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Biomedical subjects

R T Knight

Publications and source records attributed to R T Knight.

At least 73 records · Page 4Linked to original sources
PubMed1991

P300 generation by novel somatosensory stimuli.

Event-related potentials (ERPs) to task-relevant target and task-irrelevant novel stimuli were recorded in a somatosensory discrimination task. Subjects pressed a button to mechanical taps of the fifth finger (targets, P = 0.12), randomly interposed in sequences of taps to the second finger (standards, P = 0.76). Two types of infrequent novel stimuli were delivered; one was a mechanical tap to the third or fourth finger (tactile novels, P = 0.06), another was an electric shock at the wrist (shock novels, P = 0.06). Correctly detected targets generated a parietal maximal P300 (P3b, latency 335 msec). Shock novels generated a central maximal P300 with a shorter peak latency (298 msec) than the P3b. Tactile novels generated a P300 with a scalp distribution comparable to the shock novels. Unlike the P3b, P300 amplitude to both the shock and tactile novel stimuli habituated by 20-30% across the first several stimulus presentations. These results indicate that, similar to the auditory and visual modality, task-irrelevant novel somatosensory stimuli generate a novelty P300 ERP. Differences in scalp distribution, latency and habituation characteristics suggest that the novelty P300 may have contributions from intracranial generators independent from target P300 sources.

Adolescent↗
PubMed1991

Differential auditory processing continues during sleep.

Auditory evoked potentials (AEPs) were used to examine selective stimulus processing in sleep. In waking, repetitive stimuli generate exogenous P1, N1 and P2 components of the auditory evoked potential (AEP). Deviant stimuli generate endogenous cognitive components including the mismatch negativity (MMN), N2 and P3 components. We examined long-latency auditory evoked potentials elicited by repetitive and deviant stimuli during waking and stage II-IV sleep to assess whether stimulus deviance is detected during sleep. The waking P1, N1b and P2 had maximal amplitudes at fronto-central scalp sites, with additional peaks (N1a, N1c) at temporal sites. Deviant tones generated a frontal maximal MMN, and complex novel tones generated an additional P3 component maximal at centro-parietal sites. During stages II-IV sleep N1a, b, c amplitudes were reduced. During stage II sleep all stimuli generated increased P2 amplitudes and a late negative component (N340). Deviant stimuli generated greater P2 and N340 amplitudes than frequent stimuli in stage II sleep, as well as an additional P420 component. In stage III-IV sleep the P420 was absent and the AEP was dominated by a negativity of long duration whose amplitude increased in response to deviant stimuli. These data indicate that auditory evoked activity changes from wakefulness to sleep. The differential response to deviant sounds observed during waking and all sleep stages supports the theory that selective processing of auditory stimuli persists during sleep.

Adolescent↗
PubMed1991

Age effects on the P300 to novel somatosensory stimuli.

Event-related brain potentials (ERPs) to somatosensory task-relevant targets and task-irrelevant novel (tactile and shock) stimuli were studied in 30 subjects between the ages of 18 and 79. Target and novel P300 latencies increased linearly with age at comparable rates. P300 amplitudes and scalp topographies also changed with age. P300 amplitudes remained constant at frontal sites and decreased at central and parietal sites for both target and novel stimuli with increasing age. The current results extend the age-related novel P300 changes reported in the auditory and visual modalities to the somatosensory system. The age-related amplitude reduction at posterior scalp sites supports independent contributions of frontal and posterior association cortex to P300 generation.

Adolescent↗
PubMed1991

Normal global-local analysis in patients with dorsolateral frontal lobe lesions.

The role of prefrontal cortex in the analysis of global and local levels of a visual stimulus was assessed by measuring reaction time to identify a target at one level or the other. Unlike patients with temporal-parietal lesions (STG), there were no global-local performance deficits in right or left prefrontal groups (RFL or LFL). Reallocation of attention to global and local levels was measured by examining changes in performance when the probability of a target appearing at one level or the other varied. While patients with lateral parietal lesions (IPL) have been shown to have deficits in these conditions, both RFL and LFL showed normal changes in performance. In sum, the performance of prefrontal groups differed from both IPL and STG groups but not from normal controls. These results strengthen previous arguments that posterior association cortex is crucial in responding to global and local levels of a pattern.

Adult↗
PubMed1991

Anterior and posterior association cortex contributions to the somatosensory P300.

A P300 (P3)-evoked response is generated in a variety of mammalian species upon detection of significant environmental events. The P3 component has been proposed to index a neural system involved in attention and memory capacity. We investigated the contribution of anterior and posterior association cortex to somatosensory P3 generation. Somatosensory event-related potentials (ERPs) were recorded in controls (n = 10) and patients with unilateral lesions in temporal-parietal junction (n = 8), lateral parietal cortex (n = 8), or dorsolateral frontal cortex (n = 10). Subjects pressed a button to mechanical taps of the fifth finger (targets; p = 0.12), randomly interposed in sequences of taps to the second (standards; p = 0.76) and the third or fourth finger (tactile novels; p = 0.06). Occasional shock stimuli were delivered to the wrist (shock novels; p = 0.06). The scalp-recorded P3 was differentially affected by anterior and posterior association cortex lesions. Subjects with temporal-parietal lesions showed markedly reduced P3s to all types of stimuli at all scalp locations. The reductions were largest at the parietal electrode site over the lesioned hemisphere. Parietal patients had normal P3s for all stimulus types except for contralateral shock novels, which generated reduced P3s. Frontal lesions had reductions of the novelty P3 over frontal sites with minimal changes in the target P3. The data support the existence of multiple intracranial P3 sources. The data further indicate that association cortex in the temporal-parietal junction is critical for generating the scalp-recorded target and novelty P3s, whereas dorsolateral frontal cortex contributes preferentially to novelty P3 generation. The N2 component was reduced by parietal and frontal lesions in patients who had intact target P3s, suggesting that different neural systems underlie N2 and P3 generation.

Aged↗
PubMed1990

Lack of age effects on human brain potentials preceding voluntary movements.

We examined age effects on Movement related potentials (MRPs) in 13 young (mean age = 29.3 years) and 13 old (mean age = 67.2 years) normal adults in right, left and bimanual self-paced button press conditions. Both the groups generated a slowly rising readiness potential (RP) at about 1000 ms, a negative shift (NS') at about 450 ms and a motor potential (MP) at about 100 ms prior to movement. The RP was symmetrical, bilaterally distributed and maximal at the vertex in all conditions in both the groups. Both the groups produced contralaterally enhanced NS' and MP components in unimanual conditions. In contrast to prior reports, topographical distribution, onset latency and mean amplitude were comparable between young and old subjects for the RP, NS' and MP components of the MRP. The results indicate that motor programming as indexed by MRPs is unaffected by normal aging.

Adult↗
PubMed1990

Frontal lobe contribution to voluntary movements in humans.

We assessed the contribution of human prefrontal cortex to movement related potentials (MRPs) generated prior to voluntary movements. MRPs were recorded during self-paced movements of the right thumb (experimental condition I), the left thumb (experimental condition II) and both thumbs (experimental condition III) from patients with focal lesions centered in dorsolateral frontal association cortex (PFCx, n = 11) and in age matched controls (n = 11). Controls generated a slowly rising readiness potential (RP) beginning at about 1000 ms prior to movement. A negative shift (NS') began at about 450 ms and a motor potential (MP) appeared at about 100 ms prior to movement. Both the NS' and MP were maximal over scalp sites contralateral to movements. Unilateral PFCx lesions preferentially reduced the RP and NS' components of the MRP. This indicates that PFCx is involved in a neural network beginning at least 1000 ms prior to movement. The differential PFCx effects on the early (RP, NS') and late components (MP) suggest that these MRPs index different movement-related circuits.

Electric Stimulation↗
PubMed1990

Gating of somatosensory input by human prefrontal cortex.

Somatosensory evoked potentials (SEPs) to median nerve stimulation were recorded in controls and in patients with focal lesions in dorsolateral prefrontal cortex (PFCx). Unilateral PFCx lesions increased the amplitude of the P26 component generated in postcentral areas 1 and 2. The amplitudes of the N28, P45 and N67 SEP components recorded over post-rolandic and frontal electrodes were also enhanced by PFCx damage. In contrast, the N19 component generated in postcentral area 3b was unaffected by PFCx lesions. The results indicate that PFCx exerts inhibitory modulation on sensory processing that may be mediated by corticocortical PFCx-parietal connections.

Aged↗
PubMed1990

Evoked potential mapping of auditory and somatosensory cortices in the miniature swine.

The miniature swine (Sus scrofa) is a desirable model for certain electrophysiological studies because of its large brain, ready availability and low cost. We report our findings regarding the location of the auditory and somatosensory cortices obtained by cortical surface evoked potential mapping. Data were collected from 11 animals under general endotracheal anesthesia. Consistent positive potentials were obtained for both auditory (P24) and median nerve somatosensory (P26) stimulation. The auditory region was centered around the lateral (sylvian) fissure; the somatosensory region was centered around the central (dorsomedial suprasylvian) fissure. In the miniature swine the locations of the auditory and somatosensory cortices are comparable to those found in other species.

Acoustic Stimulation↗
PubMed1990

Component mechanisms underlying the processing of hierarchically organized patterns: inferences from patients with unilateral cortical lesions.

Subjects identified target letters that occurred randomly at the local or global level in a divided attention task. The visual angle of the stimuli was varied. Neurologically intact controls showed a reaction time advantage for local targets which increased as visual angle increased. Patients with lesions centered in the posterior superior temporal gyrus (STG) showed a larger local advantage than controls if the lesion was on the right and a global advantage if the lesion was on the left. STG patients were no more influenced by visual angle than were controls. Control subjects also showed the usual interference of global distractors on responding to local targets. STG patients showed little evidence of interference. Control patients with lesions centered in the rostral inferior parietal lobe performed normally. The findings suggest that several component mechanisms are involved in the processing of hierarchical levels of structure, each linked to specific anatomical regions.

Attention↗
PubMed1989

Prefrontal cortex gating of auditory transmission in humans.

Middle-latency auditory evoked potentials (MAEPs) were recorded in controls and patients with focal lesions in dorsolateral prefrontal cortex. Unilateral prefrontal lesions increased the amplitude of the Pa component of the MAEP beginning at 25-35 ms poststimulus. The data suggest that prefrontal cortex exerts early inhibitory modulation of input to primary auditory cortex in humans.

Acoustic Stimulation↗
PubMed1989

Contributions of temporal-parietal junction to the human auditory P3.

The P3 component of the event-related potential (ERP) is generated in humans and other mammalian species when attention is drawn to infrequent stimuli. We assessed the role of subregions of human posterior association cortex in auditory P3 generation in groups of patients with focal cortical lesions. Auditory P3s were recorded to target (P3b) and unexpected novel stimuli (P3a) in monaural and dichotic signal detection experiments. Two groups of patients were studied with lesions of: (1) temporal-parietal junction including posterior superior temporal plane and adjacent caudal inferior parietal cortex; and (2) the lateral parietal lobe including the rostral inferior parietal lobe and portions of superior parietal lobe. Extensive lateral parietal cortex lesions had no effect on the P3. In contrast, discrete unilateral lesions centered in the posterior superior temporal plane eliminated both the auditory P3b and P3a at electrodes over the posterior scalp. The results indicate that auditory association cortex in the human temporal-parietal junction is critical for auditory P3 generation.

Acoustic Stimulation↗
PubMed1989

Pre-movement parietal lobe input to human sensorimotor cortex.

Movement-related cortical potentials (MRPs) were recorded in an auditory dichotic selective attention experiment in patients with focal lesions centered in either posterior superior temporal gyrus (temporal) or in lateral parietal cortex (parietal). Controls and temporal patients generated comparable pre-movement negative shifts (NSs) and motor potentials (MPs), onsetting about 400 ms prior to movement and maximal in amplitude over scalp sites contralateral to button press. Unilateral parietal cortex lesions markedly reduced the NSs but preserved the MP component of the MRP. The results indicate that human parietal association cortex exerts modulatory input to sensorimotor cortex, beginning at least 400 ms prior to movement. The differential effect on the NSs and MPs by parietal lesions suggests that these MRP components may have independent intracranial generators.

Acoustic Stimulation↗
PubMed1989

Attention and interference in the processing of global and local information: effects of unilateral temporal-parietal junction lesions.

The processing of hierarchical stimuli was examined in patients with lesions in the temporal-parietal junction. In separate blocks of trials, subjects were instructed to identify the letter at the local or the global level of a hierarchical stimulus. Consistent with previous findings, reaction times for controls were faster in the globally than in the locally directed condition and reaction times to the local level were longer when the letters at the two levels were different (e.g. local "S"s forming a global "H") than when they were the same (e.g. local "S"s forming a global "S"). In other words, controls exhibited interference when locally directed. Patients with lesions centered in the rostral inferior parietal lobe (IPL) showed interference effects similar to controls. In contrast, patients with lesions centered in the posterior superior temporal gyrus and adjacent caudal inferior parietal lobe (STG) showed no interference. The data suggest that the posterior superior temporal plane and adjacent caudal inferior parietal lobe plays an important role in the integration of and/or attention to local and global level information.

Adult↗
PubMed1989

Right-sided neglect in a left-hander: evidence for reversed hemispheric specialization of attention capacity.

Severe hemi-spatial neglect, anosognosia, contralateral hypokinesia, aprosodia, and visual-spatial constructive difficulties--typically seen in right-handers with right hemisphere lesions--were observed in a left-handed patient with an acute left frontal cortical and subcortical infarct. There was no evidence of accompanying aphasia and the neglect syndrome gradually resolved over a 2-week period. The assumption by the left hemisphere of a classic right hemisphere attention, visuo-spatial and prosodic superiority may represent a case of reversed hemispheric specialization.

Arousal↗
PubMed1989

Epstein-Barr virus causing encephalitis in an elderly woman.

Although infectious mononucleosis commonly afflicts young persons, it is now being described more frequently in the elderly. Neurologic manifestations are uncommon, and encephalitis is rare, especially in elderly patients. We have reported a case of acute Epstein-Barr virus infection causing acute encephalitis in a 64-year-old woman. Despite the severity of encephalitis, the patient recovered fully after several weeks.

Acute Disease↗