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Zolmitriptan reverses blink reflex changes induced during the migraine attack in humans.

The question about the 5-hydroxytryptamine (5-HT)(1B-1D) receptors agonists, if the clinical efficacy in migraine attacks is linked with the action at the central level or at the peripheral one, is still unresolved. We evaluated the effects of zolmitriptan and sumatriptan on blink reflex in thirty migraine without aura patients during the attacks in order to assess the central action on the trigeminal system. Both drugs were effective in reducing headache severity compared to placebo. In the migraine attack an increased area of the R3 component on the pain side was observed; it was suppressed by zolmitriptan, which confirmed its action on the central trigeminal circuits, though the clinical relevance of this effect could be questioned.

Adolescent↗

Abnormalities of the blink reflex in burning mouth syndrome.

To our knowledge, this is the first report on pain-related abnormalities of the eye blink reflex (BR) in a clinical pain patient population. The objective of this study was to evaluate the possible neuropathic mechanisms underlying the burning mouth syndrome (BMS), by means of objective electrophysiological examination of the trigemino-facial system. We studied the BR with stimulation of the supraorbital nerve (SON) with particular emphasis on the occurrence of the pain-related ultralate R3 components, and the habituation response of the R2 components. The subjects consisted of eleven BMS patients and 10 healthy control subjects. All patients underwent thorough clinical oral and neurological examinations. The motor function of the trigeminal nerve was assessed with a jaw reflex recording, and a needle-EMG examination of the facial and masticatory muscles was performed in the patients with abnormalities in the BR recordings. The jaw reflexes, the latencies of the BR components, and the needle-EMG examinations were normal in all patients. As a group, the BMS patients had statistically significantly higher stimulus thresholds for the tactile R 1 components of the BR compared with the control subjects. With non-noxious stimulation, the BMS patients showed more frequently pain-related R3 components (11/22 SONs) compared with the controls (3/20 SONs). In addition, four BMS patients had abnormal habituation of the R2 components. In two of these patients, the findings were segmental (i.e., unilateral), coinciding with the side of the subjective BM symptoms. The abnormalities of the BR tests appeared to be related to longer disease duration. Our results suggest a possible pathologic involvement of the nervous system in chronic BMS.

Aged↗

Inhibition of the blink reflex R2 component after supraorbital and index finger stimulations is reduced in cluster headache: an indication for both segmental and suprasegmental dysfunction?

Peripheral as well as central mechanisms are thought to play a role in cluster headache pathogenesis. We have studied recovery curves of the R2 component of the blink reflex after conditioning by supraorbital or index finger stimuli in 10 episodic cluster headache (CH) patients during a cluster period and in 10 healthy controls. There was no significant change of R2 threshold, latency or area in CH patients. After paired supraorbital stimuli, R2 recovered more rapidly in patients on the symptomatic side. After index stimulations, R2 recovery was more rapid on both symptomatic and non-symptomatic sides in patients compared to controls. Naloxone (0.4 mg) i.v. in two subjects partially reversed the R2 suppression induced by index finger stimuli. The unilateral decrease of R2 inhibition after a segmental supraorbital stimulus most likely reflects sensitisation in the spinal trigeminal nucleus. Whether the latter is due to irritation of the ophthalmic nerve within the cavernous sinus region, which is thought to be pivotal in CH pathogenesis, remains to be proven. In addition, we propose that the bilateral deficit of R2 inhibition after an extrasegmental exteroceptive stimulus might reflect hypoactivity of reticular nuclei, possibly because of reduced central opioid activity.

Adult↗

Differences in responses to 70 dB clicks of cerebellar units with simple versus complex spike activity: (i) in medial and lateral ansiform lobes and flocculus; and (ii) before and after conditioning blink conditioned responses with clicks as conditioned stimuli.

Activity was recorded from 554 cerebellar units in eleven conscious cats to determine if responses to 70 dB clicks differed in units with simple and complex spike discharges. Effects of region of recording and behavioral state (with click used as a conditioned stimulus for conditioning) were also assessed. Cells with only simple spikes were distinguished from cells that had the following types of complex spike events: Type I-simple or initial spike followed > 1 ms by multiple spikes with baseline displacement (classical complex spikes), Type II--followed < or = 1 ms by spikes with or without baseline displacement (spikes in the absolute refractory period should arise from a separate site of initiation), and Type III-followed by spikes and displacement too close to the baseline noise to distinguish as Type I or II. Among the groups mean baseline activity was greatest in cells with Type I complex spikes, least in cells with Type III complex spikes, and greater in Type II cells than simple cells. Significant increases in activity within 32 ms of presenting clicks were found in the groups of Type II cells and simple cells. These appear to be the main auditory responsive cells of the cerebellar regions studied. Activity of Type II cells best reflected the temporal properties of the click; responses of simple cells had slower onsets (except in flocculus) and longer durations. Responses to click in Type II and simple cells differed in recordings from: (i) lateral ansiform lobe (lateral crus I and portions of crus II), (ii) medial ansiform lobe (medial crus I), and (iii) flocculus. The largest mean responses above baseline in the first 32 ms after click were found in Type II cells of the lateral ansiform lobe with onsets of 8-16 ms. Magnitudes of response differed before and after conditioning and backward conditioning. In the lateral ansiform lobe, the < 32 ms response to click was greater in Type II than simple cells in each state, but showed a greater increase above baseline after backward conditioning when conditioned responses were not produced than after conditioning. The onset of increased activity to click conditioned stimuli in Type II cells of the lateral ansiform region preceded the onset of the blink conditioned response after conditioning, consisted almost entirely of simple spikes, and reflected an increase in magnitude of response as opposed to an increased number of responsive units. After conditioning, an increased number of units in the flocculus responded to click conditioned stimuli in the 16-24 ms post stimulus period. Of the 16 cells with an onset of increased activity at this time, eight showed only simple spike activity. Seven of the remaining eight cells (all Type II) showed a significant increase in conditioned stimulus-evoked complex spiking above the low (usually < 1/s) baseline level of complex spike discharges. The findings support the conclusions that cerebellar units can respond rapidly enough to acoustic stimuli to play a role in auditory as well as motor processing and that the responses to 70 dB clicks differ among cells with simple and complex spike discharges. The differences are influenced substantially by the region of cerebellar recording and the behavioral state. The findings in cells of the flocculus offer the first evidence that complex as well as simple spike activity can contribute to an increased probability of discharge to click as a conditioned stimulus after conditioning.

Acoustic Stimulation↗

[Development of the blink reflex during the 1st 3 years of a child's life].

The blink reflex was elicited in 42 awake and quiet children from birth to 3 years of age. The R1 ipsilateral reflex response was always recorded. Its latency decreased significantly during the first 6 months of life whereas the VIIth nerve motor conduction velocity increased markedly; its threshold stimulus was lower in children after 1 year of age. R2 responses, especially contralateral ones, were sometimes absent in infants under 9 months of age; beyond that age, they were constant and bilateral. The ipsilateral R2 latency response diminished during the first 6 months of life, and the R2 reflex threshold became lower in infants above 1 year of age. When elicited after crying, in 22 children, the reflex components were facilitated; R1 response occasionally appeared bilaterally, its amplitude increased and its threshold was lower. During REM sleep, in 12 children, the reflex responses were similar to those recorded during quiet wakefulness. On the contrary, non-REM sleep recorded in 12 children markedly depressed the reflex responses; this inhibition was more pronounced for R2 responses.

Blinking↗

Assessment of brainstem function in Chiari II malformation utilizing brainstem auditory evoked potentials (BAEP), blink reflex and masseter reflex.

Brainstem dysfunction was evaluated in 67 patients with myelomeningocele and Chiari II malformation using brainstem auditory evoked potentials (BAEP), blink reflex (BR) and masseter reflex (MR). Signs and symptoms related to Chiari II malformation were observed in 18 patients while 49 patients had normal brainstem findings. BAEP and BR showed a higher sensitivity of brainstem involvement than MR (BAEP=1.0, BR=0.83, MR=0.50). BR, and in particular, MR were of higher accuracy (BR=0.52, MR=0.72) than BAEP (0.39) in separating patients with brainstem signs and symptoms related to Chiari II malformation. We feel that this is due to anatomic and physiologic peculiarities of the brainstem structures mediating BR and MR. Our results suggest that brainstem reflexes can support the decision of further treatment.

Adolescent↗

Blink reflex elicited by auditory stimulation: clinical study in newborn infants.

Blink reflex can be elicited by sudden strong auditory stimulation. Using a special transducer wer recorded this reflex which appears as a microvibration of the eyelid, and named it auditory-evoked eyelid microvibration (AMV). As the reflex pathway of AMV exists in the brainstem, AMV is an easy and useful way of knowing the function of the brainstem, especially in newborn periods. AMV was studied in infants from 25 to 43 weeks in conceptional age, to establish the normal value and to analyse the change of AMV in cases of neonatal asphyxia and intracranial hemorrhage. The mean latency of AMV in full-term infants was 31.0 +/- 67. msec. After 33 weeks in conceptional age, AMV was observed constantly with almost the same latency and amplitude as adult values. AMV appeared during both waking and sleep stages, except in active sleep. Marked change in AMV was noted such as delayed latency or disappearance of the response in neonatal asphyxia or intracranial hemorrhage. Infants who continued to have these abnormalities for a certain period, died or exhibited neurological sequelae.

Acoustic Stimulation↗

The neural fate of consciously perceived and missed events in the attentional blink.

Cognitive models of attention propose that visual perception is a product of two stages of visual processing: early operations permit rapid initial categorization of the visual world, while later attention-demanding capacity-limited stages are necessary for the conscious report of the stimuli. Here we used the attentional blink paradigm and fMRI to neurally distinguish these two stages of vision. Subjects detected a face target and a scene target presented rapidly among distractors at fixation. Although the second, scene target frequently went undetected by the subjects, it nonetheless activated regions of the medial temporal cortex involved in high-level scene representations, the parahippocampal place area (PPA). This PPA activation was amplified when the stimulus was consciously perceived. By contrast, the frontal cortex was activated only when scenes were successfully reported. These results suggest that medial temporal cortex permits rapid categorization of the visual input, while the frontal cortex is part of a capacity-limited attentional bottleneck to conscious report.

Analysis of Variance↗

Optimized stimulation and recording parameters of human 'nociception specific' blink reflex recordings.

OBJECTIVE: Few non-invasive methods are available for studying trigeminal nociception in humans. The 'nociception specific' blink reflex (nBR) is elicited by a preferential stimulation of trigeminal nociceptive fibers and is highly sensitive to changes in trigeminal nociception. The aim of this study was to establish its optimal stimulation parameters. METHODS: The inter-individual variability of R2 responses (41 healthy subjects), symmetry of R2 responses after right vs. left sided stimulation (25 subjects), optimal stimulation parameters (3 groups, each 16 subjects) and re-test reliability over time (15 subjects) were studied. RESULTS: The nBR had a R2 response with a latency of 44.7+/-7.3ms, but no R1 response. The mean difference of R2 latencies (right vs. left sided stimulation) was 0.4+/-2.1(SD)ms, the mean ratio of the R2 response areas (RA) was 1.05+/-0.39 (SD). Thus, lateral differences of onset latencies greater than 4.6ms (0.4+4.2 (2SD)) or >1.83-fold (1.05+0.78 (2SD)) of RA can be assumed as outside of normal range. Long inter-block intervals of 7min minimized the cumulative habituation of R2 RAs to 23%, onset latencies remained constant. Re-test reliability over 4 weeks was high both for latencies (Crohnbach's alpha=0.85) and RAs (alpha=0.94). CONCLUSIONS: The nBR with the established stimulation parameters could be used for studying trigeminal nociception.

Adult↗

Illusory conjunctions in the time domain and the resulting time-course of the attentional blink.

Illusory conjunctions in the time domain are errors made in binding stimulus features presented In the same spatial position in Rapid Serial Visual Presentation (RSVP) conditions. Botella, Barriopedro, and Suero (2001) devised a model to explain how the distribution of responses originating from stimuli around the target in the series is generated. They proposed two routes consisting of two sequential attempts to make a response. The second attempt (sophisticated guessing) is only employed if the first one (focal attention) fails in producing an integrated perception. This general outline enables specific predictions to be made and tested related to the efficiency of focal attention in generating responses in the first attempt. Participants had to report the single letter in an RSVP stream of letters that was presented in a previously specified color (first target, T1) and then report whether an X (second target, T2) was or was not presented. Performance on T2 showed the typical U-shaped function across the T1-T2 lag that reflects the attentional blink phenomenon. However, as was predicted by Botella, Barriopedro, and Suero's model, the time-course of the interference was shorter for trials with a correct response to T1 than for trials with a T1 error. Furthermore, longer time-courses of interference associated with pre-target and post-target errors to the first target were indistinguishable.

Attention↗

Delayed masking and the auditory attentional blink: A test for retrieval competition and bottleneck models.

The attentional blink (AB) corresponds to a transient deficit in reporting the second (T2) of two targets embedded in a rapid sequence of distractors. The retrieval competition (Shapiro, Raymond & Arnell, 1994) and bottleneck models (Chun & Potter, 1995; Jolicoeur, 1998) predict the attenuation of the deficit with the extension of the delay between T2 and its mask. This prediction was tested using auditory sequences of nonverbal stimuli in which the T2-mask interval was systematically varied. The magnitude of the auditory AB diminished with the lengthening of the interval from 50 to 150 ms while no time-locked deficit was observed with the longest (350 ms) and the shortest (10 ms) intervals. These results suggest that presenting a mask after T2 is not sufficient to produce an auditory AB: The mask must be perceivable as an auditory event distinct from the target and occur before T2 consolidation. The present study also provides evidence that as in vision, AB deficits take place in the auditory domain when T2 is masked by interruption but not by integration. Our findings are best accounted for in terms of bottlenecked processing limitations.

Attention↗

Similarity determines the attentional blink.

When participants are required to respond to a target letter imbedded in a stream of rapid serially presented letters, perception of a 2nd target letter is impaired if the interval between the 2 targets is less than about 450 ms. This attentionally based posttarget suppression in visual processing, referred to as the attentional blink (AB), is not found when there is a brief pause in the stream immediately after the 1st target. To investigate the importance of posttarget stimulation in AB production, the categorical, featural, and spatial similarity of the immediate posttarget item to other items in the stream was manipulated. Although featural and spatial dissimilarity produced significant attenuation of the AB effect, categorical dissimilarity did not. Significant AB effects were found in all conditions, suggesting that the presentation of any patterned stimulus in close temporal proximity to the target provokes the AB.

Adolescent↗

Types and tokens in visual processing: a double dissociation between the attentional blink and repetition blindness.

In rapid serial visual presentation tasks, correct identification of a target triggers a deficit for reporting a 2nd target appearing within 500 ms: an attentional blink (AB). A different phenomenon, termed repetition blindness (RB), refers to a deficit for the 2nd of 2 stimuli that are identical. What is the relationship between these 2 deficits? The present study obtained a double dissociation between AB and RB. AB and RB followed different time courses (Experiments 1 and 4A), increased target-distractor discriminability alleviated AB but not RB (Experiments 2 and 4A), and enhanced episodic distinctiveness of the two targets eliminated RB but not AB (Experiments 3 and 4B). The implications of the double dissociation between AB and RB for theories of visual processing are discussed.

Attention↗

Associative priming by targets and distractors during rapid serial visual presentation: does word meaning survive the attentional blink?

In 5 experiments, 432 college students viewed lists of words containing 2 targets (Target 1 [T1] and Target 2 [T2]) presented by rapid serial visual presentation at 10 words per second. Identification of T1 caused a 500-ms impairment in the identification of T2 (the attentional blink [AB]). Improved recall of T2 was observed throughout the time course of the AB when T2 was a strong associate of either T1 or a priming distractor (PD). When participants ignored T1, the AB was eliminated, but the amount of priming was not affected. Priming of T2 by PD was temporary (100-200 ms after the onset of PD). Although target priming and distractor priming both survived the AB, the 2 forms of priming appeared to have different bases. In contrast to priming by PD, priming by T1 was larger, modulated by backward associative strength, and longer lasting. Priming and the AB are hypothesized to result from on-line attentional processes, but recall from RSVP lists is also influenced by off-line memory processes.

Attention↗

Attentional blink for color.

Colored letters were presented by means of rapid serial visual presentation (RSVP). Two letters (T1 and T2) were targets that required a speeded (T1) or delayed (T2) response. T1 was shown on half of the trials. Two tasks were performed in the experimental conditions. Task 1 required a discrimination between 2 letters (when T1 was shown) or an indication that T1 was absent. In Experiment 1, Task 2 was to detect the presence of a unique color in the RSVP stream (e.g., green in a stream of alternating red and gray). In Experiment 2, Task 2 was to report the color of the first colored letter to appear in the RSVP stream. The lag between T1 and T2 in the RSVP stream was manipulated. Accuracy of color reports in Task 2 was poor at shorter lags and improved as the lag was lengthened in both experiments, demonstrating an attentional blink for chromatic information. Theoretical implications of the results are discussed.

Adult↗

Attentional requirements is visual detection and identification: evidence from the attentional blink.

Perception of the 2nd of 2 targets (T1 and T2) is impaired if the lag between them is short (0-500 ms). The authors used this attentional blink (AB) to index attentional requirements in detection and identification tasks, with or without backward masking of T2, in 2 stimulus domains (line orientation, coherent motion). With masking, the AB occurred because T2 was masked during the attentional dwell time created by T1 processing (Experiments 1, 2, and 3). Without masking, an AB occurred only in identification because during the attentional dwell time, T2 decayed to a level that could support simple detection but not complex identification. However, an AB occurred also in detection if T2 was sufficiently degraded (Experiment 4). The authors drew 2 major conclusions: (a) Attention is required in both identification and detection, and (b) 2 factors contribute to the AB, masking of T2 while attention is focused on T1 and decay of the T2 trace while unattended.

Attention↗

Stimulation of the lateral septum is a more effective conditioned stimulus than stimulation of the medial septum during classical conditioning of the eye-blink response.

Eight rabbits were trained in the classically conditioned eye-blink response procedure using stimulation of the septal nuclei as the conditioned stimulus (CS). Each rabbit was trained with both medial septal stimulation and lateral septal stimulation. Stimulation of the medial septum was a far less effective CS than stimulation of the lateral septum. This effect may be due to the different roles of these two nuclei in classical conditioning. Conditioning using lateral septal stimulation as a CS is dependent on the cerebellar interpositus nucleus as is conditioning using peripheral and other brain stimulation CSs.

Animals↗

Capturing attention when attention blinks.

Four experiments addressed the question of whether attention may be captured when the visual system is in the midst of an attentional blink (AB). Participants identified 2 target letters embedded among distractor letters in a rapid serial visual presentation sequence. In some trials, a square frame was inserted between the targets; as the only geometric object in the sequence, it constituted a singleton. Capture effects obtained when the AB was most severe and when it was over were compared. There were 3 main results. First, capture occurred even when the AB was crippling, suggesting that a singleton exogenously engaged attention even when processing of a previous target was continuing apace. Second, when the singleton contained the key target feature, capture effects were clearly manifest. Third, even when the singleton did not possess the key target feature, it still succeeded in capturing attention, although the effects were both feeble and fleeting.

Attention↗