Evaluation of Cognitive Function in Migraine Patients

Author(s):  
Yuka Watanabe ◽  
Hideaki Tanaka ◽  
Koichi Hirata

Cognitive impairments are observed in a portion of patients with migraines, but the underlying mechanisms for this impairment are not known. Event-related potentials (ERPs) have been recorded to clarify the mechanism, and the ERPs suggest that migraineurs exhibit exacerbated attention, executive dysfunction, and lack of habituation. Many factors, such as migraine phase, subtype, illness severity and duration, and preventive medicine use, are directly and indirectly involved in the cognitive function of migraine patients. Few reports have systematically considered these factors during the evaluation of cognitive function in migraine patients. In addition, the neuroanatomical basis for these cognitive dysfunctions is not clear. Recently, spatiotemporal analyses of ERPs using multichannel EEG recording have been developed, which might aid in the clarification of the relationships between cognitive dysfunction and the underlying neuropathological mechanisms. The relationships between the cortical electrical activity distribution of ERP components using standardized low-resolution brain electromagnetic tomography (sLORETA) and pathogenic factors were clarified in this study.

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Yang-Pei Chang ◽  
Yuan-Han Yang ◽  
Chiou-Lian Lai ◽  
Li-Min Liou

Using neuropsychological investigation and visual event-related potentials (ERPs), we aimed to compare the ERPs and cognitive function of nondemented Parkinson’s disease (PD) patients with and without visual hallucinations (VHs) and of control subjects. We recruited 12 PD patients with VHs (PD-H), 23 PD patients without VHs (PD-NH), and 18 age-matched controls. All subjects underwent comprehensive neuropsychological assessment and visual ERPs measurement. A visual odd-ball paradigm with two different fixed interstimulus intervals (ISI) (1600 ms and 5000 ms) elicited visual ERPs. The frontal test battery was used to assess attention, visual-spatial function, verbal fluency, memory, higher executive function, and motor programming. The PD-H patients had significant cognitive dysfunction in several domains, compared to the PD-NH patients and controls. The mean P3 latency with ISI of 1600 ms in PD-H patients was significantly longer than that in controls. Logistic regression disclosed UPDRS-on score and P3 latency as significant predictors of VH. Our findings suggest that nondemented PD-H patients have worse cognitive function and P3 measurements. The development of VHs in nondemented PD patients might be implicated in executive dysfunction with altered visual information processing.


2010 ◽  
Vol 24 (3) ◽  
pp. 198-209 ◽  
Author(s):  
Yan Wang ◽  
Jianhui Wu ◽  
Shimin Fu ◽  
Yuejia Luo

In the present study, we used event-related potentials (ERPs) and behavioral measurements in a peripherally cued line-orientation discrimination task to investigate the underlying mechanisms of orienting and focusing in voluntary and involuntary attention conditions. Informative peripheral cue (75% valid) with long stimulus onset asynchrony (SOA) was used in the voluntary attention condition; uninformative peripheral cue (50% valid) with short SOA was used in the involuntary attention condition. Both orienting and focusing were affected by attention type. Results for attention orienting in the voluntary attention condition confirmed the “sensory gain control theory,” as attention enhanced the amplitude of the early ERP components, P1 and N1, without latency changes. In the involuntary attention condition, compared with invalid trials, targets in the valid trials elicited larger and later contralateral P1 components, and smaller and later contralateral N1 components. Furthermore, but only in the voluntary attention condition, targets in the valid trials elicited larger N2 and P3 components than in the invalid trials. Attention focusing in the involuntary attention condition resulted in larger P1 components elicited by targets in small-cue trials compared to large-cue trials, whereas in the voluntary attention condition, larger P1 components were elicited by targets in large-cue trials than in small-cue trials. There was no interaction between orienting and focusing. These results suggest that orienting and focusing of visual-spatial attention are deployed independently regardless of attention type. In addition, the present results provide evidence of dissociation between voluntary and involuntary attention during the same task.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Marta Waliszewska-Prosół ◽  
Joanna Bladowska ◽  
Sławomir Budrewicz ◽  
Marek Sąsiadek ◽  
Edyta Dziadkowiak ◽  
...  

AbstractThyroid dysfunction is very often accompanied by cognitive and affective disorders. The frequency of these disorders in patients with compensated Hashimoto’s thyroiditis (HT) is unknown. The aim of the present study was to evaluate brain dysfunction in euthyroid HT patients by means of event-related potentials (ERP) and magnetic resonance spectroscopy (MRS) and to correlate it with cognitive function. 68 patients with HT (59 female, 9 male) and 45 healthy controls were included in the study. All the patients underwent ERP including an analysis of N200 and P300 response parameters. MRS voxels were located in the posterior cingulate gyrus (PCG) and the left parietal white matter (PWM). The NAA/Cr, mI/Cr, and Cho/Cr ratios were analysed. The ERP parameters, MRS metabolite ratios and hormonal concentrations (TSH, fT3, fT4) as well as TGAb and TPOAb titer were also correlated. There was a significant prolongation of the latencies of N200 and P300 potentials and a significant decrease of P300 amplitude in HT patients than in the control group. There was a significant positive correlation between the mI/Cr ratio in the PCG area and P300 latencies. NAA/Cr ratio in the PCG region showed significant negative correlations with all N200 latencies. The results may suggest brain dysfunction in neurologically asymptomatic HT patients. ERPs undergo significant changes in patients with HT and may, in combination with MRS, constitute an important element in the recognition and monitoring of cognitive functions in this group of patients.


2010 ◽  
Vol 121 ◽  
pp. S233-S234
Author(s):  
T. Brismar ◽  
L. Maurex ◽  
A. Wahlin ◽  
V. Nikulin ◽  
F. Piehl ◽  
...  

2006 ◽  
Vol 21 (2) ◽  
pp. 135-137 ◽  
Author(s):  
Ioannis A. Liappas ◽  
Charalabos C. Papageorgiou ◽  
Andreas D. Rabavilas

AbstractZolpidem is a GABA (A) agonist, which is indicated for the short-term management of insomnia. Recent research provide evidence suggesting that zolpidem produces spatial working memory (WM) deficits and dependence; however, the underlying mechanisms of these effects are unknown. Since the auditory N400 component of event-related potentials (ERPS) is considered as an index of memory use of context processing, the present study focused on N400 waveform of ERPs elicited during a WM task in a case suffering from zolpidem dependence. The patterns of N400 waveform of this case were compared to the patterns obtained from healthy controls. This comparison revealed that zolpidem dependence is accompanied by reduced amplitudes located at posterior brain areas and diffuse prolongation of N400. These findings may indicate that zolpidem dependence manifests alterations with regard to the memory use of context processing, involving or affecting a wide-ranging network of the brain's structures.


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