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Functional neuroanatomy of visual object naming: a PET study.

BACKGROUND: The ability to name objects depends partly on visual perception. We used positron emission tomography (PET) to measure activity-related changes in regional cerebral blood flow (r-CBF) in order to identify regions of the brain activated during visual object naming. METHODS: Four right-handed volunteers were recruited. Following an intravenous injection of 15O-labeled water, r-CBF was measured during visual object naming, counting numbers, and resting. PET and MRI images were coregistered, the size of the brain was proportionally adjusted in each axis to Talairach's and Tournoux's atlas, and the comparison of stimulated versus resting blood flow images revealed activated brain regions. RESULTS: In the subtraction of resting from naming, activation was observed in the bilateral primary visual cortex, bilateral fusiform gyrus, left lingual gyrus, bilateral inferotemporal cortex, bilateral inferior frontal gyrus, bilateral precentral gyrus, anterior cingulate gyrus, left parietal operculum, and left putamen. In the subtraction of counting from naming, most of the those areas were activated, but no significant activity was observed in the left lingual gyrus, left parietal operculum, or bilateral precentral gyrus (motor cortex). The areas activated with the paradigm included those dedicated to visual perception (primary and associate visual cortex), visual recognition (inferior temporal cortex), and phonological output (Broca's area). CONCLUSION: Our results indicated that the major neural network from occipital lobe to frontal cortex, which is mainly involved in the ventral visual pathway, demonstrated activation in these tasks. Result of this study will serve as base line data for analyzing the findings in patients with impaired visual perception.

Adult↗

Impairments in generation of early-stage transient visual evoked potentials to magno- and parvocellular-selective stimuli in schizophrenia.

OBJECTIVE: Patients with schizophrenia demonstrate significant impairments of early visual processing, potentially implicating dysfunction of the magnocellular visual pathway. The present study evaluates transient visual evoked potential (tVEP) responses to stimuli biased toward the magnocellular (M) or parvocellular (P) systems in patients with schizophrenia vs. normal volunteers first to evaluate relative contributions of M and P systems to specific tVEP components in schizophrenia and, second, to evaluate integrity of early M and P processing in schizophrenia. METHODS: Seventy-four patients with schizophrenia and schizoaffective disorder were compared with 59 control subjects using separate stimuli to assess the tVEP response to M, P and mixed M/P conditions. Stimuli were biased toward M vs. P processing by manipulation of chromatic and achromatic contrast. C1, P1, N1 and P2 components were compared between patients and controls. All subjects showed 20/32 vision or better. RESULTS: Waveforms were obtained to low contrast (M), chromatic contrast (P) and high contrast (mixed M/P) stimuli in both patients and controls. C1 was present to P and mixed M/P stimuli. Patients showed a significant reduction in amplitude and an increase in latency of the C1 component. P1 was elicited primarily by M and mixed M/P stimuli, whereas N1 was elicited primarily by P and mixed M/P stimuli. Patients showed reductions in both P1 and N1 amplitudes across conditions. However, only reductions in P1 amplitude survived covariation for between group differences in visual acuity. Further, P1 amplitude reductions in the M condition correlated with a proxy measure of global outcome. CONCLUSIONS: M- and P-selective stimuli elicit differential components of the tVEP. Patients with schizophrenia show significant reductions in response even to simple visual stimuli. Deficits, particularly within the M system, may correlate significantly with global outcome and level of community functioning. SIGNIFICANCE: Whereas deficits in high-order cognitive processing have been extensively documented in schizophrenia, integrity of early-stage sensory processing has been studied to a lesser degree. The present findings suggest that deficits in early-stage visual processing are significantly related to overall clinical outcome in schizophrenia. Further, between-group differences in visual acuity may influence VEP results, even for subjects with 'normal' vision (20/32 or better).

Activities of Daily Living↗

Backward masking in bipolar affective disorder.

1. When an informational stimulus, the target, is followed closely in time by a non-informational stimulus, the mask, the visual system's processing of the informational stimulus is disturbed. This disturbance is known as backward visual masking. 2. Transient and sustained visual pathways detect different characteristics of a visual stimulus, at different times in early visual information processing, and have unique anatomic distribution with regard to retinal origin, thalamic and cortical projections. 3. Backward masking occurs by two mechanisms. Interruption occurs when activity in the transient channels of the mask disrupt activity in the sustained channels of the target. Integration occurs when activity in the sustained channels of the mask disrupt activity of the sustained channels of the target. 4. Characteristics of the mask--energy, location, or the time presented after the target--can be altered to enhance interruption or integration. Interruption is a bell-shaped function of, and integration is an exponential function of, visual performance and interstimulus interval. 5. An impairment in backward masking is present in bipolar subjects during manic episodes, is not related to the presence of psychotic symptoms, and persists when mania resolves. Lithium appears to have a detrimental effect on backward masking.

Bipolar Disorder↗

Visual electrophysiological responses in subjects with cerebral autosomal arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL).

OBJECTIVES: To evaluate visual electrophysiological responses in subjects with cerebral autosomal arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL). METHODS: Three subjects (one male and two females, mean age 55.3+/-2.9 years) belonging to an Italian family already diagnosed with CADASIL through clinicopathological and genetic studies and 14 control subjects (6 males and 8 females, mean age 52.7+/-3.6 years) were enrolled in the study. Flash electroretinogram (ERG), oscillatory potentials (OPs) and simultaneous recordings of pattern electroretinogram (PERG) and visual evoked potentials (VEPs) were assessed in all 3 subjects with CADASIL and age-matched controls. RESULTS: Subjects with CADASIL showed: reduced ERG, OP and PERG (N35-P50, P50-N95) amplitudes with respect to our normal limits; delayed PERG (N35, P50) and VEP (P100) implicit times when compared with our normal limits; and VEP (N75-P100) amplitudes and retinocortical times within our normal limits. CONCLUSIONS: Subjects with CADASIL present a dysfunction in the outer, middle and innermost retinal layers when the index of neural conduction in the postretinal visual pathways is normal. The delay in visual cortical responses observed in subjects with CADASIL may be ascribable to retinal impairment with a possible functional sparing of the postretinal visual structures.

Dementia, Multi-Infarct↗

The detection of both global motion and global form is disrupted in glaucoma.

PURPOSE: It is well known that glaucoma results in performance impairments on tasks processed early in the visual pathways. Glaucoma should also impair cortical visual processing because of reduced input from retinal ganglion cells and also possibly because of abnormal cortical function. This study was undertaken to assess whether cortically processed global percepts are disrupted in glaucoma in areas of visual field classified as normal by standard automated perimetry (SAP). Performance on global tasks (motion and form) was compared to measures of presumed precortical magnocellular and parvocellular function in the same individuals. METHODS: Fifteen control subjects and 12 patients with primary open-angle glaucoma participated. Testing was performed foveally and midperipherally (12.5 degrees). Contrast-discrimination thresholds were measured by using the steady-pedestal (magnocellular) and pulsed-pedestal (parvocellular) contrast-discrimination tasks of Pokorny and Smith. Global motion coherence and global form coherence thresholds were measured at high and low contrast. RESULTS: Patients with glaucoma demonstrated higher global motion and form-coherence thresholds than did control subjects for targets presented in the midperiphery (P < 0.05), but not foveally. Different individuals performed poorly on the motion and form tasks. The subjects with the greatest presumed magnocellular and parvocellular loss were those with the largest deficits on the global motion and form tasks, respectively. CONCLUSIONS: Some subjects with glaucoma demonstrate profound impairments of global motion or global form integration in areas of visual field classified as normal by SAP. This finding implies that some people with glaucoma may have far greater difficulty with complex visual tasks (for example, navigation through the environment or face recognition) than is predicted by their visual field loss.

Aged↗

Component perimetry: a fast method to detect visual field defects caused by brain lesions.

PURPOSE: Noise field campimetry, performed according to Aulhorn and Köst, confronts patients with a large field of irregularly flickering dots, and many patients immediately perceive their visual field defects. The original method had a somewhat low specificity and sensitivity, especially for patients with visual field defects caused by cortical lesions. METHODS: The method was improved in two ways. First, the grain of the visual noise was increased toward the periphery of the visual field to accommodate the peripheral decrease in visual acuity. Second, the type of stimulus pattern was varied to include separate investigations of different visual components or functions (color, motion, temporal resolution, line orientation, stereoscopic depth, acuity, and figure-ground segmentation). To evaluate the reliability of the method, the visual fields were compared, as assessed by the new method, with those of conventional perimetry in 41 patients with neurologic disorders and 22 normal control subjects. RESULTS: The results were encouraging. All patients with suprageniculate lesions subjectively experienced visual field defects in component perimetry. Sizes of visual field defects obtained with both methods corresponded qualitatively with each other, with a highly significant correlation. The specificity of component perimetry was higher than that of the original noise field campimetry. CONCLUSIONS: This pilot study indicates that component perimetry is a subjective but relatively reliable method for detecting disorders of visual perception caused by lesions at different stages along the visual pathway, permitting fast screening of the visual field. In addition, this method seems to allow examination of the visual field, not only for defects in contrast sensitivity, as does conventional light perimetry, but also for the status of other components of vision such as color or motion perception. Further evaluation with larger patient cohorts is needed to allow exact assessment of the clinical usefulness of the method.

Adolescent↗

Perceptual learning in parafoveal vision.

The present study tests the effects of practice on parafoveal vernier and resolution acuity. By measuring task specificity, transfer of training to other retinal locations in the trained eye and transfer of training to the untrained eye, we directly address whether improvement on these tasks is the result of changes in the underlying physiological processes or simply the development of new cognitive strategies. We found that: (1) significant learning can occur for both vernier and resolution acuity in many (but not all) individuals; (2) there were significant individual differences in the degree and time-course of learning: (3) learning transfers to the untrained task; and (4) learning transfers to the other eye particularly when the visual pathway leads to the trained hemisphere. These results suggest that both physiological and cognitive processes contribute to the improvement seen after repetitive practice on these visual tasks.

Adolescent↗

Orientation-selective visual loss in patients with Parkinson's disease.

Visual contrast sensitivity was measured using 2 cycle/deg sinewave gratings of different orientations in 10 patients with Parkinson's disease and in 15 age-matched controls. Loss of visual contrast sensitivity was found in 6 patients, all of whom had normal visual acuity. Visual loss depended on grating orientation; in all cases the maximum sensitivity loss was for the horizontal. Sensitivity loss was most marked at a temporal frequency of 4 to 8 Hz. Visual fields gave no hint of the orientation selectivity. We conclude that orientation selectivity implicates visual cortical cells in Parkinson's disease. We tentatively suggest that a preferential loss of contrast sensitivity to horizontal gratings might be due to a functional abnormality in the striate cortex that relatively spares the extrastriate cortex. The dependence of visual loss on temporal frequency combined with the sparing of visual acuity might possibly be understood if Parkinson's disease preferentially affects the visual pathway leading from the retina to cortex via the magnocellular layer of the lateral geniculate nucleus. There is an intriguing similarity between the pattern of visual loss in Parkinson's disease and in multiple sclerosis.

Aged↗

Human visual development over the first 6 months of life. A review and a hypothesis.

The behavioural changes that occur in visual development in the first 6 months of human life are discussed in relation to the possible underlying changes in neurophysiological mechanisms, with inter-species comparisons being made when appropriate. Recent data on the developing infant's changing capacity to discriminate various stimulus attributes is considered. It appears that orientation discrimination and cortically related visual evoked potentials are present at, or soon after, birth. However, data on colour discrimination, field differences in detection tasks and control of visual attention suggest a subcortical site for control of behaviour for the first month of life. The improvements in spatial and temporal resolution depend on maturation of both peripheral and central structures in the visual pathway and so do not provide a clear distinction between cortical and subcortical function. There is clear evidence that binocular function in the cortex does not emerge until three months postnatally. A hypothesis is proposed that maturation of a number of pathways between cortex and subcortical structures underlies the observed behavioural changes starting at around 2 months of age. The initial immaturity of connections between cortex and pretectum may give rise to asymmetrical monocular OKN. Maturation of pathways from cortex to colliculus could account for improvements in convergence, allowing development of cortical binocularity, and for the developing ability to control shifts of visual attention.

Accommodation, Ocular↗

Detection of visual defects using the contrast sensitivity function.

In this chapter the theoretical reasons were outlined and clinical data summarized as to why spatial contrast measurements can reveal visual losses that are not uncovered by testing visual acuity, no matter which optotype one uses or how carefully the measurement is made. Spatial contrast sensitivity measurements may disclose different types of contrast losses in patients with different lesions but with identical visual acuity. The relationship of different types of spatial contrast sensitivity losses (plotted as visuograms) to specific location or cause of lesions is not yet clear. Patients with glaucoma show losses that occur infrequently in other types of eye or visual pathway diseases, but the specificity of the typical contrast loss needs confirmation. The definite clinical value of contrast sensitivity measurements is that they can identify incipient abnormalities in the visual pathways that subserve foveal vision. In addition to this definite diagnostic application, using sinusoidal gratings as stimuli for both contrast sensitivity and for VEP measurements is useful in a research-oriented clinical testing facility.

Amblyopia↗

Studies of functional connectivity in the developing and mature visual cortex.

We have investigated several aspects of cortical organization in adult cats and in young kittens. First, we determined receptive field (RF) maps of correlated discharge between pairs of cortical cells. Unique bicellular RFs appear to convey high resolution information. Second, we studied the dynamics of neural interaction between pairs of cells. Using cross-correlation analysis, we studied monosynaptic and polysynaptic interactions in both kittens and cats. A somewhat surprising finding is that there were no cases of monosynaptic excitation from simple to complex cells as would be predicted by a simple hierarchical processing theory. Third, we studied length and side tuning characteristics of cortical cells and worked out the relationships between them. Fourth we carried out an investigation of binocular processing in which we compared monocular and binocular sensitivity of cortical cells with respect to contrast. Our results are comparable to those found in psychophysical work. Fifth, we examined how stereoscopic depth information is encoded by simple cells in the visual cortex. We show that structural differences in RFs of left and right eyes may be expressed in terms of phase. Phase-based encoding appears to be a very plausible alternative to the standard position-based notion. Sixth, we attempted to induce plastic changes in connections between cell pairs by long-term activation (up to 2 h) in kittens and cats. Although connection strength between some cell pairs was increased during long-term activation, there was no consistent pattern of this effect. Seventh, we attempted to study the functional basis of reported claims of RF expansion following use of an artificial scotoma. However, we found no receptive field size change from this procedure. For some cells, there is an apparent change of gain in the form of base (spontaneous) rates and absolute response levels. Finally, we have examined RF dynamics in the central visual pathways. The standard treatment of RFs in to consider only spatial aspects. But the RF is inherently both temporal and spatial in nature and we have examined the dynamics of spatiotemporal organization of RFs in central visual pathways.

Animals↗

Neuronal dynamics in the visual corticothalamic pathway revealed through binocular rivalry.

Single unit activity was recorded from principal cells in the A-laminae of the cat dorsal lateral geniculate nucleus (dLGN). A steady state pattern of afferent activation was induced by presenting a continuously drifting square wave grating of constant spatial frequency to the eye (the dominant eye) that provided the excitatory input to the recorded cell. Intermittently, a second grating stimulus was presented to the other, nondominant, eye. In most neurones nondominant eye stimulation led to inhibition of relay cell responses. The latency of this suppressive effect was unusually long (up to 1 s) and its intensity and duration depended critically on the similarity between the gratings that were presented to the two eyes. Typically suppression was strongest when the gratings differed in orientation, direction of movement and contrast and when the nondominant eye stimulus was moving rather than stationary. Ablation of visual cortex abolished these long latency and feature-dependent interferences. We conclude that the visual cortex and the corticothalamic projections are involved in the mediation of these interocular interactions. We interpret our results as support for the hypothesis that corticothalamic feedback modifies thalamic transmission as a function of the congruency between ongoing cortical activation patterns and afferent retinal signals.

Animals↗

Increasing short-term fluctuation by increasing the intensity of the fixation aid during perimetry.

An increase in short-term fluctuation is a clinically useful clue in the diagnosis of acquired disorders of the visual pathways. However, short-term fluctuation can also be increased in normal subjects by several factors. We found an increase in short-term fluctuation occurred in normal subjects when the visual field was tested using a bright fixation aid. Eight normal subjects underwent automated perimetry with the Octopus 2000R, in which the dimmest (12.5 candelas/m2) and brightest (435 cd/m2) available fixation aids were used. Mean short-term fluctuation values were 1.63 +/- 0.27 dB with the dimmest aid, and were 2.65 +/- 1.26 dB with the brightest aid. The difference was significant using the paired t-test (P = .037). Moreover, mean sensitivity was reduced from 35.67 +/- 2.26 dB to 33.66 +/- 1.71 dB when the brightest fixation aid was used (P = .004). In six of eight subjects, the relative changes in short-term fluctuation after an increase in brightness of the fixation aid were more pronounced than those in mean sensitivity. An increase in intensity of the fixation aid may cause visual changes in normal subjects that resemble those induced by disorders in the visual pathways. Whenever possible, minimal intensity of the fixation aid should be used to allow for an adequate interpretation of short-term fluctuation values.

Adult↗

Evoked potential techniques in the evaluation of visual function.

Visual evoked potentials (VEPs) can be used in a multitude of ways to assess the various levels of visual processing. The human visual system consists of multiple, parallel channels which process different information, and each channel constitutes a set of sequential processes. An algorithm of sequential steps that can be used to assess visual function is reviewed. The pathophysiology of retinal, anterior visual pathways and retrochiasmal pathways can be objectively evaluated by VEPs.

Adolescent↗

[Effect of strychninization of the visual cortex on evoked activity in the rabbit lateral geniculate body].

Changes in responses of low-frequency and high-frequency LGB neurons were studied on anesthetized and paralyzed rabbits after strichninization of the visual cortex. It was found that in the group of low-frequency neurons the average discharge frequency of responses increased and latencies decreased indicating a dominance of corticofugal facilitation. On the contrary, in the group of high-frequency neurons the average discharge frequency of responses decreased and latencies increased. This suggests a dominance of corticofugal inhibition. The existence of reciprocal corticofugal influences on the neurons of different components of the visual pathways is assumed.

Animals↗

Central vestibular networks in the guinea-pig: functional characterization in the isolated whole brain in vitro.

The isolated, in vitro whole brain of guinea-pig was used to assess some of the main physiological and pharmacological properties of the vestibulo-ocular pathways in this species. Extracellular and intracellular recordings were obtained from the vestibular, abducens and oculomotor nuclei, as well as from the abducens and oculomotor nerves, while inputs from the vestibular afferents, the visual pathways and the spinal cord were activated. The three main types of medial vestibular nucleus neurons (A, B and B+LTS), previously described on slices, were also identified in the isolated brain. They had similar membrane properties in both preparations. Eighty-five per cent of cells recorded in the vestibular nucleus responded with monosynaptic, excitatory postsynaptic potentials (latency 1.05-1.9 ms) to stimulation of the ipsilateral vestibular nerve, and were thus identified as second-order vestibular neurons. In addition, stimulation of the contralateral vestibular afferents revealed in most cases a disynaptic or trisynaptic, commissural inhibition. Second-order vestibular neurons displayed in the isolated brain a high degree of variability of their spontaneous activity, as in alert guinea-pigs. Type A neurons always exhibited a regular firing, while type B and B+LTS cells could have very irregular patterns of spontaneous discharge. Thus, type A and type B neurons might correspond, respectively, to the tonic and phasic vestibular neurons described in vivo. The regularity of spontaneous discharge was positively correlated with the amplitude of spike after hyperpolarization, and there was a trend for irregular neurons to be excited from ipsilateral vestibular afferents at shorter latencies than regular units. Synaptic activation could trigger subthreshold plateau potentials and low-threshold spikes in some of the second-order vestibular neurons. As a second step, the pharmacology of the synaptic transmission between primary vestibular afferents and second-order neurons was assessed using specific antagonists of the glutamatergic receptors. Both the synaptic field potentials and excitatory postsynaptic potentials elicited in the medial vestibular nucleus by single shock stimulation of the ipsilateral vestibular nerve were largely or, sometimes, totally blocked by 6-cyano-7-nitroquinoxaline-2,3-dione, indicating a dominating role of alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor-mediated glutamatergic transmission. The remaining component of the responses was completely or partially suppressed by DL-2-amino-5-phosphonovaleric acid in 35% of the cases, suggesting a concomitant, moderate involvement of N-methyl-D-asparate receptors. In addition, a synaptic response resistant to both antagonists, but sensitive to a zero Ca2+/high Mg(2+)-containing solution, was often observed. Finally, recordings from abducens and oculomotor complexes confirmed the existence in the guinea-pig of strong bilateral, disynaptic excitatory and inhibitory inputs from vestibular afferents to motoneurons of extraocular muscles, which contribute to generation of the vestibulo-ocular reflex. The functional integrity of vestibular-related pathways in the isolated brain was additionally checked by stimulation of the spinal cord and optic tract. Stimulation of the spinal cord evoked, in addition to antidromic responses in the vestibular nucleus, short-latency synaptic responses in both the vestibular nucleus and abducens motoneurons, suggesting possible recruitment of spinal afferents. Activation of visual pathways at the level of the optic chiasm often induced long latency responses in the various structures under study. These results demonstrate that the in vitro isolated brain can be readily used for detailed, functional studies of the neuronal networks underlying gaze and posture control.

Animals↗

The neural basis of object perception.

Humans can recognize an object within a fraction of a second, even if there are no clues about what kind of object it might be. Recent findings have identified functional properties of extrastriate regions in the ventral visual pathway that are involved in the representation and perception of objects and faces. The functional properties of these regions, and the correlation between the activation of these regions and visual recognition, indicate that the lateral and ventral occipito-temporal areas are important in perceiving and recognizing objects and faces.

Animals↗

An evolving view of duplex vision: separate but interacting cortical pathways for perception and action.

In 1992, Goodale and Milner proposed a division of labour in the visual pathways of the primate cerebral cortex between a dorsal stream specialised for the visual control of action and a ventral stream dedicated to the perception of the visual world. In the years since this original proposal, support for the perception-action hypothesis has come from neuroimaging experiments, human neuropsychology, monkey neurophysiology, and human psychophysical experiments. Indeed, some of the strongest support for this hypothesis has come from behavioural experiments showing that visually guided actions are largely refractory to perceptual illusions. Although controversial, the findings from this literature both support the original hypothesis and suggest important modifications. The ongoing challenge for neurobiologists is to map these behavioural findings onto their corresponding neural substrates.

Animals↗