Auditory event-related potentials in mentally retarded subjects during active and passive oddball experiments

The mismatch negativity (MMN)--a unique window to disturbed central auditory processing in ageing and different clinical conditions

In this article, we review clinical research using the mismatch negativity (MMN), a change-detection response of the brain elicited even in the absence of attention or behavioural task. In these studies, the MMN was usually elicited by employing occasional frequency, duration or speech-sound changes in repetitive background stimulation while the patient was reading or watching videos. It was found that in a large number of different neuropsychiatric, neurological and neurodevelopmental disorders, as well as in normal ageing, the MMN amplitude was attenuated and peak latency prolonged. Besides indexing decreased discrimination accuracy, these effects may also reflect, depending on the specific stimulus paradigm used, decreased sensory-memory duration, abnormal perception or attention control or, most importantly, cognitive decline. In fact, MMN deficiency appears to index cognitive decline irrespective of the specific symptomatologies and aetiologies of the different disorders involved.

ERP evaluation of auditory sensory memory systems in adults with intellectual disability

Auditory sensory memory stage can be functionally divided into two subsystems; transient-detector system and permanent feature-detector system (Naatanen, 1992). We assessed these systems in persons with intellectual disability by measuring event-related potentials (ERPs) N1 and mismatch negativity (MMN), which reflect the two auditory subsystems, respectively. Added to these, P3a (an ERP reflecting stage after sensory memory) was evaluated. Either synthesized vowels or simple tones were delivered during a passive oddball paradigm to adults with and without intellectual disability. ERPs were recorded from midline scalp sites (Fz, Cz, and Pz). Relative to control group, participants with the disability exhibited greater N1 latency and less MMN amplitude. The results for N1 amplitude and MMN latency were basically comparable between both groups. IQ scores in participants with the disability revealed no significant relation with N1 and MMN measures, whereas the IQ scores tended to increase significantly as P3a latency reduced. These outcomes suggest that persons with intellectual disability might own discrete malfunctions for the two detector systems in auditory sensory-memory stage. Moreover, the processes following sensory memory might be partly related to a determinant of mental development.

Electrophysiology and intelligence: the electrophysiology of intellectual functions in intellectual disability

The electroencephalograms (EEGs) of 127 subjects with intellectual disability were analysed with regarding to their correlation to intellectual functions in order to further understand the relationships between EEG and intelligence. The EEG frequency spectrum was subdivided into 15, 2-Hz-wide bands and was recorded from electrodes F1, Fpz, Fp2, F7, F3, Fz, F4, F8, T3, C3, Cz, C4, T4, T5, P3, Pz, P4, T6, O1, Oz and O2. Patterns of acorrelation showed several similarities when compared to other analogous studies with normal subjects. However, the typical finding in the present study was a high number of correlations involving the frontal lobes, mainly the prefrontal portions, which is at variance with the patterns of normal subjects. Frontal lobes, especially the prefrontal regions, seem to be affected, regardless of its aetiology, in subjects with intellectual disability.

Neurophysiological and neuropsychological differences related to performance and verbal abilities in subjects with mild intellectual disability

The present study compared two group of subjects with intellectual disability. The 44 subjects in group 1 had equivalent verbal and performance IQs (67 and 64, respectively), while the 12 subjects in group 2 had an intellectual performance IQ which was > or = 10 points above their verbal performance IQ (80 and 65, respectively). The second group showed an alpha peak at a higher frequency and an evoked potential closer to normality. The decrease in the voltage of the P300 wave in group 1 was especially significant. The cognitive evoked potentials were also different between the two groups.