Summaiy. Pallem visual evoked potentials (PVEPs) were recorded from 177 normal subjects aged 11-87 years. The purpose was to determine age-dependent changes in the latency of the individual components of tbe waveform. 'ITie initial components of the PVEP. which are thought to reflect activity in the primary visual (seriate) cortex, showed no change in latency from 11-50 years followed by an abrupt increase occurring during the sixth decade. It is probable thai this delay in the PVEP Is mediated largely by puthophysiological changes occurring either in the eye or visual pathways, or both. The secondary components of the PVEP, which are presumed to be generated in the visual association areas of the extrastriate cortex, showed a progressive although initially very limited increase in latency starting after adolescence. It is suggested that those delays occurring between 21 and 5(1 years in the secondary components are mediated largely by intracortical factors. The more pronounced delays occurring for the older age groups (over 50 years) appear to be caused by a combination of cortical, subcortical and ocular changes in visual function. TTic prolongation of the later components in the age group 11-20 years seems to reflect maturational changes almost entirely confined to intrncortical processes. The results are discussed in terms of the many conflicting reports of the effects of age on the PVEP.
INTRODUCTIONThe PVEP is generated by stimulating the visual system with a reversing black and white checker-board pattem. This will evoke an electrocortical potential with a more stable and simple waveform than that of the flash VEP and therefore provides a useful and reliable technique for studying the integrity of the visual system. The concept of the PVEP was derived from the discoveries of Hubel and Wiesel and others that the visual system is differentially sensitive to the contour, movement and pattern of a stimulus rather than its overall luminance. Originating with the research of Halliday and his colleagues, the PVEP is now recognised to have a valuable role in the diagnosis or detection of multiple sclerosis, optic neuritis, compressive lesions of the visual pathways and diseases of the eye (Halliday, 1982).