Specific changes in auditory cognitive evoked potentials in those who participated in the liquidation of the Chernobyl accident: II. Analysis of the late P300 component

An integrated neuropsychological study and recording of auditory cognitive evoked potentials (EPs) using the three-stimulus oddball paradigm was performed in groups of ten subjects who participated in the liquidation of the consequences of the Chernobyl accident aged 50.5 ± 4.0 years and ten healthy subjects aged 47.0 ± 6.0 years. The neuropsychological study showed impairment of higher mental functions, including aspontaneity, fatigability, a decrease in the auditory-verbal and visual memories, and higher motor function deficiency, in cleanup workers (usually referred to as liquidators). Analysis of the amplitude and time characteristics of the P300 component of the auditory cognitive EP showed a decrease in the amplitude of this component in all cortical areas of liquidators in both experimental situations and for all stimuli compared to healthy subjects of the same age. Analysis of the latent period (LP) of P300 in liquidators showed the most distinct increase in the situation of passive audition for all types of stimuli. Analysis of the patterns of reactive rearrangements in different experimental situations showed that the P300 LPs of healthy subjects were similar for all types of stimuli during passive audition and were higher for the significant stimulus in the situation of counting. Liquidators were characterized by an type of response, with the LPs of responses to most stimuli increased in both experimental situations. Analysis of regional changes in the P300 LP showed that the differences in the P300 LP between the groups were the largest in the frontal areas of the left hemisphere. In addition, liquidators exhibited “uneconomical, excessive” responses as compared to normal responses, which suggests a decrease in the attention and memory capacities and could contribute to the impairment of higher mental functions. The changes in the amplitude and time characteristics of the P300 component of auditory EPs suggest deceleration of perception, processing, and analysis of information combined with weakened inhibition. The changes found in liquidators are similar to those observed in elderly people, which supports the hypotheses on accelerated brain aging and on pathological aging caused by low-dose irradiation.