PMID- 12901714 OWN - NLM STAT- MEDLINE DCOM- 20031013 LR - 20101118 IS - 1534-7362 (Electronic) IS - 1534-7362 (Linking) VI - 3 IP - 6 DP - 2003 TI - Pattern-onset stimulation boosts central multifocal VEP responses. PG - 432-9 AB - Multifocal visual evoked potentials (VEP) allow one to assess whether stimulation at specific visual field locations elicits cortical activity; it might therefore enable us to conduct objective visual field perimetry. However, due to the cortical folding, which differs markedly between subjects, a particular electroencephalogram generator may fail to project signal on some recording electrodes. This may lead to false alarms for potential scotomata. Here we compare pattern-reversal and pattern-onset stimulation in their efficacy to activate the visual cortex and recorded mfVEPs to 60 locations comprising a visual field of 44 degrees diameter. We report three main findings: (1) Pattern-onset compared to pattern-reversal enhances the amplitude by 30% for stimulation of the central visual field (<10 degrees radius), while evoking 30% less response in the periphery (>15 degrees ). (2) Although pattern-onset and pattern-reversal responses differ markedly in their eccentricity dependence, they have a similar topographical distribution. (3) By combining both stimuli, the number of false positives was reduced to less than 1.5% of the visual field locations tested. We conclude that pattern-onset and pattern-reversal activate identical visual cortical areas but target different neural mechanisms within these areas. Furthermore, pattern-onset stimulation greatly increases the sensitivity of the mfVEP to assess the cortical representation of the central 10 degrees of the visual field. FAU - Hoffmann, Michael B AU - Hoffmann MB AD - Visual Processing Lab, Universitats-Augenklinik, Freiburg, Germany. hoffmann@aug.ukl.uni-freiburg.de FAU - Straube, Sirko AU - Straube S FAU - Bach, Michael AU - Bach M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Vis JT - Journal of vision JID - 101147197 SB - IM MH - Adult MH - Evoked Potentials, Visual/*physiology MH - Humans MH - Pattern Recognition, Visual MH - Visual Cortex/*physiology MH - Visual Field Tests MH - Visual Fields/*physiology EDAT- 2003/08/07 05:00 MHDA- 2003/10/14 05:00 CRDT- 2003/08/07 05:00 PHST- 2003/01/14 00:00 [received] PHST- 2003/08/07 05:00 [pubmed] PHST- 2003/10/14 05:00 [medline] PHST- 2003/08/07 05:00 [entrez] AID - 3/6/4 [pii] AID - 10.1167/3.6.4 [doi] PST - ppublish SO - J Vis. 2003;3(6):432-9. doi: 10.1167/3.6.4.