Velasco M, Velasco F
Electroencephalogr Clin Neurophysiol. 1975 Oct;39(4):353-64. doi: 10.1016/0013-4694(75)90098-x.
The effect of "task relevance" on early and late components of cortical and subcortical somatic evoked potentials (SEPs) was studied in a group of Parkinsonian patients operated on under local anesthesia for treatment of prominent unilateral tremor. 1. SEPs produced by median nerve stimulation were found at contralateral cortical (ss), thalamic (vcpci, vcai), lemniscal (Lm), postilemniscal (PoLm), prelemniscal (Raprl) and reticular (Ttc) regions. No SEPs were found in other contiguous thalamic (M,Pf, ce) and subthalamic (Q) regions. 2. Subcortical early SEP components consisted of two monophasic positive potentials distributed within a circumscribed thalamo-lemniscal region where electrical stimulation elicited consistent sensory responses circumscribed to contralateral hand and face. In contrast, subcortical late SEP components consisted of monophasic or polyphasic, positive or negative potentials distributed in a widespread, thalamic, lemniscal, prelemniscal and reticular region where elecrical stimulation elecited sensory or motor responses of various types. Subcortical early and late SEP components appeared together in lemniscal, thalamic and cortical regions but they wers separated at postlemniscal (only early) and prelemniscal and reticular ones (only late). 3. Significant amplitude changes in cortical and subcortical late SEP componets were found concomitant to variations in "task relevance": they decreased when patients shifted from novelty to habituation, they increased when patients shifted from habituation to attention and they decreased when patients shifted from attention to distraction. In contrast, no significant ampiltude changes in cortical and subcortical early components were found when patients shifted through these various "task relevance" conditions.
在一组因明显单侧震颤而接受局部麻醉手术治疗的帕金森病患者中,研究了“任务相关性”对皮质和皮质下躯体诱发电位(SEP)早期和晚期成分的影响。1. 正中神经刺激产生的SEP在对侧皮质(ss)、丘脑(vcpci、vcai)、薄束核(Lm)、薄束核后区(PoLm)、薄束核前区(Raprl)和网状结构(Ttc)区域被发现。在其他相邻的丘脑(M、Pf、ce)和丘脑底核(Q)区域未发现SEP。2. 皮质下早期SEP成分由两个单相正电位组成,分布在一个局限的丘脑 - 薄束核区域内,在此区域电刺激引发对侧手和面部的一致感觉反应。相比之下,皮质下晚期SEP成分由单相或多相、正或负电位组成,分布在广泛的丘脑、薄束核、薄束核前区和网状结构区域,在此区域电刺激引发各种类型的感觉或运动反应。皮质下早期和晚期SEP成分在薄束核、丘脑和皮质区域同时出现,但在薄束核后区(仅早期)以及薄束核前区和网状结构区域(仅晚期)是分开的。3. 发现皮质和皮质下晚期SEP成分的幅度变化与“任务相关性”的变化同时出现:当患者从新奇状态转变为习惯状态时,它们减小;当患者从习惯状态转变为注意力集中状态时,它们增大;当患者从注意力集中状态转变为分心状态时,它们减小。相比之下,当患者在这些不同的“任务相关性”条件之间转换时,皮质和皮质下早期成分未发现明显的幅度变化。