[Visual perception of Kanji characters and complicated figures. Part 3. Visual P300 event-related potentials in patients with attention deficit/hyperactivity disorders].

In order to evaluate visual perception, the P300 event-related potentials (ERPs) for visual oddball tasks were recorded in 11 patients with attention deficit/hyperactivity disorders (AD/HD), 12 with mental retardation (MR) and 14 age-matched healthy controls. With the aim of revealing trial-to-trial variabilities which are neglected by investigating averaged ERPs, single sweep P300s (ss-P300s) were assessed in addition to averaged P300. There were no significant differences of averaged P300 latency and amplitude between controls and AD/HD patients. AD/HD patients showed an increased variability in the amplitude of ss-P300s, while MR patient showed an increased variability in latency. These findings suggest that in AD/HD patients general attention is impaired to a larger extent than selective attention and visual perception.

[Visual perception of Kanji characters and complicated figures. II. Visual P300 event-related potentials in patients with mental retardation].

In order to objectively evaluate visual perception of patients with mental retardation (MR), the P300 event-related potentials (ERPs) for visual oddball tasks were recorded in 26 patients and 13 age-matched healthy volunteers. The latency and amplitude of visual P300 in response to the Japanese ideogram stimuli (a pair of familiar Kanji characters or unfamiliar Kanji characters) and a pair of meaningless complicated figures were measured. In almost all MR patients visual P300 was observed, however, the peak latency was significantly prolonged compared to control subjects. There was no significant difference of P300 latency among the three tasks. The distribution pattern of P300 in MR patients was different from that in the controls and the amplitudes in the frontal region was larger in MR patients. The latency decreased with age even in both groups. The developmental change of P300 latency corresponded to developmental age rather than the chronological age. These findings suggest that MR patients have impairment in processing of visual perception. Assessment of P300 latencies to the visual stimuli may be useful as an objective indicator of mental deficit.

Mismatch negativity of the color modality during a selective attention task to auditory stimuli in children with mental retardation.

Event-related potentials (ERPs) in response to a stimulus change in the visual color modality were recorded in normal subjects and children with mental retardation (MR) under selective attention conditions with auditory stimuli. The paradigm included the presentation of a standard (blue color screen, B) or deviant (red, R, or greenish blue color screen, GB) visual stimulus, and a target or non-target tone burst stimulus. In Experiment 1, negativity of the subtracted waveform in response to visual stimuli with a latency of 250-280 ms was clearly observed in the ERPs of normal adults. These potentials prominently appeared at posterior sites in one condition, for which the deviant was GB, but were frontal site-dominant for the other condition. A P300 response to visual deviance was not observed in the GB-B paradigm and the subtracted negativity for this paradigm seemed to be more evident than that for the R-B paradigm. The subtracted negativities could be detected in the range of 180-400 ms after the stimulus onset in control children for the GB-B paradigm. The grand average waves of subtracted ERPs in normal children showed a similar distribution to that in normal adults. Similar subtracted potentials could be recorded with the same paradigm in children with MR, however, the negativities were different in waveform and spatial distribution than in controls. Therefore, the subtracted negativity of the present visual modality represented the analogue of the auditory mismatch negativity (MMN), and so-called 'visual MMN' was detectable in children and even in MR patients when the selective attention was directed to other stimuli.

Quantitative analysis of benzodiazepine receptor in temporal lobe epilepsy: [(125)I]iomazenil autoradiographic study of surgically resected specimens.

PURPOSE: To evaluate the changes of the inhibitory neurotransmitter receptor system related to epileptogenesis by measuring central benzodiazepine receptors (BZDRs) in surgically resected specimens of temporal lobe epilepsy by using [(125)I]iomazenil autoradiography. METHODS: Surgically resected specimens were obtained from 66 temporal lobe epilepsy patients [51 with mesial temporal lobe epilepsy (MTLE) and 15 with non-MTLE] receiving no BZDs and seven MTLE patients receiving BZDs. BZDR densities in brain sections were measured by using [(125)I]iomazenil autoradiography. Cell densities were measured from cresyl violet-stained sections. RESULTS: Compared with non-MTLE patients, non-BZD-treated MTLE patients showed remarkable reduction of BZDR density in the pyramidal cell region of cornu ammonis (CA) 1, CA3, and CA4, and a smaller but significant reduction in CA2 and the molecular and granule cell layers of dentate gyrus (mDG). In the MTLE group, the BZDR density in the mDG correlated with that in lateral cortex. Significant correlations between BZDR density and cell density were found in all hippocampal regions. A significant difference in BZDR density/cell-density ratio was observed in CA1 region between MTLE and non-MTLE. BZD-treated patients tended to have lower BZDR densities than did non-BZD-treated patients, although the differences did not reach significance. In all MTLE cases, [(123)I]iomazenil singlephoton emission computed tomography (SPECT) showed decreased BZDR binding in MTL. CONCLUSIONS: In MTLE, BZDR densities decreased parallel to reduction in cell density in most hippocampal subfields, but BZDR density appeared to decrease in excess of neuron loss in CA1. [(125)I]iomazenil SPECT might be useful for detecting in vivo changes of BZDR density.

[Visual perception of Japanese characters and complicated figures: developmental changes of visual P300 event-related potentials].

In order to evaluate developmental change of visual perception, the P300 event-related potentials (ERPs) of visual oddball task were recorded in 34 healthy volunteers ranging from 7 to 37 years of age. The latency and amplitude of visual P300 in response to the Japanese ideogram stimuli (a pair of familiar Kanji characters or unfamiliar Kanji characters) and a pair of meaningless complicated figures were measured. Visual P300 was dominant at parietal area in almost all subjects. There was a significant difference of P300 latency among the three tasks. Reaction time to the both kind of Kanji tasks were significantly shorter than those to the complicated figure task. P300 latencies to the familiar Kanji, unfamiliar Kanji and figure stimuli decreased until 25.8, 26.9 and 29.4 years of age, respectively, and regression analysis revealed that a positive quadratic function could be fitted to the data. Around 9 years of age, the P300 latency/age slope was largest in the unfamiliar Kanji task. These findings suggest that visual P300 development depends on both the complexity of the tasks and specificity of the stimuli, which might reflect the variety in visual information processing.