Biomedical subjects

György Benedek

Publications and source records attributed to György Benedek.

At least 19 recordsLinked to original sources

PubMed2007

Hypobaric hypoxia reduces the amplitude of oscillatory potentials in the human ERG.

PURPOSE: To explore the retinal functions in healthy volunteers during acute hypoxic exposure, applying a set of electrophysiological tests. METHODS: Standard electroretinograms (ERGs) of the retina (rod-(scotopic) ERGs, cone-(photopic) ERGs, maximal responses and oscillatory potentials (OPs)) and 30-Hz flicker ERGs were recorded according to ISCEV (International Society of Clinical Electrophysiology of Vision) recommendations in 14 healthy volunteers during a 15-min exposure to a simulated altitude of 5500 m. RESULTS: The mean arterial oxygen saturation level was significantly reduced (P < 0.001) during the hypobaric challenge. It returned to the normal level very shortly after the end of the hypoxic exposure. No significant change in the latency or amplitude of the slow components of the ERG was found in any recording. The OPs of the ERG, however, revealed a significant decrease in amplitude during hypoxic exposure. Both OP1 and OP2 amplitudes were significantly different (P < 0.05) from the baseline values during hypoxia. Partial recovery of these waves occurred after termination of the hypoxia. CONCLUSIONS: These results appear to support the notion that the inner layers of the retina presumed to be the main source of the OPs, display the highest sensitivity towards circulatory and/or hypoxic challenges.

Adolescent↗

PubMed2007

Multifocal ERG reveals several patterns of cone degeneration in retinitis pigmentosa with concentric narrowing of the visual field.

PURPOSE: To analyze multifocal ERGs (mfERGs) in patients with retinitis pigmentosa (RP), with constricted visual fields and visual acuity satisfactory for steady fixation. METHODS: The mfERGs of 86 eyes of 43 patients with various forms of inheritance and durations of RP were analyzed. A retinal scanning system with a 20-in. monitor was used to map central cone function. Electrical signals of the retina were detected by using DTL fiber electrodes. RESULTS: The site of the best response density of the mfERGs in the patients with RP was found in a central or eccentric position of the trace array. Depending on the position of the best response density in the two eyes, the patients were categorized into three groups. In the first group, the best response density was recorded from the central hexagon in both eyes, producing a central peak surrounded by very low responses in the three-dimensional presentation. In the second group of patients, the best responses were found to correspond to the central hexagon on only one side. In the fellow eye, however, the best response density appeared to be in an eccentric position. The patients in the third group did not present a central peak in the mfERG on either side. In scattered parts of the trace arrays, several acceptable responses were observed in all three groups that might represent patches of functioning retinal cone receptors. CONCLUSIONS: The results suggest highly variable central responses and groups of cones with preserved function in areas previously considered nonresponsive. The high variability of the central responses could be a result of variable foveal cone density, with differences in inheritance- and duration-related cone degeneration at the time of the examination. The authors stress the value of step-by-step analysis of the trace array of the mfERGs, which can reveal the still-functioning groups of cones.

Adolescent↗

PubMed2006

Cognitive sequence learning in Parkinson's disease and amnestic mild cognitive impairment: Dissociation between sequential and non-sequential learning of associations.

Evidence suggests that dopaminergic mechanisms in the basal ganglia (BG) are important in the learning of sequential associations. To test the specificity of this hypothesis, we assessed never-medicated patients with Parkinson's disease (PD) and amnestic mild cognitive impairment (aMCI) using a chaining task. In the training phase of the chaining task, each link in a sequence of stimuli leading to reward is trained step-by-step using feedback after each decision, until the complete sequence is learned. In the probe phase of the chaining task, the context of stimulus-response associations must be used (the position of the associations in the sequence). Results revealed that patients with PD showed impaired learning during the training phase of the chaining task, but their performance was spared in the probe phase. In contrast, patients with aMCI with prominent medial temporal lobe (MTL) dysfunctions showed intact learning during the training phase of the chaining task, but their performance was impaired in the probe phase of the chaining task. These results indicate that when dopaminergic mechanisms in the BG are dysfunctional, series of stimulus-response associations are less efficiently acquired, but their sequential manner is maintained. In contrast, MTL dysfunctions may result in a non-sequential learning of associations, which may indicate a loss of contextual information.

Aged↗

PubMed2006

Task-related modulation in the monkey inferotemporal cortex.

The latencies of the neuronal responses from the inferotemporal cortical cells were analyzed in animals performing a visual fixation task and a recognition task with the same stimulus set. A consistent reduction in response latencies of about 10 ms was observed in favor of the recognition task. It was found that behavioral relevance reduces the latency in the inferotemporal cortex and it was concluded that behavioral significance accelerates information processing. This effect has not been described previously.

Animals↗

PubMed2006

Vernier threshold and the parallel visual pathways in bipolar disorder: a follow-up study.

Magnocellular (M) and parvocellular (P) visual pathways participate in the processing of low contrast and colors of objects, respectively. The aim of this study was to investigate M and P pathway functions in bipolar disorder during a depressive episode and after the amelioration of symptoms. Participants (17 patients with type I bipolar disorder and 20 matched healthy controls) received two vernier tasks. During the M pathway test, stimuli were dots with low luminance-contrast (5%), whereas during the P pathway test, isoluminant blue dots were presented against a yellow background. Participants were asked to detect the direction of the horizontal displacement of the dots (left or right). The assessment was performed during a depressive state and during a clinically improved state after 2 months. During the depressive state, the patients showed significantly impaired M and P pathway functions, whereas during the clinically improved state, their performance was better and was statistically indistinguishable from that of the controls. In conclusion, M and P pathways are impaired in depressed bipolar patients. This deficit is ameliorated along with clinical improvement. Further studies are necessary to separately assess cortical and precortical stages of information-processing, and to exclude the possibility of general motivational and attentional impairments.

Adult↗

PubMed2006

[Parallel processing of visual information].

This is a survey on the function of parallel visual pathway with a special emphasis on its clinical implications. It is based on data in the literature and own results of our group. The paper primarily deals with the X, Y, W pathways and by the magnocellular, parvocellular and koniocellular visual pathways characterized by cells of various size as well as by nerve fibers of various thickness. Electrophysiological, microelectrode recording of single-unit activity makes the distinction between the pathways available in animal model. Much more difficulties arise if we intend to characterize the pathways in humans or to detect the selective damage of one of these pathways in patients. The non-invasive diagnostic methods that could be used in the diagnosis are detailed here, too. Finally, the neurological, ophthalmological and psychological diseases are discussed in which a selective damage of any visual pathway is suspected. Summing it up, the survey provides evidences for the introduction of the novel concept of parallel pathways into the diagnostic aspects of ophthalmology, neurology and psychiatry.

Humans↗

PubMed2006

Abnormal neurological signs, visual contrast sensitivity, and the deficit syndrome of schizophrenia.

This study was designed to investigate the relationship between abnormal neurological signs, visual contrast sensitivity, and the deficit syndrome of schizophrenia. Visual contrast sensitivity for counterphase-modulated low spatial frequency gratings was measured in 32 non-deficit and 12 deficit schizophrenia patients and 20 healthy controls subjects. Abnormal neurological signs were evaluated with the Neurological Evaluation Scale (NES). Compared with the controls, patients with schizophrenia displayed impaired visual contrast sensitivity, which was associated with sensory integration deficits, as measured with the NES. The deficit syndrome was predicted by negative symptoms and sensory integration deficits. These results suggest that early-stage perceptual dysfunctions, which may reflect the abnormality of precortical magnocellular visual pathways, are related to a specific group of abnormal neurological signs.

Adult↗

PubMed2006

Electrophysiological findings in patients with nonarteritic anterior ischemic optic neuropathy.

OBJECTIVE: Nonarteritic ischemic optic neuropathy (NAION) is one of the most frequent causes of sudden visual loss in middle-aged or elderly patients. Although several electrophysiological methods are available for an objective evaluation of the visual deficits, these are not generally used in the assessment of the clinical condition of NAION patients. To evaluate the severity of the optic nerve and retinal damage, electrophysiological tests were performed on 8 patients with NAION. METHODS: Visual evoked potentials (VEPs), scotopic, photopic and flicker electroretinograms (ERGs), multifocal ERGs and pattern ERGs were recorded. RESULTS: The results demonstrated that the VEPs fairly reliably reflected the visual loss caused by NAION. The VEPs were extinguished in cases with a serious visual acuity loss, while a decrease in amplitude and a lengthening of the P100 latency were observed in cases with good visual acuity and a severe visual field loss and in the nonattacked fellow eye of the patients with monocular involvement. The pattern ERGs failed to show signs of retrograde degeneration. The photopic, scotopic and flicker ERGs, and the oscillatory potentials (OPs) were close to normal in these NAION patients. CONCLUSIONS: Our observations permit the conclusion that electrophysiological methods can provide an objective indication of the clinical condition of these patients. The new data obtained promote an understanding of the pathomechanism of the disease. SIGNIFICANCE: Electrophysiological tests are suitable for monitoring of the progression of the disease in NAION patients.

Adult↗

PubMed2006

Development of visual motion perception in children of patients with schizophrenia and bipolar disorder: a follow-up study.

The "dorsal-stream vulnerability" hypothesis claims that motion-sensitive areas in the dorsal occipito-parietal visual system are vulnerable to genetic and environmental factors which affect brain maturation and development. The aim of this study was to investigate the possibility that developmental anomalies of directional motion perception can be detected in children of mothers with schizophrenia and bipolar disorder. Motion and form coherence thresholds were measured in 36 children of mothers with schizophrenia, 28 children of mothers with bipolar disorder, and 30 children with negative family history at 7, 8-9, and 10-11 years of age. These tasks require the detection of direction of coherently moving dots embedded among randomly oscillating dots (motion task) and the detection of tangentially oriented line-segments embedded among randomly oriented segments (form task). Results revealed that the rate of development in the motion task was less pronounced in children of mothers with schizophrenia than that in children of mothers with bipolar disorder and in age-matched controls. The development of form perception was spared. Children of mothers with bipolar disorder showed an intact development in both motion and form perception tasks. These results suggest that the progressive developmental abnormality of motion-sensitive visual areas may be a characteristic feature of schizophrenia-vulnerability.

Achievement↗

PubMed2006

Spatial frequency processing in schizophrenia: trait or state marker?

B. F. O'Donnell et al. found impaired discrimination performances at low and medium spatial frequencies in patients with schizophrenia. In this study, the authors replicated this finding in a group of remitted, unmedicated, and highly functioning outpatients with spared IQ and attentional functions. However, the deficit was restricted to low spatial frequencies (0.5 cycles/degree), which suggests that this deficit is a trait marker of schizophrenia.

Adult↗

PubMed2006

Multisensory integration in the basal ganglia.

Sensorimotor co-ordination in mammals is achieved predominantly via the activity of the basal ganglia. To investigate the underlying multisensory information processing, we recorded the neuronal responses in the caudate nucleus (CN) and substantia nigra (SN) of anaesthetized cats to visual, auditory or somatosensory stimulation alone and also to their combinations, i.e. multisensory stimuli. The main goal of the study was to ascertain whether multisensory information provides more information to the neurons than do the individual sensory components. A majority of the investigated SN and CN multisensory units exhibited significant cross-modal interactions. The multisensory response enhancements were either additive or superadditive; multisensory response depressions were also detected. CN and SN cells with facilitatory and inhibitory interactions were found in each multisensory combination. The strengths of the multisensory interactions did not differ in the two structures. A significant inverse correlation was found between the strengths of the best unimodal responses and the magnitudes of the multisensory response enhancements, i.e. the neurons with the weakest net unimodal responses exhibited the strongest enhancement effects. The onset latencies of the responses of the integrative CN and SN neurons to the multisensory stimuli were significantly shorter than those to the unimodal stimuli. These results provide evidence that the multisensory CN and SN neurons, similarly to those in the superior colliculus and related structures, have the ability to integrate multisensory information. Multisensory integration may help in the effective processing of sensory events and the changes in the environment during motor actions controlled by the basal ganglia.

Action Potentials↗

PubMed2005

Processing of spatial visual information along the pathway between the suprageniculate nucleus and the anterior ectosylvian cortex.

This study describes the visual information coding ability of single neurons in the suprageniculate nucleus (Sg), and provides new data concerning the visual information flow in the suprageniculate/anterior ectosylvian pathways of the feline brain. The visual receptive fields of the Sg neurons have an internal structure rather similar to that described earlier in the anterior ectosylvian visual area (AEV). The majority of the Sg units can provide information via their discharge rate at the site of the visual stimulus within their large receptive fields. This suggests that they may serve as panoramic localizers. The sites of maximum responsivity of the Sg neurons are distributed over the whole investigated part of the visual field. There is no significant difference between the distributions of spatial location of maximum sensitivity of the AEV and the Sg neurons. The mean visual response latency of the Sg units was found to be significantly shorter than the mean latency of the AEV neurons, but there was no difference between the shortest latency values of the thalamic and the cortical single-units. This suggests that the visual information flows predominantly from the Sg to the AEV, though the cortico-thalamic route is also active. The Sg seems to represent a thalamic nucleus rather similar in function to both the first-order relays and the higher-order thalamic nuclei. These results, together with the fact that the superior colliculus provides the common ascending source of information to the suprageniculate/anterior ectosylvian pathway, suggest a unique function of the AEV and the Sg in sensorimotor integration.

Action Potentials↗

PubMed2005

Lactate infusion fails to improve semantic categorization in Alzheimer's disease.

Impaired neuronal energy metabolism, oxidative changes and microvascular abnormalities lead to altered lactate levels in Alzheimer's dementia. The aim of the present study was to assess whether intravenous sodium-lactate, a metabolic alternative and vasodilator that is thought to improve cognition, advances the cognitive performance of Alzheimer patients. Semantic categorization paradigm was used to present the electrophysiological correlates of natural scene categorization of Alzheimer patients before and after intravenous saline or sodium-lactate infusion. Mean amplitudes of event-related potentials (ERPs) were measured in two time windows before and after the treatments; two negative components (N1 between 150 and 250 ms and N2 between 400 and 600 ms) and one positive component (P2 between 250 and 400 ms) were identified. The negative components were more negative for the non-animal trials than for the animal trials while the positive component was similar for both categories. After the lactate treatment the amplitudes of the negative components became more negative mainly for the non-animal trials while the amplitude of the positive component turned more positive for the animal trials, however these changes were not significant. No changes have been observed after normal saline infusion. These results suggest that, contrary to its anticipated beneficial effects, sodium-lactate fails to significantly improve semantic categorization processes in Alzheimer's disease and this enhancement can be detected by recording ERPs. The effect of sodium-lactate to slightly improve semantic memory might be based on its positive effect on cardio- and cerebro-vascular function and neuronal metabolism.

Aged↗

PubMed2005

Achromatic shape processing in the inferotemporal cortex of the macaque.

The responses of single neurones in the inferior temporal cortex of awake macaque monkeys to chromatic and achromatic stimuli were investigated, with the aim of determining whether colour-independent processing occurs in this last unimodal area of the ventral visual pathway. There were no differences in the firing rate of the responses (responsiveness) or the selectivity of the inferior temporal neurons towards greyscale and coloured images. The latency of the responses was the same in the two conditions. These results stress the importance of the inferior temporal cortex in colour-independent object recognition.

Animals↗

PubMed2005

Lateral interactions in the visual cortex of patients with schizophrenia and bipolar disorder.

BACKGROUND: Schizophrenia is associated with perceptual organization deficits and abnormal neuronal connectivity has been described in early visual areas. The purpose of this study was to investigate the functional integrity of lateral connections in early visual areas of patients with schizophrenia and type I bipolar disorder with a history of psychosis. METHOD: Twenty-four out-patients with schizophrenia, 22 out-patients with bipolar disorder, and 20 healthy control subjects participated in the study. Using a computer-assisted psychophysical test, contrast thresholds were measured for centrally presented target stimuli (Gabor patches), which were surrounded by two collinear flankers. Target-to-flanker distances were 0, 1, 2, 3, 4, 6, 9 and 122. Psychophysical measures were contrast threshold changes at each target-to-flanker distance compared with baseline thresholds determined for isolated targets with no flankers. Clinical measures included IQ, positive, negative, and depressive symptoms. Results. In patients with schizophrenia, flankers did not facilitate contrast detection for target stimuli at 2-6 lambda distances compared to controls [effect size (Cohen's d): 1.25-1.42]. The inhibitory effect of flankers (0 and 1lambda) and contrast thresholds in the absence of flankers were spared. Patients with bipolar disorder did not differ from the controls. Medicated and non-medicated patients displayed similar performances. Positive and negative symptoms and depression did not correlate with contrast threshold values. CONCLUSIONS: Excitatory lateral connections in early visual cortex are specifically impaired in patients with schizophrenia, which may contribute to perceptual disorders such as unclear seeing, partial or skewed sight, disrupted rectilinearity, and abnormal figure-ground segregation.

Adult↗

PubMed2005

Anomalous visual experiences, negative symptoms, perceptual organization and the magnocellular pathway in schizophrenia: a shared construct?

BACKGROUND: Schizophrenia is associated with impaired visual information processing. The aim of this study was to investigate the relationship between anomalous perceptual experiences, positive and negative symptoms, perceptual organization, rapid categorization of natural images and magnocellular (M) and parvocellular (P) visual pathway functioning. METHOD: Thirty-five unmedicated patients with schizophrenia and 20 matched healthy control volunteers participated. Anomalous perceptual experiences were assessed with the Bonn Scale for the Assessment Basic Symptoms (BSABS). General intellectual functions were evaluated with the revised version of the Wechsler Adult Intelligence Scale. The 1-9 version of the Continuous Performance Test (CPT) was used to investigate sustained attention. The following psychophysical tests were used: detection of Gabor patches with collinear and orthogonal flankers (perceptual organization), categorization of briefly presented natural scenes (rapid visual processing), low-contrast and frequency-doubling vernier threshold (M pathway functioning), isoluminant colour vernier threshold and high spatial frequency discrimination (P pathway functioning). RESULTS: The patients with schizophrenia were impaired on test of perceptual organization, rapid visual processing and M pathway functioning. There was a significant correlation between BSABS scores, negative symptoms, perceptual organization, rapid visual processing and M pathway functioning. Positive symptoms, IQ, CPT and P pathway measures did not correlate with these parameters. The best predictor of the BSABS score was the perceptual organization deficit. CONCLUSIONS: These results raise the possibility that multiple facets of visual information processing deficits can be explained by M pathway dysfunctions in schizophrenia, resulting in impaired attentional modulation of perceptual organization and of natural image categorization.

Adult↗

PubMed2005

Habit learning and the genetics of the dopamine D3 receptor: evidence from patients with schizophrenia and healthy controls.

In this study, the authors investigated the relationship between the Ser9Gly (SG) polymorphism of the dopamine D3 receptor (DRD3) and striatal habit learning in healthy controls and patients with schizophrenia. Participants were given the weather prediction task, during which probabilistic cue-response associations were learned for tarot cards and weather outcomes (rain or sunshine). In both healthy controls and patients with schizophrenia, participants with Ser9Ser (SS) genotype did not learn during the early phase of the task (1-50 trials), whereas participants with SG genotype did so. During the late phase of the task (51-100 trials), both participants with SS and SG genotype exhibited significant learning. Learning rate was normal in patients with schizophrenia. These results suggest that the DRD3 variant containing glycine is associated with more efficient striatal habit learning in healthy controls and patients with schizophrenia.

Adult↗

PubMed2005

Theory of mind and motion perception in schizophrenia.

This study investigated the relationship between theory of mind (ToM) deficits and visual perception in patients with schizophrenia (N=52; 17 remitted and unmedicated) compared with healthy controls (N=30). ToM was assessed with the Eyes Test, which asked participants to choose which of 4 words best described the mental state of a person whose eyes were depicted in a photograph. Visual perception was evaluated with form and motion coherence threshold measurements. Results revealed that patients with schizophrenia (both remitted and nonremitted) showed deficits on the Eyes Test and the motion coherence task. ToM dysfunctions were associated with higher motion coherence thresholds and more severe negative symptoms. This suggests that ToM deficits are related to motion perception dysfunctions, which indicates a possible role of motion-sensitive areas in the pathophysiology of schizophrenia.

Adult↗