Two Visual Mechanisms of Photosensitivity

Purpose: Photosensitive epilepsy is the most common of the “reflex” epilepsies. Precipitated by television viewing, flickering light, or specific visual patterns, it is the cause of seizures in 10% of young people with epilepsy. Photosensitivity is associated with two types of EEG abnormalities: pho...

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Veröffentlicht in:Epilepsia (Copenhagen) 1999-10, Vol.40 (10), p.1446-1451
Hauptverfasser: Harding, G. F. A., Fylan, F.
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description Purpose: Photosensitive epilepsy is the most common of the “reflex” epilepsies. Precipitated by television viewing, flickering light, or specific visual patterns, it is the cause of seizures in 10% of young people with epilepsy. Photosensitivity is associated with two types of EEG abnormalities: photoparoxysmal responses (PPRs) and occipital spikes (OSs). It is unclear whether these abnormalities are mediated by different mechanisms, and furthermore, the clinical significance of OS is unknown. Methods: By using our previously established population of patients with photosensitive epilepsy, all showing EEG abnormalities on intermittent photic stimulation or pattern stimulation, we examined the effects of pattern contrast, spatial and counterphase temporal frequency, and colour on these abnormalities. Results: PPRs and not OSs show linear contrast dependency and are elicited by stationary stimuli and by non‐colour‐opponent isoluminant stimuli. Conclusions: PPRs and OSs are generated independently by the parvocellular and magnocellular visual systems, respectively. The results add support to the hypothesis that only PPRs and not OSs are clinically significant.
doi_str_mv 10.1111/j.1528-1157.1999.tb02018.x
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Results: PPRs and not OSs show linear contrast dependency and are elicited by stationary stimuli and by non‐colour‐opponent isoluminant stimuli. Conclusions: PPRs and OSs are generated independently by the parvocellular and magnocellular visual systems, respectively. 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F. A.</creatorcontrib><creatorcontrib>Fylan, F.</creatorcontrib><title>Two Visual Mechanisms of Photosensitivity</title><title>Epilepsia (Copenhagen)</title><addtitle>Epilepsia</addtitle><description>Purpose: Photosensitive epilepsy is the most common of the “reflex” epilepsies. Precipitated by television viewing, flickering light, or specific visual patterns, it is the cause of seizures in 10% of young people with epilepsy. Photosensitivity is associated with two types of EEG abnormalities: photoparoxysmal responses (PPRs) and occipital spikes (OSs). It is unclear whether these abnormalities are mediated by different mechanisms, and furthermore, the clinical significance of OS is unknown. Methods: By using our previously established population of patients with photosensitive epilepsy, all showing EEG abnormalities on intermittent photic stimulation or pattern stimulation, we examined the effects of pattern contrast, spatial and counterphase temporal frequency, and colour on these abnormalities. Results: PPRs and not OSs show linear contrast dependency and are elicited by stationary stimuli and by non‐colour‐opponent isoluminant stimuli. Conclusions: PPRs and OSs are generated independently by the parvocellular and magnocellular visual systems, respectively. 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A. ; Fylan, F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4296-d50d8c5e4f446ca83f2a5532e7e8b0ce96644c16f2b064b800ed9addd6dea6173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Biological and medical sciences</topic><topic>Cerebral Cortex - physiology</topic><topic>Cerebral Cortex - physiopathology</topic><topic>Color Perception - physiology</topic><topic>Contrast Sensitivity - physiology</topic><topic>Electroencephalography - statistics &amp; numerical data</topic><topic>Epilepsy - diagnosis</topic><topic>Epilepsy - etiology</topic><topic>Epilepsy - physiopathology</topic><topic>Form Perception - physiology</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Magnocellular</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Occipital Lobe - physiology</topic><topic>Occipital Lobe - physiopathology</topic><topic>Occipital spikes</topic><topic>Parvocellular</topic><topic>Photic Stimulation - adverse effects</topic><topic>Photoparoxysmal response</topic><topic>Photosensitive epilepsy</topic><topic>Space life sciences</topic><topic>Space Perception - physiology</topic><topic>Visual Pathways - physiology</topic><topic>Visual Pathways - physiopathology</topic><topic>Visual Perception - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Harding, G. F. A.</creatorcontrib><creatorcontrib>Fylan, F.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Epilepsia (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Harding, G. F. A.</au><au>Fylan, F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Two Visual Mechanisms of Photosensitivity</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>1999-10</date><risdate>1999</risdate><volume>40</volume><issue>10</issue><spage>1446</spage><epage>1451</epage><pages>1446-1451</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><coden>EPILAK</coden><abstract>Purpose: Photosensitive epilepsy is the most common of the “reflex” epilepsies. Precipitated by television viewing, flickering light, or specific visual patterns, it is the cause of seizures in 10% of young people with epilepsy. Photosensitivity is associated with two types of EEG abnormalities: photoparoxysmal responses (PPRs) and occipital spikes (OSs). It is unclear whether these abnormalities are mediated by different mechanisms, and furthermore, the clinical significance of OS is unknown. 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subjects Biological and medical sciences
Cerebral Cortex - physiology
Cerebral Cortex - physiopathology
Color Perception - physiology
Contrast Sensitivity - physiology
Electroencephalography - statistics & numerical data
Epilepsy - diagnosis
Epilepsy - etiology
Epilepsy - physiopathology
Form Perception - physiology
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
Magnocellular
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Occipital Lobe - physiology
Occipital Lobe - physiopathology
Occipital spikes
Parvocellular
Photic Stimulation - adverse effects
Photoparoxysmal response
Photosensitive epilepsy
Space life sciences
Space Perception - physiology
Visual Pathways - physiology
Visual Pathways - physiopathology
Visual Perception - physiology
title Two Visual Mechanisms of Photosensitivity
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