Developmental dyslexics show altered allocation of attention in visual classification tasks.

OBJECTIVES: Event-related brain potentials (ERPs) were recorded to investigate allocation of attention in adult developmental dyslexics. SUBJECTS AND METHODS: Twelve adult developmental dyslexics and 12 matched normal controls performed three visual choice reaction tasks. In the passive oddball condition, subjects watched two different simple visual stimuli presented with 87.5 and 12.5% probability. In the active oddball condition, participants responded to the low-probability target stimulus. In the active 50/50-condition, both stimuli were presented with 50% probability and a response was required to the target stimulus only. RESULTS: No group differences emerged for performance, P300 latency or laterality and for N200 amplitude, latency or laterality. An enhancement of P300 amplitude with a frontal distribution was found for NoGo (standard)-stimuli in both active conditions for the dyslexic sample. CONCLUSION: Results are discussed in the context of deviances in allocation of attentional resources in dyslexic readers.

Discrepant target detection and action monitoring in obsessive-compulsive disorder.

Obsessive-compulsive disorder (OCD) has been related to altered mechanisms of action monitoring and target detection, and it has been hypothesized that hyperactive striatal-cortical circuits constitute the underlying pathophysiology. This study used event-related brain potentials (ERPs) to explore this hypothesis. A choice reaction time experiment was carried out in a group of OCD patients and a normal comparison group. The P3b component of the ERP to targets was taken as an indicator of the target-evaluation process and the response-locked error-related negativity (ERN) served as an indicator of action monitoring. We hypothesized that the OCD group would show a shortened P3b latency and an amplitude-enhanced ERN. Consistent with our expectations, the P3b latency was shorter and the ERN amplitude was higher in the OCD group. Unexpectedly, we also observed a prolonged ERN latency in the OCD group and a more posterior topography of this component. The data provide partial support for the hypothesis of a hyperactive neural network in OCD. In addition the disorder must involve pathophysiological processes that are presumably related to other aspects of its complex and heterogeneous clinical hallmarks.

Deficit in automatic sound-change detection may underlie some music perception deficits after acute hemispheric stroke.

Music perception deficits following acute neurological damage are thought to be rare. By a newly devised test battery of music-perception skills, however, we were able to identify among a group of 12 patients with acute hemispheric stroke six patients with music perception deficits (amusia) while six others had no such deficits. In addition we recorded event-related brain potentials (ERPs) in a passive listening task with frequent standard and infrequent pitch deviants designed to elicit the mismatch negativity (MMN). The MMN in the patients with amusia was grossly reduced, while the non-amusic patients and control subjects had MMNs of equal size. These data show that amusia is quite common in unselected stroke patients. The MMN reduction suggests that amusia is related to unspecific automatic stimulus classification deficits in these patients.

Altered inhibition of motor responses in Tourette Syndrome and Obsessive-Compulsive Disorder.

OBJECTIVES: The Gilles de la Tourette Syndrome (TS) and Obsessive Compulsive Disorder (OCD) have been shown to display impaired cognitive and motor inhibition. This study investigated inhibitory mechanisms of motor responses in order to expand the understanding of sensorimotor integration processes in both disorders. We hypothesized that both patient groups would display altered frontal inhibitory activity. MATERIAL AND METHODS: To this end event-related brain potentials (ERPs) were recorded in a STOP-paradigm in groups of TS and OCD patients and in a control group. The paradigm required the execution of a motor response after a "go" signal was given and the occasional suppression of this response after a second "stop" signal occurred. RESULTS: Behavioral parameters and Lateralized Readiness Potential (LRP) confirmed that both patient groups were well able to initiate motor responses. "Go" and "stop" stimuli elicited an enhanced frontal negative activity in both patient groups. In addition, "stop" stimuli were associated with a frontal shift of the NoGo-Anteriorization (NGA) in the TS group but not in the OCD group. CONCLUSIONS: The data are interpreted to indicate altered frontal inhibitory functions. Similarities and dissimilarities between the findings for TS and OCD are discussed with respect to other pathophysiologic aspects of the disorders.

Electrophysiological measures and dual-task performance in Tourette syndrome indicate deficient divided attention mechanisms.

Tourette syndrome has been associated with impairments of attentional functions such as distractability, even in subjects without co-morbid attention deficit hyperactivity disorder. Based on the results of earlier research we hypothesized that Tourette syndrome patients might employ altered control mechanisms of attentional processes and have concurrent difficulties in allocating their attentional resources among competing tasks. Event-related brain potentials (ERPs) were recorded in a group of Tourette syndrome patients and in a matched control group during a dual task experiment. This experiment required the simultaneous detection of visual and auditory target stimuli which were manipulated to yield two different difficulty levels each of which were varied orthogonally. The behavioural parameters confirmed the intended performance differences between difficult-to-detect targets and easy-to-detect targets. This was paralleled by lower amplitudes and longer latencies of the corresponding P3b-ERP subcomponents. Although Tourette syndrome patients were unimpaired in overall performance they showed an increased interference of visual task demands with auditory target perception. In parallel they also exhibited a reduced amplitude of the P3b component to auditory targets. The findings show that Tourette syndrome patients are not generally impaired in their dual task performance. The allocation of attentional resources to competing tasks however, is altered. We speculate that this may be related to deficient inhibitory functions.

Oxazepam alters action monitoring.

RATIONALE: Oxazepam has been demonstrated to slow reaction times and increase the rate of omission errors in attentional experiments. This suggests that action monitoring might also be impaired. OBJECTIVES: The present study used the event-related brain potential (ERP) technique to investigate this hypothesis. The P3b component to targets was taken as an indicator of the target evaluation process, and the response-locked error-related negativity (ERN) served as an indicator of action monitoring. We hypothesized that the amplitudes of ERN and P3b would be reduced as an effect of oxazepam. METHODS: A simple "oddball" reaction time experiment was conducted in a double-blind crossover study of 30 mg oxazepam versus placebo. In order to investigate variations in attentional allocation, separate experimental runs were undertaken with target frequencies of 50% and 80%. RESULTS: ERN and P3b amplitudes were lower in the 80% target condition than in the 50% condition. Oxazepam did not affect behavioral parameters but was associated with an ERN of lower amplitude than the placebo condition. ERN amplitude variations between target conditions remained unchanged. CONCLUSIONS: Although the intake of 30 mg oxazepam did not impair behavioral performance, measures of the electrophysiological recordings show that action monitoring processes were altered. We argue that this may be related to the anxiolytic properties of the drug and may constitute an important causal factor for behavioral impairments after the intake of oxazepam.

Differential effects of emotional content on event-related potentials in word recognition memory.

The aim of this study was to delineate the influence of the emotional content of stimuli to be remembered on the recognition performance of normal subjects by means of the event-related potential (ERP) technique. When words are presented repeatedly, brain responses to repeated and recognized items are characterized by a more positive waveform, referred to as "old/new effect". Words judged for their emotional connotation ("negative", "positive" and "neutral") were presented successively on a video monitor to subjects, who had the task to indicate whether a given word occurred for the first ("new") or second ("old") time within the list by pressing one of two buttons. For each word category, the ERPs of the old words were more positive compared to those of the new items from about 250 ms after stimulus. The old/new effect was significantly enhanced for the negative and positive items compared to the neutral stimuli between 450 and 650 ms after stimulus pointing to a significant influence of the emotional content of words on verbal memory processes. This paradigm appears to be feasible to investigate interactions of emotion and cognition in psychiatric patients.

Differences in brain potentials to open and closed class words: class and frequency effects.

Closed class (determiners, pronouns, conjunctions, prepositions etc. ) and open class (nouns, verbs, adjectives, adverbs) words have different linguistic functions and have been proposed to be processed by different neural systems. Here, event-related potentials (ERPs) were recorded in young German-speaking subjects while they read closed class and open class words flashed upon a video-screen. In the first experiment closed class words were sorted into four different frequency categories and open class words into three categories. The words were presented in a list with the subjects' task to detect occasional non-words. A centroparietal negativity (N400) with a peak latency of about 400 ms varied in amplitude as a function of frequency in both classes. The N400 in closed class items, however, was considerably smaller than that in open class words of similar frequency. A left anterior negativity (N280/LPN) showed some degree of frequency-sensitivity regardless of word class. Only for the very high frequency closed class words a frontal negativity with an onset of about 400 ms was obtained (N400-700). This N400-700 effect was replicated in the second study, in which medium frequency closed and open class words and very high frequency closed class words were presented at the fifth position of simple German sentences. It is suggested that neither N400 nor the left anterior negativity (N280/LPN) distinguish qualitatively between the two word classes and thus claims about different brain systems involved in the processing of open and closed class words are not substantiated electrophysiologically. The N400-700 effect is possibly related to specific grammatical functions of some closed class items, such as determiners.

Emotion/cognition-coupling in word recognition memory of depressive patients: an event-related potential study.

Depressive patients show deficits in memory functions. However, the underlying mechanisms remain unclear. Experiments with a special emphasis on the link between emotion and cognition appear challenging. The aim of this study is to investigate the influence of the emotional content of words on memory in non-medicated depressive patients (n=11) compared with a control group (n=11) utilizing event-related brain potentials (ERPs). In a continuous word recognition paradigm brain responses to repeated items are characterized by more positive waveforms of ERPs. This recognition effect ('old/new effect') has been shown to be sensitive to parameters relevant for memory processing. For the purpose of this ERP experiment visually presented words were classified into three different categories of emotional content. The ERPs for the correctly detected 'old' (repeated) words showed an increased positivity beginning approximately 250 ms post-stimulus, concurring with a good recognition performance. In addition, old/new effect and behavioral data were sensitive to words' different emotional connotations in the control group. In contrast, the depressive patients performed worse and showed no significant old/new effect. Nevertheless, their recognition performance was also enhanced by the emotional content. Furthermore, a differential effect of the emotional content on frontal ERPs was found between groups. In contrast to the control group, a reduced old/new effect indicates a reduced working memory capacity in the moderately depressed patients. This is suggested to be partially due to changes of the emotion/cognition coupling related to ruminations with preferably negative emotional connotation. However, the emotional content also affects recognition performance in the depressive patients.

Receptive amusia: evidence for cross-hemispheric neural networks underlying music processing strategies.

Perceptual musical functions were investigated in patients suffering from unilateral cerebrovascular cortical lesions. Using MIDI (Musical Instrument Digital Interface) technique, a standardized short test battery was established that covers local (analytical) as well as global perceptual mechanisms. These represent the principal cognitive strategies in melodic and temporal musical information processing (local, interval and rhythm; global, contour and metre). Of the participating brain-damaged patients, a total of 69% presented with post-lesional impairments in music perception. Left-hemisphere-damaged patients showed significant deficits in the discrimination of local as well as global structures in both melodic and temporal information processing. Right-hemisphere-damaged patients also revealed an overall impairment of music perception, reaching significance in the temporal conditions. Detailed analysis outlined a hierarchical organization, with an initial right-hemisphere recognition of contour and metre followed by identification of interval and rhythm via left-hemisphere subsystems. Patterns of dissociated and associated melodic and temporal deficits indicate autonomous, yet partially integrated neural subsystems underlying the processing of melodic and temporal stimuli. In conclusion, these data contradict a strong hemispheric specificity for music perception, but indicate cross-hemisphere, fragmented neural substrates underlying local and global musical information processing in the melodic and temporal dimensions. Due to the diverse profiles of neuropsychological deficits revealed in earlier investigations as well as in this study, individual aspects of musicality and musical behaviour very likely contribute to the definite formation of these widely distributed neural networks.

Word recognition memory before and after successful treatment of depression.

One of the most frequent and neuropsychologically well investigated symptoms in depression is reduced memory capacity. In this study, we investigated the course of disease in 16 patients with moderate depression and Borna disease virus (BDV) infection. Recently, it could be shown that BDV infection might play an important role in the etiology of subtypes of depression. Amantadine treatment was used as an antidepressant and antiviral compound. In order to assess memory capacity, event-related potentials (ERPs) were evaluated in ten of sixteen patients in a continuous word recognition experiment using a series of emotionally neutral, positive or negative words. During the treatment period the patients' clinical condition improved significantly. ERPs showed a reduced old/new effect before and after treatment independent of the words' emotional content. These findings suggest a reduced memory capacity being relatively independent of clinical outcome and ability to use emotional connotations for memory mechanisms. However, a significant positive shift over frontal electrodes did occur, which was concomitant with the improvement of depression, suggesting evidence for changed frontal cortical activity.

Neurophysiological aspects of synesthetic experience.

Synesthesia is a perceptual condition in which stimulation in one sensory modality elicits a concurrent sensation in another. The authors studied possible electrophysiological correlates of synesthetic experience in 17 subjects claiming to continuously experience chromatic-graphemical synesthesia and a matched control group. Subjects had to respond to one of four numbers and one of six letters by pressing a button. Even-related potentials (ERPs) were recorded from multiple scalp sites. Most synesthetic subjects reported strong synesthetic perceptions during the experiment. The ERPs of both groups showed a distinct P300 component when subjects encountered the assigned target number or letter. Synesthetic subjects had significantly and clearly more positive waveform over frontal and prefrontal scalp regions than control subjects for target and nontarget stimuli. This electrophysiological marker is discussed in terms of cortical inhibition in synesthetic subjects and the role of prefrontal regions in multisensory integration.

Abnormalities of visual search behaviour in ALS patients detected with event-related brain potentials.

A number of recent reports have emphasized neuropyschological symptoms in ALS, including frontal functions, memory and attention. We investigated visual search behaviour of ALS in two types of tasks: a simple, relatively effortless parallel search task and a more complex attention-demanding serial search task. Behavioural parameters and cognitive event-related potentials (ERP) from 19 scalp channels were obtained from 13 ALS patients and 13 matched controls during task performance. ALS patients showed the same target detection rates as controls in the parallel task but were significantly impaired in the serial task. Performance was slower in the patients than in the controls. This slowing could be attributed to cognitive rather than motor impairments, by inspection of the latency of the P3 component, which was delayed by 120 ms in the patients. In addition, the ERPs in the serial task showed a grossly reduced P3 amplitude, indicating disturbed stimulus evaluation in the patients under these conditions. Changes of an early attention-sensitive ERP component suggest an attention deficit underlying the disturbances in search behaviour.

Brain potentials in patients with music perception deficits: evidence for an early locus.

Twelve patients with an acute cerebrovascular accident were assigned to a group with music perception deficits (amusia, n = 6) or a group without such deficits (n = 6) on the basis of a new test-battery for music-perception skills. Event-related brain potentials (ERPs) were recorded in an auditory classification task designed to elicit several components; the N1 as a correlate of initial auditory cortical processing, the P3a as an index of automatic attentional orienting, and the P3b as a measure for controlled stimulus evaluation. Patients with amusia showed a significant amplitude decrement for the P3a relative to controls and patients without amusia suggesting an impairment of early stimulus evaluation. P3b was reduced in both patient groups relative to control. These data show that amusia is quite common in unselected stroke patients and suggest deficits of generic rather than music-specific cognitive processes as the underlying cause.

Recognition memory deficits in amyotrophic lateral sclerosis assessed with event-related brain potentials.

OBJECTIVES: Amyotrophic lateral sclerosis (ALS) has been shown to cause neuropsychological deficits. The present investigation sought to delineate memory deficits by recording cognitive event-related potentials (ERPs). SUBJECTS AND METHODS: Eight ALS patients and 8 matched controls were subjected to a 2-phase recognition memory test. During the first phase words were presented consecutively on a video-screen with one-third of the words being repeated. The subject had to press buttons according to whether a word had been repeated or not. During the second phase (delay 1 h) a second list containing 33% old items from phase 1 and 66% new words was shown with an old/new decision required. RESULTS: ALS patients showed less accurate recognition in the second phase. The ERPs of the controls showed a reliable difference between old and new items in both phases. This difference was nearly absent in the patients in both phases. CONCLUSION: The ERP pattern suggests abnormal memory processes in ALS. The results are compared with data from similar experiments in Huntington's and Alzheimer's disease and are interpreted in terms of an encoding deficit in ALS.

Brain potentials and syntactic violations revisited: no evidence for specificity of the syntactic positive shift.

One of the current issues in the investigation of language by means of event-related brain potentials (ERPs) is whether there is an ERP effect that can be specifically related to the processing of syntactic information. It has been claimed that a late positivity (P600 or SPS-syntactic positive shift) occurring to syntactic violations or ambiguities qualifies as such an effect. In the present investigation we compared ERPs elicited by morphosyntactic (case inflection errors), semantic, and orthographic (misspelled words) violations in a group of young German subjects. All three types of violations gave rise to late positivities having the characteristics of the previously described P600/SPS. In an earlier time window, however, semantic violations were associated with a centroparietally distributed N400 component, whereas syntactic violations gave rise to a negativity of smaller amplitude that had a frontocentral distribution. In light of the present experiment, the view that the P600/SPS as a whole reflects specific syntactic processes appears to be untenable and an alternative interpretation is proposed. The different distributions of the late positive shifts merit further investigation.

Brain potentials reveal the timing of face identity and expression judgments.

Event-related brain potentials (ERPs) were recorded from multiple scalp locations from young human subjects while they performed two different face processing tasks. The first task entailed the presentation of pairs of faces in which the second face was either a different view of the first face or a different view of a different face. The subjects had to decide whether or not the two faces depicted the same person. In the second task, pairs of faces (frontal views) were presented with the task of judging whether the expression of the second face matched that of the face. Incongruous faces in the view (identity) matching task gave rise to a negativity peaking at about 350 ms with a frontocentral maximum. This effect was similar to the N400 obtained in linguistic tasks. ERP effects in the expression matching task were much later and had a different distribution. This pattern of results corresponds well with neuropsychological and neuroimaging data suggesting specialized neuronal populations subserving identity and expression analysis but adds a temporal dimension to previous investigations.

Differential effects of two motor tasks on ERPs in an auditory classification task: evidence of shared cognitive resources.

The aim of the study was to assess cognitive demands and fatigue during the execution of two different motor tasks. Event-related brain potentials (ERPs) were recorded from 15 healthy subjects while they concurrently performed, (1) one of two motor tasks, and (2) a three stimulus (70% standard tones, 15% target tones, 15% novel stimuli) auditory classification task. Both motor tasks required the externally paced adduction of the right thumb with the force task requiring a precise movement (feedback given) with about 50% of maximum force output (6 s on task, 4 s rest) while the displacement task required the same precise movement with only minimal force requirements. In separate sessions, both tasks were performed for about an hour with the subjects concurrently paying attention to the auditory task with button presses required for the target stimuli. This provided a dual task situation with trade-offs in P3b amplitude as a function of difficulty of the primary (motor) task. The P3b to the auditory target stimuli was reduced during the force session compared to the displacement session, indicating that the force-task placed a higher demand on cognitive resources. No differential effect of fatigue (time on task) could be ascertained over six consecutive parts of the session. The P3a component, a putative correlate of orienting of attention, showed a rapid attenuation over time but, attesting to its automatic nature, no effect of concurrent motor task. ERP components recorded timelocked to the movements showed a marked difference between the two tasks with the displacement task giving rise to higher amplitudes. Moreover, only for the force task an influence of time on task (fatigue) on the MP was found. The dual task methodology is a potentially useful tool to disentangle cognitive and motor components of central fatigue.

Alteration of early components of the visual evoked potential in amyotrophic lateral sclerosis.

Evoked potentials were recorded in three different visual experiments in 14 patients with amyotrophic lateral sclerosis (ALS) and 14 matched control subjects. Control subjects' evoked potentials (EPs) were characterized by an initial positivity in the 90-140 ms range (P1) at the temporo-occipital site. This component was absent from the group average of the ALS patients as well as the individual patients' EPs. As the P1 is known to emanate from inferior occipito-temporal areas, this finding provides electrophysiological evidence for a cortical involvement in ALS including visual areas.

Human brain potentials to reading syntactic errors in sentences of different complexity.

In order to determine if an event-related brain potential (ERP) effect described for syntactic violations (P600/SPS) varies with the amount of reprocessing entailed by a violation, number incongruencies were presented either within simple declarative or within subordinate clauses. ERPs were recorded while 12 German subjects read the stimulus materials presented word by word on a video monitor. The ERPs showed a P600/SPS effect for all sentence types, which was smallest in amplitude and earliest in latency for simple declarative sentences. This effect therefore qualifies as a metric for the amount and timing of syntactic reprocessing entailed by a syntactic error. In addition, a late frontal negativity (1000-1400 ms range) was found for the simple declarative sentences.