Home visits in the Danish High Risk and Resilience Study - VIA 7: assessment of the home environment of 508 7-year-old children born to parents diagnosed with schizophrenia or bipolar disorder.

OBJECTIVE: The home environment provided by the caregivers of a child is an influential single factor for development and well-being. We aimed to compare the quality of the home environment of children at familial high risk of schizophrenia or bipolar disorder with population-based controls. METHODS: Danish nationwide registers were used to retrieve a cohort of 522 7-year-old children of parents diagnosed with schizophrenia (N = 202), bipolar disorder (N = 120) or none of these diagnoses (N = 200). The home environment was assessed using the Middle Childhood-Home Observation for Measurement of the Environment Inventory (MC-HOME Inventory). RESULTS: The proportion of children living in home environments that were evaluated not to meet the needs of a 7-year-old child was significantly larger in the two familial high-risk groups. This was true for 21% of the children with familial predisposition for schizophrenia and 7% of children with familial disposition for bipolar disorder. CONCLUSION: Children born to parents diagnosed with schizophrenia and to a lesser extent bipolar disorder are at an increased risk of growing up in a home environment with an insufficient level of stimulation and support. Identifying families with inadequate home environments is a necessary step towards specialized help and support to at-risk families.

Orientation specificity of learning vernier discriminations.

Orientation selective neurons in the primary visual cortex typically respond to a range of orientations that covers 20 degrees or more, while in psychophysical experiments, orientation bandwidth is often clearly narrower. Here, we measure the orientation specificity of perceptual learning for vernier discriminations. More than 70 observers, in separate groups, practiced a vernier discrimination task with a constant stimulus orientation. After a 1h session of training, the vernier was rotated by 2 degrees, 4 degrees, 10 degrees, 20 degrees, 45 degrees or 90 degrees. Improvement through training in the first session transferred to the second session (tested on the next day) up to 10 degrees of stimulus rotation. We found no transfer for rotations of 20 degrees, 45 degrees and 90 degrees. Hence, the orientation half-bandwidth of perceptual learning is around 15 degrees, leading to a bandwidth of 30 degrees and corresponding to that of single neurons in early visual cortices, while being narrower than that in higher cortical areas.

Feature-specific electrophysiological correlates of texture segregation.

Discrimination between a figure and its surround is an important first step of pattern recognition. This discrimination usually relies, as a first step, on the detection of borders between a figure and its surround, for example based on spatial gradients in luminance, colour, or texture. There is evidence that neurones in the visual cortex are specifically activated by segregation between textures, but the relation between segregation based on different types of features such as colour, luminance, and motion is unclear. Evoked EEG potentials specific to texture segregation were investigated in 17 observers in two separate experiments and by means of functional magnetic resonance imaging in a separate study (Fahle et al., in preparation). Differences in either luminance, colour, line orientation, motion, or stereoscopic depth defined a checkerboard pattern. Patterns defined by each of these features elicited segregation-specific potentials. In contrast to earlier reports (Vision Research 37 (1997) 1409), however, we find pronounced differences between the segregation-specific potentials evoked through different features, especially regarding their peak latencies. The topographical distribution of the activity evoked reveals different polarities and partly specific locations for different stimulus features, indicating the existence of different processors for texture segregation based on different features.

Visuospatial hemi-inattention following cerebellar/brain stem bleeding.

Neglect is a unilateral lack of responsiveness to stimuli caused by visuospatial hemi-inattention, a unilateral representation deficit and/or a unilateral hypokinesia. It results most frequently from right-hemisphere brain damage, particularly of the parietal lobe but also of the frontal cortex, the basal ganglia, the thalamus, and recently it has also been described after a cerebellar lesion. We report a patient with right-sided bleeding of the posterior inferior cerebellar artery, who developed a left-sided visual hemi-inattention. She had no visual field defects, yet she had problems detecting left-sided targets in visual extinction. Furthermore, she was impaired in detecting complex motion on the left side and targets in a fixation offset paradigm. Reactions to left-sided targets in covert shifts of attention were slowed in the invalid condition. Her text reading was impaired as she could not always find the initial word of the next line. However, she was aware of her deficit. Her visuoconstructive ability was normal and she gave no indication of tactile or acoustic extinction. As the cerebellar lesion was located in the right hemisphere and the inattention involved the left side of space, we suggest that the damage to the right brain stem led to a transient imbalance of the noradrenergic ascending activation system which may explain her hemi-inattention.

Complete occlusion of the anterior capsular opening after intact capsulorhexis: clinicopathologic correlation.

PURPOSE: To report histopathologic findings of capsule contraction syndrome with complete occlusion of the capsulorhexis opening. METHODS: Case report. In an 81-year-old woman, a complete occlusion of the anterior capsulorhexis opening developed 2 months after phacoemulsification and intraocular lens implantation. We surgically removed the contracted anterior capsule and analyzed the membrane by standard light microscopy and actin immunohistology. RESULTS: Light microscopic analysis of the membrane showed fibrous tissue subcapsularly with metaplastic lens epithelial cells. The contracted capsulorhexis opening was filled completely with proliferated actin-positive lens epithelial cells. CONCLUSIONS: Complete occlusion of the capsulorhexis opening can be attributed to excessive shrinkage of the capsule, probably caused by actin filaments found in the residual lens epithelial cells together with weak zonular support, and to the occlusion of the remaining central defect by massive proliferation of metaplastic lens epithelial cells.