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Effects of Kampo formulations (Chinese herbal medicine traditionally used in Japan) on event-related electric potentials.

Contingent negative variation (CNV) is a brain function test of the central nervous system in reference to attention, will preparation and motivation. We compared the neuropharmacological effects of 6 main Kampo formulations (1. Mao-to: MA HUANG TANG; 2. Shimbu-to: ZHEN WU TANG; 3. Ninjin-to: REN SHEN TANG; 4. Shigyaku-san: SI NI SAN; 5. Keishi-to: GUI ZHI TANG; and 6. Shimotsu-to: SI WU TANG) on CNV. Mao-to induced significant decrease of CNV in 90 minutes after oral administration. Shimbu-to showed a tendency to increase CNV in 90 minutes after oral administration. Shimotsu-to also induced a transient tendency to increase CNV in 60 minutes after oral administration. Keishi-to showed a decrease of CNV in the early stage of the experiment, while Ninjin-to and Shigyaku-san showed no changes of CNV. From these, it may be concluded that Mao-to and Keishi-to induce sedation of brain function, but Shimbu-to and Shimotsu-to show activation, while Ninjin-to and Shigyaku-san show no changes of brain function regarding CNV related brain function. Furthermore, the time courses of CNV changes were different within the same group (sedation or activation) of Kampo formulations.

Adult↗

Reduction of EEG power during expectancy periods in humans.

The contingent negative variation (CNV), and the associated event-related desynchronization (ERD) on motor areas and sensory areas, and increase of alpha in the ipsilateral to the cued stimulus side, are different brain signals that reflect motor, sensory, and cognitive activations related to the expectancy of the next stimulus. However, the possibility of an overall change in EEG oscillatory activity during expectancy periods has not been directly addressed. The present report tests whether the background oscillatory activity is modulated by a warning signal. During the expectancy period, the power spectral density (PSD) between 0 and 42.9 Hz--including delta, theta, alpha, beta, and gamma--decreased with respect to the baseline. These results suggest that during expectancy periods there is a generalised decrease in the oscillatory activity, and that reduction of the EEG power would facilitate the phasic and oscillatory neural activities triggered by the next target stimulus.

Adult↗

[Clinical and pathophysiological contribution of event-related potentials used to study migraine headache].

Event-related potentials are electric brain manifestations evoked by mental activities. This neurophysiological technique is able to describe temporal succession of cognitive processing and allows to measure the neurobiological correlates of each cognitive activity. The evoked potentials of the oddball paradigm and the Contingent Negative Variation (CNV) are also concerned by clinical applications in neuropsychiatry, in neurology and in psychopharmacology. In the case of migraine, the studies with CNV recorded between migraine attacks are characterized by two major phenomena, cerebral hyperreactivity and lack of habituation to repetitive stimuli. From cognitive point of view, this can be interpreted as a difficulty from migraine sufferers to adapt their information-processing to environmental constraints. From neurological point of view, this trouble is related with dysregulation of norepinephrin and serotonin ascending pathways. Studies with the oddball paradigm potentials remain non consistent. The mismatch between different methodologies could explain such a lack of consistency. The neurophysiological studies have contributed to new physiopathological hypothesis of migraine. Those hypothesis reveal that a shift in the brain metabolic homeostasis could be the common factor of migraine attacks. The clinical contribution of event-related potentials is of little use in the diagnosis of migraine. But two purposes have been suggested: the differential diagnosis between common migraine and tension-type headaches and the monitoring of beta-blocking agents prophylaxis.

Brain↗

Paradigms for recording cognitive brain electrical activity.

Human event-related potentials reflect cognitive processing, and are normally elicited by external events, such as acoustic sounds or visual stimuli. As such they provide an opportunity to study normal and abnormal brain function noninvasively, at sub-second resolution. Advances in multimedia technology permit specialists in informatics and neuropsychology to co-operate in the design and implementation of paradigms, which influence ERP components. The paper illustrates the progression from standard paradigms such as the auditory oddball, which can be used to study memory update through to contingent negative variation and three condition, visual paradigms which can be used to study cognitive and emotional responses. Data from a study investigating the comparative processing of target pictures and words illustrate how external stimuli influence the later cognitive potentials.

Brain Mapping↗

[Activation of the human cortex during visual attention and selection].

Cortical activation in visual discrimination tasks was estimated by measurement of the CNV (contingent negative variation) and N1-P3 components of visual ERPs in frontal, parietal, occipital and temporal leads recorded in 18 young healthy adults. In all investigated tasks, the maximal values of CNV and ERPa were observed in parietal regions. The estimation of cortical readiness state (CNV) is quite a useful procedure in the attention tasks because amplitude and stability of ERPs depend on preceding cortical excitability. The prevalence of parietal activation in visual attention tasks may be considered as the dominance of occipito-parietal way (stream) in human visual attention system.

Adult↗

[Clinical neurophysiology of movement disorders].

Movement disorders are physiologically studied based on three principles; 1. relation between movements and brain activities, 2. excitability and inhibitory mechanisms of motor cortices, and 3. sensorimotor integration. Regardless of voluntary or involuntary movements, the study on how the movement in question is related to brain activities provides an important information as to its pathophysiology. This can be studied by jerk-locked averaging of electroencephalogram or magnetoencephalogram in case of involuntary movements and movement-related cortical potentials for voluntary movements, change of cortical rhythmic activities in relation to movement (event-related desynchronization or synchronization), cortico-muscular coupling(coherence), and neuroimaging techniques such as PET, SPECT and fMRI. Excitability and inhibitory mechanisms of motor cortices can be studied by applying transcranial magnetic stimulation. Positive and negative myoclonus of cortical origin is related to abnormal hyperexcitability of the positive and negative components, respectively, of the primary motor cortex (M1). Focal dystonia is associated with impairment of inhibitory mechanisms in M1. The simplest form of abnormal sensorimotor integration is cortical reflex myoclonus. In the choice reaction time task, contingent negative variation is reduced in a task-specific way in focal dystonia. Effect of movement on somatosensory processing (gating) is abnormal immediately before the movement onset in focal dystonia, again in a task-specific way. Daily activities like gait can be studied by SPECT which does not require fixation of the subject's head during the task performance.

Brain↗

[Evaluation of EEG(D2) and CNV correlation dimension in various forms of visual attention in human].

In 16 healthy subjects, the EEG and the CNV (contingent negative variation) correlation dimension was studied during preparing to pay attention to one of three attention tasks: the situations "What", "Where" and "What and where". Two easily discernible symbols (squares and circles) were used as stimuli. The findings show that, irrespective of the attention form, the correlation dimension of the EEG, the CNV amplitude, and the evoked potential's N1-P3 component amplitude had maximal values in the temporal leads. The temporal visual system seems to play a domineering part in the tasks of spatial and non-spatial attention to stimuli in humans.

Adolescent↗

[Effect of cerebrolysin on the electroencephalographic indices of brain activity in Parkinson's disease].

Cerebrolysin is a brain-derived peptide drug that increases the BBB-GLUT1 and MAP2 genes expression, thus exerting a neuroprotective effect. The present study aimed at investigating in patients with Parkinson's disease (PD) influence of Cerebrolysin infusions (intravenously, 10 ml during 10 days) combined with levodopa treatment on the electroencephalographic (EEG) indices of brain activity: P300 potential, contingent negative variation (CNV) and recovery functions of the cortical auditory evoked potentials, which reflect the postexcitatory inhibition at the paired stimulation. Nineteen PD patients, mean age 61.4 +/- 1.7 years; disease stage according to M.M. Hoehn and M.D. Yahr, 1967-2.2 +/- 0.1) and 18 age-matched healthy controls were studied. In the patients with essential differences of the EEG indices, comparing to the normal values, statistically significant changes were revealed: a decrease of P300 latency from 419.4 +/- 23.5 to 356.3 +/- 18.4 ms (8 patients, 42%); an increase of CNV duration from 423.1 +/- 93.3 to 600.6 +/- 38.5 ms; 2-fold increase of CNV mean amplitude and 3-fold increase of CNV square (8 patients, 42%) and strengthening of postexcitatory inhibition in auditory system at the paired stimulation (13 patients, 68%). In conclusion, Cerebrolysin may be recommended as an additional neuroprotective drug for brain functions improvement in the complex pathogenetic therapy of earlier PD stages.

Aged↗

[Characteristics of the parietal cortex activation in humans during different attention tasks].

The cortical activation was estimated by the event-related potential (ERPs) methods during selection tasks of lateralized visual stimuli requiring different forms of attention: 1) form of stimuli, 2) stimuli position, 3) combined attention of form and position. The ERPs were recorded in 15 young healthy adults in 6 leads P3, P4, T3, T4, T5, T6, and endogenous ERPs components: CNV (contingent negative variation), N1, P3 and the complex [N1-P3]. Differences between the ERPs at "attended" and "non-attended" stimuli were considered as indices of selection attention of particular feature of visual stimuli. Such indices of form and position were revealed selectivity in parietal leads. The most eminent ERPs components, the pronounced activation gradient during increase of attention demands were revealed in parietal regions (vs. temporal ones). In our opinion, parietal cortex has a high priority in selection attention system.

Adolescent↗

[Interhemisphere differences of extrastriate cortical activation during attention and selection of lateralized visual stimuli in humans].

The cortical activation was estimated by event-related potentials (ERPs) methods during selection tasks of lateralized visual stimuli in right and left hemi-fields requiring different forms of attention: 1. Attention of a stimuli form, 2. Attention of a stimuli position, 3. Combined attention of form and position. ERPs were recorded in 15 young healthy adults in 6 leads: P3, P4, T3, T4, T5, T6 and endogenous ERPs components: CNV (contingent negative variation), N1, P3 and complex [N1--P3]. The differences between ERPs at contra- and ipsilateral stimuli in the right and left hemispheres were considered as indices of asymmetry. The asymmetry was revealed in right hemisphere in all kinds of attention forms. The level (amplitude) of right-side asymmetry was depended on the level of attention: The significant relation between the right-side asymmetry and subjects' reaction time was also revealed. It is proposed that such an asymmetry is the evidence of better spatial differentiation of visual stimuli in right hemisphere in humans.

Adolescent↗

Effects of methanol vapor on human neurobehavioral measures.

Methanol could become an important motor fuel. The objective of this exploratory study was to provide preliminary information about whether or not acute exposure to methanol at 250 mg/m3 for 75 minutes would have adverse effects on human neurobehavioral functions important in everyday life. This concentration level was selected because it is at the upper limit of the traffic scenario estimates provided by the U.S. Environmental Protection Agency (EPA)2 (86 to 240 mg/m3), but is below the maximum concentrations for eight-hour average exposures currently recommended by the National Institute of Occupational Safety and Health (NIOSH) and the American Conference of Government and Industrial Hygienists (ACGIH) (260 mg/m3). Although traffic scenario exposure estimates suggest that such high levels of exposure last less than 15 minutes, we used a 75-minute exposure to increase the probability of identifying dependent measures that should be studied in more detail in a future confirmatory study. Twelve healthy young men, each serving as his own control, participated in two sham exposures and two methanol exposures under counterbalanced, double-blind control conditions. Because methanol is present in many foods, and because high preexposure levels of methanol or formate might obscure exposure effects, subjects were required to strictly limit their diets for 12 hours before each experimental session. The following endpoints were examined before, during, and after exposure to methanol and sham vapors: blood and urinary methanol; plasma formate; oral temperature; blood pressure; subjective mood, alertness, fatigue, workload, and symptom scales; spectral analysis of the electroencephalogram; visual- and auditory-event-related potentials; contingent negative variation; respiration; cardiac interbeat interval; Symbol Digit substitution task; three-choice reaction time; Stroop color-word test; simple reaction time; visual function; critical flicker fusion frequency; hand steadiness; visual search task; Gamberale reaction time task; visual tracking task; Sternberg memory task; interval production task; and speeded addition task. Two dual tasks were also included in the task batteries. These endpoints were selected from those indicated in the literature to be sensitive to solvents, and from those that are widely used in other neurobehavioral test batteries to identify the effects of environmental pollutants. Because the number of endpoints examined was large and the number of subjects was small, procedures designed to reduce the number of statistical tests performed were used. Mean methanol concentration in the exposure room during methanol exposures was 249 mg/m3 (SD +/- 7 mg/m3). Exposure produced significant increases in blood and urine methanol concentration. As expected, no changes in plasma formate were observed.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗

[Parkinson disease and cognitive evoked potentials].

The Authors introduce some questions concerning cognitive impairment in Parkinsonian patients and they focus the attention on 'bradyphrenia'. They briefly discuss the methodological difficulties in studying this kind of disturbances in Parkinson's disease (PD) and the approach to this problem with the help of the Event-Related Potentials or ERPs. Finally, they review literature and their data on Contingent Negative Variation (CNV) and P300 in PD and conclude that interesting and useful informations can be obtained by means of the electrophysiological methods.

Cognition Disorders↗

Influence of instructions in multi-discrimination experiments on event related potentials.

The purpose of the experiment was to study the effects of psychological factors on slow brain potentials in relation to information processing and strategy establishment. Subjects were subjected to paired stimuli: A) two identical tone bursts (50 ms, 5000 Hz); B) two different stimuli the second (unconditioned) was a low pitched tone burst (50 ms, 500 Hz); C) only the warning stimulus was delivered to the subjects. In a first experiment, subjects (N = 10) were asked to detect and signal by a motor act the low pitched click (B); in a second experiment, subjects (N = 8) were to detect and signal in the same way the unconditioned tone burst omission (C). Results showed that the auditory event-related potentials (ERP) obtained in the two experiments presented two components: a negative wave (N150) followed by a positive one (P270). Solely, the late positive component differed in topography during the two situations. A fronto-central Contingent Negative Variation (CNV) appeared in all the conditions for the two experiments while a Post Imperative Negative Variation was often obvious in the first experiment.

Adult↗

Psychophysiological research in psychiatry and neuropsychopharmacology. II. The investigation of antihypoxidotic/nootropic drugs (tenilsetam and co-dergocrine-mesylate) in elderlies with the Viennese Psychophysiological Test-System (VPTS).

In a double-blind placebo-controlled study, the effects of tenilsetam, a novel antihypoxidotic/nootropic agent, on spontaneous and event-related activity of the central and autonomous nervous system were studied in 15 elderly subjects of both sexes aged 58-77 years by means of the Viennese Psychophysiological Test-System (VPTS). The VPTS includes a special selection and combination of experimental situations, physiological measurements, behavioral measurements and data analysis. At weekly intervals, the subjects received randomized single oral doses of placebo, 150 mg, 300 mg and 900 mg tenilsetam (TEN) and 5 mg co-dergocrine-mesylate (CDM) as reference drug. Psychophysiological testings were carried out before and 2 h after drug administration. Evaluation of the spontaneous EEG-activity demonstrated no significant drug effects as compared to placebo. In contrast, TEN showed a dose-dependent augmentation of the N1-P2 and N2-P300 amplitudes of the event-related potentials (ERPs) in specific experimental conditions. In reference to placebo, the increase of N2-P300 amplitude after the highest dosage of TEN, as well as after CDM, amounted to approximately 5 microV, which confirms the hypothesis that nootropic drugs may influence the P300 amplitude in the sense of an improved availability of cognitive processing resources. There was no effect on ERP latencies, on mean amplitudes of contingent negative variation and of post-imperative negative variation, on autonomous nervous system, on psychological measurements, nor on reaction time. However, specific improvements were observed in psychomotor measures, such as synchronization accuracy and rhythmicity. These findings highlight the importance of using EEG and ERP measures in different experimental situations in conjunction with behavioral, psychological and autonomous nervous system measures to study nootropic drug effects.

Aged↗

Motor skill acquisition influences brain responsiveness in sprinters.

Contingent negative variation (CNV) and reaction time were examined in four groups of eight young adult men: controls, witnesses, students in physical and athletic education, and sprinters. Subjects, except the control group, were asked to detect and respond quickly by pressing a button in the following experimental conditions: 1) simple auditory stimuli, 2) paired auditory stimuli, 3) mixed simple and paired auditory stimuli.- A higher CNV voltage and lower reaction time and reaction time variability were obvious in students in physical and athletic education and sprinters, compared to controls and witnesses. In all the groups CNV amplitude declined in the third condition, reaction time and reaction time variability augmented from condition 1 to condition 3. These results show that relationships couple attentiveness and motor activation processes. The motor activation differed for simple starter and presignalled starter conditions (conditions 1 and 2). An increase of discrimination difficulty diminished the performance.

Acoustic Stimulation↗

Brain potentials related to voluntary hand tracking, motivation and attention.

While there are many behavioural studies available investigating human hand tracking performance, there are none that include recording of cerebral potentials. Sixteen subjects tracked a visual or a tactile target by moving a stylus with their right hand. They voluntarily started the stimulus, which moved for 1 s in a first random direction, then for 1's in another direction. The stimulus was given to the left field of vision or tactually to the left palm. Tracking was compared to no-tracking controls. The voluntary initiation was preceded by a Bereitschaftspotential (BP), the change in direction by a contingent negative variation (CNV). Both BP and CNV showed a characteristic right hemispheric parietooccipital (visual task) or centro-parietal asymmetry (tactile task) due to the attention paid to the expected stimulus event ("directed attention potential", DAP). While the DAP outlasted stimulus onset by 0.2 s, fronto-midline areas switched already to positivity 100 ms prior to stimulus onset and more than 300 ms prior to the change in direction. Large P300-like components were elicited by stimulus onset and change in direction.

Attention↗

Randomized long interstimuli interval flash-VEP and SSEP.

Randomized long interstimuli interval stimulations are recommended in the literature for the examination of different evoked potentials because of the probable effects of habituation and of contingent negative variation on the wave form, especially of its late components. The results of (randomly stimulated) SSEP and Flash-VEP elicited with randomized ISI of 3 to 5 seconds were analysed and normative values for these EP's were given. The results were compared with the latency data in the literature where fixed and short ISI were used. The comparison suggests that in cases where for practical reasons the time consuming (randomized long ISI) stimulation is not possible regular stimulation with interstimulus interval of somewhat more than one second also gives satisfactory results.

Adult↗

[Psychophysiologic approaches in the etiology and therapy of psychosomatic disorders].

Psychosomatic phenomena were considered within the framework of psychophysiology and general stress research. Startingpoint for an adequate understanding and interpretation of etiology and symptom-specifity of psychosomatic diseases are neurophysiologic-endocrinologic and psychodynamic findings. The familiarity with the concept of the specifity-of-attitude-hypotheses is important, too. Concerning the described etiologic hypotheses three psychotherapeutic procedures are demonstrated: 1) Relaxation trainings combined with biofeedback techniques, 2) rational-emotive therapy, 3) social-skill training. Furthermore it is referred to the clinical importance of slow cortical potentials (contingent negative variation--CNV) as central nervous correlates of information processes in the treatment of anxiety and hyperactivation of the autonomous system in stress situations. Prognostic criteria and indication for different treatment procedures of psychosomatic disorders were discussed.

Adrenal Cortex Hormones↗