Event-related potentials and cognition in Parkinson's disease: An integrative review

Cognitive impairment is a common non-motor symptom of Parkinson’s disease (PD), but the nature of cognitive changes varies considerably between individuals. According to the dual-syndrome hypothesis, one cluster of patients is characterized by deficits in executive function that may be related to fronto-striatal dysfunction. Other patients primarily show non-frontal cognitive impairments that progress rapidly to PD dementia (PDD). We provide a comprehensive review of event-related potential (ERP) studies to identify ERP measures substantiating the heterogeneity of cognitive impairment in PD. Our review revealed evidence for P3b and mismatch-negativity alterations in PDD, but not in non-demented PD, indicating that alterations of these ERPs constitute electrophysiological markers for PDD. In contrast, ERP correlates of executive functions, such as NoGo-P3, N2, and error(-related) negativity (Ne/ERN), appear to be attenuated in non-demented PD patients in a dopamine-dependent manner. Hence, ERP measures confirm and yield distinct electrophysiological markers for the heterogeneity of cognitive impairment in PD. We discuss limitations and open questions of the ERP approach and provide directions and predictions for future ERP research

Assessment and Scientific Progresses in the Analysis of Olfactory Evoked Potentials

The human sense of smell is important for many vital functions, but with the current state of the art, there is a lack of objective and non-invasive methods for smell disorder diagnostics. In recent years, increasing attention is being paid to olfactory event-related potentials (OERPs) of the brain, as a viable tool for the objective assessment of olfactory dysfunctions. The aim of this review is to describe the main features of OERPs signals, the most widely used recording and processing techniques, and the scientific progress and relevance in the use of OERPs in many important application fields. In particular, the innovative role of OERPs is exploited in olfactory disorders that can influence emotions and personality or can be potential indicators of the onset or progression of neurological disorders. For all these reasons, this review presents and analyzes the latest scientific results and future challenges in the use of OERPs signals as an attractive solution for the objective monitoring technique of olfactory disorder

Study for the identification of psychophysiological markers of healthy aging and mild cognitive impairment

The main aims of this doctoral study were to identify psychophysiological markers of healthy aging and amnestic mild cognitive impairment (aMCI). Event-related brain potentials (ERPs) associated with the automatic detection of unattended infrequent (deviant/novel) auditory stimuli (MMN), the orienting response to these stimuli (P3a) and the reorienting of attention (RON) to visual relevant stimuli were evaluated. Middle-aged and old adults, relative to young, showed a decline in processing of irrelevant stimuli and the posterior reorienting of attention to relevant stimuli. MMN and P3a components may be useful psychophysiological markers for the diagnosis of aMCI and for distinguishing between aMCI subtypes

COGNITIVE PROCESSING AND BRAIN COMMUNICATION IN AMYOTROPHIC LATERAL SCLEROSIS

Amyotrophic Lateral Sclerosis (ALS) is a fatal neurodegenerative disease characterized by progressive paralysis of limbs and bulbar musculature. This severe physical impairment makes cognitive evaluation a big challenge, thus there is a great need for an assessment that does not require overt motor responses. Moreover, we need of augmentative communication strategies because the disease generally leads to complete paralysis and, therefore, patients are unable to communicate with the external world by any means. For this purpose, Brain Computer Interfaces (BCIs) seem a promising approach to facilitate communication with these patients. The aim of this thesis is twofold. First, assessing cognitive processing in ALS by means of a novel evaluation tool. Second, allowing brain communication in completely paralyzed ALS patients who had lost their vision in order to eliminate the unbearable loss of communication in paralysis (“unlocking the locked-in”). The first study introduces a novel approach for assessing cognitive functions in ALS. This approach uses neuropsychological tests that require minimal overt motor or verbal responses; together with vibro-tactile P300s. Results indicate mild cognitive impairment in oral language comprehension tasks and reduced vibro-tactile P300 amplitudes in patients compared to healthy controls. Importantly, correlations between the vibro-tactile P300 latency and psychometric test results suggest that the former measure could serve as a neurophysiological marker of cognitive decline in ALS patients. The second study introduces a distraction paradigm based in auditory event-related potentials (ERPs) to evaluate the ability of change detection, focusing, and re-orientation of attention in ALS. The results revealed a modification of the amplitude and the latency of the N200, the P300 and the re-orienting negativity (RON) components. This could suggest an alteration of the endogenous mechanism that controls the detection of change, thus resulting in a reduction of the allocation and the re-orientation of attentional resources. The third study aimed at testing the feasibility of a Near Infrared Spectroscopy (NIRS) -based BCI communication approach for patients in the Completely Locked-in Stage (CLIS) due to ALS. For this purpose two CLIS patients were trained to control their cerebral-cortex´s functional-activations in response to auditory processing of correct or incorrect statements assessed with NIRS. The results of the study are very promising, showing that both CLIS patients communicated with fronto-cortical oxygenation based BCI at an average correct response rate of 70% over a period of several weeks. We conclude that this novel approach of brain-communication is safe and, reliable, representing, so far, the best communication possible for patients in completely locked-in state. In conclusion we propose a) the novel combination of vibro-tactile or acoustic ERPs and motor-independent neuropsychological tests as an alternative and easily implementable way for assessing cognitive functions in ALS and b) we confirm the usefulness and effectiveness of above mentioned electrophysiological approaches in the late stage of ALS either to assess cognitive processing or to establish communication with a BCI system

Psychologie und Gehirn 2007

Die Fachtagung "Psychologie und Gehirn" ist eine traditionelle Tagung aus dem Bereich psychophysiologischer Grundlagenforschung. 2007 fand diese Veranstaltung, die 33. Jahrestagung der „Deutschen Gesellschaft für Psychophysiologie und ihre Anwendungen (DGPA)“, in Dortmund unter der Schirmherrschaft des Instituts für Arbeitsphysiologie (IfADo) statt. Neben der Grundlagenforschung ist auch die Umsetzung in die Anwendung erklärtes Ziel der DGPA und dieser Tradition folgend wurden Beiträge aus vielen Bereichen moderner Neurowissenschaft (Elektrophysiologie, bildgebende Verfahren, Peripherphysiologie, Neuroendokrinologie, Verhaltensgenetik, u.a.) präsentiert und liegen hier in Kurzform vor