Long-latency Somatosensory Evoked Potentials Research Articles

Psychopathology and patterns of sensory processing in nonsuicidal self-injured adolescents

Nonsuicidal self-injury (NSSI) is a multifaceted and growing phenomenon among adolescents. This study aimed at analyzing some of the psychobehavioral correlates of NSSI compare to features of long latency Somatosensory Evoked Potentials (LL-SSEP). We studied 12 adolescents (mean age 14 ys ± 1 ys), presenting NSSI referred to the Infantile Neuropsychiatry Unit of Gaslini Children’s Hospital of Genoa. We divided the sample in two groups (frequent NSSI - fNSSI and occasional NSSI - oNSSI) based on the Risk-Taking and Self-Harm Inventory for Adolescents (RITSHIA) for evaluated presence and severity of NSSI (cut off at Self-Harm subscale 16). We evaluated: the Theory of Mind subtest of NEPSY-II battery (TOM) for mentalizing ability, temporal features and topographical distribution bilaterally across the cortex of the LL-SSEP following physiological sequence N60-N70-N140. fNSSI presented lower mentalization ability in 5/6 patients compared to oNSSI (normal TOM score in 6/6 patients). Analyzing LL-SSEP we recorded not significant differences in latency of N60 and N70 and amplitude of N140, but fNSSI presented less representation and distribution with less amplitude of N60-N70 and increase latency of N140. Features of LL-SSEP correlate with the ability of mentalization and the intensity of NSSI behavior.

Intraoperative Localization of the Subthalamic Nucleus Using Long-Latency Somatosensory Evoked Potentials

Target localization for deep brain stimulation (DBS) is a challenging step that determines not only the correct placement of stimulation electrodes, but also influences the success of the DBS procedure as reflected in the desired clinical outcome of a patient. We report on the feasibility of DBS target localization in the subthalamic nucleus (STN) by long-latency somatosensory evoked potentials (LL-SSEPs) (>40msec) in Parkinson's disease (PD) patients. Micro-macroelectrode recordings were performed intraoperatively on seven PD patients (eight STN hemispheres) who underwent DBS treatment. LL-SSEPs were elicited by ipsi- and contralateral median nerve stimulation to the wrist. Four distinctive LL-SSEP components were elicited ("LL-complex" consisting of P80, N100, P140, and N200). The P80 appeared as the most visible and reliable intraoperative component. Localization of the "LL-complex" within the target was approved with typical microelectrode firing activity patterns, atlas visualization of recording electrodes, and postoperative CT-based visualization of final DBS electrodes. LL-SSEPs represent a promising approach for DBS target localization in the STN, provided deeper understanding on their anesthesia effect is obtained. This approach is advantageous in that it does not require the patient's participation in an intraoperative setting.

Bilateral cortical representation of tactile roughness

Roughness is the most important feature for texture discrimination. Here we investigate how the bilateral cortical representation of touch is modulated by tactile roughness by analyzing the neural responses elicited by stimuli with various coarseness levels ranging from fine to medium.A prolonged stimulation was delivered to 10 healthy subjects by passively sliding tactile stimuli under the fingertip while recording the EEG to study the modulation of Somatosensory Evoked Potentials (SEPs) as well as activity in the theta and alpha bands. Elicited long-latency SEPs, namely bilateral P100-N140 and frontal P240 were consistent across stimuli. On the contrary, the temporal lag N140 – P240 was nonlinearly modulated both in contralateral and ipsilateral sides, in agreement with literature.Using a time-frequency analysis approach, we identified a theta band power increase in the [0 0.5]s interval and a partially overlapped power decrease in the alpha band which lasted throughout the stimulation. The estimated time these two phenomena were overlapped was comparable across stimuli, whereas a linear decrease in alpha band amplitude was reported when increasing the stimulus roughness in both contralateral and ipsilateral sides.This study showed that the selected tactile stimuli generated physiological bilateral responses that were modulated in a diversified way according to the stimulus roughness and side. Specifically, we identified sensory processing features (i.e., theta and alpha time overlap) invariant to the stimulus roughness (i.e., associated to a basic cortical mechanism of touch) and roughness-dependent cortical outputs comparable in the contralateral and ipsilateral sides that confirm a bilateral processing of tactile information.

Correction: Long-Latency Somatosensory Evoked Potentials of the Subthalamic Nucleus in Patients with Parkinson's Disease.

[This corrects the article DOI: 10.1371/journal.pone.0168151.].

The relationship in gating effects between short-latency and long-latency somatosensory-evoked potentials

We investigated the relationship between short-latency and long-latency somatosensory-evoked potentials (SEPs) relating to voluntary movement. In general, the amplitudes of short-latency components in SEPs are attenuated during movement, whereas those of long-latency are enhanced, and this phenomenon is termed 'gating effects'. This study aimed to examine the relationship of changes in amplitude between short-latency and long-latency SEPs. SEPs were recorded from 11 participants at Fz, Cz, Pz, and C4' by stimulating the left median nerve. Two tasks were conducted; Control and Movement. In Control, the participant was asked to relax with no specific task. In Movement, the participant was encouraged to continue a rapid drumming motion of all fingers of the left hand at a self-paced rate. The amplitudes of short-latency SEPs, the P25 at C4' and N30 at Fz, were significantly smaller in the Movement than Control condition. By contrast, the amplitudes of long-latency SEPs, the N140 at Fz, Cz, and Pz were significantly larger in Movement than Control condition. Moreover, a significant positive correlation was observed in the rate of amplitude change between the frontal N30 and vertex N140, indicating that for the participants with a frontal N30 of smaller amplitude during Movement, the amplitude of the vertex N140 was smaller. We inferred that the neural activities in movement-related cortices affected the sources for the frontal N30 and vertex N140 in the same neuronal network simultaneously.

The effect of taping along forearm on long-latency somatosensory evoked potentials (SEPs): an ERP study

The application of tape has been widely used for many years by physiotherapists to deal with variety of sports disorders. However, it remains unclear whether the tape application affects the...

Study of the origin of short- and long-latency SSEP during recovery from brain ischemia in a rat model

Somatosensory evoked potentials (SSEPs) have been established as an electrophysiological tool for the prognostication of neurological outcome in patients with hypoxic–ischemic brain injury. The early and late responses in SSEPs reflect the sequential activation of neural structures along the somatosensory pathway. This study reports that the SSEP can be separated into early (short-latency, SL) and late (long-latency, LL) responses using independent component analysis (ICA), based on the assumption that these components are generated from different neural sources. Moreover, this source separation into the SL and LL components allows analysis of electrophysiological response to brain injury, even when the SSEPs are severely distorted and SL and LL components get mixed. With the help of ICA decomposition and corrected peak estimation, the latency of LL-SSEP is shown to be predictive of long-term neurological outcome. Further, it is shown that the recovery processes of SL- and LL-SSEPs follow different dynamics, with the SL-SSEP restored earlier than LL-SSEP. We predict that the SL- and LL-SSEPs reflect the timing of the progression of evoked response through the thalamocortical pathway and as such respond differently depending upon injury and recovery of the thalamic and cortical regions, respectively.

Polymorphisms within the 4-aminobutyrate aminotransferase gene are associated with long-latency somatosensory potentials in families vulnerable for affective disorders

Depression is known to frequently co-occur with somatic symptoms and data from the Munich Vulnerability Study pointed to somatization as a possible vulnerability marker for affective disorders observable before disease onset. In this context previous studies furthermore revealed long-latency somatosensory evoked potentials (SSEP) to be a potential marker for susceptibility to depressive disorder. Based on this evidence we performed a small family-based association study to investigate genetic associations between long-latency SSEP and polymorphisms within candidate gene regions of somatosensory pathways including the serotonergic, GABAergic as well as the substance P system. The sample was composed of families at high risk for affective disorders who were participating in the Munich Vulnerability Study. We observed significant associations between average SSEP response strength in the long-latency range and polymorphisms within the 3' untranslated region of the 4-aminobutyrate aminotransferase gene coding for a protein responsible for GABA degradation. These findings point to a possible role of GABA catabolism in processing of somatosensory stimuli as well as for bodily misperceptions in connection with vulnerability for affective disorders.

Percutaneous tibial nerve stimulation produces effects on brain activity: Study on the modifications of the long latency somatosensory evoked potentials

Long-latency somatosensory evoked potentials (LL-SEP) provide information on the function of somatosensory cortical structures. Percutaneous tibial nerve stimulation (PTNS) is indicated in the treatment of lower urinary tract dysfunction. Aim of this study was to evaluate LL-SEP in patients with overactive bladder syndrome (OAB) treated by means of PTNS. Sixteen female patients with a diagnosis of pharmacoresistant OAB underwent PTNS while eight female patients with the same diagnosis underwent sham stimulation. LL-SEP were performed at baseline and at the end of PTNS or sham stimulation. Peak latency and peak to peak amplitude of P80, P100, and P200 waves were measured. Mean latency of P80, P100, and P200 and mean amplitude of P200 did not show any significant change after both stimulation. Mean amplitude of P80 and P100 waves increased significantly after PTNS while it did not vary after sham stimulation. The P80 and P100 amplitude increase might reflect long-term modifications in synaptic efficiency through the somatosensory pathway. The plastic reorganization of cortical network triggered by peripheral neuromodulation can be hypothesized as a mechanism of action of PTNS. Further studies are needed to correlate LL-SEP modifications after PTNS with the success of the treatment.

Spatial Attention Related SEP Amplitude Modulations Covary with BOLD Signal in S1—A Simultaneous EEG—fMRI Study

Recent studies investigating the influence of spatial-selective attention on primary somatosensory processing have produced inconsistent results. The aim of this study was to explore the influence of tactile spatial-selective attention on spatiotemporal aspects of evoked neuronal activity in the primary somatosensory cortex (S1). We employed simultaneous electroencephalography (EEG)-functional magnetic resonance imaging (fMRI) in 14 right-handed subjects during bilateral index finger Braille stimulation to investigate the relationship between attentional effects on somatosensory evoked potential (SEP) components and the blood oxygenation level-dependent (BOLD) signal. The 1st reliable EEG response following left tactile stimulation (P50) was significantly enhanced by spatial-selective attention, which has not been reported before. FMRI analysis revealed increased activity in contralateral S1. Remarkably, the effect of attention on the P50 component as well as long-latency SEP components starting at 190 ms for left stimuli correlated with attentional effects on the BOLD signal in contralateral S1. The implications are 2-fold: First, the correlation between early and long-latency SEP components and the BOLD effect suggest that spatial-selective attention enhances processing in S1 at 2 time points: During an early passage of the signal and during a later passage, probably via re-entrant feedback from higher cortical areas. Second, attentional modulations of the fast electrophysiological signals and the slow hemodynamic response are linearly related in S1.

Parietal generators of low- and high-frequency MN (median nerve) SEPs: data from intracortical human recordings.

To identify low and high-frequency median nerve (MN) somatosensory evoked potential (SEP) generators by means of chronically implanted electrodes in the parietal lobe (SI and neighbouring areas) of two epileptic patients. Wide-pass short-latency and long-latency SEPs to electrical MN stimulation were recorded in two epileptic patients by stereotactically chronically implanted electrodes in the parietal lobe (SI and neighbouring areas). To study high-frequency responses (HFOs) an off-line digital filtering of depth short-latency SEPs was performed (500-800 Hz, 24 dB roll-off). Spectral analysis was performed by fast Fourier transform. In both patients we recorded a N20/P30 potential followed by a biphasic N50/P70 response. A little negative response in the 100 ms latency range was the last detectable wide-pass SEP in both patients. Two HFOs components (called iP1 and iP2) were detected by mere visual analysis and spectral analysis, and were supposed to be originated within the parietal cortex. This was the very first study that recorded wide bandpass and high frequency SEPs by electrodes, exploring both the lateral and the mesial part of the parietal lobe and particularly that of the post-central gyrus.

Mechanisms of differences in gating effects on short-and long-latency somatosensory evoked potentials relating to movement.

We investigated the mechanisms underlying the differences in gating effects on short- and long-latency somatosensory evoked potentials (SEPs) relating to movement. SEPs were recorded in normal subjects for 6 different tasks in Experiment 1: Control, Movement, Distraction, Attention, Movement during Distraction and Movement during Attention, and for 4 different tasks in Experiment 2: Control, Passive Movement, Contralateral Movement and Movement Imagery. The amplitudes of short-latency SEPs were significantly reduced by active and passive movement of the stimulated hand, but long-latency SEPs (N140-P200) were significantly enhanced by active movement of the stimulated hand. Attention, Distraction, Contralateral Movement and Movement Imagery did not affect the amplitudes of SEPs. The degree of enhancement of long-latency SEPs by active Movement was greater than that by active movement with Attention or Distraction. Gating effects on long-latency SEPs were different from those on short-latency SEPs. Since this effect was not related to Attention/Distraction, Passive Movement, Movement Imagery or Movement of another site, it is probably due to specific centrifugal effects, which are different from more direct gating effects on short-latency components. This study showed the difference in gating effects on somatosensory perception depending on time periods following stimulation, which may indicate an interaction between motor and somatosensory cortex.

Contrasting behavior of beta event-related synchronization and somatosensory evoked potential after median nerve stimulation during finger manipulation in man

Electrical median nerve stimulation during rest results in two cortical responses: the somatosensory evoked potential (SEP); and the induced beta oscillations (beta event-related synchronization (ERS)). Both types of responses were recorded with electroencephalography and studied during rest and motor behavior in eight normal subjects. During manipulation of a cube with the fingers of the right hand, the beta ERS around 20 Hz, induced by right hand median nerve stimulation, is significantly suppressed, whereas the long-latency SEP components are significantly enhanced. The results suggest that both phenomena can be interpreted as responses of different neuronal structures in sensorimotor areas.

Sensorimotor organization in patients who have undergone hemispherectomy: a study with (15)O-water PET and somatosensory evoked potentials.

To identify cortical structures that subserve residual motor and sensory function in patients with congenital hemiparesis due to a porencephalic cyst, we examined, using [(15)O]H2O, PET and somatosensory evoked potentials (SEPs) in three patients with left-sided hemiparesis who had undergone hemispherectomy. Motor stimulation of the affected hand produced ipsilateral activation in the premotor area in all patients, the SMA in two patients, and SII in two patients. Vibrotactile stimulation resulted in activation of the ipsilateral SII in all subjects. Median nerve stimulation of the affected hand produced ipsilateral long-latency SEPs in fronto-centro-parietal areas, whereas stimulation of the non-affected hand produced normal early cortical potentials in the contralateral hemisphere. Our results suggest that residual function in the paretic hand is warranted through non-primary motor and sensory areas, and higher order associative areas in the intact hemisphere.

Neurophysiologic studies and cognitive function in congenital hypothyroid children.

Minor neurologic and intellectual impairments have been described in some congenital hypothyroid (CH) children in spite of early detection by neonatal screening. The aim of our study was to assess cognitive functions as well as neurophysiologic parameters in hypothyroid children and to compare children detected by neonatal screening (group A) versus hypothyroid patients clinically diagnosed before the beginning of the screening program (group B). Group A consisted of 15 children (13 girls, mean age at the beginning of treatment 33 d). Group B consisted of 11 patients (7 girls, mean age at the start of treatment 10.1 mo). Twenty age-matched healthy children were studied as a control group for neurophysiologic tests. Neurophysiologic tests (Auditory P 300, long latency somatosensory evoked potentials (LL-SEP) were performed along with IQ evaluation. Abnormalities of neurophysiologic tests were detected in 82% of clinically diagnosed hypothyroid children. Surprisingly, 47% of the children detected by neonatal screening, having normal mental development index, showed at least one abnormal neurophysiologic test. LL-SEP latencies were found significantly increased in both groups of CH patients compared with controls. Our data are suggestive for a prenatal or perinatal CNS damage in some children with congenital hypothyroidism, despite early treatment.

The relationship between human long-latency somatosensory evoked potentials recorded from the cortical surface and from the scalp

In scalp recordings, stimulation of the median nerve evokes a number of long-latency (40–300 msec) somatosensory evoked potentials (SEPs) whose neural origins are unknown. We attempted to infer the generators of these potentials by comparing them with SEPs recorded from the cortical surface or from within the brain. SEPs recorded from contralateral sensorimotor cortex can be characterized as “precentral,” “postcentral,” or “pericentral.” The scalp-recorded P45, N60 and P100 potentials appear to correspond to the pericentral P50, N90 and P190 potentials and are probably generated mainly in contralateral area 1 of somatosensory cortex. The scalp-recorded N70–P70 appear to correspond to the precentral and postcentral N80–P80 and are generated mainly in contralateral area 3b of somatosensory cortex. The scalp-recorded N120–P120 appear to correspond to the intracranial N100–P100 and are probably generated bilaterally in the second somatosensory areas. N140 and P190 (the “vertex potentials”) are probably generated bilaterally in the frontal lobes, including orbito-frontal, lateral and mesial (supplementary motor area) cortex. The supplementary sensory area probably generates long-latency SEPs, but preliminary recordings have yet to confirm this assumption. Most of the proposed correspondences are speculative because the different conditions under which scalp and intracranial recordings are obtained make comparison difficult. Human recordings using chronically implanted cortical surface electrodes, and monkey studies of SEPs which appear to be analogs of the human potentials, should provide better answers regarding the precise generators of human long-latency SEPs.

Intermediate and Long Latency SEPs in Relation to Clinical Disability in Traumatic Brain Injury Patients

Intermediate (0-60 ms) and long latency (0-500 ms) somatosensory evoked potential (SEP) patterns were compared in terms of their relationship to degree of clinical disability in severe traumatic brain injury patients. Long latency (LL) SEP patterns correlated significantly with clinical disability as measured by the Disability Rating scale while intermediate latency (IL) SEP patterns did not. Evoked potential abnormality (EPA) scores based upon LL SEP patterns appear better able to reflect extent and severity of brain dysfunction and overall clinical condition than do IL SEP patterns for severe traumatic brain injury patients.

Median and tibial somatosensory evoked potentials: Changes in short- and long-latency components in patients with lesions of the thalamus and thalamo-cortical radiations

Alterations in short- and long-latency components of median and tibial somatosensory evoked potentials (SEPs) were studied in patients with lesions in the thalamus and thalamo-cortical radiations. When the lesions were located primarily in the ventro-posterior thalamus, the SEP changes consisted of the following combination: (1) absence of response; (2) decrease in response amplitude; (3) delay in peak latency; and (4) attenuation of median N20-P25 and tibial P40. The laterally situated ventro-posterior lesions tended to preferentially affect tibial SEPs whereas the medially situated lesions tended to preferentially affect median SEPs. The lateral thalamic lesions affected primarily the long-latency SEP components, whereas the medial thalamic lesions affected primarily the mid-latency or the mid- and long-latency SEP components. Corona radiata infarcts produced SEP changes similar to those with the ventro-posterior thalamic lesions except that absence of evoked responses was not observed. Subcortical infarcts tended to affect the mid- and long-latency SEP components with relative preservation of the short-latency components. The present data indicate that only the lesions involving the primary thalamic relay area affected all SEP components, particularly the short-latency components, and that the lesions in other thalamic areas can also influence the SEPs, particularly the mid-and long-latency components. The present study further demonstrates that a combined use of median and tibial SEPs is useful in delineating the topographic organization of the somatosensory system in the thalamus.

Long-latency somatosensory evoked potentials.

Theoretically, long-latency somatosensory evoked potentials (SEPs) provide information on the function of somatosensory associative cortical structures. Their potential role in clinical studies and research has been hampered by the lack of standardized methodology in the use of these SEPs. Other factors, such as drugs, simultaneous stimuli, and state of consciousness, also have far-reaching influences on the various parameters of long-latency SEPs. The knowledge of the origin of most SEP components is at best fragmentary; studies on clinical-electrophysiological correlations seem to be hopeful in this respect. As yet, clinical applications of long-latency SEPs are limited; for future research, studies of disturbances of SEPs are most promising, mainly with regard to diseases of the gray matter, the influence of drugs on the cerebral function, and psychopathology.

Short- and long-latency median somatosensory evoked potentials. Findings in patients with localized neurological lesions.

Short- and long-latency somatosensory evoked potentials (SEPs) were elicited by stimulation of the median nerve in 43 patients with neurological disorders. Abnormalities of short-latency peaks, P9, N13, and P14, were seen in patients with lesions of the peripheral nerve, cervical spinal cord, and brain stem, respectively. Subsequent component, N18, was affected in patients with thalamic or hemispheric disease. In some patients with parietal lobe lesions, however, abnormalities were limited to later components, N32 or N63. Analysis of SEPs is helpful in localizing a lesion along the somatosensory pathway, although differentiation between thalamic and other subcortical or cortical involvement may not be possible with the present SEP technique. Both short- and long-latency SEPs should be studied for maximal clinical information. The latter can be most reliably evaluated by simultaneous bilateral stimulation.