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The long-term effects of antiepileptic drugs on the visual system in rats: electrophysiological and histopathological studies.

OBJECTIVE: We quantified the long-term effects of antiepileptic drugs (AEDs) on the visual system of rats using electroretinograms (ERGs) and visual evoked potentials (VEPs). METHODS: Twenty adult Sprague-Dawley rats were divided into 4 groups (n=5). Each animal was treated by monotherapy of phenytoin (PHT), valproic acid (VPA), zonisamide (ZNS) or physiological saline as control. The AEDs were injected intraperitoneally daily for 180 days. ERGs and VEPs were recorded before the medication and on Days 30 and 180. RESULTS: There were no significant changes in the 4 groups on Day 30. On Day 180, the amplitudes of a- and b-waves of dark-adapted (DA) ERGs were reduced in the PHT group compared with those of the control group. In the VPA group, the amplitudes of the DA ERG a- and b-waves, light-adapted ERG b-wave and the DA VEP were reduced. No significant changes were observed in the ZNS group. There were no histopathological changes of the retina and visual cortex in all groups. CONCLUSIONS: Our results indicate that neurons along the visual pathways have different sensitivity to each AED. This may result from the differential pharmacological actions of each AED on visual neurons. SIGNIFICANCE: Our findings suggest that epileptic patients on long-term use of AEDs might have subclinical influences to the visual systems.

Adaptation, Ocular↗

Chromatic organization of ganglion cell receptive fields in the peripheral retina.

This study addresses the chromatic properties of receptive fields in the subcortical visual pathway of primates. There is agreement that, in the central visual field, many cells belonging to the parvocellular (PC) division of the subcortical pathway show red-green opponent responses, that a subgroup of cells belonging to the koniocellular (KC) pathway shows blue-yellow opponent responses, and that magnocellular (MC) pathway cells show only weak signs of chromatic input. However, the chromatic properties of ganglion cells in the peripheral retina are poorly understood. Here, we measured the temporal-chromatic properties of ganglion cells in extracellular in vivo recordings from peripheral macaque retina. We show that the chromatic responsivity of peripheral KC ("blue-on") and MC cells is very similar to that of their counterparts in the foveal retina. Cone-opponent responses are expressed only at low temporal frequencies (<10 Hz) in the majority of peripheral PC cells, and some peripheral PC cells show non-opponent response properties. With these exceptions, the chromatic properties of ganglion cells are essentially preserved throughout the first 50 degrees of visual eccentricity. The main change seen in passing from foveal to peripheral retina is that all ganglion cell classes become more responsive to high temporal-frequency modulation.

Action Potentials↗

Visual evoked responses in pernicious anemia.

We describe three newly diagnosed and untreated cases of pernicious anemia (PA) with clinical features suggestive of subacute combined degeneration. Visual evoked responses (VERs) were evaluted in all three patients. In each instance, delayed responses were obtained, suggesting that involvement of the visual pathways may be an early and perhaps not uncommon manifestation in PA, even in the absence of clinical stigmata of visual impairment. The need for excluding PA in cases of myelopathy with impaired VERs is stressed.

Anemia, Pernicious↗

Albino-type misrouting of the optic nerve fibers not found in dissociated vertical deviation.

It has been suggested that albinolike misrouting of the visual pathway occurs in patients with dissociated vertical deviation (DVD). We re-examined this contention in ten DVD patients using visually evoked potentials. Full-field monocular pattern-onset checkerboard stimulation was employed. The visually evoked potentials were recorded simultaneously from both occipital lobes. Their differential activity during stimulation of the right eye was compared with that obtained during stimulation of the left. We found no predominance of crossed projection in any of the DVD cases. The results in nine normal subjects were similar. In 13 albino patients, however, there was a relative positivity in the contralateral hemisphere about 100 ms after pattern-onset, which reconfirmed predominance of the crossed projection. Possible artifacts are discussed that may have led to the assumption of misrouting in DVD in two previous reports.

Adolescent↗

Brief daily periods of binocular vision prevent deprivation-induced acuity loss.

The role of experience in the development of the central visual pathways has been explored in the past through examination of the consequences of imposed periods of continuously abnormal or biased visual input. The massive changes in the visual cortex (area 17) induced by selected early visual experience, especially monocular deprivation (MD) or experience (ME) where patterned visual input is provided to just one eye, are accompanied by profound and long-standing visual deficits. Although the use of exclusively abnormal experience permits identification of those aspects of the visual cortex and of visual function that can be influenced by visual experience during development, this approach may provide a distorted view of the nature of the role of visual experience because of the absence of any normal visual input. In this study a different approach was used whereby animals were provided daily with separate periods of normal (i.e., binocular exposure) and abnormal (monocular exposure) visual experience. We show that 2 hr of daily normal concordant binocular experience (BE) can outweigh or protect against much longer periods of monocular deprivation (MD) and permit the development of normal visual acuities in the two eyes. This result is not what would be expected if all visual input had equal influence on visual development.

Animals↗

[Compared progression of visual-evoked potentials in preterm and term newborns].

PURPOSE: To compare the development of the visual pathway in healthy preterm and full-term newborns using flash and patterned (both transient and steady-state) visual-evoked potentials (fVEP, pVEP-t, pVEP-ss). PATIENTS AND METHODS: Twenty-nine preterm newborns (28-35 weeks gestational age) were evaluated at four different times: at 3 months postnatal and corrected age, at 8 months postnatal and corrected age. They were matched with 92 term newborns tested at 3 and 8 months of life. RESULTS: The maximal perceived spatial frequencies in the groups were: 2 C/d at 3 months postnatal age, >2 C/d at 3 months corrected age and at 3 months at term, between 3 and 5C/d, >=5C/d at 8 months corrected age and at 8 months of life, respectively. The latencies of the P1 and P100 waves for the flash and the transient stimulation were, respectively, 192 ms and 207.9 ms at 3 months postnatal age, 144 ms and 137.7 ms at 3 months corrected age, 126.3 ms and 124.1 ms at 8 months postnatal age, 112.7 ms and 112.5 ms at 8 months corrected age, 137.3 and 110.1 ms at 3 months of life; and 122.3 and 100.5 ms at 8 months of life. DISCUSSION: In the preterm infants of 3 gestational months, the latencies of the fVEP are comparable to those of the 3-month-old full-term infants, although the pVEP-t latencies are still delayed at 8 months. In the fVEP; however, we noted a shorter latency in the preterm infants at 8 months corrected age compared to those of the full-term infants. This tendency inversion was also evidenced at the steady-state stimulation. CONCLUSIONS: As evidenced by our results, at 8 months of corrected age the preterm infants recovered the fVEP and pVEP-ss, but not the pVEP-t. Different results obtained with different visual-evoked stimulations suggest that similar neural pools are developed in not completely equal amounts of time.

Age Factors↗

From The Cover: Binocularity and brain evolution in primates.

Primates are distinguished by frontally directed, highly convergent orbits, which are associated with stereoscopic vision. Although stereoscopic vision requires specialized neural mechanisms, its implications for brain evolution are unknown. Using phylogenetic comparative analysis, I show that evolutionary increases among primate taxa in the degree of orbital convergence correlate with expansion of visual brain structures and, as a consequence, with the overall size of the brain. This pattern is found across the whole primate order and is also repeated within each of the two major primate subtaxa. The visual expansion associated with increased binocularity is specific to the parvocellular visual pathway, consistent with recent evidence implicating this pathway in fine-grained stereopsis. The results support the hypothesis that brain size evolution in primates was associated with visual specialization.

Animals↗

Ventral occipital lesions impair object recognition but not object-directed grasping: an fMRI study.

D.F., a patient with severe visual form agnosia, has been the subject of extensive research during the past decade. The fact that she could process visual input accurately for the purposes of guiding action despite being unable to perform visual discriminations on the same visual input inspired a novel interpretation of the functions of the two main cortical visual pathways or 'streams'. Within this theoretical context, the authors proposed that D.F. had suffered severe bilateral damage to her occipitotemporal visual system (the 'ventral stream'), while retaining the use of her occipitoparietal visual system (the 'dorsal stream'). The present paper reports a direct test of this idea, which was initially derived from purely behavioural data, before the advent of modern functional neuroimaging. We used functional MRI to examine activation in her ventral and dorsal streams during object recognition and object-directed grasping tasks. We found that D.F. showed no difference in activation when presented with line drawings of common objects compared with scrambled line drawings in the lateral occipital cortex (LO) of the ventral stream, an area that responded differentially to these stimuli in healthy individuals. Moreover, high-resolution anatomical MRI showed that her lesion corresponded bilaterally with the location of LO in healthy participants. The lack of activation with line drawings in D.F. mirrors her poor performance in identifying the objects depicted in the drawings. With coloured and greyscale pictures, stimuli that she can identify more often, D.F. did show some ventral-stream activation. These activations were, however, more widely distributed than those seen in control participants and did not include LO. In contrast to the absent or abnormal activation observed during these perceptual tasks, D.F. showed robust activation in the expected dorsal stream regions during object grasping, despite considerable atrophy in some regions of the parietal lobes. In particular, an area in the anterior intraparietal sulcus was activated more for grasping an object than for just reaching to that object, for both D.F. and controls. In conclusion, we have been able to confirm directly that D.F.'s visual form agnosia is associated with extensive damage to the ventral stream, and that her spared visuomotor skills are associated with visual processing in the dorsal stream.

Agnosia↗

A cellular analogue of visual cortical plasticity.

Neuronal activity plays an important role in the development of the visual pathway. The modulation of synaptic transmission by temporal correlation between pre- and postsynaptic activity is one mechanism which could underly visual cortical plasticity. We report here that functional changes in single neurons of area 17, analogous to those known to take place during epigenesis of visual cortex, can be induced experimentally during the time of recording. This was done by a differential pairing procedure, during which iontophoresis was used to artificially increase the visual response for a given stimulus, and to decrease (or block) the response for a second stimulus which differed in ocularity or orientation. Long-term modifications in ocular dominance and orientation selectivity were produced in 33% and 43% of recorded cells respectively. Neuronal selectivity was nearly always displaced towards the stimulus paired with the reinforced visual response. The largest changes were obtained at the peak of the critical period in normally reared and visually deprived kittens, but changes were also observed in adults. Our findings support the role of temporal correlation between pre- and postsynaptic activity in the induction of long-lasting modifications of synaptic transmission during development, and in associative learning.

Afferent Pathways↗

Functional streams and local connections of layer 4C neurons in primary visual cortex of the macaque monkey.

The primate visual system is composed of multiple, functionally specialized cortical areas. The functional diversity among areas is thought to reflect different contributions from early parallel visual pathways to the area V1 neurons providing input to "higher" cortical areas. The M pathway is believed to provide information about motion and contrast, via layer 4B of V1, to dorsal visual areas. The P pathway is believed to provide information about shape and color, via layer 2/3 of V1, to ventral visual areas, with specialized contributions from cytochrome-oxidase (CO) blob versus interblob neurons. However, the detailed anatomical relationships between the M and P pathways and the neurons in V1 that provide input to higher extrastriate cortical areas are poorly understood. To study these relationships, spiny stellate neurons in the M- and P-recipient layers of V1, 4Calpha and 4Cbeta, respectively, were intracellularly labeled, and their axonal and dendritic arbors were reconstructed. We find that neurons with dendrites in upper layer 4Calpha project axons to layer 4B and CO blobs in layer 2/3, thus relaying M input to these regions. Other neurons in lower layer 4Calpha provide M input to interblobs. These cells have either (1) dendrites restricted to lower layer 4Calpha and axons specifically targeting layer 2/3 interblobs, or (2) dendrites in lower 4Calpha and 4Cbeta and axons targeting blobs and interblobs. P-recipient layer 4Cbeta neurons have dense axonal arbors in both blobs and interblobs but not layer 4B. Quantitative analyses reveal that 4Calpha cells provide approximately five times more synapses than 4Cbeta cells to layer 4B, whereas 4Cbeta cells provide five times more synapses than 4Calpha cells to layer 2/3. These observations imply that M input is dominant in layer 4B. In layer 2/3, both blobs and interblobs receive M and P input, but the P input is dominant, and M input to interblobs derives exclusively from a subpopulation of M afferents that targets lower 4Calpha, not from afferents targeting only upper 4Calpha (cf. Blasdel and Lund, 1983). We speculate that the M and P pathways to interblobs are "X-like" linear systems, whereas blobs also receive nonlinear "Y-like" M input.

Animals↗

Limits of parallel processing: excitatory convergence of different information channels on single neurons in striate and extrastriate visual cortices.

1. It has been postulated that the distinct parallel retino-geniculo-cortical information channels characterizing visual pathways of virtually all mammals are selectively linked to parallel motion, colour and/or form information processing 'streams' distinguishable within the primary visual cortices, extrastriate cortical areas of occipital lobes and the temporal and parietal visual cortices. 2. Using selective pressure-blocking of the large-fibre channel (the so-called Y-channel) in the optic nerve of the cat, we have experimentally examined the 'selective excitatory parallel links' hypothesis. We conclude that the majority of neurons in the primary visual cortices (areas 17, 18) as well as in the two 'higher order' visual areas, area 21a and posteromedial lateral suprasylvian (PMLS) area, constituting, respectively, part of the 'form' and part of the 'motion' processing streams, receive their excitatory inputs from both Y- and non-Y-information channels. In areas 17, 18 and 21a (but not in PMLS area), there are, however, subpopulations of cells that apparently receive excitatory inputs from only one information channel. 3. Review of the relevant work on the macaque monkey suggests that the situation is similar in the primate: that is, there is a substantial degree of excitatory convergence of different retino-geniculo-cortical information channels on single neurons in the primary visual cortices and the extrastriate cortices constituting parts of the form/colour or the motion processing streams. 4. Despite this high degree of excitatory convergence of different information channels, the large-fibre channels (the Y-channel in the cat and the magnocellular or Y-like channel in macaque), are in both carnivores and primates the principal contributors to the motion processing cortical streams.

Animals↗

Direct retinal pathways to the limbic thalamus of the monkey.

Tritiated proline, horseradish peroxidase (HRP), and wheat germ agglutinin conjugated to HRP (WGA-HRP) were used as anterograde tracers in the monkey to reveal visual pathways. After intravitreal injections, three separate, direct routes of labeled retinal axons were followed to the thalamus. These routes eventually converged to innervate the lateral dorsal and anterodorsal thalamic nuclei. Thus, retinal input may reach the posterior cingulate cortex after a single synapse in lateral and anterior thalamic nuclei.

Animals↗

The ocular dominance and receptive field properties of visual cortex cells of cats following long-term transection of the optic chiasm and monocular deprivation during adulthood.

Plasticity-induced interhemispheric transfer of visual information to cortical cells was studied in adult cats. The direct contralateral visual pathway was surgically eliminated permitting binocularity only by callosal transfer. In order to enhance the interhemispheric transfer, one hemisphere was made less visually active by depriving it chronically from visual input. Single cell recording was made in areas 17-18 boundary, the callosal projection zone, of operated (OC), operated and deprived (OCMD), and normal control cats. In the OCMD cats, greater than 90% of the cells in each hemisphere reacted ipsilaterally to the deprived or non-deprived eye. Only 3.1% of the cells in both hemispheres of the OCMD cats and 3.9% in the OC cats had contralateral input via the corpus callosum. The two hemispheres were similar in the selectivity of their cells to stimulus orientation and direction. The average receptive field area of the OCMD cats was also similar for the ipsilaterally driven cells in the two hemispheres; it was 1.2 degrees 2 for the deprived eye and 1.1 degrees 2 for the normal eye. The receptive fields (greater than 95%) of both eyes of the OCMD cats were found in the nasal visual hemifields and greater than 70% of them were at eccentricities of less than 5 degrees from the vertical meridian. The disappearance of the temporal (contralateral) hemifields in these cats and the physiological properties of their cortical cells were determined merely by the chiasm transection which had thus induced nearly complete interhemispheric separation. No effect of the monocular deprivation, in normal adult cats or in cats with chiasm transection was found, even after long periods (greater than 7 months). Therefore, plasticity-induced interhemispheric transfer of visual information was not found during adulthood.

Animals↗

Periventricular nodular heterotopia: A challenge for epilepsy surgery.

Pharmacoresistant focal epilepsies due to periventricular nodular heterotopia are a diagnostic and therapeutic challenge because of the need of invasive presurgical diagnostics and the selection of an optimal surgical approach. Invasive investigations in previous studies showed that focal epileptic activity can be correlated predominantly either with one of the nodular heterotopia or with neocortical epileptogenic zones distant to the periventricular nodules. Up to now, invasive recordings were required for localization of epileptic activity and its correlation to heterotopia. The following case presentation reports on a non-invasive approach using magnetic source imaging (MSI) combined with intraoperative ECoG. MSI combines preoperative data from magnetic resonance imaging (MRI) with magnetoencephalography (MEG). The MSI data for definition of the localization of the epileptic activity and functional important areas were coregistered with the intraoperative high-field-MRI and diffusion tensor imaging-based fiber tracking (DTI) of the visual pathway using a neuronavigational system. A neuronavigation-guided surgical resection of the epileptogenic area was performed leaving the heterotopia and the visual tract fibers intact. Postoperatively preservation of the visual fields was documented and the frequency of seizures was markedly reduced.

Brain Diseases↗

Functional magnetic resonance imaging and its clinical utility in patients with visual disturbances.

Functional magnetic resonance imaging (fMRI) is a powerful, non-invasive technique for mapping human brain function. Because of the robust signal intensity changes associated with visual stimuli, fMRI is particularly useful for studying visual cortex (including both striate and extrastriate cortex). Also, activation of the lateral geniculate nuclei has been successfully demonstrated by fMRI. Therefore, fMRI may be potentially useful in patients with visual deficits by providing a non-invasive method for assessing the afferent visual pathways and higher cortical areas. Although there have been several reviews on fMRI, few have highlighted its clinical applicability in patients with visual disturbances. Our article will review fMRI principles and methodology, then focus on the possible applications and limitations of this technique in clinical ophthalmology.

Humans↗

Cone receptive field in cat retina computed from microcircuitry.

The receptive-field profile of the cone in cat-retina was computed. The computation was based on (1) the known anatomical circuit connecting cones via narrow-field bipolar cells to the on-beta ganglion cell; (2) the known physiological receptive-field profile of the on-beta (X) cell at the corresponding eccentricity; and (3) a model in which the beta receptive field arises by linear superposition of cone receptive fields. The computed cone receptive field has a center/surround organization with a center almost as broad as that of the beta cell center. The cone surround is comparably broad to that of the beta cell but somewhat lower in peak amplitude. The problems to which the center/surround receptive field are the solution, namely, signal compression and noise reduction, apparently must be solved before the first synapse of the visual pathway.

Animals↗

Electrophysiological evidence that abnormal early visual experience can modify the human brain.

Visual resolution in humans is nearly equal for vertically and horizontally oriented detail, but for some subjects there is a substantial difference in resolving power for these orientations. Although subjects who exhibit this difference invariably have ocular astigmatism, optical explanations of the effect can be ruled out. Direct evidence has been found for an electrophysiological correlate to the psychophysical finding. Subjects who have reduced resolution for a pattern of a particular orientation also show a decreased evoked potential response elicited by a target of the same orientation. The results are consistent with the hypothesis that a deficiency of specific features in the early visual input can alter the organization of the visual pathways.

Astigmatism↗

Temporal dynamics of a neural solution to the aperture problem in visual area MT of macaque brain.

A critical step in the interpretation of the visual world is the integration of the various local motion signals generated by moving objects. This process is complicated by the fact that local velocity measurements can differ depending on contour orientation and spatial position. Specifically, any local motion detector can measure only the component of motion perpendicular to a contour that extends beyond its field of view. This "aperture problem" is particularly relevant to direction-selective neurons early in the visual pathways, where small receptive fields permit only a limited view of a moving object. Here we show that neurons in the middle temporal visual area (known as MT or V5) of the macaque brain reveal a dynamic solution to the aperture problem. MT neurons initially respond primarily to the component of motion perpendicular to a contour's orientation, but over a period of approximately 60 ms the responses gradually shift to encode the true stimulus direction, regardless of orientation. We also report a behavioural correlate of these neural responses: the initial velocity of pursuit eye movements deviates in a direction perpendicular to local contour orientation, suggesting that the earliest neural responses influence the oculomotor response.

Animals↗