Middle-latency auditory evoked potentials (MAEPs) were recorded in controls and patients with focal lesions in dorsolateral prefrontal cortex. Unilateral prefrontal lesions increased the amplitude of the Pa component of the MAEP beginning at 25-35 ms poststimulus. The data suggest that prefrontal cortex exerts early inhibitory modulation of input to primary auditory cortex in humans.
Wave VI (8.4 msec) of the brain-stem auditory evoked potential (BAEP) was maximal in a discrete region of primary auditory cortex (AI) of the anesthetized cat. Wave VI underwent rapid amplitude decrease over millimeter distances in the AI region and followed high stimulation rates. Wave VI did not show intracortical polarity inversion nor was it abolished by epicortical or intracortical GABA administration. The data are compatible with a wave VI source in the terminal axons of the thalamo-cortical radiations. Middle latency auditory responses (MAEPs) generated 10-40 msec after auditory stimulation were also recorded in a circumscribed area of AI. In contrast to wave VI, these primary auditory cortex potentials (Pa 18.3 msec; Nb 31.9 msec) underwent transcortical polarity inversion, correlated with intracortical multi-unit activity in the AI region and were reversibly altered or abolished by epicortical or intracortical GABA administration to the AI region. The data suggest that the Pa and Nb components of the cat MAEP are intracortically generated by neuronal elements in the AI region.
The P3 component of the event-related potential (ERP) is generated in humans and other mammalian species when attention is drawn to infrequent stimuli. We assessed the role of subregions of human posterior association cortex in auditory P3 generation in groups of patients with focal cortical lesions. Auditory P3s were recorded to target (P3b) and unexpected novel stimuli (P3a) in monaural and dichotic signal detection experiments. Two groups of patients were studied with lesions of: (1) temporal-parietal junction including posterior superior temporal plane and adjacent caudal inferior parietal cortex; and (2) the lateral parietal lobe including the rostral inferior parietal lobe and portions of superior parietal lobe. Extensive lateral parietal cortex lesions had no effect on the P3. In contrast, discrete unilateral lesions centered in the posterior superior temporal plane eliminated both the auditory P3b and P3a at electrodes over the posterior scalp. The results indicate that auditory association cortex in the human temporal-parietal junction is critical for auditory P3 generation.
V. Pai
Ingrid L. Kwee
Robert T. Knight
Tsutomu Nakada
Date: 1989
Although infectious mononucleosis commonly afflicts young persons, it is now being described more frequently in the elderly. Neurologic manifestations are uncommon, and encephalitis is rare, especially in elderly patients. We have reported a case of acute Epstein-Barr virus infection causing acute encephalitis in a 64-year-old woman. Despite the severity of encephalitis, the patient recovered fully after several weeks.
Mirjam Eglin
Lynn C. Robertson
Robert T. Knight
Date: 1989
DOI: 10.1162/jocn.1989.1.4.372
Patients with hemispatial neglect fail to respond to stimuli on one side of space. We assessed to what extent the complexity and number of visual stimuli on both sides determine the severity of neglect. Patients with neglect were required to find specified targets in a cluttered visual field. Two sets of stimuli were used. One set produced effortless and parallel search performance in normal controls; the other set was more complex and produced serial search performance in normal controls. Both sets of stimuli resulted in a serial performance pattern in the patients. Their baseline search performance on both sides was similar when all stimulus items were restricted to one side. A pronounced difference between the two sides was evident when stimuli appeared on both sides. Search for targets on the intact side of space was unaffected by distractors on the neglected side, whereas search for targets on the neglected side was slowed disproportionately by distractors on the intact side. The slowing on the neglected side was more severe during the more demanding search task and when more items were present on the intact side. The results indicate that neglect is associated with an inability to move attention from objects on the intact side to items on the neglected side.