first proposed for SSVEP detection without calibration. However, the detection performance can be deteriorated by the interference from the spontaneous EEG activities. Recently, various extended methods have been developed to incorporate individual EEG calibration data in CCA to improve the detection performance. Although advantages of the extended CCA methods have been demonstrated in separate studies, a comprehensive comparison between these methods is still missing. This study performed a comparison of the existing CCA-based SSVEP detection methods using a 12-class SSVEP dataset recorded from 10 subjects in a simulated online BCI experiment. Classification accuracy and information transfer rate (ITR) were used for performance evaluation. The results suggest that individual calibration data can significantly improve the detection performance. Furthermore, the results showed that the combination method based on the standard CCA and the individual template based CCA (IT-CCA) achieved the highest performance.     

Cervicothoracic Multisegmental Transpinal Evoked Potentials in Humans

The objectives of this study were to establish the neurophysiological properties of the transpinal evoked potentials (TEPs) following transcutaneous electric stimulation of the spine (tsESS) over the cervicothoracic region, changes in the amplitude of the TEPs preceded by median nerve stimulation at group I threshold, and the effects of tsESS on the flexor carpi radialis (FCR) H-reflex in thirteen healthy human subjects while seated. Two re-usable self-adhering electrodes, connected to function as one electrode (cathode), were placed bilaterally on the clavicles. A re-usable electrode (anode) was placed on the cervicothoracic region covering from Cervical 4 – Thoracic 2 and held under constant pressure throughout the experiment. TEPs were recorded bilaterally from major arm muscles with subjects seated at stimulation frequencies of 1.0, 0.5, 0.33, 0.2, 0.125, and 0.1 Hz, and upon double tsESS pulses delivered at an inter-stimulus interval of 40 ms. TEPs from the arm muscles were also recorded following median nerve stimulation at the conditioning-test (C-T) intervals of 2, 3, 5, 8, and 10 ms. The FCR H-reflex was evoked and recorded according to conventional methods following double median nerve pulses at 40 ms, and was also conditioned by tsESS at C-T intervals that ranged from −10 to +50 ms. The arm TEPs amplitude was not decreased at low-stimulation frequencies and upon double tsESS pulses in all but one subject. Ipsilateral and contralateral arm TEPs were facilitated following ipsilateral median nerve stimulation, while the FCR H-reflex was depressed by double pulses and following tsESS at short and long C-T intervals. Non-invasive transpinal stimulation can be used as a therapeutic modality to decrease spinal reflex hyper-excitability in neurological disorders and when combined with peripheral nerve stimulation to potentiate spinal output.     

Specificity of Auditory Cognitive Evoked Potentials in Musicians

We measured characteristics of evoked potentials, EPs, developing after presentation of significant tonal acoustic stimuli in subjects systematically engaged in music training (n = 7) and those having no corresponding experience (n = 10). The peak latencies of the P3 component in the left hemisphere of musicians were significantly shorter than those in non-musicians (on average, 279.9 and 310.2 msec, respectively). Musicians demonstrated no interhemisphere differences of the latencies of components N2, P3, and N3, while a trend toward asymmetry was obvious in non-musicians (the above components were generated somewhat later in the left hemisphere). The amplitudes of EP components demonstrated no significant intergroup differences, but the amplitude of the P3 wave was higher in the left hemisphere of non-musicians than that in the right hemisphere. Possible neurophysiological correlates of the observed specificity of EPs in the examined groups are discussed.     

Towards an Optimization of Stimulus Parameters for Brain-Computer Interfaces Based on Steady State Visual Evoked Potentials

Efforts to construct an effective brain-computer interface (BCI) system based on Steady State Visual Evoked Potentials (SSVEP) commonly focus on sophisticated mathematical methods for data analysis. The role of different stimulus features in evoking strong SSVEP is less often considered and the knowledge on the optimal stimulus properties is still fragmentary. The goal of this study was to provide insight into the influence of stimulus characteristics on the magnitude of SSVEP response. Five stimuli parameters were tested: size, distance, colour, shape, and presence of a fixation point in the middle of each flickering field. The stimuli were presented on four squares on LCD screen, with each square highlighted by LEDs flickering with different frequencies. Brighter colours and larger dimensions of flickering fields resulted in a significantly stronger SSVEP response. The distance between stimulation fields and the presence or absence of the fixation point had no significant effect on the response. Contrary to a popular belief, these results suggest that absence of the fixation point does not reduce the magnitude of SSVEP response. However, some parameters of the stimuli such as colour and the size of the flickering field play an important role in evoking SSVEP response, which indicates that stimuli rendering is an important factor in building effective SSVEP based BCI systems.     

Dependence of the Parameters of Visual Evoked Potentials on the Parameters of a Complex Visual Stimulus (Tests on Humans)

We recorded visual evoked potentials, VEP, elicited by presentation of a reversal chess pattern; 35 healthy persons were examined. A recording electrode was in point Oz, according to the 10-20 system; dimensions of the chess pattern square fields and their contrast varied from 1.8 to 120 and from 2 to 100%, respectively. Peak latencies, PL, of the N75 component depended on the contrast of stimulus elements in a U-like manner with the minimum within a 20-25% range. The PL of the P100 component monotonically increased with a decrease in the contrast, while the dependence of the PL of N145 was complex: a trend toward a decrease with a decrease in contrast to 30%, a local maximum in about 25%, a decrease and stabilization within a 15-4% range, and a sharp increase at the minimum contrast. The amplitude of N75 decreased with decrease in contrast down to 20-25% and then stabilized; the amplitude of P100 decreased in an S-like mode, with a plateau within 25-4%. The dependence of the N145 amplitude was complex, with a plateau-like maximum at 30-15% contrast. The amplitudes of the negative VEP components, N75 and N145, increased with an increase in the square dimensions to 7.5 and then decreased. Changes in the P100 amplitude included two phases, with a local minimum within an angular dimension range of 30-15^O. The PL of all analyzed components in general increased with a decrease in the angular dimension of the pattern components. The above data are discussed considering concepts on the genesis of different VEP components and on the existence of specialized channels in the visual system, which are responsible for detection of different parameters of a visual object. The complex dynamics of the PL of the analyzed VEP components and of the P100 amplitude related to variation of the contrast and angular dimensions of the elements of a complex stimulus are considered to be determined by a module principle of the organization of the elements constituting different levels of the visual system and by transformations of the receptive fields of these elements on the level of cortical modules, which are related to changes in the stimulus parameters.