Review
Age-related changes of evoked potentialsLes changements des potentiels évoqués en fonction de l’âge.

https://doi.org/10.1016/S0987-7053(01)00248-9Get rights and content

Abstract

The aim of this review is to analyse the current state of our knowledge on evoked potentials (EPs) in ageing and to report some conclusions on the relation between EPs and elder age. Evoked potentials provide a measure of the function of sensory systems that change during the different stages of life. Each sensory system has its own time of maturation. The individuation of the exact period of life when brain ageing starts is difficult to define. Normally, the amplitude of EPs decreases, and their latency increases from adult to elder life. Many authors speculate that these modifications might depend on neuronal loss, changes in cell membrane, composition or senile plaques present in older patients, but there is no evidence that these changes might modify the cerebral function in healthy aged individuals. This review emphasises some incongruities present in different studies confirmed by daily neurophysiologic practice. Different techniques as event-related desynchronization (ERD), contingent negative variation (CNV) and Bereitschaftspotential, are available to study central neuronal changes in normal and pathologic ageing.

Résumé

Dans cet article de synthèse nous passons en revue et analysons l'état actuel des connaissances concernant les rapports entre les potentiels évoqués (PE) et les phénomènes de maturation et de vieillissement. Les PE nous donnent une mesure de la fonction des systèmes sensoriels qui change au cours des différentes étapes de la vie. Chaque système sensoriel a sa propre dynamique de maturation, et la détermination du moment précis où le vieillissement commence est difficile (impossible?) à définir. En général, l'amplitude des PE diminue, et leur latence augmente entre l'âge adulte et la vieillesse. Un bon nombre d'auteurs considèrent que ces modifications obéissent à une perte neuronale, à des modifications dans la composition des membranes cellulaires ou à la présence de plaques séniles. Cependant, il n'y a pas jusqu'à présent d'arguments convaincants démontrant que les altérations structurales sus-citées modifient les fonctions cérébrales chez les sujets âgés en bonne santé. Cette revue met l'emphase sur un nombre d'incongruités présentes dans différentes études, et confirmées par la pratique quotidienne de la neurophysiologie clinique. Nous insisterons également sur la possibilité d'utilisation de techniques non conventionnelles (variation contingente négative 〚VCN〛, potentiels de préparation motrice et désynchronisation liée à l'évènement) pour détecter des modifications des fonctions neuronales centrales liées à l'âge.

Section snippets

Ageing changes in visual responses: VEPs, PRVEPs, PERGs, FVEPs, FERGs

Despite anatomical studies in humans and monkeys suggesting that ageing has only minor effects on the retino-geniculo-striate pathway and retinal photoreceptor, and showing that retinal ganglion, geniculate nucleus and striate cortex cells loss during ageing is relative modest 〚15〛, visual abilities clearly decline during normal, non-pathological ageing 〚203〛. Gradual decrements are observed for visual acuity and spatial contrast sensitivity, especially under low luminance levels, for

PERG studies

A useful means to differentiate optic nerve and retrochiasmatic pathologies from those retinal in elderly persons, to record electrical retinal activity by pattern electroretinography (PERG) 〚244〛.

The normal PERG consists of a positive component at 52 ms (P50) followed by a longer negative component at 90–95 ms (N95) 〚25〛. Schuurmans 〚192〛 suggested that the main positive component is probably luminance-related and that the late negative component is a contrast response. There is no complete

Ageing changes of brainstem acoustic evoked potentials (BAEPs) and middle-latency auditory evoked potentials (MLAEPs)

The schematic representation of BAEP component origin held during the 70–80s 227, 228, 229 has been convincingly confuted by Møller 120, 121, 122. Components I to V are commonly used for clinical evaluation, reflect activity in progressively more rostral levels of the auditory pathway, although the sequence of potentials is not generated by strictly or simply serial pathways.

The peak latency of wave I provides an estimate of age-related changes in the ear and in the distal portion of the

MLAEPs

Middle-latency auditory evoked potentials appear between 12 and 50 ms after acoustic stimulus. The main components of MLAEPs are Na, Pa, Nb, Pb, Nc. The waves studied most often are Na and Pa, occurring at 15–20 ms and 25–30 ms, respectively. The Na wave has been considered to originate from mesencephalic structures 〚117〛, while Pa seems to originate in part from both the auditory cortex 〚82〛 and subcortical structures 〚233〛.

The main clinical applications of MLAEPs are hearing threshold

Ageing changes of somatosensory evoked potentials (SEPs)

Ageing has an important effect on the conduction velocity of peripheral nerves: both motor and sensory conduction velocities decrease with senescence, while F-wave latencies increase 61, 91, 110, 190.

Several studies have provided normative data for different ages 34, 35, 36, 137, 193, 209, 222. Obviously these changes of peripheral nerve are reflected in latency changes of peak latency of SEPs 34, 35.

Also, height has an important effect on SEP latency because it increases the length of the

Ageing changes of event-related potentials (ERPs)

A particularly successful application of electrophysiological techniques to the study of ageing has employed event-related potentials (ERPs): ERPs are not as strictly dependent on the physical characteristics of stimuli as the sensory EPs so far described (usually known as stimulus-related potentials), but rather depend on the psychological reaction of the subject to a task-related stimulus requiring attentional, memory or discriminatory performances.

ERPs consist of a) amplitude modulation of

Contingent negative variation (CNV) and bereitschaftspotential (BP) or readiness potential

Voluntary movements can be classified into two categories depending on their mode of initiation, i.e., whether they are initiated internally or triggered or paced by external stimuli. The central neuronal mechanisms involved in those preparations and executions can be reflected by Bereitschaftspotential (BP) and contingent negative variation (CNV), respectively.

CNV 230, 231 is a wide and prolonged negative potential recorded during simple warned reaction time paradigms from central and parietal

40 Hz event-related potentials

Galambos 〚60〛 described the 40 Hz ERP as a steady-state response following a repetitive auditory stimulation, which becomes sinusoidal in form and maximal in amplitude at rates between 35–45 Hz. The study of 40 Hz ERPs, or of “high frequency” cortical response has gained the interest of many researchers because new theories on consciousness suggest that the synchronization between different cortical areas leading to “consciousness” is reflected by activities in this frequency range 32, 111, 112

Event-related desynchronization (ERD)

Alpha amplitude attenuation, for the first time described by Berger in 1930 〚13〛 as blocking of rhythmic components or desynchronization, is one of the basic phenomena in electroencephalography and, when related to an external or internal event, is also called event-related desynchronization (ERD) 159, 160. ERDs has been studied in relation with visual and auditory activation 159, 160, endogenous events, voluntary movement 33, 160, speech paradigms 〚162〛, and semantic tasks 〚93〛. ERDs have been

Conclusion

Accumulation of lipofuscine, neuronal shrinkage, neuronal loss, decrement of dendritic sprouting, appearance of senile plaques and amilaceous bodies, changes in cell membrane lipid composition, and myelin alterations are all described in senescent brain 53, 74, 83, 231.

There is not, however, any convincing evidence that these changes might modify the brain functions of healthy aged individuals, and it might be concluded along with Rogers 178, 180 that although “a plethora of anatomical and

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