Horizontal scalp distribution of steady-state pattern visual evoked cortical potentials in response to quadrant field stimulation

Abstract

Scalp profiles of steady-state pattern visual evoked cortical potentials (VECPs) along the horizontal line at Pz (for upper field stimuli) and Oz (for lower field stimuli) were studied in 12 normal subjects by simultaneous five channel recordings from electrode positions 3 cm and 6 cm laterally on either side of, and at, Oz or Pz. Each electrode was referred to Fz or to the right earlobe. The amplitude and phase of the averaged VECPs (n = 20) were calculated by means of Fast Fourier Transform. With smaller check size the amplitude data verified that the scalp profile of the lower visual field peaked at the hemisphere contralateral to the quadrant stimulated. With larger check size the peak shifted to the ipsilateral hemisphere. With upper field quadrant stimulation, position of the reference electrode at Fz was found to be unsuitable since the VECP amplitude at the level of Pz was greatly reduced. Phase and apparent latency also varied with the field stimulated as well as with the position of electrodes.

What can visual electrophysiology tell about possible visual-field defects in paediatric patients

“…Full and half-field pattern VEPs are known to be insensitive to picking up well-defined superior or inferior quadrantanopia in 0-40% [ 96 , 116 – 118 ] (Table 1 ). However, the pattern-reversal stimuli can be divided further to individually test the four quadrants increasing sensitivity [ 115 , 119 – 121 ] (Table 1 ). However, such stimuli might also fail to detect the abnormality where the upper quadrantic defects are incomplete, as shown in these two published cases [ 122 ].…”