P300 Latency Research Articles

P300 Latency with Memory Performance: A Promising Biomarker for Preclinical Stages of Alzheimer’s Disease

Detecting and tracking the preclinical stages of Alzheimer’s disease (AD) is now of particular interest due to the aging of the world’s population. AD is the most common cause of dementia, affecting the daily lives of those afflicted. Approaches in development can accelerate the evaluation of the preclinical stages of AD and facilitate early treatment and the prevention of symptom progression. Shifts in P300 amplitude and latency, together with neuropsychological assessments, could serve as biomarkers in the early screening of declines in cognitive abilities. In this study, we investigated the ability of the P300 indices evoked during a visual oddball task to differentiate pre-clinically diagnosed participants from normal healthy adults (HCs). Two preclinical stages, named asymptomatic AD (AAD) and prodromal AD (PAD), were included in this study, and a total of 79 subjects participated, including 35 HCs, 22 AAD patients, and 22 PAD patients. A mixed-design ANOVA test was performed to compare the P300 indices among groups during the processing of the target and non-target stimuli. Additionally, the correlation between these neurophysiological variables and the neuropsychological tests was evaluated. Our results revealed that neither the peak amplitude nor latency of P300 can distinguish AAD from HCs. Conversely, the peak latency of P300 can be used as a biomarker to differentiate PAD from AAD and HCs. The correlation results revealed a significant relationship between the peak latency of P300 and memory domain tasks, showing that less time-demanding neuropsychological assessments can be used. In summary, our findings showed that a combination of P300 latency and memory-requiring tasks can be used as an efficient biomarker to differentiate individuals with AAD from HCs.

Interpretation Of Personality Theory in The Context Of Writing Disorders And Mirror Writing

This study aims to contribute to the understanding of mirror writing by employing modern neurophysiological techniques, specifically Optics Challenging Dynamics (P 100), and by providing pedagogical approaches for problem-solving. The focus of this research is to investigate the disorders of written expression in typically developing children who are introduced to the process of learning to write. Additionally, it examines the developmental differences in visual-kinetic skills among preschool and first-grade elementary school children. The research hypotheses revolve around the reduction in mirror writing occurrence during handwriting practice, the progressive development of visuospatial orientation and visuomotor skills, the impact of hand preference on handwriting tendencies, and the potential association between dyslexic handwriting and prolonged P100 latency in neurophysiological examinations. The study involves a sample of 100 participants, including kindergarten children and first-grade elementary school students, and utilizes both standardized tests and neurophysiological assessments, specifically visual evoked potentials (VEPs), to gather data. By addressing these research objectives, this study aims to contribute to the advancement of visual-motor abilities, particularly in visuo-spatial discrimination, controlled visual attention, and the healthy functioning of the visual pathway, while highlighting the differences in neuronal maturation and interhemispheric communication that underlie mirror writing.

The intersubject reliability of cortical auditory evoked potential (CAEP) in pediatric cochlear implant recipients: comparisons between acoustic and electrical stimulations.

To compare the intersubject reliability of cortical auditory evoked potential (CAEP) elicited by acoustic and electrical stimulations in pediatric cochlear implant (CI) recipients. Twenty-two MED-EL CI recipients (aged 13-93 months) participated in this study. The acoustic CAEP (aCAEP) waveforms were elicited using four speech stimuli (/ba/, /m/, /g/, and /t/) presented at 65 dB SPL in a free-field condition. The electrical CAEP (eCAEP) responses were obtained by presenting electrical pulses through apical, medial, and basal electrodes. The aCAEP and eCAEP data (n = 28 ears) were analyzed using coefficient of variation (CV) and other appropriate statistics. P1, N1, and P2 peaks were observed in most of the children (92.9% response rate). The CV values were smaller for the latency metric (13.6-34.2%) relative to the amplitude metric (51.3-92.4%), and the differences were statistically significant (p < 0.001). The aCAEP yielded smaller mean CV values than the eCAEP (for both latency and amplitude measures), and the mean CV value for the aCAEP (15.6%) was found to be statistically different from that of the eCAEP (31.0%) for the P1 latency (p = 0.001). This study is the first to report the intersubject reliability of aCAEP and eCAEP in pediatric CI recipients. Overall, CAEP latencies were found to be more reliable than CAEP amplitudes, and the aCAEP testing demonstrated higher intersubject reliability compared to the eCAEP assessment. The present study's findings can be beneficial for researchers and clinicians in documenting CAEP in children who use CI.

Electroacupuncture improves V1 cortex synaptic plasticity via the CREB/BDNF/TrkB pathway in juvenile rats with monocular deprivation

The present study aims to investigate the impact of the CREB/BDNF/TrkB signaling pathway on synaptic plasticity in the visual cortex of juvenile amblyopic rats that have undergone monocular deprivation (MD). This study involved sixty 2-week-old Sprague-Dawley (SD) juvenile rats, which were not specified by gender. In the first part of the study, 24 rats were randomized into control and MD groups; In the second part, 36 rats were randomized into MD, electroacupuncture (EA) and EA + CREB antagonist (666–15) groups. The MD model was established using the monocular suture method. 14 d after monocular suture, EA treatment was started for 30 min daily, at a frequency of 2–10 Hz and an intensity of 1 mA, for 2 weeks. According to the results from part 1, the P100 wave latency in the MD group was prolonged, and its amplitude was lower compared to the control group. Additionally, the neuron number in the V1 cortex of the MD group decreased, along with reduced expression levels of CREB, BDNF, p-TrkB, and the key plasticity proteins PSD95 and SYN. In part 2, EA treatment significantly increased the electrophysiological activity of neurons in V1 cortex, shortened the latency of P100 peaks to varying degrees, increased the amplitude significantly, and restored the morphology and structure of neurons to normal levels; The expression of synaptic proteins PSD95 and SYN, as well as the expression of signaling molecules CREB, BDNF, and p-TrkB proteins were increased. However, the effects of EA were reversed when the specific CREB inhibitor 666–16 was administered. These data indicate that EA enhances the expression of V1 cortical synaptic plasticity-related proteins by regulating the expression of CREB/BDNF/TrkB signaling pathway, thereby enhancing V1 neural synaptic plasticity and reversing the effects of MD on visual acuity.

An event-related potential study of P300 in preschool children with attention deficit hyperactivity disorder.

To study the characteristics of event related potential P300 in preschool children with attention deficit hyperactivity disorder (ADHD) aged 4-6 years (4≤ age <6), and to explore the differences in cognitive function compared with healthy children. To explore a new method for the study of cognitive function in preschool children with ADHD. A total of 73 preschool children aged 4-6 years were selected from the outpatient clinic of Neurology Department, the ADHD-specialized Clinic and Health Care Department of the Children's Hospital Affiliated to the Capital Institute of Pediatrics from March 2021 to May 2024. They were divided into the ADHD group (45 cases) and healthy children group (28 cases). Event related potential P300 was measured in all children and the amplitude and latency of the wave were compared between the two groups separately. The latency of P300 at all the recording electrodes (Fz, Cz, Pz, Oz, C3, C4) in the ADHD group was significantly longer than controls (p < 0.05). The wave amplitudes of children with ADHD were significantly higher than controls at Pz and Oz points. The differences between two groups in P300 test show that preschool children with ADHD present longer latency at central line of the brain and bilateral central lobes compared with healthy children, and higher amplitude at the central parietal lobe and central occipital lobe. It may suggest that attention cognition has already impaired in preschool children with ADHD.

Exploring the Relationship between Masseter and Cervical Vestibular-Evoked Myogenic Potentials in Young Adults with Hearing Thresholds Less Than or Equal to 15 dB HL.

Cervical vestibular-evoked myogenic potentials (cVEMPs) and masseter vestibular-evoked myogenic potentials (mVEMPs) are considered to have a common saccular origin. While a few studies have examined both vestibular-evoked myogenic potentials (VEMPs) in individuals with brainstem disorders as part of a test battery, the relation between these two potentials has rarely been the subject of discussion. The present study explored the relation between mVEMPs and cVEMPs using electromyography (EMG)-scaled parameters in normal-hearing young adults. Within-subject study design. Twenty young adults between 18 and 39 years of age (11 males, 9 females) participated in the study. cVEMP and mVEMP were performed on all the participants at 95 dBnHL with 500 Hz tone burst stimuli. Various VEMP parameters were evaluated including P13 and N23 peak latencies, the amplitude of the P13-N23 complex, and the Interaural Amplitude Asymmetry Ratio in EMG-scaled and unscaled conditions. All participants exhibited a 100% response rate for cVEMP and mVEMP responses. There were no significant ears and gender effect for both cVEMP and mVEMP. No correlation was found between cVEMP and mVEMP. There was no significant difference found between P1 and N1 latency values of cVEMP and mVEMP; however, a significant variation was observed for peak-to-peak amplitude both in EMG-scaled and unscaled conditions between cVEMP and mVEMP. Minimal to no association between any parameters of cVEMPs and mVEMPs suggests no significant relationship between these two VEMPs.

Attentional network deficits in patients with migraine: behavioral and electrophysiological evidence

BackgroundPatients with migraine often experience not only headache pain but also cognitive dysfunction, particularly in attention, which is frequently overlooked in both diagnosis and treatment. The influence of these attentional deficits on the pain-related clinical characteristics of migraine remains poorly understood, and clarifying this relationship could improve care strategies.MethodsThis study included 52 patients with migraine and 34 healthy controls. We employed the Attentional Network Test for Interactions and Vigilance–Executive and Arousal Components paradigm, combined with electroencephalography, to assess attentional deficits in patients with migraine, with an emphasis on phasic alerting, orienting, executive control, executive vigilance, and arousal vigilance. An extreme gradient boosting binary classifier was trained on features showing group differences to distinguish patients with migraine from healthy controls. Moreover, an extreme gradient boosting regression model was developed to predict clinical characteristics of patients with migraine using their attentional deficit features.ResultsFor general performance, patients with migraine presented a larger inverse efficiency score, a higher prestimulus beta-band power spectral density and a lower gamma-band event-related synchronization at Cz electrode, and stronger high alpha-band activity at the primary visual cortex, compared to healthy controls. Although no behavior differences in three basic attentional networks were found, patients showed magnified N1 amplitude and prolonged latency of P2 for phasic alerting-trials as well as an increased orienting evoked-P1 amplitude. For vigilance function, improvements in the hit rate of executive vigilance-trials were exhibited in controls but not in patients. Besides, patients with migraine exhibited longer reaction time as well as larger variability in arousal vigilance-trials than controls. The binary classifier developed by such attentional deficit features achieved an F1 score of 0.762 and an accuracy of 0.779 in distinguishing patients with migraine from healthy controls. Crucially, the predicted value available from the regression model involving attentional deficit features significantly correlated with the real value for the frequency of headache.ConclusionsPatients with migraine demonstrated significant attentional deficits, which can be used to differentiate migraine patients from healthy populations and to predict clinical characteristics. These findings highlight the need to address cognitive dysfunction, particularly attentional deficits, in the clinical management of migraine.

Bone conduction stimulated VEMPs by using the B250 transducer to assess the nerve of origin of sporadic vestibular schwannomas

Vestibular evoked myogenic potentials (VEMPs) are a tool to assess otolith function and a component of sensor specific vestibular diagnostics. The aim of the present study was to measure VEMP trough bone conducted (BC) stimulation using the B250 prototype and to report amplitudes, latencies and threshold levels for patients before resection of a sporadic unilateral vestibular schwannoma (VS) in order to assess function regarding to the reported nerve of origin. Twenty-seven participants (9 male/18 female) with a mean age of 55.9 years (SD: 10.8) were included for the analysis. In the side contralateral to the tumor, in 24 (89%) of the patients cVEMP could be measured, while oVEMP were recordable in 20 patients (74%). For patients with inferior vestibular nerve of origin (n = 11), cVEMP amplitudes of the affected side were significantly lower as compared to the non-affected side, while the force threshold level was increased. No statistically significant differences were observed for neither, oVEMP amplitudes nor threshold levels in the group with superior vestibular nerve of origin (n = 7). Across groups, p13 latency was significantly increased in the affected ear while all other VEMP latencies were not different between the ears. The B250 transducer was applicable to all participants of the clinical cohort. The sample size, however, was too low for a reliable statistical analysis and only allowed for exploratory analysis.

Biomarkers for cognitive impairment in alpha-synucleinopathies: an overview of systematic reviews and meta-analyses

Cognitive impairment (CI) is common in α-synucleinopathies, i.e., Parkinson’s disease, Lewy bodies dementia, and multiple system atrophy. We summarize data from systematic reviews/meta-analyses on neuroimaging, neurophysiology, biofluid and genetic diagnostic/prognostic biomarkers of CI in α-synucleinopathies. Diagnostic biomarkers include atrophy/functional neuroimaging brain changes, abnormal cortical amyloid and tau deposition, and cerebrospinal fluid (CSF) Alzheimer’s disease (AD) biomarkers, cortical rhythm slowing, reduced cortical cholinergic and glutamatergic and increased cortical GABAergic activity, delayed P300 latency, increased plasma homocysteine and cystatin C and decreased vitamin B12 and folate, increased CSF/serum albumin quotient, and serum neurofilament light chain. Prognostic biomarkers include brain regional atrophy, cortical rhythm slowing, CSF amyloid biomarkers, Val66Met polymorphism, and apolipoprotein-E ε2 and ε4 alleles. Some AD/amyloid/tau biomarkers may diagnose/predict CI in α-synucleinopathies, but single, validated diagnostic/prognostic biomarkers lack. Future studies should include large consortia, biobanks, multi-omics approach, artificial intelligence, and machine learning to better reflect the complexity of CI in α-synucleinopathies.

Low frequency-repetitive transcranial magnetic stimulation combined with Xingnao Kaiqiao acupuncture improves post-stroke cognitive impairment and has better clinical efficacy.

Enhancing post-stroke cognitive impairment (PSCI) is a key aspect of prognosis for stroke patients. Low-frequency repetitive transcranial magnetic stimulation (LF-rTMS) is currently a widely utilised method for treating PSCI. With the increasing promotion of traditional Chinese medicine, Xingnao Kaiqiao (XNKQ) acupuncture has been progressively incorporated into clinical treatment. This paper observes the effect of LF-rTMS with XNKQ acupuncture on patients with PSCI. Totally, 192 patients with PSCI were consecutively recruited and treated either with LF-rTMS and XNKQ acupuncture (observation group) or LF-rTMS only (control group) for 4 weeks. The pre- and post-treatment Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) scores, P300 latency and amplitude, inflammatory factor levels were compared and clinical efficacy was assessed. Both groups exhibited increased MMSE/MoCA scores, and P300 amplitude, and shortened P300 latency, and the observation group had higher scores and P300 amplitude, and shorter P300 latency than the control group. Both groups displayed decreased inflammatory factor levels (Tumour necrosis factor-α, interleukin (IL)-6, IL-10, IL-1β) after treatment, which were lower in the observation group than the control group. Inflammatory factor levels in PSCI patients were negatively interrelated with MMSE, MoCA score and P300 amplitude, and positively with P300 latency. The observation group showed an increased number of patients showing cured and significantly effective results, a decreased number of patients showing effective and invalid results, and an observably elevated total effective rate. LF-rTMS with XNKQ acupuncture can improve cognitive function and reduce inflammatory immune response, and has better clinical efficacy in PSCI patients.

Study on the event-related potential in recognition of emotional words between typical “five-state personality”

Objective: To explore the event-related potential (ERP) differences of people with typical traditional Chinese medicine (TCM) “five-state personality” in the task of judging the emotional attributes (positive, neutral, and negative) of Chinese words. Methods: The “five-state personality test” was applied to screen the typical TCM “five-state personality”, and three groups were established including positive personality, negative personality, and atypical personality. The differences of electroencephalogram (EEG) components in the task of judging the emotional attributes of Chinese words were collected using ERPs. The 3 personality groups ×3 words with emotional attributes were analyzed by two-way analysis of variance (ANOVA). Results: The N1 and P300 components were induced successfully. The analysis on the mean values of corresponding electrodes in left frontal lobe, right frontal lobe, frontal lobe and parietal lobe showed that in the typical negative personality group, the absolute value of N1 amplitude was smaller in the prefrontal and frontal lobes, and the latency was shorter in the left frontal lobe, while in the typical positive personality group, the absolute value of N1 amplitude was larger in the left frontal lobe. In the prefrontal and frontal lobes, the N1 peak absolute value of negative words was higher and the latency was longer, and the N1 latency of neutral words was shorter. The N1 latency of positive words was shorter in the parietal lobe. In the right frontal and frontal lobes, the P300 peak of negative words was higher and the latency was longer, while the latency of positive words was longer in the parietal lobe. In addition, there was some interaction between personality groups and emotional attributes of words. Conclusion: When people with typical “five-state personality” judge the emotional attributes of words, the absolute value of N1 amplitude in left prefrontal lobe of typical positive personality group is high, while that of typical negative personality group was small and the latency is short. The P300 latency of negative words is longer in the right frontal and frontal lobes, and that of positive words is longer in the parietal lobes, with more significant difference in the positive personality group.

The functional activity of the brain in patients with occupational chronic mercury intoxication against background of the treatment of insomnia disorders

Introduction. In patients with chronic mercury intoxication, insomnia disorders are much more common than in the general population. Persistent emotional disorders in combination with severe sleep disturbances may contribute to the progression of cognitive dysfunction in patients in the late post-exposure period of chronic mercury intoxication. The purpose of the study was to analyze the trend in electroencephalography indices and study cognitive evoked potentials in patients with occupational chronic mercury intoxication to optimize the treatment of insomnia. Materials and methods. Two groups of 30 patients with occupational chronic mercury intoxication, who worked at the enterprises of Usolyekhimprom LLC and Sayanskhimplast OJSC, were examined. In the first group of patients received the first treatment option, the average age was 56±0.71 years, in the second group, cases received the second treatment regimen, were of 57.1±3 years. Before and after treatment, there were carried out neurophysiological studies including polysomnography, electroencephalography, and a study of cognitive evoked potentials P300. Results. After the implementation of the treatment regimen in the first group, positive changes in the main indices of polysomnography were revealed as follows: decrease in the time of falling asleep and time of wakefulness in the bed, increase in total sleep time and the representation of delta sleep, increase in the sleep efficiency index, etc., electroencephalography (decrease in the delta index – rhythm and an increase in the alpha rhythm index), and cognitive evoked potentials (decreased latency and increased P300 amplitude). In the second group, there were registered positive alterations only in three neurophysiological indices: a decrease in the latent period of the 1st stage of sleep, a decline in the delta rhythm index and a fall in P300 latency. Limitations. The results cannot be generalized to workers as the group included only men. Conclusion. According to neurophysiological studies, improvement in polysomnography parameters during the treatment of insomnia in patients in the late post-contact period of chronic mercury intoxication was accompanied by an improvement in concentration and an increase in the rate of psychomotor response.

Assessment of Sacculocollic and Vestibulomasseteric Reflex Pathways in Individuals With Migraine and Vestibular Migraine.

The study's objective was to evaluate the functioning of sacculocollic and vestibulomasseteric reflex pathways in individuals with vestibular migraine and migraine. Seventy-five participants aged 18-50 years were selected for the study. Participants were divided into three groups. Group 1 consisted of 25 healthy individuals, Group 2 consisted of 25 migraine individuals, and Group 3 consisted of 25 individuals with vestibular migraine. Cervical vestibular-evoked myogenic potential (cVEMP) and masseter vestibular-evoked myogenic potential (mVEMP) were recorded using a 500-Hz tone burst stimulus presented at 125 dB peSPL for all participants. The cVEMP test results showed a delayed p13 and n23 latency for both migraine and vestibular migraine individuals when compared to healthy individuals. Also, the amplitude of the p13-n23 peak was reduced compared to healthy individuals in both migraine and vestibular migraine. Similarly, the mVEMP test results showed a delayed p11 and n21 latency for both migraine and vestibular migraine individuals. No difference was observed in the amplitude of the p11-n21 peak complex between the three groups. Spearman's rho correlation revealed no significant (p > .05) correlation between cervical and masseter VEMP latency and amplitude parameters between healthy, migraine, and vestibular migraine individuals. The results of the study are suggestive of the pathology of the sacullocollic and vestibulomasseteric reflex pathways in individuals with migraine and vestibular migraine. Individuals with migraine and vestibular migraine should undergo a detailed vestibular evaluation.

Vestibular Dysfunction in Euthyroid Children with Hashimoto's Thyroiditis.

A relationship exists between autoimmune thyroid disorders and vestibular dysfunction. This study aimed to analyze cervicalevoked myogenic potentials (cVEMP) and video head impulse test (vHIT) results between children with Hashimoto thyroiditis (HT) and healthy controls to determine vestibular end-organ problems. Thirty-six children with HT and 30 healthy subjects were recruited. The main inclusion criteria for the healthy group were the presence of normal thyroid function and no clinical history of vestibular problems. Each participant (both HT and healthy groups) was assessed using audiovestibular tests, cVEMP, and vHIT. There was no significant difference between the groups in terms of cVEMP (p1 and n1) latencies for both ears. There was no significant difference in cVEMP amplitudes (p1-n1 peak-to-peak) between the groups. There were statistically significant differences in the VOR gain of the right and left ears between the groups (P < .001, P < .001). When we considered lower cutoff value as 0.80 for VOR gain, 29 of 36 patients with HT (80.6%) had lower VOR gain scores. Only 1 of 30 healthy participants (3.3%) had a lower VOR gain score. This difference was statistically significant (P < .001). Subclinical vestibulopathy may occur in children with HT. The vHIT seems to be a valuable tool for identifying and screening preclinical vestibular pathologies in this patient group.

The effects of deep TMS on purpose in life, quantitative EEG and event-related potentials in major depressive disorder

Background: Perceived purpose in life (PIL) is linked with many vital health outcomes, including Major Depressive Disorder (MDD). Methods: In this study, biomarkers associated with depression and PIL were investigated using Brain Network Activation (BNA) based quantitative electroencephalography (QEEG) and event-related potential (ERP) measures in a sample of individuals with MDD. Data were analyzed before and after a 36-session, Deep transcranial magnetic stimulation (TMS) program. Results: At baseline, the study observed that increased slow-frequency resting-state activity in the frontal and temporal regions correlated with higher levels of depression and reduced PIL. Additionally, a reduced P3b amplitude was found to predict elevated depressive symptoms. However, with the application of Deep TMS treatment notable improvements were observed in both depression (p < .001. d = 2.15) and PIL (p < .001, d = 1.59) levels. The treatment also successfully regulated resting-state QEEG (delta/beta) and ERP characteristics (P200 latency), bringing them closer to healthy levels. Conclusions: This attenuation of brain activity patterns relating to depression is encouraging as it suggests that effects were robust and are more likely to be sustained over time. This study represents the first exploration of the effects of Deep TMS on PIL and relevant QEEG and ERP biomarkers. The initial evidence suggests that Deep TMS holds promise in enhancing both PIL and neurophysiological health. Future investigations should continue exploring the utility of Deep TMS in targeting a wide range of neuropsychological and physical health conditions, leveraging objective biomarkers such as QEEG and ERP.

Neural correlates of trait anxiety in sensory processing and distractor filtering.

Evidence suggests that trait anxiety relates to cognitive processing and behavior. However, the relationships between trait anxiety and sensory processing, goal-directed performance and sensorimotor function are unclear, particularly in a multimodal context. This study used electroencephalography to evaluate whether trait anxiety influenced visual and tactile event-related potentials (ERPs), as well as behavioral distractor cost, in a bimodal sensorimotor task. Twenty-nine healthy young adults completed the State-Trait Anxiety Inventory. Participants were directed to focus on either tactile or visual stimuli while disregarding the other modality, responding to target stimulus amplitude with a proportional grip. Previous research suggests that somatosensory N70 and visual P2 ERPs serve as markers of attentional relevance, with attention also impacting the visual P3 ERP. It was hypothesized that trait anxiety would modulate the ERPs susceptible to attentional modulation (tactile N70, visual P2 and P3) and not affect behavioral performance. Trait anxiety showed a large, significant interaction with attention for visual P3 latency in response to unimodal visual stimuli, with a positive relationship between P3 latencies and trait anxiety when attending toward the stimulus and negative when attending away. A large, positive main effect of trait anxiety on visual N1 amplitude for bimodal stimuli was also detected. As predicted, trait anxiety related to ERPs but not behavioral distractor cost. These findings suggest that trait anxiety modulates visual but not somatosensory processing correlates based on attention. The absence of overt behavioral performance effects suggests compensatory mechanisms may offset underlying differences in sensory processing.

Cognitive Effects of Transcranial Direct Current Stimulation Plus Robotic Verticalization in Minimally Conscious State.

Transcranial direct current stimulation (tDCS) is a non-invasive therapeutic method that modulates cortical excitability and shows promising results for treating disorders of consciousness (DoCs). Robotic verticalization training (RVT) has been shown to enhance motor and cognitive recovery. This study evaluates the effects of an innovative approach combining RVT with tDCS in individuals with DoCs. Twenty-four subjects with DoCs, particularly those with chronic minimally conscious state (MCS) due to vascular or traumatic brain injury, participated in a quasi-randomized study at the Neurorehabilitation Unit, IRCCS Neurolesi (Messina, Italy). Participants were divided into either a control group (CG) receiving RVT alone or an experimental group (EG) receiving combined tDCS and RVT. Both groups underwent treatments five times weekly for four weeks, with tDCS/sham sessions over the dorsolateral prefrontal cortex (DLPFC) lasting 20 min before Erigo training sessions, which lasted 45 min. The findings indicate that combining tDCS with Erigo® Pro RTT could lead to greater improvements in cognitive functioning and P300 latency compared to the CG. These results suggest that the integrated approach of tDCS with RVT could offer significant benefits for patients with MCS, highlighting its potential to enhance cognitive recovery, such as reducing P300 latency.

Neural encoding for spatial release from informational masking and its correlation with behavioral metrics.

The central auditory system encompasses two primary functions: identification and localization. Spatial release from masking (SRM) highlights speech recognition in competing noise and improves the listening experience when a spatial cue is introduced between noise and target speech. This assessment focuses on the integrity of auditory function and holds clinical significance. However, infants or pre-lingual subjects sometimes provide less reliable results. This study investigates the value of cortical auditory evoked potentials (CAEPs) onset and acoustic change complex (ACC) as an objective measurement of SRM. Thirty normal-hearing young adults (11 males) were recruited. We found the spatial separation of signals and noise (±90° symmetrically) resulted in a signal-to-noise ratio (SNR) improvement of 9.00 ± 1.71 dB behaviorally. It significantly enhanced cortical processing at all SNR levels, shortened CAEP latencies, and increased amplitudes, resulting in a greater number of measurable peaks for ACC. SRM showed mild to moderate correlations with the differences between two conditions in CAEP measures. The regression model combining N1'-P2' amplitude at 5 dB SNR (R2 = 0.26), P1 amplitude at 0 dB SNR (R2 = 0.14), and P1 latency at -5 dB SNR (R2 = 0.15), explained 45.3% of the variance in SRM. Our study demonstrates that introducing spatial cues can improve speech perception and enhance central auditory processing in normal-hearing young adults. CAEPs may contribute to predictions about SRM and hold potential for practical application.NEW & NOTEWORTHY The neural encoding of spatial release from masking (SRM) can be observed in normal-hearing young adults. Spatial separation between target and masker improves speech perception in noise and enhances central auditory processing. The behavioral results showed mild-to-moderate correlations with electrophysiological measures, with acoustic change complex (ACC) amplitude being a better indicator than onset components. Cortical auditory evoked potentials (CAEPs) may contribute to predictions about spatial release from masking, especially when behavioral tests are less reliable.

A diagnostic study on the application of segmental somatosensory evoked potential examination to acquired premature ejaculation.

Premature ejaculation (PE), affecting approximate 5%, has an unclear pathogenesis, limited treatment efficacy, and a lack of effective diagnostic methods. This prospective diagnostic study aimed to compare segmental dorsal penile nerve somatosensory evoked potentials (DNSEP) differences among patients with acquired premature ejaculation (APE), primary premature ejaculation (PPE), and healthy controls. This prospective diagnostic study examined patients suffering from PE who visited the outpatient clinic of the Department of Urology of the Second Affiliated Hospital of Zhejiang University School of Medicine from January 1, 2022 to February 28, 2023. According to the definition of PE by the ISSM, 16 cases comprised the healthy control group, 31 in the APE group, and 28 in the PPE group. Each group was examined based on the segmental DNSEP with electrodes recording at multiple locations (the selected location was at the Cz and the C7). The latency time of the evoked potential obtained at Cz was P40, and that obtained at C7 was P30. The P30/P40 ratios of P40, P30, and DNSEP wave amplitudes at C7 and Cz were compared among the 3 groups of patients. No group differences were found in P40 latency at Cz. However, PPE showed higher DNSEP amplitude at Cz, while APE showed lower amplitudes compared with controls. Both APE and PPE had significantly shorter P30 latency at C7 than controls. SEP amplitude at C7 was similar in APE and PPE but lower than in controls. The P30/P40 ratio was lower in APE compared with PPE and controls. Segmental SEP may offer more assistance in localizing neurological lesions, potentially guiding clinical treatment. In this study, the innovative use of the P30/P40 ratio was proposed, maintaining consistency in emotional states and measurement conditions for the same patient. However, limitations include a restricted number of patient cases and challenges in obtaining a diverse control group, potentially introducing bias. In addition, not considering subclinical premature ejaculation and the comorbidity of PE + ED (LCEE) in patient stratification is another limitation of this study. Results suggest a correlation between secondary PE and underlying conditions, such as obesity and lumbar spine injuries. The study validates multi-site somatosensory-evoked potential examination for locating neural lesions but acknowledges the need for future invasive needle electrode AEP testing to analyze neuropathological changes more comprehensively. In conclusion, segmental DNSEP examination aids in localizing neuropathy in APE patients, and the P30/P40 ratio proves more accurate in diagnosing APE than P40 alone.

Effect of Childhood Epilepsy and Antiepileptic Drugs on Visual Evoked Potential Response and Optical Coherence Tomography

Abstract Background The experience of evoked potentials in patients with epilepsy is sparse. Earlier studies in the literature, especially during the 1970s and 1980s, were conducted in previously treated epilepsy patients primarily to investigate drug effects or drug toxicity on afferent nerve conduction within the central nervous system. Aim of the Study to investigate effect of idiopathic childhood epilepsy per se on VEP and OCT and effect of two antiepileptic medications on them and correlate that with clinical symptoms if present. Patients and Methods this is a biphasic study, 1st one is case control and 2nd phase is a controlled clinical prospective trial, conducted in the neuro-pediatric outpatient clinic of Ain Shams University. This study enrolled 50 epileptic children drug naïve and 50 age and sex matched healthy controls, both groups were subjected to pattern reversed visual evoked potential and only 28 of the patients and 28 of the control group were subjected to ocular coherence tomography, starting from March 2021. The 50 patients were divided into 2 groups, the first one enrolled 23 patients that received levitracetam and the 2nd one enrolled 27 patients that received valproate. Both groups were followed up over 24 months and follow up VEP and OCT done to compare the two groups and correlate with the baseline parameters. Results 66% of the patients’ group was boys while 34% were girls, with mean age 10.5± 3.47. By measuring VEP in the two groups the mean P100 latency in the right eye and the left one of the control group was 110.4±3.76ms and 111.25±3.92ms respectively while in the patients group was 114.94±12.81ms and 115.37±11.88ms respectively that showed significant difference between the two groups with p- value 0.020 and 0.023 respectively. Conclusion there was prolonged latency in the epileptic children before starting AEDs more than the control group. This means that there was a disruption of the neural circuit by the epilepsy due to disruption of gabamenergic neurotransmitter system which plays an important role in mediating responses of cells in the visual cortex and retina and assists in shaping the receptive fields of the pyramidal cells in the superficial layers of the occipital cortex.