Adobe Systems Department of Physiology, Faculty of Medicine, Masaryk University 1 XLIII. Electroencephalography XLIV. Evoked potentials XXXIII. Estimation of visual acuity Physiology I – practice Autumn, week 10-12 © Kateřina Fialová Adobe Systems Department of Physiology, Faculty of Medicine, Masaryk University 2 Electroencephalography (EEG) ̶Method used for the registration of electrical potentials of the brain ̶Hans Berger (1929) ̶ ̶Scalp EEG ̶Electrocorticogram (ECoG) ̶Stereoelectroencephalogram (SEEG) ̶ ̶Macro EEG ̶Micro EEG ̶ Adobe Systems Department of Physiology, Faculty of Medicine, Masaryk University 3 Electroencephalography ̶Placement of electrodes: system 10-20 ̶ Adobe Systems Department of Physiology, Faculty of Medicine, Masaryk University 4 Electroencephalography ̶Attachment of electrodes during scalp EEG ̶ www.dreamstime.com Adobe Systems Department of Physiology, Faculty of Medicine, Masaryk University 5 Electroencephalography ̶Alpha rhythm ̶Frequency 8-13 Hz, noticeable with eyes closed, in the awake, healthy and mature brain, especially in parietooccipital lobes ̶Beta rhythm ̶Frequency 14-30 Hz, noticeable with open eyes, sometimes constantly over the frontal area. The phenomenon of suppression of the alpha rhythm by opening eyes – alpha attenuation reaction (AAR). ̶Theta rhythm ̶Frequency 4-7 Hz, noticeable in children, in healthy adults only during shallow sleep stages ̶Delta rhythm ̶Frequency 1-3 Hz, in neonates and infants, in healthy adults only during deep non-REM sleep Adobe Systems Department of Physiology, Faculty of Medicine, Masaryk University 6 EEG waves Adobe Systems Department of Physiology, Faculty of Medicine, Masaryk University 7 EEG record - example Adobe Systems Department of Physiology, Faculty of Medicine, Masaryk University 8 Evoked potentials (EP) ̶Electrical manifestation of brain activity triggered by external sensory stimulus ̶Evaluation of the functional state of the nerve pathway ̶Types of EP: ̶VEP (visual) ̶AEP (auditory) ̶SEP (somatosensoric) ̶MEP (motoric) ̶SSEP (stable) ̶ERP (cognitive) ̶ Adobe Systems Department of Physiology, Faculty of Medicine, Masaryk University 9 Evoked potentials ̶Wave p300 (mean latency 300 ms) ̶ Adobe Systems 10 Visual acuity examination – optotypes Snellen Landolt Pflüger Adobe Systems 11 Visual acuity examination – optotypes ̶Physiological background: ̶the eye can distinguish 2 points as 2 points when the light rays from these two points fall on the retina at an angle of 1 arc minute ̶ ̶Examination: ̶Each row of optotypes has a number on the side that expresses the distance from which the rays from 2 points (for their differentiation and correct reading of the sign) fall on the retina at an angle of 1 arc minute ̶The most frequently used distance is 5 m ̶The result of the examination: ̶Visus – we write it as a fraction: the numerator is the distance from which we are examining, the denominator is the number of the line read without error for the right eye ….VOD = 5/5 …….. healthy eye, good visual acuity for the left eye…… VOS = 5/10 …. an eye with impaired visual acuity ̶ 11´´ 5´