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The study aimed to evaluate the retinal ganglion cell structure using optical coherence tomography and the visual pathway function employing visual evoked potentials in the diagnosis and monitoring of patients with pituitary macroadenoma. A descriptive, cross-sectional, and longitudinal study (3 and 12 months follow-up) was conducted on forty-two patients. Thirty-five age-matched healthy controls were used in the cross-sectional one. Full neuro-ophthalmological evaluation (structural and functional) was carried out including global and segmented retinal nerve fiber layer/ganglion cell complex analysis and amplitude and latency of P100 component in the electrophysiology. Statistical data analysis was conducted with R version 3.6.3 and Python version 3.8. Associations were evaluated using Spearman's correlations. Amplitude sensitivities were 0.999, and bi-nasal sectors of ganglion cell complex thickness specificities were 0.999. This structural parameter had the highest diagnostic value (area under curve = 0.923). Significant associations were found between bi-nasal sectors with amplitude at 12' (rho > 0.7, p < 0.01) and median deviation of the visual field (rho > 0.5, p < 0.01) at 3 months. Pre-surgical values of bi-nasal sectors and amplitude can predict post-surgically median deviation and amplitude (Oz, 12') at 3 months with r 2 > 0.5. Bi-nasal sectors of ganglion cell complex and visual evoked potentials P100 amplitude are efficient biomarkers of visual pathway damage for pituitary macroadenoma patients' management. Pre-surgical values of the bi-nasal sector and visual evoked potentials' amplitude could help to predict the restoration of parvocellular pathway traffic after decompression.

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Single-cell recordings in the primary visual cortex (V1) show neurons with spatial frequency (SF) tuning, which had different responses to chromatic and luminance stimuli. Visually evoked cortical potential (VECP) investigations have reported different spatial profiles. The current study aimed to investigate the spatial selectivity of V1 to simultaneous stimulus of chromatic and luminance contrasts. Compound stimuli temporally driven by m-sequences at 8 SFs were utilized to generate VECP records from thirty subjects (14 trichromats and 16 colorblind subjects). We extracted the second-order kernel, first and second slices (K2.1 and K2.2, respectively). Optimal SF, SF bandwidth, and high SF cut-off were estimated from the best-fitted functions to the VECP amplitude vs SF. For trichromats, K2.1 waveforms had a negative component (N1 K2.1) at 100 ms followed by a positive component (P1 K2.1). K2.2 waveforms also had a negative component (N1 K2.2) at 100 ms followed by a positive deflection (P1 K2.2). SF tuning of N1 K2.1 and N1 K2.2 had a band-pass profile, while the P1 K2.1 was low-pass tuned. P1 K2.1 optimal SF differed significantly from both other negative responses and from P1 K2.2. We found differences in the optimal SF, SF tuning and high SF cut-off among the VECP components. Dichromats had little or no response for all stimulus conditions. The absence of the responses in dichromats, the similarity between the high SF cut-off of the pseudorandom VECPs and psychophysical chromatic visual acuity, and presence of multiple SF tunings suggested that pseudorandom VECPs represented the activity of cells that responded preferentially to the chromatic component of the compound stimuli.

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BACKGROUND: Sellar region tumor growth represents an important cause of visual loss due to mechanical compression of the optic nerve apparatus. Many investigations have used non-invasive tools to evaluate the visual field consequences of this damage, and good associations have been reported between psychophysical and electrophysiological perimetries. Few reports have considered the tumor size as a predictor of visual field loss. AIMS: In the present study, we evaluated the association between the visual perimetry measured by Humphrey visual field analyzer and multifocal visual evoked cortical potential (mfVECP) and the tumor size. METHODS: Our sample was composed of 14 patients diagnosed with sellar tumors by magnetic resonance imaging. We accounted the number of sectors with negative visual responses for both methods. A simple logistic regression analysis was used to evaluate the association between the tumor dimensions and the visual field features RESULTS: Three patients had preserved visual fields, three patients showed hemianopic defects, and eight patients had generalized visual field losses at both evaluations. We observed that the three maximum diameters of the tumor and total tumor volume had different predictive abilities regarding the extent of visual field loss when using psychophysical and mfVECP data. The maximum craniocaudal diameter of the tumor was the better predictor of the psychophysical measurements, whereas for the mfVECP results, all tumor dimensions and volumes had similar values that predict visual field losses. CONCLUSION: Tumor size as a predictor of visual loss has potential to assist in the clinical intervention and to prevent the irreversible visual impairment caused by tumors of the sellar region.

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AbstractIntroduction: Sleep Bruxism (SB) is a non-functional rhythmic movement of the mandible with multifactorial aetiology and complex diagnose. It has been the subject of various studies over the past decades and it is considered a result of actions of the Central Nervous System modulated by Autonomous Nervous System. In this work, we test the hypothesis that SB subjects present a typical and defined neurobehavioral pattern that can be distinct from that of non-bruxers subjects and can be measured during wakefulness. Methods Fifteen sleep bruxers (experimental-group EG) and fifteen non-bruxers (control-group CG) took part in the experiments. To verify the presence and severity of SB, clinical examinations, anamneses and questionnaires, including Visual Analogic Scale - faces (VAS-f) and State-Trait Anxiety Inventory (STAI) were applied. To legitimate the diagnoses of SB, a disposable instrument (Bitestrip®) to assess the masseter activity during sleep was employed. All subjects were submitted to a set of experiments for measuring various visual evoked responses during the presentation of visual stimuli (pleasant, unpleasant and neutral images). Events in Visual Evoked Potential (VEP) were used to compare the neural responses of both CG and EG. Results VAS-f showed EG with higher perception of stress than CG (trait: p=0.05), and lower quality of life for (state: p=0.007). STAI I and II showed significant differences of anxiety between CG and EG (p=0.013 and p=0.004, respectively), being EG the highest. The EG Bitestrip scores confirmed that 100% of subjects were sleep bruxers. Significant differences were found between EG and CG for events associated with emotional (pleasant and unpleasant) images in the first 250 ms after stimulation. In general, EG subjects showed higher amplitude and shorter latency of VEP events. Conclusion It is possible to distinguish between SB and non-bruxers subjects during wakefulness, based on differences in amplitude and latency of cortical event related potentials elicited by visual stimulation. SB subjects show greater amplitudes in specific events in frontal areas when non-pleasant images are shown. Latencies tend to be anticipated in SB compared to CG subjects.

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O potencial evocado visual (PEV) é técnica eletrodiagnóstica que permite avaliação das vias visuais. O PEV de 20 cães e 20 ovinos adultos, de ambos os sexos, foram obtidos para estudo normativo. Foram utilizados eletrodos de agulha monopolar posicionados em O1 e O2 (ativos), em Fpz (referência comum) e em Cz (terra). O estímulo foi na forma de flash a 1Hz. Dezessete cães e 17 ovinos foram incluídos no estudo, pois apresentaram potenciais auditivos com boa qualidade técnica. Os resultados da avaliação dos dois olhos foram agrupados, totalizando 34 exames em cada espécie. O achado mais consistente em todos os exames foi uma deflexão eletropositiva, com latência média de 55,4ms em cães (P55) e 63,75ms em ovinos (P63). Outras duas ondas eletronegativas também foram identificadas: N31 e N75 em cães; e N42 e N86 em ovinos. A metodologia utilizada neste estudo permitiu obtenção de potenciais visuais com pequena variabilidade, sendo útil para avaliação de animais com suspeita de alteração nas vias visuais centrais.(AU)

The visual evoked potential (VEP) is an electro-diagnostic technique that allows assessment of visual pathways. The VEP from 20 adult dogs and 20 adult sheep of both gender was obtained for normative study. Monopolar electrode needles were placed in O1 and O2 (active), Fpz (common reference) and Cz (ground). The stimuli were flash at 1Hz. Seventeen dogs and 17 sheep were included in the study because they had auditory potentials with good technical quality. The results from both eyes were grouped, totaling 34 results in each species. The most consistent result in all tests was an electropositive deflection, with a mean latency 55.4ms in dogs (P55) and 63.75ms in sheep (P63). Two negative deflections were also identified: N31 and N75 in dogs, and N42 and N86 in sheep. The methodology used in this study allowed to obtain potential similar to those described in other studies, with little variability, and is useful for evaluation of animals with suspected changes in the central visual pathways.(AU)

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O potencial evocado visual (PEV) é técnica eletrodiagnóstica que permite avaliação das vias visuais. O PEV de 20 cães e 20 ovinos adultos, de ambos os sexos, foram obtidos para estudo normativo. Foram utilizados eletrodos de agulha monopolar posicionados em O1 e O2 (ativos), em Fpz (referência comum) e em Cz (terra). O estímulo foi na forma de flash a 1Hz. Dezessete cães e 17 ovinos foram incluídos no estudo, pois apresentaram potenciais auditivos com boa qualidade técnica. Os resultados da avaliação dos dois olhos foram agrupados, totalizando 34 exames em cada espécie. O achado mais consistente em todos os exames foi uma deflexão eletropositiva, com latência média de 55,4ms em cães (P55) e 63,75ms em ovinos (P63). Outras duas ondas eletronegativas também foram identificadas: N31 e N75 em cães; e N42 e N86 em ovinos. A metodologia utilizada neste estudo permitiu obtenção de potenciais visuais com pequena variabilidade, sendo útil para avaliação de animais com suspeita de alteração nas vias visuais centrais.(AU)

The visual evoked potential (VEP) is an electro-diagnostic technique that allows assessment of visual pathways. The VEP from 20 adult dogs and 20 adult sheep of both gender was obtained for normative study. Monopolar electrode needles were placed in O1 and O2 (active), Fpz (common reference) and Cz (ground). The stimuli were flash at 1Hz. Seventeen dogs and 17 sheep were included in the study because they had auditory potentials with good technical quality. The results from both eyes were grouped, totaling 34 results in each species. The most consistent result in all tests was an electropositive deflection, with a mean latency 55.4ms in dogs (P55) and 63.75ms in sheep (P63). Two negative deflections were also identified: N31 and N75 in dogs, and N42 and N86 in sheep. The methodology used in this study allowed to obtain potential similar to those described in other studies, with little variability, and is useful for evaluation of animals with suspected changes in the central visual pathways.(AU)

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This paper reports the case of a patient with optic nerve schwannoma and the first use of neurophysiological intraoperative monitoring of visual evoked potentials during the removal of such tumor with no postoperative visual damage. Schwannomas are benign neoplasms of the peripheral nervous system arising from the neural crest-derived Schwann cells, these tumors are rarely located in the optic nerve and the treatment consists on surgical removal leading to high risk of damage to the visual pathway. Case report of a thirty-year-old woman with an optic nerve schwannoma. The patient underwent surgery for tumor removal on the left optic nerve through a left orbitozygomatic approach with intraoperative monitoring of left II and III cranial nerves. We used Nicolet Endeavour CR IOM (Carefusion, Middleton WI, USA) to performed visual evoked potentials stimulating binocularly with LED flash goggles with the patient´s eyes closed and direct epidural optic nerve stimulation delivering rostral to the tumor a rectangular current pulse. At follow up examinations 7 months later, the left eye visual acuity was 20/60; Ishihara score was 8/8 in both eyes; the right eye photomotor reflex was normal and left eye was mydriatic and arreflectic; optokinetic reflex and ocular conjugate movements were normal. In this case, the epidural direct electrical stimulation of optic nerve provided stable waveforms during optic nerve schwannoma resection without visual loss.

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ABSTRACT: The visual evoked potential (VEP) is an electro-diagnostic technique that allows assessment of visual pathways. The VEP from 20 adult dogs and 20 adult sheep of both gender was obtained for normative study. Monopolar electrode needles were placed in O1 and O2 (active), Fpz (common reference) and Cz (ground). The stimuli were flash at 1Hz. Seventeen dogs and 17 sheep were included in the study because they had auditory potentials with good technical quality. The results from both eyes were grouped, totaling 34 results in each species. The most consistent result in all tests was an electropositive deflection, with a mean latency 55.4ms in dogs (P55) and 63.75ms in sheep (P63). Two negative deflections were also identified: N31 and N75 in dogs, and N42 and N86 in sheep. The methodology used in this study allowed to obtain potential similar to those described in other studies, with little variability, and is useful for evaluation of animals with suspected changes in the central visual pathways.

RESUMO: O potencial evocado visual (PEV) é técnica eletrodiagnóstica que permite avaliação das vias visuais. O PEV de 20 cães e 20 ovinos adultos, de ambos os sexos, foram obtidos para estudo normativo. Foram utilizados eletrodos de agulha monopolar posicionados em O1 e O2 (ativos), em Fpz (referência comum) e em Cz (terra). O estímulo foi na forma de flash a 1Hz. Dezessete cães e 17 ovinos foram incluídos no estudo, pois apresentaram potenciais auditivos com boa qualidade técnica. Os resultados da avaliação dos dois olhos foram agrupados, totalizando 34 exames em cada espécie. O achado mais consistente em todos os exames foi uma deflexão eletropositiva, com latência média de 55,4ms em cães (P55) e 63,75ms em ovinos (P63). Outras duas ondas eletronegativas também foram identificadas: N31 e N75 em cães; e N42 e N86 em ovinos. A metodologia utilizada neste estudo permitiu obtenção de potenciais visuais com pequena variabilidade, sendo útil para avaliação de animais com suspeita de alteração nas vias visuais centrais.

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Abstract Introduction The main drawback of a Brain-computer Interface based on Steady-State Visual Evoked Potential (SSVEP-BCI) that detects the emergence of visual evoked potentials (VEP) in reaction to flickering stimuli is its muscular dependence due to users must redirect their gaze to put the target stimulus in their field of view. In this work, a novel setup is evaluated in which two stimuli are placed together in the center of users' field of view, but with dissimilar distances from them, so that the target selection is performed by focus shifting instead of head, neck and/or eyeball movements. Methods A model of VEP generation for the novel setup was developed. The Spectral F-test based on Bartett periodogram was used to evaluate the null hypothesis of absence of effects of the non-focused stimulus (NFS) within the VEP elicited by the focused stimulus (FS). To reinforce that there is not statistical evidence to support the presence of NFS effects, the PSDA detection method was employed to find the frequency of FS. Electroencephalographic signals of nine subjects were recorded. Results Approximately in 80% of the tests, the null hypothesis with 5% level of significance was non-rejected at the fundamental frequency of NFS. The average of the accuracy rate attained with PSDA detection method was 79.4%. Conclusion Results of this work become further evident to state that if the focused stimulus (FS) will be able to elicit distinguishable VEP pattern regardless the non-focused stimulus (NFS) is also present.

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We introduce a new VEP paradigm - the Jitter Spatial Frequency (JSF) Sweep VEP - that permits efficient mapping of the spatiotemporal tuning of the developmental motion asymmetry (DMA). Vertical sinewave gratings undergoing 90º horizontal oscillatory displacements (6 or 10 Hz) were presented while their SF was swept over 2 to 5 octaves during each VEP trial. JSF sweep VEPs were recorded from 28 infants (8-43 weeks), and symmetric (second-harmonic, F2) and asymmetric (F1) components of the VEP were measured. JSF sweeps can provide four useful estimates: (1,2) the high-SF cutoff of F1 and F2 responses estimates the spatial resolution of direction-selective (DS) and non-DS mechanisms, respectively; (3) the low-SF cutoff for F1 estimate the SF-boundary between mature (F1 absent) and immature (F1 present) DS mechanisms; and (4) the F1 high-SF cutoff estimates the lower velocity limit of cortical DS cells. For 6 Hz, the low-SF F1 cutoffs increased two times faster than traditional (contrast-reversal) VEP grating acuity (0.5 vs ~0.25 octaves/month), and twice that of the high-SF F1 and F2 cutoffs. This implies that no single mechanism can account for the DMA at both low and high SFs. At 10 Hz, the DMA exhibited no significant development, consistent with slower maturation of DS mechanisms at higher ST frequencies. The F2 high-SF cutoffs were higher than F1 at both 6 and 10 Hz, suggesting higher spatial resolution for non-DS (pattern) vs DS (motion) mechanisms. Finally, the lower velocity limit of the DS mechanisms decreased from ~2 deg/sec at 8 weeks, to 0.75 deg/sec at 33 weeks, similar to analogous limits for direction-of-motion identification in adults (~0.5 - 1 deg/sec), and close to prior VEP estimates in infants (0.6 deg/sec).(AU)

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Objetivo general: determinar los valores promedio del potencial visual evocado en pacientes de la Clínica de Optometría de la Universidad de La Salle en edades comprendidas entre 15 años y 50 años con el equipo LKC Technologies. Entre los objetivos específicos se incluyeron: determinar diferencias en los valores del potencial visual evocado encontrado en hombres con respecto a mujeres, comparar los valores del potencial visual evocado hallados en pacientes de la Clínica dela Universidad de La Salle con respecto a los valores promedio del protocolo del equipo estándar (Monpack3) y comparar los valores de los patrones usados en el potencial visual evocado LKC Technologies 6’, 12’, 25’y 50’ con respecto a la edad, usando intervalos de 15 años a 30 años y de 31 años a 50 años. Materiales y métodos: se tomó una muestra de cuarenta ojos (veinte pacientes) con edades comprendidas entre 15 años y 50 años, en los que se estimaron diferencias en los valores del PVE patrón y Flash entre hombres y mujeres, se compararon estos valores con los sugeridos por Metrovisión para el uso del equipo de electrofisiología Monpack 3 y se compararon los valores de los PVE patrón de 6’,12’,25’ y 50’ minutos de arco en dosgrupos etáreos clasificados entre 15-30 y 31-50 años de edad. Resultados: indicaron que valores del PVE en hombres con respecto a mujeres no presentaron diferencias clínicamente significativas; sin embargo,hay una latencia ligeramente más tardía en el género masculino. Los valores del potencial visual evocado del equipo LKC comparado con el Monpack 3 mostraron diferencias estadísticas, pero no clínicamente significativas y, en cuanto a los dos grupos de edad, no se encontraron diferencias significativas en el aspecto estadístico. Conclusión: con base en el análisis desde el punto de vista clínico, se concluye que los resultados que se encuentren en cualquiera de los dos equipos arrojan el mismo diagnóstico.

Objective: Objective: To Determine mean values of visual evoked potential (VEP) in patients (ages from15 to 50 years) who had visit the Optometric Clinic of La Salle University, the patients were evaluated with the LKC Technologies equipment. The specific objectives were: determine differences in the evoked visual potential between men and women, compare the findings of (VEP) of the patients of the sample with the mean values of the standard protocol of the Monpack 3 equipment and to compare the values ofthe used patterns of the VEP LKC Technologies 6’,12’, 25’ y 50’ according to age using 2 intervals 15 to 30 years and 31 to 50 years. Methods and materials: the sample was 40 eyes (20 patients) with ages from 15 to 30 years , this patients were evaluated with theVEP pattern and flash, there was made a comparison between the 2 values and between patients according to gender (men and women), this values were compared with the suggested values by Metrovision for the use of the electrophysiology equipment Monpack 3 and there were compared de VEP pattern of 6’,12’,25’ y 50’ minutes of arc between the 2 age groups. Results: The VEP values between men and women had no clinical significative differences; however there is a little difference in the latency in masculine gender. The VEP values of the LCK technologies equipment compared to the Monopack 3 values showed statistical differences, but no of clinical value. The comparison between age groups didn’t show statistical differences. Conclusion: by the means of the clinical analysis we conclude that the findings are the same with both equipments LCK technologies and Monopack 3.

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We introduce a new VEP paradigm - the Jitter Spatial Frequency (JSF) Sweep VEP - that permits efficient mapping of the spatiotemporal tuning of the developmental motion asymmetry (DMA). Vertical sinewave gratings undergoing 90º horizontal oscillatory displacements (6 or 10 Hz) were presented while their SF was swept over 2 to 5 octaves during each VEP trial. JSF sweep VEPs were recorded from 28 infants (8-43 weeks), and symmetric (second-harmonic, F2) and asymmetric (F1) components of the VEP were measured. JSF sweeps can provide four useful estimates: (1,2) the high-SF cutoff of F1 and F2 responses estimates the spatial resolution of direction-selective (DS) and non-DS mechanisms, respectively; (3) the low-SF cutoff for F1 estimate the SF-boundary between mature (F1 absent) and immature (F1 present) DS mechanisms; and (4) the F1 high-SF cutoff estimates the lower velocity limit of cortical DS cells. For 6 Hz, the low-SF F1 cutoffs increased two times faster than traditional (contrast-reversal) VEP grating acuity (0.5 vs ~0.25 octaves/month), and twice that of the high-SF F1 and F2 cutoffs. This implies that no single mechanism can account for the DMA at both low and high SFs. At 10 Hz, the DMA exhibited no significant development, consistent with slower maturation of DS mechanisms at higher ST frequencies. The F2 high-SF cutoffs were higher than F1 at both 6 and 10 Hz, suggesting higher spatial resolution for non-DS (pattern) vs DS (motion) mechanisms. Finally, the lower velocity limit of the DS mechanisms decreased from ~2 deg/sec at 8 weeks, to 0.75 deg/sec at 33 weeks, similar to analogous limits for direction-of-motion identification in adults (~0.5 - 1 deg/sec), and close to prior VEP estimates in infants (0.6 deg/sec).

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The early stages of visual information processing, involving the detection and perception of simple visual stimuli, have been demonstrated to be sensitive to psychotropic agents. The present study investigated the effects of an acute dose of bromazepam (3 mg), compared with placebo, on the P100 component of the visual evoked potential and reaction time. The sample, consisting of 14 healthy subjects (6 male and 8 female), was submitted to a visual discrimination task, which employed the "oddball" paradigm. Results suggest that bromazepam (3 mg) impairs the initial stage of visual information processing, as observed by an increase in P100 latency.

Os estágios iniciais do processamento da informação visual, envolvendo a percepção e detecção de um estímulo visual simples, tem demonstrado serem sensíveis a agentes psicotrópicos. O presente estudo investigou os efeitos de uma dose aguda de bromazepam (3 mg), comparado com placebo, no componente P100 do potencial evocado visual e no tempo de reação. A mostra consistiu de 14 sujeitos sadios (6 homens e 8 mulheres), submetidos a uma tarefa de discriminação visual, a qual empregou o paradigma "oddball". Os resultados sugerem que o bromazepam (3 mg) prejudica o estágio inicial do processamento da informação visual, como observado pelo aumento da latência do P100.

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