Cortical potentials during visuomotor learning were investigated in man using two hand tracking tasks: (i) direct tracking (T) and (ii) inverted (mirror) tracking (IT). Negative cerebral potentials were higher during the IT task over several cortical areas but in particular over the supplementary motor area (SMA). The acquisition of motor skill as measured in the IT task, was highly correlated with the enhancement of the negative potential. This correlation only held for the frontolateral and frontomedial cortex including the SMA but not for the other electrodes.

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Our objective was to assess the prognostic value of measurements of the degree of contrast enhancement of the intratemporal segments of the facial nerve. We prospectively obtained MRI, slice thickness <1 mm of 20 patients with a facial palsy on the first day of inpatient treatment, and measured contrast enhancement of the nerve. The data were compared with compound muscle action potential (CMAP) measurements and the clinical course. Analysis of the initial enabled differentiation of three patients whose palsy was to show no improvement from 17 whose palsy was to resolve as expected. No patient with a poor outcome showed lesser increase in signal in the internal auditory canal, pars tympanica and pars mastoidea than patients who fully recovered. In no patient who had been diagnosed on the basis of the initial MRI as having a "normal" palsy was the amplitude of the (CMAP) reduced to less than 20% that of the normal side. Measurement of contrast enhancement was thus shown to be a prognostic indicator and may provide a basis for a differential treatment of facial palsy.

18 healthy subjects had to guess, which of two nonequiprobable events would occur next. Each trial was preceded by a cue which increased the probability of the corresponding event as compared to its global probability. Event-related potentials (ERPs) were recorded and then classified according to global probability of events, their relation to the preceeding cue (valid versus invalid cues) and to subject's prediction (predicted versus nonpredicted). Two late positive waves (P350 and P550) with parietal maxima were distinguished. Both waves had larger amplitudes in response to improbable events than to highly-probably events. Similarly, both had larger amplitudes following invalid cues than following valid cues, and this difference was larger in those subjects who tended to follow the cue than in those who tended to reject it. No difference in terms of ERP component amplitudes was found between predicted and unpredicted events; however, the latency of the P350 peak was longer following unpredicted events. Taken together with data of the literature, the present results indicate that ERP allow us to distinguish between two meanings of the word "expectancy": (1) the rule-related expectancy as cognitive estimation of the likelihood or "representativeness" of an event (based on grasping event contingencies), and (2) the goal-related expectancy manifested in the subject's overt behavior. Only the former "expectancy" affects the amplitude of the late positive wave ("P3"), while the latter does not.

Cortical DC shifts preceding and accompanying the execution of five different bimanual motor tasks were analysed in 20 subjects. All tasks required repetitive flexions and extensions of the two forefingers for a period of at least six seconds. The temporal and spatial structures organization varied in the different tasks: (1) Simultaneous agonistic performance (forefinger flexion on both sides), (2) simultaneous antagonistic performance (e.g. flexion of the right, extension of the left forefinger), (3) sequential agonistic performance, (4) sequential antagonistic performance, (5) uncoordinated flexions and extensions of the two forefingers. Compared to (1) and (2), conditions (3) and (4) included a temporal delay between the performance of the two forefingers; compared to (1) and (3), conditions (2) and (4) required the subjects to perform movements of opposite directions with their two forefingers. Effects of the temporal factor (T; simultaneous vs. sequential) and the spatial factor (S; agonistic vs. antagonistic) on cortical DC shifts were investigated. The voluntary initiation of each motor task was preceded by a Bereitschaftspotential (BP). The performance of the complex tasks (1-4) was accompanied by a slow negative DC potential shift (N-P). In general, the BP did not differ depending on the temporal or spatial structures of the tasks (1-4). However, amplitudes of N-P (i.e. during tasks) were influenced by the temporal factor with significantly larger amplitudes in sequential than in simultaneous tasks. This difference was not a global phenomenon in all recordings but was selectively found in the recordings over the fronto-central midline.(ABSTRACT TRUNCATED AT 250 WORDS)