Event-related Potentials Morphology Research Articles

Modelling mouse auditory response dynamics along a continuum of consciousness using a deep recurrent neural network

Objective. Understanding neurophysiological changes that accompany transitions between anaesthetized and conscious states is a key objective of anesthesiology and consciousness science. This study aimed to characterize the dynamics of auditory-evoked potential morphology in mice along a continuum of consciousness. Approach. Epidural field potentials were recorded from above the primary auditory cortices of two groups of laboratory mice: urethane-anaesthetized (A, n = 14) and conscious (C, n = 17). Both groups received auditory stimulation in the form of a repeated pure-tone stimulus, before and after receiving 10 mg kg−1 i.p. ketamine (AK and CK). Evoked responses were then ordered by ascending sample entropy into AK, A, CK, and C, considered to reflect physiological correlates of awareness. These data were used to train a recurrent neural network (RNN) with an input parameter encoding state. Model outputs were compared with grand-average event-related potential (ERP) waveforms. Subsequently, the state parameter was varied to simulate changes in the ERP that occur during transitions between states, and relationships with dominant peak amplitudes were quantified. Main results. The RNN synthesized output waveforms that were in close agreement with grand-average ERPs for each group (r 2 > 0.9, p < 0.0001). Varying the input state parameter generated model outputs reflecting changes in ERP morphology predicted to occur between states. Positive peak amplitudes within 25–50 ms, and negative peak amplitudes within 50–75 ms post-stimulus-onset, were found to display a sigmoidal characteristic during the transition from anaesthetized to conscious states. In contrast, negative peak amplitudes within 0–25 ms displayed greater linearity. Significance. This study demonstrates a method for modelling changes in ERP morphology that accompany transitions between states of consciousness using an RNN. In future studies, this approach may be applied to human data to support the clinical use of ERPs to predict transition to consciousness.

Understanding the causes and consequences of variability in infant ERP editing practices.

The current study examined the effects of variability on infant event-related potential (ERP) data editing methods. A widespread approach for analyzing infant ERPs is through a trial-by-trial editing process. Researchers identify electroencephalogram (EEG) channels containing artifacts and reject trials that are judged to contain excessive noise. This process can be performed manually by experienced researchers, partially automated by specialized software, or completely automated using an artifact-detection algorithm. Here, we compared the editing process from four different editors-three human experts and an automated algorithm-on the final ERP from an existing infant EEG dataset. Findings reveal that agreement between editors was low, for both the numbers of included trials and of interpolated channels. Critically, variability resulted in differences in the final ERP morphology and in the statistical results of the target ERP that each editor obtained. We also analyzed sources of disagreement by estimating the EEG characteristics that each human editor considered for accepting an ERP trial. In sum, our study reveals significant variability in ERP data editing pipelines, which has important consequences for the final ERP results. These findings represent an important step toward developing best practices for ERP editing methods in infancy research.

Auditory attention in childhood and adolescence: An event-related potential study of spatial selective attention to one of two simultaneous stories

Auditory selective attention is a critical skill for goal-directed behavior, especially where noisy distractions may impede focusing attention. To better understand the developmental trajectory of auditory spatial selective attention in an acoustically complex environment, in the current study we measured auditory event-related potentials (ERPs) across five age groups: 3-5 years; 10 years; 13 years; 16 years; and young adults. Using a naturalistic dichotic listening paradigm, we characterized the ERP morphology for nonlinguistic and linguistic auditory probes embedded in attended and unattended stories. We documented robust maturational changes in auditory evoked potentials that were specific to the types of probes. Furthermore, we found a remarkable interplay between age and attention-modulation of auditory evoked potentials in terms of morphology and latency from the early years of childhood through young adulthood. The results are consistent with the view that attention can operate across age groups by modulating the amplitude of maturing auditory early-latency evoked potentials or by invoking later endogenous attention processes. Development of these processes is not uniform for probes with different acoustic properties within our acoustically dense speech-based dichotic listening task. In light of the developmental differences we demonstrate, researchers conducting future attention studies of children and adolescents should be wary of combining analyses across diverse ages.

Validation of the Emotiv EPOC EEG system for research quality auditory event-related potentials in children.

Background. Previous work has demonstrated that a commercial gaming electroencephalography (EEG) system, Emotiv EPOC, can be adjusted to provide valid auditory event-related potentials (ERPs) in adults that are comparable to ERPs recorded by a research-grade EEG system, Neuroscan. The aim of the current study was to determine if the same was true for children.Method. An adapted Emotiv EPOC system and Neuroscan system were used to make simultaneous EEG recordings in nineteen 6- to 12-year-old children under “passive” and “active” listening conditions. In the passive condition, children were instructed to watch a silent DVD and ignore 566 standard (1,000 Hz) and 100 deviant (1,200 Hz) tones. In the active condition, they listened to the same stimuli, and were asked to count the number of ‘high’ (i.e., deviant) tones.Results. Intraclass correlations (ICCs) indicated that the ERP morphology recorded with the two systems was very similar for the P1, N1, P2, N2, and P3 ERP peaks (r = .82 to .95) in both passive and active conditions, and less so, though still strong, for mismatch negativity ERP component (MMN; r = .67 to .74). There were few differences between peak amplitude and latency estimates for the two systems.Conclusions. An adapted EPOC EEG system can be used to index children’s late auditory ERP peaks (i.e., P1, N1, P2, N2, P3) and their MMN ERP component.

P300-based brain-computer interface (BCI) event-related potentials (ERPs): People with amyotrophic lateral sclerosis (ALS) vs. age-matched controls

ObjectiveBrain-computer interfaces (BCIs) aimed at restoring communication to people with severe neuromuscular disabilities often use event-related potentials (ERPs) in scalp-recorded EEG activity. Up to the present, most research and development in this area has been done in the laboratory with young healthy control subjects. In order to facilitate the development of BCI most useful to people with disabilities, the present study set out to: (1) determine whether people with amyotrophic lateral sclerosis (ALS) and healthy, age-matched volunteers (HVs) differ in the speed and accuracy of their ERP-based BCI use; (2) compare the ERP characteristics of these two groups; and (3) identify ERP-related factors that might enable improvement in BCI performance for people with disabilities. MethodsSixteen EEG channels were recorded while people with ALS or healthy age-matched volunteers (HVs) used a P300-based BCI. The subjects with ALS had little or no remaining useful motor control (mean ALS Functional Rating Scale-Revised 9.4 (±9.5SD) (range 0–25)). Each subject attended to a target item as the items in a 6×6 visual matrix flashed. The BCI used a stepwise linear discriminant function (SWLDA) to determine the item the user wished to select (i.e., the target item). Offline analyses assessed the latencies, amplitudes, and locations of ERPs to the target and non-target items for people with ALS and age-matched control subjects. ResultsBCI accuracy and communication rate did not differ significantly between ALS users and HVs. Although ERP morphology was similar for the two groups, their target ERPs differed significantly in the location and amplitude of the late positivity (P300), the amplitude of the early negativity (N200), and the latency of the late negativity (LN). ConclusionsThe differences in target ERP components between people with ALS and age-matched HVs are consistent with the growing recognition that ALS may affect cortical function. The development of BCIs for use by this population may begin with studies in HVs but also needs to include studies in people with ALS. Their differences in ERP components may affect the selection of electrode montages, and might also affect the selection of presentation parameters (e.g., matrix design, stimulation rate). SignificanceP300-based BCI performance in people severely disabled by ALS is similar to that of age-matched control subjects. At the same time, their ERP components differ to some degree from those of controls. Attention to these differences could contribute to the development of BCIs useful to those with ALS and possibly to others with severe neuromuscular disabilities.

Plasticity in developing brain: active auditory exposure impacts prelinguistic acoustic mapping.

A major task across infancy is the creation and tuning of the acoustic maps that allow efficient native language processing. This process crucially depends on ongoing neural plasticity and keen sensitivity to environmental cues. Development of sensory mapping has been widely studied in animal models, demonstrating that cortical representations of the sensory environment are continuously modified by experience. One critical period for optimizing human language mapping is early in the first year; however, the neural processes involved and the influence of passive compared with active experience are as yet incompletely understood. Here we demonstrate that, while both active and passive acoustic experience from 4 to 7 months of age, using temporally modulated nonspeech stimuli, impacts acoustic mapping, active experience confers a significant advantage. Using event-related potentials (ERPs), we show that active experience increases perceptual vigilance/attention to environmental acoustic stimuli (e.g., larger and faster P2 peaks) when compared with passive experience or maturation alone. Faster latencies are also seen for the change discrimination peak (N2*) that has been shown to be a robust infant predictor of later language through age 4 years. Sharpening is evident for both trained and untrained stimuli over and above that seen for maturation alone. Effects were also seen on ERP morphology for the active experience group with development of more complex waveforms more often seen in typically developing 12- to 24-month-old children. The promise of selectively "fine-tuning" acoustic mapping as it emerges has far-reaching implications for the amelioration and/or prevention of developmental language disorders.

Decision and dopaminergic system: an ERPs study of Iowa gambling task in Parkinson's disease.

Recent researches reported behavioral and emotional impairment in Parkinson’s disease (PD), even in the earliest stages. This impairment affects also decision-making and learning processes. The Iowa gambling task (IGT) is commonly used to examine the decision-making capacity. The purpose of the present study was to investigate the neural correlates of feedback evaluation in the decision-making process into a learning context, using IGT and event-related potentials (ERPs) in a group of non-demented medicated PD patients. Fifteen PD patients and 15 healthy controls were recruited for the study. PD patients were administrated a basic neuropsychological assessment oriented to exclude cognitive impairments. Both groups underwent the computerized IGT during electroencephalography (EEG) registration. To analyse ERPs, continuous EEG data were epoched within a time-window starting 1000 ms before and ending 1000 ms after feedback presentation and averaged separately for positive (i.e., win condition) and negative (i.e., loss condition) feedbacks. Behavioral data revealed a significant lower performance of PD patients (p < 0.05) compared with the controls. While controls demonstrated a correct feedback evaluation, PD patients did not show any learning, selecting more disadvantageous decks even in the last part of task. Furthermore, ERPs results revealed that controls showed a significant difference (p < 0.05) in ERPs morphology recorded after the win and the loss conditions, suggesting that positive and negative feedbacks were differently evaluated and processed. PD patients showed a different pattern: their ERPs morphology was the same for positive and negative feedback. Interestingly, our ERPs results suggest that in PD patients an incorrect evaluation of context-relevant outcomes could be the reason of a poor performance in decision-making tasks, and could explain cognitive and behavioral problems related to impulse control disorder.

Impaired Emotional Prosody Processing in Severe Traumatic Brain Injury: An Event-Related Potential Study

Event Abstract Back to Event Impaired Emotional Prosody Processing in Severe Traumatic Brain Injury: An Event-Related Potential Study Jacqueline A. Rushby1*, Skye McDonald1, Francesca Froreich1, Alana Fisher1 and Jaimi Iredale1 1 University of New South Wales, Psychology, Australia Aims: Impaired communicative competence is well-documented among individuals with a severe traumatic brain injury (TBI). These impairments may in part result from a reduced perception of paralinguistic cues, such as emotional prosody which help inform judgments about another’s emotional state. This study used event-related potentials (ERPs) to examine the neural mechanisms of emotional prosody perception in TBI, within the framework of Schirmer and Kotz’s (2006) model of vocal emotion perception. Methods: Nineteen adults with severe TBI (15 male, age 46.1, education 12.5, average post-traumatic amnesia 66.78 days, average time post-injury 12.5 y), and 18 neurologically-healthy controls (11 males, age 43.9, education 15.4) completed a discrimination task which presented semantically-neutral word pairs from five prosody conditions (happy/happy, angry/angry, neutral/neutral, angry/happy, happy/angry); participants were required to judge the emotional prosody as the ‘same’ or ‘different’ whilst electroencephalogram and accuracy were recorded. Results: Preliminary analyses indicated that ERPs were larger in control compared with TBI participants, and were larger in central than lateral sites for both emotion categories compared with neutral, whereas the converse was found in TBI ,who showed a hemisphere > midline topography, but no topographical differentiation across frontal/posterior regions (F = 4.26, p = .046). This difference was also reflected in reduced accuracy for both emotion conditions for TBI group. Conclusions: TBI participants were not impaired in sensory processing of acoustic cues or recognition of emotional salience in acoustic cues. In regards to cognition and evaluative judgement however, TBI participants showed obvious differences in both ERP morphology, and behavioural outcomes, compared with controls. These findings are consistent with the frontal and posterior poles being more vulnerable to damage in TBI. Keywords: emotion, Prosody, ERP, Severe traumatic brain injury, Sensory Processing* Conference: ASP2013 - 23rd Annual meeting of the Australasian Society for Psychophysiology, Wollongong, Australia, 20 Nov - 22 Nov, 2013. Presentation Type: Oral Presentation Topic: Emotion Citation: Rushby JA, McDonald S, Froreich F, Fisher A and Iredale J (2013). Impaired Emotional Prosody Processing in Severe Traumatic Brain Injury: An Event-Related Potential Study. Conference Abstract: ASP2013 - 23rd Annual meeting of the Australasian Society for Psychophysiology. doi: 10.3389/conf.fnhum.2013.213.00035 Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters. The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated. Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed. For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions. Received: 24 Oct 2013; Published Online: 05 Nov 2013. * Correspondence: Dr. Jacqueline A Rushby, University of New South Wales, Psychology, Randwick, NSW, 2031, Australia, j.rushby@unsw.edu.au Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers Jacqueline A Rushby Skye McDonald Francesca Froreich Alana Fisher Jaimi Iredale Google Jacqueline A Rushby Skye McDonald Francesca Froreich Alana Fisher Jaimi Iredale Google Scholar Jacqueline A Rushby Skye McDonald Francesca Froreich Alana Fisher Jaimi Iredale PubMed Jacqueline A Rushby Skye McDonald Francesca Froreich Alana Fisher Jaimi Iredale Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. Please enable Javascript in your browser settings in order to see all the content on this page.

Visual processing in a facial emotional context: An ERP study

Facial emotional processing can be bypassed when faces are task-irrelevant and attention is diverted, although this effect has not been examined when cognitive task occurs within a facial background. Event-related potential (ERP) measures were obtained to evaluate the influence of different irrelevant facial emotional contexts on a simultaneous “ear-size” detection task performance in five processing contexts: (1) neutral face, (2) happy face, (3) fearful face, (4) facial contour, and (5) non-facial context. Reaction times were longer when visual processing occurred in a facial context, regardless of its emotional content. The context of neutral faces also demonstrated a lower number of correct responses, with fewer incorrect responses found during the presentation of fearful faces compared to the neutral facial context. ERP morphology was similar across all conditions, but ERP amplitude from components for the non-facial context was larger than that of the alternative conditions from 100 to 300 ms, with a similar N170-like potential also observed. The findings suggest that simultaneous irrelevant emotional facial stimuli may affect cognitive processing by altering two temporarily overlapped neural mechanisms: one responsible for earlier face detection, and the other involved in emotional recognition. The first might delay simultaneous cognitive actions by diverting attention, whereas while the latter may enhance the availability of processing resources through the participation of a subcortical pathway.

Developmental dyslexia: ERP correlates of anomalous phonological processing during spoken word recognition

Ample evidence suggests that developmental dyslexia results from a phonological deficit that may not be reducible to a low-level auditory deficit. Yet, on-line phonological processing (in)capacities in dyslexics remain virtually unexplored, as studies have typically focused on either meta-phonological awareness tasks or, at the other extreme, basic perceptual tasks. The present study investigates event-related potential (ERP) correlates of implicit phonological processing during the recognition of spoken words in dyslexic and normally reading children (7–10 years). We examined general ERP morphology and alliteration priming effects on ERP measures in an auditory lexical decision task. Primes were words (Experiment 1) and non-words (Experiment 2). Alliteration priming effects suggested a distinct pattern of normal versus anomalous aspects of spoken word processing in dyslexic children. Whereas dyslexics showed deviant priming effects in earlier time windows encompassing the N1 and N2, later N400 priming effects were comparable to those of normal readers. The same pattern of results was also present in group comparisons of general ERP morphology. These findings suggest that dyslexics have selective processing anomalies at an earlier phonetic/phonological level, while processing at a later phonological/lexical level proceeds normally. In particular, our results indicate an anomalous contribution of phonological (word onset) information to the processing of spoken words, which may be related to time-course aspects of phonetic/phonological processing.

Rapid discrimination of visual and multisensory memories revealed by electrical neuroimaging

Though commonly held that multisensory experiences enrich our memories and that memories influence ongoing sensory processes, their neural mechanisms remain unresolved. Here, electrical neuroimaging shows that auditory–visual multisensory experiences alter subsequent processing of unisensory visual stimuli during the same block of trials at early stages poststimulus onset and within visual object recognition areas. We show this with a stepwise analysis of scalp-recorded event-related potentials (ERPs) that statistically tested (1) ERP morphology and amplitude, (2) global electric field power, (3) topographic stability of and changes in the electric field configuration, and (4) intracranial distributed linear source estimations. Subjects performed a continuous recognition task, discriminating repeated vs. initial image presentations. Corresponding, but task-irrelevant, sounds accompanied half of the initial presentations during a given block of trials. On repeated presentations within a block of trials, only images appeared, yielding two situations—the image's prior presentation was only visual or with a sound. Image repetitions that had been accompanied by sounds yielded improved memory performance accuracy (old or new discrimination) and were differentiated as early as ∼ 60–136 ms from images that had not been accompanied by sounds through generator changes in areas of the right lateral–occipital complex (LOC). It thus appears that unisensory percepts trigger multisensory representations associated with them. The collective data support the hypothesis that perceptual or memory traces for multisensory auditory–visual events involve a distinct cortical network that is rapidly activated by subsequent repetition of just the unisensory visual component.

Long latency event-related potentials in rats: response of amygdala, nucleus accumbens, dorsal hippocampus and frontal cortex to changes in reward characteristics of conditioned stimuli

Circuits involving major afferents to the ventral striatum from the frontal cortex, amygdala and hippocampus have been implicated in the selective processing of conditioned stimuli predictive of `important events' or reward-related processes. We utilized an animal model of event-related potentials (ERPs) to explore the relationship between these brain areas during the performance of a conditioning/extinction task. Significant reductions in the N1 component in cortex and P2 component in amygdala of the rat ERP were found as a consequence of removal of the food reward previously associated with the stimuli. Lesions of the nucleus basalis magnocellularis were without effect on the pattern of ERP morphology changes associated with the removal of the reward. Since the N1 component of the ERP has been linked to attentional processes, these studies suggest that elimination of reward characteristics of conditioning stimuli can lead to a specific reductions in `attention' and or `sensory reaction' in frontal cortex and amygdala but not to general habituation to these stimuli or in other areas of the CNS.

Long latency event related potentials in rats: The effects of changes in stimulus parameters and neurochemical lesions

Animal models of event related potentials (ERPs) have recently been developed in order to gain further understanding of the psychobiological variables which may underlie these brain potentials. In the present study, unanaesthetized rats were utilized in order to evaluate the effects on rat ERP morphology of changes in the auditory stimulus parameters used to elicit these potentials such as tone probability and intensity. In addition, the consequences of reductions in norepinephrine (NE) produced by six-hydroxydopamine (6-OHDA) lesions to the area of the dorsal noradrenergic bundle in ERP wave forms were evaluated. Forty, experimentally naive, male rats chronically implanted with electrodes were used in this study. The results of these studies showed that in all electrode sites (frontal cortex, ventral thalamus, dorsal hippocampus, locus coeruleus) a series of large amplitude potentials in the 10-200 msec latency range could be recorded, some of which were sensitive to changes in the auditory stimulus parameters such as probability and tone intensity. Late positive potentials in the 300-400 msec range could be identified in recordings from the dorsal hippocampus and were found to be sensitive to probability independent of tone intensity. Dorsal noradrenergic bundle lesions were also found to produce significant changes in these rat ERP components. Lesioned animals were found to have increases in amplitude to the early negative potentials (in the 50-100 msec range) in response to frequent tones in cortical leads and decreases in the amplitude of the late positive potentials (in the 300-400 msec range) recorded in hippocampal leads in response to infrequent tones. These findings are consistent with a role for NE in the forebrain in the processing of novel or "selective" stimuli.

Evoked potential variation in schizophrenic subgroups

Unmedicated chronic schizophrenic inpatients and nonpsychotic controls were tested in a paradigm designed to elicit habituated event-related potentials (ERPs) to auditory stimuli. Analysis of Variance of the ERP components recorded at bilateral frontal (F1 and F2) and temporal (T3 and T4) scalp leads revealed significant decreases in N1 component amplitudes in both frontal leads in the schizophrenic subjects. P2 and N2 amplitudes also tended to be smaller at frontal leads in the schizophrenic subjects, but these differences were not found to be statistically significant overall. The schizophrenic subjects were assigned to diagnostic subgroups following administration of the Diagnostic Interview Schedule, the Maine Paranoid Scale, and the Scale for the Assessment of Negative Symptoms. Subjects meeting DSM-III criteria for paranoid schizophrenia were assigned to one subgroup (PS subgroup), and those meeting DSM-III criteria for residual or undifferentiated schizophrenia were assigned to another subgroup (RS subgroup). The Analysis of Variance of the N1 amplitude measures was repeated with subgroup diagnosis as a factor, revealing significant decreases in N1 amplitude in the PS, but not the RS, patients. Patients in the PS subgroup were found to differ significantly from those in the RS subgroup on this ERP measure, as well as from controls. These results suggest that subgroup differences exist within the schizophrenic population that are reflected in differential changes in ERP morphology.

A Parietooccipital Generator for P300: Evidence from Human Intracranial Recordings

Auditory event-related potentials (ERPs) were recorded simultaneously from the scalp and from bilateral intracranial sites within the frontal and temporal lobes, as well as from intracortical sites in the parieto-occipital region in a subject undergoing evaluation for surgical treatment of medically intractable epilepsy. Scalp ERP morphology was entirely normal. Large amplitude ERPs could be recorded from all intracranial sites. Furthermore, polarity inversions of ERP components with latencies similar to that of the scalp P300 were recorded in both temporal lobes and from the parieto-occipital region. These findings are consistent with suggestions that multiple intracranial generators, including extratemporal ones, give rise to the scalp-recorded P300. These data also provide a basis for a conceptual link between hypotheses concerning the neural substrate of attention and the psychological correlates of the P300.

Auditory event-related potentials in the squirrel monkey: Parallels to human late wave responses

Event-related potentials (ERPs) were recorded from the brain surface in squirrel monkeys during the presentation of two auditory stimulus paradigms which have previously been utilized to elicit scalp-recorded ERPs in humans. In the first paradigm, inter-stimulus interval (ISI) was systematically varied during the presentation of a series of tone pips. The tones produced a negative (70 ms)-positive (130 ms) sequence of components similar in morphology to the human scalp-recorded N1-P2 'vertex' potential. The amplitude of the N70 and P130 components recorded from midline electrodes decreased with decreasing ISI, as previously shown for the human vertex potential. However, this amplitude change with ISI was not observed in ERPs recorded from lateral frontal and temporal electrodes. These results agree with previous studies of monkeys and humans which suggest at least two different sources contribute to N1-P2 components recorded in response to tones. The effects of stimulus probability and novelty on ERP morphology and amplitude were studied in the second paradigm. ERPs elicited by frequent (P = 0.92) and infrequent (P = 0.08) tone pips presented in an unpredictable order were compared. N70 - P130 components were produced by both stimuli, and the infrequent stimuli also elicited a broad, long latency (300 ms) positive complex that decreased in amplitude with repeated presentations. In humans the same infrequent auditory stimuli produce a frontally distributed late positive component that has been interpreted as indicating the activation of orientation mechanisms or of a 'mismatch detector'. These data suggest that in these paradigms squirrel monkeys exhibit ERPs which are similar in several respects to ERPs recorded to identical stimuli in humans.

Event-Related Potentials as Indicants of Structural and Functional Damage in Closed Head Injury

This chapter discusses event-related potentials (ERPs) as indicants of structural and functional damage in closed head injury. In the past the primary application of ERP techniques to the study of head injury has been in the assessment of sensory integrity in unresponsive or uncooperative patients. Specific alterations in ERP morphology have been used with some success as localizing signs in the head injured. Recent attempts to demonstrate the prognostic value of ERPs in the severely head injured have been extremely encouraging. Close correlation between exogenous ERP morphology and functional state has led to the use of ERPs to monitor the recovery function. A battery of neuropsychological and electrophysiological procedures is administered to a group of patients with closed head injury and to a control group of 11 subjects without head injury. A composite neuropsychological test battery is used to assess the integrity of particular aspects of psychological function relative to the individuals' estimated premorbid abilities and to those of the control patients.