Contingent Negative Variation Amplitude Research Articles

Contingent negative variation indicates phasic arousal for externally cued unilateral eye blink in human subjects

The contingent negative variation (CNV) as a slow cortical potential was used to investigate cortical processing of externally cued, voluntary unilateral eye blink. Probands blinked as a response within a modified two-stimulus reaction time paradigm. Reaction time and amplitudes of CNV were determined. The activity of the orbicularis oculi muscles (OO) was registered by surface electromyography (EMG). Probands who performed unilateral eye blinks with accurately inhibiting contralateral OO activity showed a significantly higher negativity of the early CNV component compared with the bilateral eye blink condition. This effect was confined to the beginning of unilateral blinking performance. It is suggested that the unilateral eye blink is a challenging motor task, initially requiring an increased cortically driven arousal and attention as revealed by increased early CNV components.

Contingent negative variation in migraine: effect of beta blocker therapy.

The contingent negative variation (CNV) has been useful in differentiating common migraine from muscle tension headaches as well as classic migraine. This study evaluated CNV in a group of patients with muscle tension headache, common migraine, and classic migraine. Furthermore, we evaluated the effect of beta blocker therapy on the CNV. The patients with common migraine responded to beta blocker therapy. CNV amplitude decreased during beta blocker treatment and with resolution of headache episodes. Further studies are indicated as CNV may be useful to evaluate the effect of drug treatment in common migraine.

Topographic differences in CNV amplitude reflect different preparatory processes

Topographic differences in Contingent Negative Variation (CNV) were recorded while people were preparing for cognitive versus motor tasks in an S1–S2 paradigm. CNV had a frontal distribution when people prepared to encode words into long-term memory, whereas CNV was more centrally distributed when the tasks were predominantly motoric. These topographic differences appeared to be related to the type of task rather than the amount of information extracted from the S2, because a direct manipulation of the level of S2 processing had little effect on CNV amplitude. The topographic differences in CNV suggest that preparation for motor activity is a different psychological process from preparation for stimulus processing and that these two processes are subserved by different neural structures. This experiment also demonstrated that a recognition memory paradigm can be useful in the investigation of the psychological correlates of CNV.

Motor programming of response force and movement direction

Effects of movement advance information were assessed on the prestimulus amplitude of the lateralized readiness potential (LRP), on the contingent negative variation (CNV), and on reaction time (RT). In a precuing paradigm with movement parameters hand, direction, and force, partial precues provided advance information about either hand alone, hand plus force, or hand plus direction, and the full precue specified all response parameters. The full precue produced the shortest RTs and the largest CNV amplitude, precuing hand and force or hand and movement direction produced somewhat slower RTs and a somewhat smaller CNV amplitude, and precuing only hand yielded slowest RTs and the smallest CNV amplitude. In contrast, the LRP amplitude was largest for the full precue and was the same for the remaining precues. The CNV appears to index the central assembling of a motor program, and the LRP represents the implementation of the program at more peripheral levels.

Prediction of migraine attacks using a slow cortical potential, the contingent negative variation

Amplitudes of contingent negative variation (CNV) as a slow cortical potential in migraine patients were recorded before and after migraine attacks. The level of CNV amplitudes, especially of the early component, showed a trend in rise of negativity 1 day before the attack, whereas amplitudes were normal for 2–3 days following an attack. In most cases the attack occurred when the CNV amplitude showed maximum negativity. We conclude that migraine-susceptible days are indicated by a high CNV amplitude the day before the attack.

605 Effects of context on ERPs elicited by go and no go stimuli in a 3-stimulus paradigm

The contingent negative variation (CNV) is a long-latency electroencephalography (EEG) surface negative potential with cognitive and motor components, observed during response anticipation. CNV is an index of cortical arousal during orienting and attention, yet its functional neuroanatomical basis is poorly understood. We used functional magnetic resonance imaging (fMRI) with simultaneous EEG and recording of galvanic skin response (GSR) to investigate CNV-related central neural activity and its relationship to peripheral autonomic arousal. In a group analysis, blood oxygenation level dependent (BOLD) activity during the period of CNV generation was enhanced in thalamus, somatomotor cortex, bilateral midcingulate, supplementary motor, and insular cortices. Enhancement of CNV-related activity in anterior and midcingulate, SMA, and insular cortices was associated with decreases in peripheral sympathetic arousal. In a subset of subjects in whom we acquired simultaneous EEG and fMRI data, we observed activity in bilateral thalamus, anterior cingulate, and supplementary motor cortex that was modulated by trial-by-trial amplitude of CNV. These findings provide a likely functional neuroanatomical substrate for the CNV and demonstrate modulation of components of this neural circuitry by peripheral autonomic arousal. Moreover, these data suggest a mechanistic model whereby thalamocortical interactions regulate CNV amplitude.

Correlation between contingent negative variation and regional cerebral blood flow.

The relationship between contingent negative variation (CNV) and regional cerebral blood flow was investigated, using the stable xenon computed tomography method. Seventeen cases of chronic multiple cerebral infarction in the perforating artery areas (vascular dementia, mean age 67.0), 6 cases of Alzheimer's disease (mean age 69.5) and 8 healthy controls (mean age 62.5) were studied. Regional cerebral blood flows in the frontal, temporal, parietal and occipital cortex, frontal, temporal and occipital white matter, caudate nucleus, putamen and thalamus were measured. The amplitude of early CNV was significantly smaller in the vascular dementia group than in the healthy control group. The blood flows in the parietal cortex and thalamus were significantly lower in the vascular dementia group than in the healthy control group. There was a significant positive correlation between the amplitude of early CNV and frontal cortex blood flow. No significant correlations were present between the CNV and the other regional cerebral blood flows nor in healthy controls. The amplitude of CNV has been reported to be decreased in dementia. From the present study, the amplitude of early CNV was considered to be influenced by the blood flow in the frontal cortex.

Topography of the piny in schizophrenia and schizotypy

Anticipation for future affective events and prediction uncertainty were examined in healthy controls and individuals with dysthymia (DYS) using behavioral responses and the contingent negative variation (CNV) and post-imperative negative variation (PINV) event-related potential (ERP) components. Warning stimuli forecasted the valence of subsequently presented adjectives (“+”, positive; “=”, neutral; “−”, negative), and participants indicated whether each adjective would describe them over the next two weeks. Controls expected fewer negative, and individuals with DYS expected fewer positive, adjectives to apply to them. CNV amplitudes were enhanced in controls prior to positive versus other adjectives. Response times and PINV amplitudes were greater following neutral compared to other adjectives, and PINV was larger overall in dysthymics compared to controls. In sum, healthy controls and individuals with DYS exhibit different behavioral and neurophysiological biases in anticipation for future affective events. These results are discussed in the context of cognitive theories of depression.

The effects of risperidone on memory function in schizophrenia

Posttraumatic stress disorder (PTSD) is thought to be characterized by dysfunctional memory processes, i.e., the automatic re-experiencing of the traumatic event and the inability to consciously recall facts about the traumatic event, as well as altered emotional processing of trauma-relevant cues.The present study examined the cerebral mechanisms underlying the cued recall of trauma-specific memories and the emotional processing of the presented cues in 16 PTSD patients, 15 trauma-exposed subjects without PTSD and 16 healthy controls. Subjects received questions about their specific trauma as well as other disastrous and neutral events while the electroencephalogram and heart rate were measured. The PTSD patients showed no impairment in trauma-specific declarative memory compared to non-PTSD subjects but had some deficits in general declarative memory as assessed by the Wechsler Memory Scale-Revised. Compared to healthy control subjects, PTSD patients displayed increased P300 and late positive complex amplitudes to trauma-specific questions, indicating enhanced emotional processing of these cues. In line with their behavioral performance, both trauma-exposed groups showed decreased terminal contingent negative variation amplitudes to trauma-specific questions over frontal electrodes reflecting altered memory retrieval. Within-group comparisons revealed that only the PTSD group but not the other groups showed a differentiation between trauma-specific and neutral questions with respect to the LPC, tCNV and P300. Concordantly with previous studies, PTSD patients showed elevated resting heart rate compared to the healthy controls. These findings are discussed in the context of current models of the role of declarative memory in the development and maintenance of PTSD.

Contingent negative variation (CNV) in the detection of deception task using a serial presentation of pictures

The purpose of the experiment was to investigate the feasibility of using contingent negative variation (CNV) as an index of detection of deception. Twelve subjects were required to complete both an innocent and guilty condition in that order. In the innocent condition, a series of six pictures, two of which depicted different landscapes and four others which depicted different female faces, was presented repeatedly on a computer display. Subjects responded by pressing a button following the landscape picture (target stimulus) that was presented last in the sequence. In the guilty condition, the procedures were the same except that subjects were also required not to detect one of the female pictures in mind (critical item), which they had chosen after the completion of the innocent condition. As compared with the innocent condition, the CNV amplitudes decreased significantly immediately before the target stimulus in the guilty condition where subjects had to conceal the critical item. The implication of these data both for the psychological completion of the concealed task and the practice in the field were discussed.

Cortical mechanism underlying externally cued gait initiation studied by contingent negative variation

In order to clarify the cortical mechanism underlying gait initiation, we examined the scalp distribution of the contingent negative variation (CNV) preceding externally cued gait initiation in a simple reaction-time paradigm in 10 healthy right-handed men, and compared the results with the CNV preceding simple foot dorsiflexion. A pair of auditory stimuli was given with an interstimulus (S1–S2) interval of 2 s and gait consisting of at least 3 steps was initiated with the right footstep as fast as possible in response to S2. Brisk dorsiflexion of the right foot was employed as a control task. It was found that the late CNV in the gait initiation task started about 1 s before S2, and was largest at Cz (−9.3 ± 3.1 μV) without clear asymmetry over the scalp. However, it was ill defined in the parietal area. In the foot dorsiflexion task, the late CNV was maximal at Cz (−7.1 ± 2.9 μV), and clearly seen also over the parietal area. The late CNV at Cz was significantly ( P < 0.01) larger in the gait initiation than in the simple foot dorsiflexion. The amplitude of the late CNV preceding the foot dorsiflexion task was not significantly different between the sitting and the standing posture. In view of the results of previous invasive studies in both humans and animals which showed some frontal areas, including the supplementary motor area (SMA) and the primary motor cortex, as the generators of the late CNV, it is suggested that the cerebral cortex is active in initiation of externally triggered gait in a different way from the simple foot movement, and that bilateral SMAs may play a more important role in gait initiation than in simple foot movement.

Movement-related cortical potentials and contingent negative variation in olivopontocerebellar atrophy.

Movement-related cortical potentials (MRCPs) and contingent negative variation (CNV) were recorded in 8 cases of olivopontocerebellar atrophy (OPCA) and 8 age-matched healthy controls. The amplitude of the negative slope (NS') was smaller in the OPCA group than in the healthy control group. The amplitude of late CNV was smaller in OPCA group than in the healthy control group. These abnormalities in MRCPs and CNV were improved by intravenous infusion of thyrotropin releasing hormone.

Contingent negative variation in epilepsy

The contingent negative variation (CNV) is a long-latency event-related potential elicited by paired or associated stimuli. We recorded contingent negative variation in 50 patients with complex partial and secondarily generalized seizures and in 20 neurologically and psychiatrically normal unmedicated controls. CNV was recorded from Fz, Cz, and Pz. A 2000 Hz tone was followed after 1.5 s by 1000 microseconds light flash, at which a button press was to be executed. Filter band pass was 0.1-20 Hz, analysis time was 10 s and 10 responses were replicated. Patients with complex partial seizures with and without secondary generalization had lower measurements of area under the CNV curve (AUC) than did controls, and CNV amplitude was significantly reduced. Patients with interictal behavioural symptoms had significantly smaller AUC and lower amplitude. No significant difference was found between depressed and non-depressed seizure patients with respect to AUC, but amplitude was significantly lower in depressed patients. Seizure patients with psychosis had significantly lower AUC but did not differ from non-psychotic patients in CNV amplitude. No differences were found between seizure patients with and without personality disorder with respect to CNV AUC or amplitude. Post-imperative negative variation was significantly more common in seizure patients than in controls and among patients with epilepsy, was significantly increased in those with inter-ictal behaviour disturbance generally and psychosis particularly. No specific effect of anticonvulsant monotherapy on AUC or amplitude was identified. These findings suggest that CNV may differ between partial epilepsy patients and controls, and that inter-ictal behaviour disturbance may particularly affect CNV measures. They also agree with previous evidence for a frontal lobe generator for the CNV, and a possible role for central dopaminergic pathways in the production of PINV.

Responses to cued signals in Parkinson's disease. Distinguishing between disorders of cognition and of activation.

Impairment of movement execution in Parkinson's disease could be due to disorders of cognition and/or of activation. These two factors are hard to separate by measuring response times only. Therefore, in this study response force and event-related EEG potentials were measured continuously during tasks in which subjects had to respond to cued signals. Fifteen patients with Parkinson's disease and 15 healthy subjects were studied during two tasks: (i) the 'clock task', in which the signal's identity was fully precued but its presentation time was uncertain and (ii) the 'validity task' in which the cue did not always predict the response validly. Thus, the clock task required more sustained attention, and the validity task sometimes required fast switching. The patients generally responded slower than control subjects. In the clock task, the response times of both groups changed to the same extent with presentation time, whereas in the validity task the patients were additionally slower than the control group with invalidly cued signals. The patients generally had a weaker response force and a lower rate of force production. In the clock task, both force measures changed with presentation time in the control group only, whereas in the validity task, the two measures increased in both groups to the same extent with invalidly cued signals. The contingent negative variation amplitudes in the patients' event-related EEG potentials were reduced, reflecting reduced activation of movement preparation, whereas lateralization of the motor cortices (i.e. the lateralized readiness potential) did not differ significantly between groups, reflecting unimpaired response selection. Force and contingent negative variation were generally reduced in the patients showing that their general slowing is at least partially due to impaired activation. Task-specific problems added to the general activation deficit; the lack of modulation of response force by presentation time revealed pronounced deficits of activation in the monotonous clock task. The specific delay of responses with invalidly cued signals, unparalleled by activation measures, might suggest a problem of cognition. The task-specific deficits may reflect a basic dilemma for patients with Parkinson's disease: cognitive problems may arise in complex tasks but disorders of activation may become pronounced in more simple, monotonous tasks.

Effects of changes in arousal level by continuous light stimulus on contingent negative variation (CNV).

The purpose of the present study was to investigate an inverted-U relationship between contingent negative variation (CNV) and arousal level which was influenced by extraneous environment. As an extraneous stimulant, stimulation by light was adopted, and five levels of luminance conditions, 10 cd/m2, 100 cd/m2, 320 cd/ m2, 1,000 cd/m2, and 1,800 cd/m2 were provided randomly. Under five luminance conditions, seven subjects who had been accustomed a measurement of CNV executed simple reaction time tasks to evoke CNV. Outside CNV, spontaneous EEG prior to S1 was measured as an indicator for arousal level. As a result, a negative correlation existed between the logarithm of luminance and the relative power value of alpha waves at Fz. Otherwise, an increase in luminance caused an increase in CNV amplitude until the luminance level reached 320 cd/m2, beyond which however CNV amplitude was found to decrease. These tendencies were most remarkable in the phase of early CNV at Fz. The low amplitude of early CNV seen in the high luminance conditions was inferred to have been induced by excessive arousal state because of the low relative power value of alpha waves, while the low amplitude in the low luminance conditions was inferred to have been induced by low arousal state because of the high relative power value of alpha waves. However, changes in arousal level by light stimulus caused no effect on reaction time. From these findings, it was suggested that a definite "inverted-U" relationship existed between the change in arousal level by light stimulation and resultant CNV, and that it could be discriminated as to whether reduction in CNV is caused by excessive arousal effect of environment by analyzing spontaneous EEG preceding S1.

Effects of reduction in arousal level caused by long-lasting task on CNV.

The present study aimed at investigating an inverted-U relationship between contingent negative variation (CNV) and arousal level by examining the effects on CNV of gradually reduced arousal level by long-lasting task. The subjects conducted a simple reaction time task consisting of warning stimuli (S1) and imperative stimuli (S2). This task consisted of 200 trials and lasted about 40 minutes. During this task, spontaneous EEG before S1 and SPL (skin potential level) were measured as indicators for arousal level. The 200 CNV, EEG and SPL data were classified into 5 blocks each of which included 40 trials of data. Analysis was made in seven subjects in whom reduction in the arousal level in long-lasting task was shown by increase in the relative power values of alpha waves before S1 and decrease in the SPL. As a result, the amplitude of early CNV at Fz was observed to increase from the earlier half phase (block 1) to the middle phase (block 3) and to decrease from the middle phase (block 3) to the latter half (block 5). In the middle phase, the amplitude was the greatest. The low amplitude of early CNV in the early half of the task (block 1) was inferred to have been induced by excessive arousal state because of the low relative power values of alpha waves and the high SPL at this time. On the other hand, the low amplitude in the later phase (block 5) was inferred to have been induced by reduction in arousal level because of the high relative power values of alpha waves and the low SPL. These results suggested that CNV amplitude and arousal level was in an inverted-U relationship.

The psychological factors of a premature response based on contingent negative variation.

The psychological factors of a premature response on simple reaction-time tasks were examined by comparing the difference between control responses (33 samples) and premature responses (33 samples) using the index of Contingent Negative Variation (CNV). The first (warning) stimulus was a click, the second (imperative) stimulus was a colored circular figure presented on a CRT, and the interstimulus interval was set at 3 sec. 72 trials were administered to the 24 subjects, then 33 artifact-free CNV data in a premature response were shown. Analyses indicated that CNV amplitudes in the premature response were lower than those in the control response at frontal position. Especially in the premature response, CNV waveforms stayed around baseline toward S2 at F3 and F4. In the analyses of variance, every CNV component (early, late, and whole components) at F4 or FZ was significantly lower for the premature response. These results suggested that the optimal prediction, arousal, and attention do not seem to be maintained in a premature response.

Effects on contingent negative variation of set created by anticipating variable foreperiods.

The influence of set on a simple reaction time task was examined by comparing the differences of psychological factors between a group of subjects who expected and experienced a fixed foreperiod Control condition: 12 subjects) and another group of subjects who were instructed to expect variable foreperiods but experienced the same fixed foreperiod (Instruction condition: 11 subjects), using the index of contingent negative variation (CNV). The foreperiod of simple reaction time task in each condition was fixed at 3 sec. Subjects were required to respond to 2 blocks of 24 trials, and each instruction was presented between blocks. On the second block CNV amplitudes were higher in the instruction condition as was every CNV component (early late, and whole component). The set created by anticipating variable foreperiods seems to increase cerebral activity, arousal, and attention during simple reaction time tasks.

Abnormal sensorimotor integration in writer's cramp: Study of contingent negative variation

To investigate the pathophysiology of idiopathic focal dystonia, we recorded contingent negative variation (CNV) as a physiological index of sensorimotor integration in 14 right-handed patients with writer's cramp and compared it with normative data. CNV was recorded in the S2 choice reaction time paradigm: Two kinds of auditory S2 (Go or No-Go) were given 2 s after the auditory S1, and the subject reacted only to the Go signal by extending the wrist. In normal subjects, the late CNV amplitude had no difference at Cz between left- and right-hand tasks and was symmetric without significant amplitude laterality irrespective of the side of hand movement. In patients with writer's cramp, the late CNV amplitude at Cz was relatively larger for the left-hand task than the right-hand task (p < 0.03), and a significant amplitude laterality of the late CNV (larger on the right) was present especially at the central area for the right-hand task (p < 0.03). Since the late CNV is known to be generated, at least in part, from primary and supplementary motor cortices, the significant laterality of the late CNV seen with the right-hand task in patients with writer's cramp might represent functional abnormality of motor cortices possibly as the result of basal ganglia function.

Hippocampal NAA depletion in psychosis: 1H MRS in schizophrenia and temporal lobe epilepsy

The contingent negative variation (CNV) is a long-latency event-related potential elicited by paired or associated stimuli. We recorded contingent negative variation in 50 patients with complex partial and secondarily generalized seizures and in 20 neurologically and psychiatrically normal unmedicated controls.CNV was recorded from Fz, Cz, and Pz. A 2000 Hz tone was followed after 1.5 s by 1000 microsecond light flash, at which a button press was to be executed. Filter band pass was 0.1–20 Hz, analysis time was 10s and 10 responses were replicated.Patients with complex partial seizures with and without secondary generalization had lower measurements of area under the CNV curve (AUC) than did controls, and CNV amplitude was significantly reduced. Patients with interictal behavioural symptoms had significantly smaller AUC and lower amplitude. No significant difference was found between depressed and non-depressed seizure patients with respect to AUC, but amplitude was significantly lower in depressed patients. Seizure patients with psychosis had significantly lower AUC but did not differ from non-psychotic patients in CNV amplitude. No differences were found between seizure patients with and without personality disorder with respect to CNV AUC or amplitude. Post-imperative negative variation was significantly more common in seizure patients than in controls and among patients with epilepsy, was significantly increased in those with inter-ictal behaviour disturbance generally and psychosis particularly. No specific effect of anticonvulsant monotherapy on AUC or amplitude was identified.These findings suggest that CNV may differ between partial epilepsy patients and controls, and that inter-ictal behaviour disturbance may particularly affect CNV measures. They also agree with previous evidence for a frontal lobe generator for the CNV, and a possible role for central dopaminergic pathways in the production of PINV.