Abstract:Lorazepam is a drug that has been widely used for over 30 years. Whereas its therapeutic and amnestic effects are fairly well known, the visuo-perceptual impairments induced by this drug have been studied to a much lesser degree and only little is known about the influence of lorazepam on the time course of visual information processing. To gain a better insight specifically on these temporal characteristics, we used the recently discovered backward masking technique, 'shine-through', in which a vernier target… Show more
“…Behavioral effects of LZP on visual processing have been observed previously (Lorenceau, Giersch, & Seriés, 2005;Giersch & Herzog, 2004; Beckers, Wagemans, Boucart, & Figure 7. Ratings of sedation per drug over time in hours (2 hr, begin of task; 3 hr, end of task; 3.5 hr, end of session) as assessed with visual analogue scales.…”
Consciousness can be manipulated in many ways. Here, we seek to understand whether two such ways, visual masking and pharmacological intervention, share a common pathway in manipulating visual consciousness. We recorded EEG from human participants who performed a backward-masking task in which they had to detect a masked figure form its background (masking strength was varied across trials). In a within-subject design, participants received dextromethorphan (a N-methyl-d-aspartate receptor antagonist), lorazepam (LZP; a GABAA receptor agonist), scopolamine (a muscarine receptor antagonist), or placebo. The behavioral results show that detection rate decreased with increasing masking strength and that of all the drugs, only LZP induced a further decrease in detection rate. Figure-related ERP signals showed three neural events of interest: (1) an early posterior occipital and temporal generator (94–121 msec) that was not influenced by any pharmacological manipulation nor by masking, (2) a later bilateral perioccipital generator (156–211 msec) that was reduced by masking as well as LZP (but not by any other drugs), and (3) a late bilateral occipital temporal generator (293–387 msec) that was mainly affected by masking. Crucially, only the intermediate neural event correlated with detection performance. In combination with previous findings, these results suggest that LZP and masking both reduce visual awareness by means of modulating late activity in the visual cortex but leave early activation intact. These findings provide the first evidence for a common mechanism for these two distinct ways of manipulating consciousness.
“…Behavioral effects of LZP on visual processing have been observed previously (Lorenceau, Giersch, & Seriés, 2005;Giersch & Herzog, 2004; Beckers, Wagemans, Boucart, & Figure 7. Ratings of sedation per drug over time in hours (2 hr, begin of task; 3 hr, end of task; 3.5 hr, end of session) as assessed with visual analogue scales.…”
Consciousness can be manipulated in many ways. Here, we seek to understand whether two such ways, visual masking and pharmacological intervention, share a common pathway in manipulating visual consciousness. We recorded EEG from human participants who performed a backward-masking task in which they had to detect a masked figure form its background (masking strength was varied across trials). In a within-subject design, participants received dextromethorphan (a N-methyl-d-aspartate receptor antagonist), lorazepam (LZP; a GABAA receptor agonist), scopolamine (a muscarine receptor antagonist), or placebo. The behavioral results show that detection rate decreased with increasing masking strength and that of all the drugs, only LZP induced a further decrease in detection rate. Figure-related ERP signals showed three neural events of interest: (1) an early posterior occipital and temporal generator (94–121 msec) that was not influenced by any pharmacological manipulation nor by masking, (2) a later bilateral perioccipital generator (156–211 msec) that was reduced by masking as well as LZP (but not by any other drugs), and (3) a late bilateral occipital temporal generator (293–387 msec) that was mainly affected by masking. Crucially, only the intermediate neural event correlated with detection performance. In combination with previous findings, these results suggest that LZP and masking both reduce visual awareness by means of modulating late activity in the visual cortex but leave early activation intact. These findings provide the first evidence for a common mechanism for these two distinct ways of manipulating consciousness.
“…Specifically, the magnitude of the hemodynamic response of the fMRI-BOLD signal in the visual cortex was reduced in individuals with larger GABA levels in this region, possibly through an effect on local circulation or glutamate levels (Muthukumaraswamy et al, 2009). Pharmacological studies complement this finding by showing that GABA agonists reduce perceptual awareness (van Loon et al, 2012) and visual discrimination (Giersch & Herzog, 2004), and attenuate the neurophysiological response to visual oddball stimuli (P3 event-related brain potential component; Watson et al, 2009). Further studies showed that GABA agonists also impair temporal discrimination of auditory intervals (Rammsayer, 1992(Rammsayer, , 1999.…”
“…In particular, lorazepam, but not diazepam, has been shown to specifically facilitate the detection of a discontinuity between collinear contours (Beckers et al, 2001;Giersch, 1999Giersch, , 2001) resulting in the impaired integration of local visual information into global configurations (Giersch et al, 1997;Giersch & Lorenceau, 1999). Diazepam and lorazepam have also been shown to differ with respects to the identification of fragmented pictures Vidailhet et al, 1994;Wagemans et al, 1998), perceptual priming effects Vidailhet et al, 1994;Sellal et al, 1992), the detection of discontinuities in lines (Beckers et al, 2001), and in their effects on masking and vernier offset detection (Giersch & Herzog, 2004). The reason why both drugs differ in these effects has still to be determined.…”
Rationale: The benzodiazepine, lorazepam enhances the potential for inhibitory GABA A (-aminobutyric acid) synapses in the cortex to stabilize postsynaptic, excitatory activity by synchronizing discharge rates at frequencies of around 40 Hz. Treatment with lorazepam also affects contour integration processes, suggesting GABA A -mediated synchronization plays a role in visuo-spatial organization. This conclusion is supported by other physiological studies that link visual feature integration with neuronal synchronization. Conclusions: This finding supports the idea that GABA A -enhanced inhibitory synchronization mediates continuity coding during early visual processing.
Objectives
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