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Biomedical subjects

B Rockstroh

Publications and source records attributed to B Rockstroh.

At least 55 records · Page 3Linked to original sources

The impact of performance uncertainty on the postimperative negative variation.

In a delayed matching-to-sample task, the impact of clear or ambiguous go versus clear no-go signals on the post-imperative negative variation (PINV) was examined in 11 patients with a chronic schizophrenic disorder (DSM-III-R) and in a control group of 13 healthy subjects matched to the patient sample by age, sex, and education. Size and spatial position of a visual S2 had to be matched to one of two visual patterns in the S1 presented 4 s earlier. In 96 trials, the S2 was identical in size with one of the two patterns of S1 (clear matching). These trials varied pseudorandomly, with 60 trials in which the S2 was of intermediate size. On a randomly interspersed additional 48 trials, an S2 differing in color and shape signaled no-go. The electroencephalogram was recorded from Fz, Cz, Pz, F3, F4, C3, C4, P3, and P4. Although groups did not differ in contingent negative variation amplitude, the PINV was generally more pronounced in patients than in controls. In both groups, ambiguity of the to-be-matched S2 produced larger PINV amplitudes; the no-go signal elicited only a small PINV. Differential effects of ambiguity and no-go on PINV amplitude and its scalp distribution suggest that "performance" and "action" uncertainty contribute to PINV generation and that thresholds for both effects are reduced in schizophrenics.

Acoustic Stimulation↗

Increased cortical representation of the fingers of the left hand in string players.

Magnetic source imaging revealed that the cortical representation of the digits of the left hand of string players was larger than that in controls. The effect was smallest for the left thumb, and no such differences were observed for the representations of the right hand digits. The amount of cortical reorganization in the representation of the fingering digits was correlated with the age at which the person had begun to play. These results suggest that the representation of different parts of the body in the primary somatosensory cortex of humans depends on use and changes to conform to the current needs and experiences of the individual.

Adult↗

The magnetic counterpart of the contingent negative variation.

The magnetic counterpart of the CNV, the contingent magnetic variation (CMV), was investigated in an Go/No Go design: subjects moved their index finger to the offset of a 4 sec tone of a certain frequency in the Go condition and were asked not to move during presentation of a 4 sec tone of different frequency in the No Go condition. During the preparatory interval, both the CMV and the electrical wave form followed a similar time course and both produced an equally pronounced statistical difference between conditions (Go and No Go). Compared to the variability in the auditory evoked fields, the CMV showed considerably more variance in the field distribution across subjects. The polarity reversal across the temporal surface of the head and the pronounced amplitudes over inferior temporal areas led us to conclude that a significant temporal activity contributes to both the late and the early CMV. However, neither for the early nor for the late CMV component did a single equivalent dipole prove to be a satisfying model. The data are consistent with the suggestion that the earlier as well as the later aspects of the CMV are fed through distributed sources in motoric, sensory and association areas, a distribution with considerable intersubject variability.

Acoustic Stimulation↗

Event-related and motor responses to probes in a forewarned reaction time task in schizophrenic patients.

Surface-negative brain potentials indicate increased excitability of the underlying cortical neural networks. Consequently, deviant patterns of event-related potentials in schizophrenic patients reveal an atypical regulation of cortical excitability. Twelve patients with a chronic schizophrenic disorder and 12 matched control subjects were investigated using a probe paradigm: A contingent negative variation (CNV) was evoked in a forewarned reaction time paradigm. Clicks were presented before, during and after elicitation of the CNV. Click-evoked responses allow one to 'probe' the current brain state, particularly neuronal excitability, which is also reflected by the slow potentials. During the measurements, subjects pressed one button in response to the offset of the visual warning stimulus and a different button in response to the acoustic probes, the latter button press being a behavioral indication of the brain's excitability. In the forewarned reaction time task, patients developed a CNV with a frontal maximum, while the CNV in control subjects was predominantly centro-parietal. This atypical topographical pattern of the CNV may indicate a different spatio-temporal regulation of cortical preparatory processes in schizophrenics. Motor responses were accelerated during negative potential shifts in both patients and controls, with responses being slower overall in patients. In patients, probe-evoked potentials revealed a smaller N100, but a larger P300, than in controls. The covariation of these brain waves with slow potentials, however, turned out to be similar for both groups.

Adult↗

Scalp distribution of slow cortical potentials in schizophrenic patients.

Surface-negative slow cortical potentials (SPs) indicate increased excitability of the underlying cortical networks. Deviant patterns of SPs in schizophrenic patients may reveal in atypical regulation of cortical excitability. This hypothesis was examined by comparing SP-scalp distribution between patients with a chronic schizophrenic disorder and matched control Ss using reaction time paradigms. In study I (12 Ss/group) a CNV was evoked during a 3-s visual S1, while the parallel presentation of clicks at various time intervals should "probe" the brain state during the CNV. The CNV showed a frontal predominance in patients compared to a centroparietal maximum in controls, suggesting an atypical spatio-temporal regulation of SPs in patients. Similar modulation of probe-evoked responses parallel to the CNV in both groups indicated the functional significance of SPs to be similar in schizophrenics and controls. In study II (17 Ss/group) association between a visual S1 and a lateralised tactile S2 allowed fast responses with the respective hand. This association could be formed in one trial series, while the side of tactile stimulation was unpredictable in another. Feedback of response adequacy was provided 1.5 s after S2. Groupds did not differ in mean CNV-amplitudes or -lateralisation. On the other hand, patients developed a pronounced, broadly distributed feedback-preceding negativity (FNP) on all trials, while controls exhibited a right-hemisperic FPN only, when the side of S2 was unpredictable and feedback became salient.

Adult↗

"Probing" the nature of the CNV.

A widespread depolarization in the dendritic trees of cortical pyramidal neurons generates surface-negative potentials. In turn, such potentials may indicate facilitatory processes, while positive-going waves may result from a lowering in cortical excitability. Accordingly, we may expect the processing of "probe" stimuli presented during surface-positive waves, i.e., during phases of lesser excitability, to be inhibited and probes presented during surface-negative waves to be facilitated. This hypothesis was tested by presenting acoustic probe stimuli at various points in time during a forewarned reaction time task. The warning stimulus (WS) elicited a late positive complex followed by a negative slow potential shift (CNV). In 75% of the total of 120 trials a probe could be presented 1.5 sec prior to the WS interval, 0.5, 1, 1.5 or 2 sec after the onset of the 3 sec visual WS, and 3 sec following the imperative signal (WS offset, requiring a fast button press response), while 25% of the trials were without any probe. Only one probe occurred during a trial. The EEG was recorded along the midsagittal line; responses to the probes were evaluated by reaction time (RT) and probe-evoked potentials. RT to probes presented late in the anticipatory interval were speeded up and probe-evoked potentials were enhanced during this interval, in parallel to the development of the slow potential and the CNV in particular. Results suggest that probe stimuli presented during the development of the CNV were processed more intensely, thereby supporting the hypothesis that slow cortical potentials indicate the timing of excitability in cortical neuronal networks.(ABSTRACT TRUNCATED AT 250 WORDS)

Acoustic Stimulation↗

Cortical self-regulation in patients with epilepsies.

The present study aimed at investigating to what extent the regulation of excitability in cortical networks, as indicated by surface-negative slow cortical potentials (SCPs), is impaired in epileptic patients and to what extent training of SCP self-regulation by means of biofeedback and instrumental learning procedures might affect seizure frequency. Twenty-five patients suffering from drug-refractory epilepsies (complex focal, grand mal, and absence type of seizures) participated in 28 1-h sessions of feedback and instrumental conditioning of their SCPs. Subjects' EEGs were obtained from the vertex. Depending on discriminative stimuli DC shifts towards increased or suppressed negativity relative to the pre-trial baseline were demonstrated by on-line visual feedback during intervals of 8 s each; each session comprised 110 trials. While performance on the SCP self-regulation task was initially below normal (as compared to healthy subjects), significant increases in SCP control were achieved by the patients across the 28 training sessions. In 18 patients at least 1-year follow-up data are available. Changes in seizure frequency were related to transfer of SCP control with six of the patients becoming seizure-free. Age affected the ability to acquire SCP control and its impact on seizure frequency.

Adolescent↗

Behavioural treatment of slow cortical potentials in intractable epilepsy: neuropsychological predictors of outcome.

The study aimed to explore the predictive value of neuropsychological tests within the context of acquisition of slow cortical potential (SCP) self-control, a technique which has beneficial effects on seizure frequency in epilepsy. Patients with epilepsy who successfully achieved SCP control had longer digit or block-tapping spans than less successful patients. Patients who showed a better learning rate across training also displayed better verbal memory and learning abilities. Seizure reduction was related to block-tapping spans only. The results indicate that measures of attention, as indicated by digit spans or block-tapping spans, offer some predictive value for acquisition of SCP control and treatment outcome, whilst measures of visuospatial or frontal lobe function are unrelated to SCP acquisition and seizure reduction.

Adolescent↗

Physical aspects of the EEG in schizophrenics.

Physical and dynamic aspects of the electroencephalogram (EEG) were evaluated in 12 schizophrenic patients and 12 matched healthy control subjects by means of two descriptive measures proposed by Hjorth (complexity and mobility) and by a nonlinear measure, dimensional complexity. These measures were compared to power spectra analyses. EEG was recorded from frontal, central, and parietal leads under resting conditions (eyes open and eyes closed) for 12 epochs each of 25 sec. Patients showed the expected increased activity in the 1-7 Hz band and, furthermore, a scalp distribution of dimensional complexity and Hjorth complexity opposite to the distribution in controls: in patients dimensional complexity yielded higher values at frontal (Fz) than central (Cz) leads, whereas the resemblance to sinusoidal waveshape (Hjorth complexity) was larger at Fz than Cz. Results indicate more dynamic complexity or variables determining the dynamics of brain processes in frontal areas in patients.

Adult↗

Dimensional analysis of the human EEG and intelligence.

The purpose of this study was the determination of the relationship between the dimensional complexity of the electroencephalogam (EEG) and the level of intelligence in humans. In two experiments 34 male subjects were divided into two groups, with high and low levels of intelligence (as measured by the intelligence quotient (IQ)). During a resting phase and various mental imagery conditions the EEG was recorded from several scalp sites. Nonlinear analysis, based on the theory of deterministic chaos, revealed that subjects with high IQs demonstrate higher dimensional complexity of the EEG attractors than subjects with low IQs only during resting conditions. During performance of the imagery tasks the less intelligent subjects increase the complexity of electrical brain dynamics such that IQ-dependency vanishes. The gross (mass) neuronal manifestation of general intelligence seems to depend on task conditions and may be related to the individual brain dynamics only when no specific task is present.

Adult↗

Self-regulation of slow cortical potentials in psychiatric patients: schizophrenia.

Slow cortical potentials (SCPs) are considered to reflect the regulation of attention resources and cortical excitability in cortical neuronal networks. Impaired attentional functioning, as found in patients with schizophrenic disorders, may covary with impaired SCP regulation. This hypothesis was tested using a self-regulation paradigm. Twelve medicated male schizophrenic inpatients and 12 healthy male controls received continuous feedback of their SCPs, during intervals of 8 s each, by means of a visual stimulus (a stylized rocket) moving horizontally across a TV screen. The position of the feedback stimulus was a linear function of the integrated SCP at each point in time during the feedback interval. Subjects were required to increase or reduce negative SCPs (referred to pretrial baseline) depending on the presentation of a discriminative stimulus. The correct response was indicated by the amount of forward movement of the feedback stimulus and by monetary rewards. Schizophrenics participated in 20 sessions (each comprising 110 trials), while controls participated in 5 sessions. Compared with the healthy controls, schizophrenics showed no significant differentiation between negativity increase and negativity suppression during the first sessions. However, in the last 3 sessions, patients achieved differentiation similar to controls, demonstrating the acquisition of SCP control after extensive training.

Adult↗

Effects of inhaled nicotine on instrumental learning of blood pressure responses.

The present study investigated the effects of biofeedback of arterial blood pressure on cortical, peripheral, and psychological measures and the dependence of these effects on nicotine. Four groups of subjects, nonsmokers, and habitual smokers who smoked cigarettes during the experimental sessions containing 0.3, 0.8, or 1.5 mg nicotine, respectively, participated in a feedback paradigm in which continuous feedback of mean blood pressure was provided for intervals of 8 s each. While tonic blood pressure did not differ between the groups, the ability to modulate blood pressure (under feedback conditions) was restricted in smokers as compared to nonsmoking subjects; increasing nicotine dosage was accompanied by poorer performance. Independently of habitual smoking and nicotine doses, heart rate increased during feedback and under conditions of blood pressure increase. In smokers, activity in the alpha band was reduced in a dose-dependent manner. Slow cortical potentials (SCPs) during the feedback interval varied with self-induced blood pressure changes in nonsmokers (blood pressure increase was accompanied by reduced surface-negative potential shifts and vice versa), while SCP variations during feedback conditions were small in smokers, more so under the influence of 0.3 and 0.8-mg nicotine, less so under 1.5 mg. Verbal reports suggest that awareness of performance strategies may not be a necessary variable for performance on the blood pressure regulation task.

Adult↗

Effects of the anticonvulsant benzodiazepine clonazepam on event-related brain potentials in humans.

The effects of the benzodiazepine clonazepam (a drug used as anticonvulsant) on event-related brain potentials were investigated in healthy human subjects. Thirty-six male student volunteers (mean age 30 years) received clonazepam or a placebo in a double-blind setting. VEPs (visual evoked potentials) were obtained from the standard checkerboard reversal procedure; AEPs (auditory evoked potentials) and slow cortical potentials (CNV) were measured during a 2-stimulus reaction time paradigm, in which the quality of the acoustic S1 signalled whether the acoustic S2 would follow after 2 sec or after 6 sec. Each S2 requested a speeded button press. Compared to placebo, clonazepam significantly reduced P100 amplitude of the VEP and the amplitudes of the AEP components N1 and P3. On the other hand, clonazepam boosted the development of a distinct N2 which was not apparent in placebo subjects. The CNV was significantly reduced and reaction time increased under clonazepam compared to placebo. Specific versus non-specific damping effects of the benzodiazepine are discussed, comparing the present result with the pattern of ERP effects of the anticonvulsant carbamazepine that had been obtained using the same experimental paradigms.

Adult↗

The processing of temporal intervals reflected by CNV-like brain potentials.

The present study employed event-related potentials (ERPs) of the brain to improve the understanding of temporal processing. A reproduction paradigm was realized by presenting a visual stimulus (illuminated screen) for intervals of varying length. A few seconds after presentation of such standard intervals the visual stimulus was switched on again and subjects were asked to reproduce the duration of the standard interval by turning off the illumination after a corresponding interval had elapsed. The length of standard intervals varied randomly with each of the following lengths being presented 20 times: 1, 2, 3, 4, 6, and 8 s. Reproduction was accurate for standard intervals up to 3 s but deteriorated with increasing interval length. Brain potentials during reproduction intervals of 1-3 s differed from those recorded during the longer intervals. A CNV-like slow negative shift developed during the shorter reproduction intervals. Negatively was reduced or even absent, when subjects had to reproduce standard intervals of 4 s or longer. The ERP results suggest that intervals shorter than 3-4 s may evoke a processing mode that is qualitatively different from the one dominating when periods in the range of several seconds have to be processed.

Adult↗

Biofeedback-produced hemispheric asymmetry of slow cortical potentials and its behavioural effects.

Two studies served to examine behavioural effects of slow cortical potentials (SPs). SPs were manipulated by means of a biofeedback procedure. The ability of human subjects to alter SPs differentially between the two hemispheres--specifically over the lateral aspects of the central sulcus--was tested by providing feedback of the SP difference between C3 and C4. In Expt. I, 21 of the 45 subjects produced hemispheric asymmetries of more than 2 microV between C3 and C4 on an average after 80 trials of analogue, continuous and immediate feedback. In Expt. II, SP changes were fed back digitally at the end of each trial. Within 120 trials, 20 of the 48 subjects reached the criterion of a minimum 2-microV difference in SPs between C3 and C4 on the average. Average differentiation remained significantly below the SP differentiations achieved for continuous feedback. Trials with feedback were followed by 'task' trials without feedback, during which subjects were still requested to produce SP changes but also had to complete a task: Either sensorimotor tasks (Expt. I) or forced choice handedness tasks (Expt. II) were presented to evaluate behavioural consequences of hemispheric SP differences. In subjects achieving the required SP differentiation it affected the behavioural output in agreement with the known functions of the respective cortical area.

Adult↗

Hyperventilation-induced EEG changes in humans and their modulation by an anticonvulsant drug.

Surface-negative DC shifts, arising from depolarization of apical dendrites of cortical pyramidal cells, represent excitability of cortical neuronal networks. Hyperventilation, used in epilepsy diagnosis to provoke epileptiform discharges, is thought to increase excitability of neuronal tissue; correspondingly, hyperventilation produces negative DC shifts. Extreme negative DC shifts, accompanying epileptiform EEG patterns, have been observed in epileptic patients during hyperventilation. Anticonvulsants, supposed to dampen cortical excitability, should inhibit the development of overexcitability and, hence, also of pronounced negative DC shifts. The present study examined DC shifts induced by hyperventilation in healthy human subjects under the influence of the benzodiazepine, clonazepam, which is used as anticonvulsant. In a double-blind setting, 36 male student volunteers received 4.5 mg clonazepam or the equivalent amount of placebo. DC-EEG and respiration rate were measured during 3 periods each of 3 min: baseline, hyperventilation, and recovery. Compared to baseline, hyperventilation produced a negative DC shift of an average 36 +/- 8 microV under placebo conditions. Clonazepam reduced the hyperventilation-induced negativity to 13 +/- 5 microV. Negativity suppression became weakened with increasing blood plasma levels of the drug. Respiration depth and frequency, increasing under hyperventilation, did not differ among the groups. Clonazepam treatment gave rise to beta-waves and prevented the increase in alpha and theta activity that was found in placebo subjects during the recording period; this was only true, however, for low to moderate plasma concentrations of clonazepam. Results are consistent with the notion that a hyperventilation-induced increase in neuronal excitability can be measured by cortical DC shifts. The reduction of negative shifts under anticonvulsants might indicate dampening of cortical neuronal excitability which is intended by antiepileptic drugs.

Adult↗