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The association of a recurrent psychosis in the premenstrual period with an increased blink rate is reported. This case adds to evidence supporting a hormonal hypothesis of certain psychotic disorders.
Brainstem auditory evoked potential (BAEP) and blink reflex (BR) were abnormal in 40% and 26% of 130 patients with MS. Overall, BR was affected in 53% of patients with abnormal BAEP involving I-III and 41% of those involving III-V interval. In 23 patients with unilateral BR involvement, BAEP was affected ipsilaterally in 10, contralaterally in 0 and bilaterally in 8. In 12 patients with bilateral BR abnormalities, BAEP was involved unilaterally in 1 and bilaterally in 8. We conclude: (1) pontine lesions may prolong either I-III or III-V interwave latency of BAEP, and (2) unilateral abnormalities of BAEP tend to implicate the uncrossed auditory pathways.
We evaluated the clinical usefulness of a new modification of the blink reflex (BR) test with electrical stimulation of the innervation area of the mental nerve (MN). We studied the MN BR in 28 patients with traumatic lesions of the inferior alveolar nerve and compared the results with the clinical sensory examination. Within 3 months of the trauma, the MN BR was abnormal in 18 of 20 nerves. In lesions older than 3 months, the test was often normal (in 9 of 11 nerves) despite subjective sensory symptoms and mild clinical signs. Anatomic obstacles to nerve regeneration also gave rise to abnormal MN BR in two patients examined 2 and 4 years after the trauma. The MN BR responses were often absent after violently traumatic lesions, whereas milder injuries commonly produced only latency prolongation of the reflex components. The MN BR is a useful objective method in the diagnosis of sensory loss in the distribution of the MN.
A 60-year-old man suddenly suffered from left hemiplegia with sensory loss on the left side of his face, trunk, and extremities. Brain CT disclosed hemorrhage in the right thalamus and internal capsule. Blink reflex with electrical stimulation on the left supraorbital nerve showed normal early response (R1) on the left side but absent late response (R2) on both sides, while stimulation of the right supraorbital nerve showed normal R1 on the right side and normal R2 on both sides. This observation suggests that the impulses of R2 from stimulation of the supraorbital nerve on the affected side may be blocked by contralateral lesions of the thalamus and internal capsule.
OBJECTIVE: To investigate whether the blink-startle reflex (BSR) is a good marker of habituation to vibroacoustic stimulation in healthy preterm fetuses. MATERIALS AND METHODS: A total of 22 women with uncomplicated pregnancies at 30-34 weeks participated in the study. Vibroacoustic stimulus was repeatedly applied to the maternal abdomen above the fetal head for a period of 2 s every 10 s. Fetal eye tightening monitored by ultrasound within 2 s of the stimulus was considered a positive response. The habituation rate was defined as the number of stimuli applied before the fetus stopped responding to two consecutive stimuli. Results were compared using the Mann-Whitney U-test. RESULTS: All 22 fetuses showed habituation at a rate that varied from 1 to 9 (mean 4.2+/-1.8). CONCLUSION: BSR is a good marker of habituation in preterm fetuses. Further study is needed to ascertain whether abnormal BSR habituation could be a sign of fetal distress.
Surface electromyogram (EMG), blood pressure (BP), blink rate (BR) and heart rate (HR) were recorded before and during 4 types of mental task. The mental task involved 3 tasks that encompassed the memory (M), visual search (VS) and color-word (CW) tasks besides the control task (CT) of maintaining a similar posture while focusing on a single spot on the computer screen. Except for CW, any voluntary movement for response to visual stimuli given were not demanded. Slightly but significant increases in integrated EMG (iEMG) were shown in terapezius, biceps and gastrocnemius muscles during tasks except for CT. Especially in the trapezius muscle during M, the most remarkable enhancements of iEMG and BP were shown. In VS and CW tasks, significant decreases in BR were observed, although in M and CT tasks there were no significant changes in it. There were no significant changes in HR in any type of tasks. The present study demonstrated the increase in muscle tension due to mental needs of cognitive tasks per se accompanying changes in BP and BR. And, enhancement of these physiological responses by memory loads and eyeball movement was discussed as a possible mechanism.
Eleven subjects were instructed to maintain different levels of tonic pre-innervation of the two orbicularis oculi muscles: relaxation, 25%, 50%, 75% and 100% of maximum voluntary contraction. Surface electromyographic activity was recorded unilaterally from the left orbicularis oculi muscle while cutaneous reflex responses were evoked electrically during different levels of pre-innervation. Latencies of the early (R1) and late (R2) blink reflex responses were significantly shorter during moderate pre-innervation level (25%) compared to relaxation, with no further latency decrease under stronger tonic pre-innervation. The amplitude of the R1 component increased significantly until a pre-innervation level of 50% of maximum voluntary contraction was reached. There was no further amplitude enhancement with stronger pre-innervation. R2 amplitudes linearly increased with the increasing pre-innervation levels, possibly reflecting recruitment of a greater number of motor units for the late component or a postponement of motoneuron synchronization of the late component.
Brain-stem auditory evoked potentials (BAEP's) and blink reflexes (BR's) were recorded from 40 patients with clinical and radiological evidence of posterior fossa tumors. They were examined in three groups according to the anatomical location of the lesion: Group A included 15 patients with midline tumors; Group B included 14 patients with cerebellar hemispheric tumors; and Group C included 11 patients with cerebellopontine angle (CPA) tumors. More of the 40 patients had BAEP abnormalities (32) than BR abnormalities (24). All of the 11 patients with CPA tumors had some kind of BAEP and BR abnormalities. The 14 patients with cerebellar tumors showed the next most frequent abnormalities: 12 related to the BAEP's and seven to the BR's. The 15 patients with midline tumors showed the least number of abnormalities: nine related to BAEP's and six to the BR's. In the analysis of BAEP wave latencies and interpeak latencies, a wave III latency delay occurred in all groups; latencies of waves IV and V were more significantly delayed in patients with CPA and cerebellar hemispheric tumors, and the interpeak latencies of waves III-V and I-V were markedly prolonged only in patients with CPA tumors (p less than 0.01). In all tumor groups, early response (R1) of BR's was significantly delayed in comparison to a healthy volunteer control group (p less than 0.01), but R1 was more pronounced in cases of CPA tumors when compared with the other tumor groups. Although significant delays in direct and consensual late reflex components (R2) of BR's were noted in comparison to the control group, this delay could not differentiate one tumor group from another. In can be concluded that, while these tests reflect the functions of different cranial nerves and brain-stem tracts, BAEP monitoring is more sensitive than BR testing for the detection of brain-stem involvement in posterior fossa tumors. Cerebellopontine angle tumors almost always cause severe abnormalities in both tests. Cerebellar hemispheric tumors and midline tumors cause fewer changes in both BAEP's and BR's.
Following up on studies of the "attentional blink," we studied interference between successive target stimuli in visual and auditory modalities. In each experiment, stimuli were two tones and four dots, simultaneously presented for 1,800 msec. Targets were brief intensity changes in either a tone or a dot. Subjects gave unspeeded responses. In four experiments, our results showed interference between targets in the same modality, but not across modalities. We conclude that, under our experimental conditions, restrictions in concurrent target identification are largely modality specific.
Four experiments were conducted to determine whether or not the presence and placement of distractors in a rapid serial auditory stream has any influence on the emergence of the auditory attentional blink (AB). Experiment 1 revealed that the presence of distractors is necessary to produce the auditory AB. In Experiments 2 and 3, the auditory AB was reduced when the distractor immediately following the probe was replaced by silence but not when the distractor following the target was replaced by silence. Finally, in Experiment 4, only a very small auditory AB was found to remain when all distractors following the probe were replaced by silence. These results suggest that the auditory AB is affected both by the overwriting of the probe by the distractors following it and by a reduction in discriminability generated by all of the distractors presented in the sequence.
When two targets (T1 and T2) are inserted in a rapid stream of visual distractors (RSVP), detection/ identification accuracy of T2 is impaired at intertarget lags shorter than about 500 msec. This phenomenon, the attentional blink (AB), has been regarded as a hallmark of the inability of the visual system to process multiple items. Yet, paradoxically, the AB is much reduced when T2 is presented directly after T1 (known as lag-1 sparing). Because lag-1 sparing is said to depend on observers' spatial attention being set to process the first target, we predicted that if observers are set to monitor two RSVP streams, they could process more than two items; that is, two instances of lag-1 sparing would be obtained concurrently. The results of three experiments indicated that this was the case. When observers searched for two targets in each of two synchronized RSVP streams, lag-1 sparing occurred concurrently in both streams. These results suggest that the visual system can handle up to four items at one moment under RSVP circumstances.
Our reduced ability to correctly report two sequentially presented targets is seen in the robust effect known as the attentional blink (AB; Raymond, Shapiro, and Arnell, 1992). One recent report (Olivers and Nieuwenhuis, 2005) strikingly reveals the AB to be virtually abolished when non-task-demanding music occurs in the background. The authors suggest that a diffuse attentional state is the mediating factor. Here, we seek to broaden the finding's generality by determining if task-irrelevant visual motion and flicker also attenuate the AB. In our experiments, the AB task was presented together with a background field of moving dots that could move away from or toward the central AB task, or flicker. In the control condition, the dots remained static. The AB was attenuated--though to different degrees--in all experimental conditions, but not in the static condition. Our findings add to the generality of the previous conclusions, and we emphasize an account based on the overallocation of attention.
When two targets are presented in rapid succession, perception of the second target is impaired at short intertarget lags (100-700 msec). This attentional blink (AB) is thought to occur only when the second target is backward masked. To the contrary, we show that task switching between the targets can produce an AB even without masking (Experiments 1 and 3). Further, we show that task switching produces an AB only when the second target does not belong to a class of overlearned stimuli such as letters or digits (Experiments 1 and 4). When the second target is masked, however, an AB is invariably obtained regardless of switching or overlearning. We propose that task switching involves a time-consuming process of reconfiguration of the visual system, during which the representation of the second target decays beyond recognition, resulting in an AB deficit. We suggest that overlearned stimuli are encoded in a form that, while maskable, decays relatively slowly, thus outlasting the delay due to reconfiguration and avoiding the AB deficit.
Observers monitored streams of words or letters (10 items/sec) for one or two targets. An attentional blink (AB) effect was observed in which identification of the first target temporarily impaired identification of the second target. Target identification was impaired when the distractors were composed of either letters or false-font characters (cf. Maki, Couture, Frigen, & Lien, 1997). An asymmetrical AB effect was observed with letters and mathematical symbols; the AB effect was largest for symbol targets and letter distractors. The characters used in these experiments were rated on their meaningfulness, familiarity, and other stimulus properties. The rating data showed that pixel density best accounted for the asymmetrical target-distractor similarity effects. Modulation of the AB effect by target-distractor similarity appears to result partly from low-level masking. But masking effects may be reduced by attentional capture by target features.
When asked to identify targets embedded within a rapid consecutive stream of visual stimuli, observers are less able to identify the second target (T2) when it is presented within half a second of the first (T1); this deficit has been termed the attentional blink (AB). Rapid serial visual presentation methodology was used to investigate the relationship between the AB and object files (episodic representations implicated in object identification and perceptual constancy). An inverse linear relationship was found between the degree of object file continuity and AB magnitude. An important locus of object file continuity was the intervening stream items between T1 and T2. The results are discussed in terms of the heuristic of the object file to preserve limited attentional capacity.
When two sequential targets (T1 and T2) are presented within about 600 msec, perception of the second target is impaired. This attentional blink (AB) has been studied by means of two paradigms: rapid serial visual presentation (RSVP), in which targets are embedded in a stream of central distractors, and the two-target paradigm, in which targets are presented eccentrically without distractors. We examined the role of distractors in the AB, using a modified two-target paradigm with a central stream of task-irrelevant distractors. In six experiments, the RSVP stream of distractors substantially impaired identification of both T1 and T2, but only when the distractors shared common characteristics with the targets. Without such commonalities, the distractors had no effect on performance. This points to the subjects' attentional control setting as an important factor in the AB deficit and suggests a conceptual link between the AB and a form of nonspatial contingent capture attributable to distractor processing.
Three experiments tested whether the attentional blink (AB; a deficit in reporting the second of two targets when it occurs 200-500 msec after the first) can be attenuated by providing information about the target onset asynchrony (TOA) of the second target relative to the first. Blocking the TOA did not improve second-target performance relative to a condition in which the TOA varied randomly from trial to trial (Experiment 1). In contrast, explicitly cuing the TOA on a trial-by-trial basis attenuated the AB without a cost to first-target identification (Experiments 2 and 3). The results suggest that temporal cues influence the allocation of attentional resources by adding temporal information to the perceptual description of the second target that can then be used to filter targets from nontargets, resulting in enhanced accuracy.
When people monitor the rapid serial visual presentation (RSVP) of stimuli for two targets (T1 and T2), they often miss T2 if it falls into a time window of about half a second after T1 onset, a phenomenon known as the attentional blink (AB). We found that overall performance in an RSVP task was impaired by a concurrent short-term memory (STM) task and, furthermore, that this effect increased when STM load was higher and when its content was more task relevant. Loading visually defined stimuli and adding articulatory suppression further impaired performance on the RSVP task, but the size of the AB over time (i.e., T1-T2 lag) remained unaffected by load or content. This suggested that at least part of the performance in an RSVP task reflects interference between competing codes within STM, as interference models have held, whereas the AB proper reflects capacity limitations in the transfer to STM, as consolidation models have claimed.