Electroencephalography and Clinical Neurophysiology/Evoked Potentials Section最新文献

Objectives: The purpose of this study was to find a correlation between cochlear implant performances in phoneme discrimination and activity of the brain-stem.

Methods: Electrically-evoked auditory brain-stem responses (EABRs) and speech recognition performances were measured in 17 patients implanted with an MXM Digisonic DX10 cochlear implant. Speech recognition performances without lip-reading were tested using lists of isolated French words containing 3 phonemes.

Results: The results indicated statistically significant correlations between phoneme correct-identification scores and the following EABR variables: wave V latency, wave II–V latency interval and wave III–V latency interval. These results, indicate that up to about 48% of the variance in isolated word recognition without lip-reading can be accounted for by EABR variables.

Conclusion: The quality of brain-stem functioning influences central processes in phoneme discrimination.

Objectives: We aimed to investigate the origin of P9 in median SEPs by applying the junctional potential theory.

Methods: We studied the distribution over the body surface with contralateral shoulder reference in 4 normal subjects.

Results: A stationary potential field P9/tN9 (=truncal N9) was recorded: P9 over head and neck (the smaller part), tN9 over trunk (the larger part), the boundary being located between trunk and neck. This polarity agreed with that expected from simulation studies.

Conclusions: P9 is a junctional potential generated by the change of the volume conductor size between trunk and neck.

Objective: The P300 component of event-related potentials is affected by personal meaningfulness of the stimulus to the subject. Thus, the P300 component could provide an objective parameter in the emotional assessment of road accident mild head injury patients, when exposed to relevant stimuli.

Methods: Thirteen patients with post-traumatic symptoms and 14 healthy controls were evaluated in this study. Two word types, distinguished by color, were presented on a computer screen in active `oddball' paradigm conditions. In the first subtest, the targets were accident-related (stressful) words; in the second subtest, the targets were non-accident-related (neutral) words. Target (20%) and non-target (80%) were defined by word color. Data recorded from Pz were analyzed for P300 parameters.

Results: Patients and controls differed in their reaction to word types (group×word main effect P=0.0089), regardless of the oddball presentation. Overall, accident-related words produced a significantly larger P300 wave than neutral words in patients (P=0.0001), but not in controls (P=0.5741). Significant correlation was found between combined P300 amplitude difference (all stressful words vs. all neutral words) and the patient's Zung state anxiety score (r=0.68, P=0.01).

Conclusion: We suggest the P300 component can provide a useful, objective tool in the assessment of mild head injury patients.

Objectives and methods: Auditory brain-stem evoked potentials (ABEPs) were recorded from 10 normal hearing subjects in response to rarefaction clicks, presented at a rate of 11/s. Stimuli were binaurally symmetrical and isochronic at 75 dB peSPL or with interaural time disparities (ITDs) of ±0.4 ms, or intensity disparities (IIDs) of ±10 dB. Potentials were recorded from vertex-neck, as well as from 3 orthonormally positioned differential derivations. The amplified potentials were averaged over 8000 repetitions using a dwell time of 20 μs/address/channel. The effects of contralateral stimulation on neural responses of the peripheral auditory system were obtained by subtracting the binaural response from the algebraic sum of responses to left and right monaural stimuli. From the 3 orthonormal derivations, 3-channel Lissajous' trajectories (3-CLTs) to the various stimulus conditions and difference waveforms were derived.Results: The results corroborated earlier studies on binaural interaction components (BICs), which include 3 major components corresponding in latency to the vertex-mastoid peaks IV–VI of ABEP. In addition, the binaural difference waveforms included 3 earlier, low-amplitude components. Latency correspondence and comparison of difference waveform and ABEP 3-CLTs indicated that the first and third early difference waveform components corresponded to the negative peaks following I and III, respectively, of the vertex-neck ABEP to binaural clicks.Conclusions: These results indicate that early ABEP peaks, generated peripheral to binaural convergence, may be affected by contralateral stimulation. These contralateral effects were in a pattern compatible with suppression. most probably by efferents of the olivo-cochlear bundle.

Left and right hemifield pattern-reversal visual evoked potentials (PVEP) at P100 latency are characterised by typical field distributions of potential and the spectral parameter instantaneous frequency (IF). Both parameters can be utilised for the correct identification of the stimulated hemiretina in healthy volunteers (Hoffmann, K. et al. Electroenceph. clin. Neurophysiol., 100, 1996: 569–578). The aim of this study was the investigation of the robustness of instantaneous frequency for reduced numbers of averages. Hemifield PVEP of 15 volunteers (20 channel records) were analysed. The number of averages was reduced step-by-step (64–32–16–8–4–1). For each average, the time of P100 latency was determined by the Global field power maximum between 90 and 125 ms. The stimulated hemifield was identified using the potential or instantaneous frequency values at the occipital electrode positions O1 and O2: by maximal potential and instantaneous frequency on the stimulus-contralateral side. In summary, by reduced numbers of averages (as well as by single trials) the stimulated hemiretina was correctly identified more frequently on the basis of instantaneous frequency than of potential distribution. A number of 8 averages seems to be sufficient for the correct identification of the stimulus condition. Consequently, for the identification of left and right hemifield stimulations the recording time could be reduced immensely. Instantaneous frequency is suggested as an additional and robust parameter for the selective averaging of artefact-free trials during the recording of hemifield PVEP.

Objectives: This study compares the clinical usefulness of distortion product otoacoustic emissions (DPOAEs) with the auditory brain-stem response (ABR) for neonates in the neonatal intensive care unit for the evaluation of hearing impairment.

Methods: Both DPOAEs and ABR were performed on 36 neonates (67 ears) on the same day. We defined neonates as having normal hearing when the thresholds of wave V of ABR were ≤45 dB hearing level.

Results: (1) We could not obtain DPOAEs at f2=977 Hz in neonates with normal hearing because of high noise floors. DPOAE recording time was 36 min shorter than that of ABR. (2) We defined as normal DPOAEs, the number of frequencies which showed the DPgram-noise floor ≥4 dB was ≥4 at 6 f2 frequencies, from 1416 Hz to 7959 Hz. (3) Normal thresholds of ABR and normal DPOAEs showed the same percentages, i.e. 68.7%, but the percentage of different results between ABR and DPOAEs was 6.0%.

Conclusions: Our study indicates that DPOAEs represent a simple procedure, which can be easily performed in the NICU to obtain reliable results in high-risk neonates. Results obtained by DPOAEs were comparable to those obtained by the more complex procedure of ABR.

Objectives: Visual evoked potentials (VEPs) show abnormal responses in newly-diagnosed insulin-dependent diabetic (IDDM) patients. Electrophysiological methods allow one to dissect and explore different structures contributing to neural conduction in the visual pathways. The aim of our work was to assess whether the VEP abnormalities are due to impaired function of the retinal layers and/or a delayed conduction in the postretinal visual pathways.

Methods: Simultaneous recordings of VEP and pattern-electroretinogram (PERG) were performed at two intervals (at entry of the study and after 3 months) in 14 newly-diagnosed IDDM patients (age: 24.8±6.8 years; duration of disease: 3±1.5 months), and in 14 age-matched control subjects.

Results: In comparison with control subjects, IDDM patients showed: VEP P100 latencies significantly delayed (P<0.01), a significant impairment of all PERG parameters (P<0.01) and retinocortical time (RCT, difference between VEP P100 and PERG P50 latencies) and latency window (LW, difference between VEP N75 and PERG P50 latencies) also significantly increased (P<0.01). All electrophysiological parameters were not significantly changed when retested after 3 months. No correlations were found between VEP P100 latency, RCT, LW and PERG parameters.

Conclusions: Impaired PERG indicates an involvement of the innermost retinal layers; increased values of RCT and LW represent an index of delayed neural conduction in the postretinal visual pathways. Therefore two sources, one retinal (impaired PERG) and one postretinal (delayed RCT and LW), may independently contribute in to the abnormal responses of VEP observed in newly-diagnosed IDDM patients. Three months of relatively-stable metabolic control have not normalized the VEP and PERG impairment.

Neurocognitive models of visual object identification have focussed on processes at the moment of identification, when perceivers can actually name what they see. Less well known is the timecourse of processes preceding and leading to actual identification. To track neuromental processes involved in visual identification, behavioral measures and event-related potentials (ERPs) were recorded in two experiments prior to, during and after the identification of fragmented objects, half of which had been shown in their complete versions in a previous study phase. Each object was revealed in a sequence of frames wherein the object was represented by an increasingly less and less fragmented image up to the complete version. A shift in ERPs, around 300 ms and beyond, from negativity to positivity, marked the transition from non-identification to identification. However, while for new stimuli such a shift appeared abruptly from non-identification to identification, for recently-studied objects a late positive wave emerged in response to unidentified fragments at a level just prior to overt identification. Thus, ERPs reflected covert processes associated with a successful match between the current visual information and episodic recently-stored memory traces, which predicted overt identification.

Objective: To study the interference of mechanical vibration of the palm of the hand on the median nerve short-latency SEP components.

Methods: Electrically-elicited short-latency median nerve SEP were obtained before and during mechanical vibration (120 Hz) of the palm in two groups of normal individuals (6 in group I and 9 in group II). The amplitude of the different components was compared between the two conditions through non-parametric statistical tests.

Results: A significant reduction in the amplitude of the N9, P13/14 and N20 components was detected, however no overall significant changes were detected for the N18 component.

Conclusions: Vibration interference reduced all studied components except the N18, these findings are interpreted as supporting evidence for the proposed association between the N18 component and the inhibitory activities elicited in the dorsal column nuclei.