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Biomedical subjects

F Richer

Publications and source records attributed to F Richer.

34 records · Page 2Linked to original sources
PubMed1991

Visual motion perception from stimulation of the human medial parieto-occipital cortex.

Visual phenomena evoked by direct electrical stimulation of extrastriate cortex were observed in 30 epileptic patients as part of a presurgical investigation. An incremental sequence of low-level bipolar stimulation trains was delivered at medial and lateral pairs of contacts of stereotaxically-implanted multilead intracerebral electrodes in parietal, occipital and posterior temporal regions. Diffusion of stimulus afterdischarges was monitored by electrodes in temporal and frontal lobes and by the non-stimulated contacts of the stimulated electrode. Localized stimulations evoked few visual phenomena. The strongest anatomo-perceptual correlation was found for stimulation in the medial parieto-occipital fissure which evoked visual motion phenomena in all three patients stimulated in that region. The evoked motion perceptions were not associated with eye movements or any particular localization of the epileptic focus. These perceptions were only evoked once outside of the medial PO region at the 61 sites examined. The results suggest that the medial parieto-occipital region is closely linked to the human visual motion processing system.

Brain Mapping↗
PubMed1991

Methodological considerations for the evaluation of spatio-temporal source models.

The effects of physiological noise and modelling procedure on spatio-temporal source modelling (STSM) solutions were examined by adding EEG noise (3-4% of total energy) to synthetic signals from 3 dipoles producing topographies that partially cancelled at the surface of an homogeneous sphere. Three patterns of source activation profiles were each associated with two EEG records. The STSM solutions were subjected to statistical tests that detect signal left in the residuals. All models substantially accounted for noise. Essentially correct models left no consistent signal in the residuals, but other statistically acceptable models were also occasionally found. Unambiguous correct solutions were found for moderately correlated source activations. Statistically adequate 2-source and 3-source models were found for the 4 data sets incorporating nearly parallel activations of 2 sources. When all 3 sources had comparable amplitudes, the 2-source models represented compromises containing gross mislocalizations but correct 3-source models were found. When one of the parallel sources was attenuated by 75%, only 2-source models satisfactorily approximated the 2 main sources. The localization errors in the "correct" models ranged from 2.5% to 13% of the sphere radius. Thus, even with a perfect signal propagation model, STSM could at best claim approximate localizations from data containing structured noise.

Brain↗
PubMed1991

Relative localizing value of common tests used in the preoperative investigation of epileptic patients.

We have compared the relative localizing value of common tests in the presurgical evaluation of epilepsy in 73 patients with depth electrode (SEEG) confirmed epileptogenic foci and excellent surgical outcome. We found the tests of abnormality (CT, amytal, neuropsychology) to be frequently non-informative and often discordant with SEEG. The EEG was concordant with the SEEG in 38% of cases and provided lateralization in 78%. EEG was less localizing than ictal behavior in frontals but not in temporals. The need for SEEG is rather evident in these results but could become attenuated by the development of the localizing power of scalp EEG.

Electroencephalography↗
PubMed1991

Obstructive sleep apnea syndrome: pathogenesis of neuropsychological deficits.

Neuropsychological deficits have been documented in patients with obstructive sleep apnea syndrome (OSAS). Both nocturnal hypoxemia and impairement of daytime vigilance have been suggested as the pathogenesis of these deficits, yet it remains difficult to find good correlations between cognitive deficits and either of these physiological parameters. In the present study, 10 normal controls were compared to 10 moderately and 10 severely apneic patients, all recorded in a sleep laboratory for two consecutive nights, with a vigilance and neuropsychological assessment made during the intervening day. Relative to the controls, moderate and severe OSAS showed differences in many cognitive functions, although the severely affected showed the greater differences. Moreover, severe apneics were also worse than moderate apneics on tests that were found to be normal in the latter group. This suggests a discontinuity in the appearance of neuropsychological deficits as OSAS progresses. Further analyses revealed that reductions in general intellectual measures, as well as in executive and psychomotor tasks were all attributable to the severity of hypoxemia, while other attention and memory deficits were related to vigiance impairment. Therefore, both vigilance impairment and nocturnal hypoxemia may differentially contribute to the cognitive dysfunctions found in OSAS.

Adult↗
PubMed1991

Nocturnal hypoxemia as a determinant of vigilance impairment in sleep apnea syndrome.

In sleep apnea syndrome (SAS), vigilance impairment is typically associated with highly disrupted sleep, but recently, nocturnal hypoxemia has also been identified as a second pathogenetic factor in patients with a high degree of desaturation. However, although sleep disruption has been demonstrated to play a role in both the propensity to fall asleep and the capacity to stay awake, the role of nocturnal hypoxemia has been implicated only in the latter. In the present study, both sleep disruption and nocturnal hypoxemia were assessed in 20 moderately to severely apneic patients. During the day, vigilance was assessed both by the multiple sleep latency test (MSLT), as a measure of the propensity to fall asleep, and by the four-choice reaction time test (FCRTT), as a measure of the capacity to stay awake in a performance task. Severity of nocturnal hypoxemia was found to predict performance on the MSLT, as well as on the FCRTT, but sleep disruption was found to predict performance only on the FCRTT. These results suggest that in moderately to severely affected SAS patients, nocturnal hypoxemia may play a primary role in the pathogenesis of vigilance impairment.

Adult↗
PubMed1989

Human intracerebral potentials associated with target, novel, and omitted auditory stimuli.

We recorded late auditory potentials from lateral and medial regions in the frontal, temporal and parietal lobes of patients with temporal lobe epilepsy implanted with horizontal depth electrodes. Tone sequences were presented in three tasks: 1) auditory target detection in a tone sequence, 2) target detection with interspersed novel stimuli, and 3) detection of stimulus omissions. At frontal sites, potentials to targets showed a triphasic response with peak latencies around 200, 270 and 350 ms. At temporal sites, potentials consisted of a generally positive 285 ms peak which was sometimes accompanied by a negative peak at 200 ms or at 400 ms. At parietal sites, potentials were generally triphasic with latencies of about 230, 300, and 370 ms. At most sites, potentials evoked by novel stimuli had shorter latencies than those evoked by targets. The frontal and parietal potentials were either absent or strongly attenuated during stimulus omissions. The results lend further support to the multiple generator hypothesis of late potentials and suggest that some of the cerebral sources of the late potentials are stimulus dependent while others are not.

Acoustic Stimulation↗
PubMed1988

Methods for separating temporally overlapping sources of neuroelectric data.

The localization of intracranial sources of EEG or MEG signals can be misled by the combined effect of several sources, as illustrated by simulated MEG data in which two of the three dipolar sources have slightly out of phase activity and partly complementary scalp topographies. These data were analysed by three different source localization methods. Fitting a single source to each sequential topography worked perfectly when only one source was active; this could also account for as much as 95% of the spatial variance of topographies resulting from two overlapping sources, although the solution was then far from any source. A principal component analysis approach followed by an oblique rotation (fitting one source to the spatial aspect of each component) correctly localized two of the sources but severely mislocated the source that was never active alone. Spatio-temporal source modeling (simultaneously fitting a set of sources to all consecutive topographies) correctly localized all three sources, provided that the parameter optimization method could escape sub-optimal local minima of the error function. Temporally overlapping sources can thus be separated and correctly identified if the mathematical model is adequate and the optimization procedure is well adapted.

Algorithms↗
PubMed1983

Response selection and initiation in speeded reactions: a pupillometric analysis.

Three studies are described in which the task-evoked pupillary response is recorded during simple and disjunctive reactions in order to examine its contribution as a measure of the motoric and cognitive aspects of performance in these tasks. In simple reactions a pupillary dilation began about 1.5 sec before the imperative stimulus and peaked about 1 sec after the stimulus. The rate of dilation was inversely related to the interstimulus interval. In disjunctive reactions, both "Go" and "No-Go" responses elicited significant dilations but the No-Go dilation was smaller than the Go dilation. When the response was delayed 2.5 sec after the discrimination stimulus, the dilation to both Go and No-Go responses was much reduced. The pupillary response related to response selection was estimated at 55% of that associated with motor preparation and execution. The probability of responding was found to affect the amplitude of the dilation to No-Go responses but not that to Go responses. The data point to a significant contribution of preparatory motor processing in No-Go reactions and to an overlap between decisional and motoric processing in disjunctive reactions.

Female↗
PubMedDate not supplied

Intracerebral amplitude distributions of the auditory evoked potential.

Intracerebral auditory evoked potentials were recorded from multi-contact electrodes chronically implanted in frontal, temporal, and parietal regions of the brains of 10 epileptic patients. Binaurally presented tones produced a large widely distributed biphasic potential with a close latency correspondence to the scalp vertex response. In each hemisphere, this intracerebral response inverted in polarity from posterior temporal to frontal sites. This response also showed large amplitude changes in the inferior parietal lobe. The distribution of this response is compatible with bilateral posterior temporal sources with a dorso-frontal orientation.

Adult↗
PubMedDate not supplied

Electrical stimulation of the human brain in epilepsy.

The concordance between the epileptogenic area as determined by intracranially recorded spontaneous seizure onset and that determined by electrically induced auras or seizures in 126 patients with medically intractable epilepsy was studied. Four to 11 multicontact depth electrodes were chronically implanted in patients as part of a preoperative investigation procedure. Localization of the epileptic area was obtained from the recording of three spontaneous seizures and from stimulation data including self-reported auras, seizures, and intracranial EEG afterdischarges recorded during an incremental stimulation sequence at all cortical pairs of contacts. Positive responses to stimulation were obtained in 63% of patients. Concordance between spontaneous and induced auras or seizures was greater than 90% with single unilateral foci and less with multiple foci. Stimulation data reliably predicted the resection area in unilateral and bilateral temporal foci but not in other locations. Afterdischarge thresholds were not reliable predictors of the spontaneous seizure focus. The intracranial stimulation procedure used appears to provide useful confirmatory and complementary localizing information in relation to that obtained from spontaneous seizures.

Brain↗
PubMedDate not supplied

Temporal and spatial characteristics of intracerebral seizure propagation: predictive value in surgery for temporal lobe epilepsy.

We examined the prognostic value of spatial and temporal characteristics of intracerebral propagation of seizures during temporal lobe epilepsy (TLE) surgery. Seven TLE patients resistant to standard anterotemporal lobectomy who had no known causes of resistance [e.g., extratemporal (ET), lesions, multifocal epilepsy] were matched with 7 seizure-free patients and 7 others who were almost seizure-free after operation. Intracerebral ictal propagation pathways were not different in the three groups. Propagation was multidirectional, most frequently to the frontal lobes and sometimes to the contralateral temporal lobe (CTL). ET propagation delays were significantly shorter in resistant patients than in markedly improved patients. The resistant group also had more frequent propagation delays < 1.0 s, but propagation times > 1.0 s were equally likely in all groups. The extent of ET propagation and frequency of focal onsets were not different among the groups. Results suggest that very short propagation times predict reduced efficacy of operation, and that long propagation times are not related to surgical success.

Electroencephalography↗
PubMedDate not supplied

Procedural learning in schizophrenia: further consideration on the deleterious effect of neuroleptics.

Deficits in procedural learning remain a controversial issue in schizophrenia. This may be related to the nature of the neuroleptic treatment of schizophrenic patients as conventional neuroleptics may be more deleterious than new atypical neuroleptics. However, there is no comparative study on the effect of specific neuroleptics on procedural learning. In this study, three groups of patients treated with different neuroleptics were compared to normal controls on two procedural learning tasks. In a visuo-motor task, patients and controls showed similar learning rates, although schizophrenic patients showed generally lower performances than normal controls. However, patients treated with a conventional neuroleptic, but not those treated with the atypical neuroleptics, showed many fluctuations during the initial learning phase. In a problem-solving task, all groups were comparable in performance and learning fluctuations, but learning rates were lower in patients treated with the neuroleptic showing the higher incidence of extrapyramidal symptoms. This suggests that procedural learning abilities may be significantly affected by neuroleptics in schizophrenia, although the effect may differ between tasks and the specific neuroleptics. Fluctuations in the initial learning phase of the visuo-motor task probably results from a frontal dysfunction while reduced learning rates, such as those observed in the problem solving task, may be attributed to a striatal dysfunction. This is concordant with the differential pharmacological actions of the conventional and atypical neuroleptics in these two cerebral areas.

Adult↗