Cognitive evoked potentials to anticipated oesophageal stimulus in humans: quantitative assessment of the cognitive aspects of visceral perception

Evoked potential studies provide an objective measure of the neural pathways involved with perception. The effects of cognitive factors, such as anticipation or awareness, on evoked potentials are not known. The aim was to compare the evoked potential response to oesophageal stimulation with the cortical activity associated with anticipation of the same stimulus. In 12 healthy men (23.5 +/- 4 years), oesophageal electrical stimulation (15 mA, 0.2 Hz, 0.2 msec) was applied, and the evoked potentials recorded using scalp electrodes. A computerized model of randomly skipped stimuli (4:1 ratio) was used to separately record the evoked potentials associated with stimulation and those associated with an anticipated stimulus. The electrical stimulus represented the nontarget stimulus and the skipped impulse the target (anticipatory) stimulus. This anticipatory evoked potential was also compared to auditory P300 evoked potentials. Reproducible evoked potentials and auditory P300 responses were elicited in all subjects. Anticipatory evoked potentials (peak latency 282.1 +/- 7.9 msec, amplitude 8.2 +/- 0.7 microV, P < 0.05 vs auditory P300 evoked potential) were obtained with the skipped stimulus. This anticipatory evoked potential was located frontocentrally, while the auditory P300 potential was located in the centro-parietal cortex. The anticipatory evoked potential associated with expectation of an oesophageal stimulus, although of similar latency to that of the auditory P300 evoked response, originates from a different cortical location. The recording of cognitive evoked potentials to an expected oesophageal stimulus depends on attention to, and awareness of, the actual stimulus. Anticipatory evoked potentials to GI stimuli may provide an objective electrophysiological tool for the assessment of the cognitive factors associated with visceral perception.     

Time course of early audiovisual interactions during speech and nonspeech central auditory processing: a magnetoencephalography study

Cross-modal fusion phenomena suggest specific interactions of auditory and visual sensory information both within the speech and nonspeech domains. Using whole-head magnetoencephalography, this study recorded M50 and M100 fields evoked by ambiguous acoustic stimuli that were visually disambiguated to perceived /ta/ or /pa/ syllables. As in natural speech, visual motion onset preceded the acoustic signal by 150 msec. Control conditions included visual and acoustic nonspeech signals as well as visual-only and acoustic-only stimuli. (a) Both speech and nonspeech motion yielded a consistent attenuation of the auditory M50 field, suggesting a visually induced "preparatory baseline shift" at the level of the auditory cortex. (b) Within the temporal domain of the auditory M100 field, visual speech and nonspeech motion gave rise to different response patterns (nonspeech: M100 attenuation; visual /pa/: left-hemisphere M100 enhancement; /ta/: no effect). (c) These interactions could be further decomposed using a six-dipole model. One of these three pairs of dipoles (V270) was fitted to motion-induced activity at a latency of 270 msec after motion onset, that is, the time domain of the auditory M100 field, and could be attributed to the posterior insula. This dipole source responded to nonspeech motion and visual /pa/, but was found suppressed in the case of visual /ta/. Such a nonlinear interaction might reflect the operation of a binary distinction between the marked phonological feature "labial" versus its underspecified competitor "coronal." Thus, visual processing seems to be shaped by linguistic data structures even prior to its fusion with auditory information channel.     

Neurophysiologic studies of sensory gating in schizophrenia: Comparison of auditory and visual responses

Gating of visual and auditory evoked responses was assessed in chronic schizophrenic patients treated with neuroleptic drugs. Middle latency components of the visual evoked response (N90-P130) were recorded at the occiput after flash stimulus. Possible inhibitory mechanisms of sensory gating were assessed in a conditioning-testing paradigm by measuring the change in amplitude of response to a second stimulus, relative to the response to the first stimulus. Simultaneous electrooculograms were recorded to detect contamination of recordings by eye movement. Neither schizophrenic patients nor normal control subjects demonstrated significant suppression of visual evoked responses in the conditioning-testing paradigm. These results differed markedly from similar measurements of a middle latency component of the auditory evoked response (P50) recorded using the same conditioning-testing paradigm in these subjects. Normal controls showed significant decrements of the P50 response to the second auditory stimulus (mean decrement over 80%), whereas schizophrenic patients failed to show a significant decrement (mean less than 40%). This finding for auditory evoked responses replicated previous studies of normal and schizophrenic subjects. Multiple conditioning stimuli were substituted for the single conditioning stimulus used previously in an attempt to enhance gating of auditory responses, but suppression of the P50 test response did not increase in either normal or schizophrenics.     

Cortical slow negative waves following non-paired stimuli: effects of modality, intensity and rate of stimulation.

Using a simple stimulus counting task, negative after-waves following single (unpaired) stimuli were investigated under a variety of stimulus conditions. Responses were obtained to tones at 3 intensities, to light flashes at 3 intensities, and to tones at 3 rates of presentation. The acoustic stimuli led to a negative after-wave that peaked at frontal sites around 500 or 600 msec, and then trailed off to a more central scalp representation. This negative after-wave was increased in amplitude by slowing the rate of stimulus presentation. In comparison, no appreciable or sustained after-wave was elicited by visual stimuli. No significant effects in the negative after-wave were associated with intensity, either for visual or for acoustic stimuli. When analyzed by Principal Components Analysis, the negative after-waves were shown to comprise in all cases two underlying factors, although the factors contributed less to the total wave form for visual stimuli than for acoustic stimuli. Two interpretations for the negative after-wave were contrasted, one considering it to be an integral feature of the auditory evoked potential. A second interpretation, more compatible with the data obtained here, links the negative after-wave with non-specific activation processes.     

Human auditory steady state responses to binaural and monaural beats.

OBJECTIVE: Binaural beat sensations depend upon a central combination of two different temporally encoded tones, separately presented to the two ears. We tested the feasibility to record an auditory steady state evoked response (ASSR) at the binaural beat frequency in order to find a measure for temporal coding of sound in the human EEG. METHODS: We stimulated each ear with a distinct tone, both differing in frequency by 40Hz, to record a binaural beat ASSR. As control, we evoked a beat ASSR in response to both tones in the same ear. We band-pass filtered the EEG at 40Hz, averaged with respect to stimulus onset and compared ASSR amplitudes and phases, extracted from a sinusoidal non-linear regression fit to a 40Hz period average. RESULTS: A 40Hz binaural beat ASSR was evoked at a low mean stimulus frequency (400Hz) but became undetectable beyond 3kHz. Its amplitude was smaller than that of the acoustic beat ASSR, which was evoked at low and high frequencies. Both ASSR types had maxima at fronto-central leads and displayed a fronto-occipital phase delay of several ms. CONCLUSIONS: The dependence of the 40Hz binaural beat ASSR on stimuli at low, temporally coded tone frequencies suggests that it may objectively assess temporal sound coding ability. The phase shift across the electrode array is evidence for more than one origin of the 40Hz oscillations. SIGNIFICANCE: The binaural beat ASSR is an evoked response, with novel diagnostic potential, to a signal that is not present in the stimulus, but generated within the brain.     

Brain potentials in a memory-scanning task. II. Effects of aging on potentials to the probes

Brain potentials accompanying the classification of probe items as being members of a previously presented list were recorded from subjects ranging in age from 18 to 86 years old. A group of older subjects (average age = 66 years) was compared to a younger group (average age = 29 years). The items tested were verbal (digits) and non-verbal (musical notes). Digits were presented in the auditory and visual modalities, and notes were presented acoustically. Reaction times (RTs) and performance accuracy were computed. Potentials are described in terms of scalp distribution, latency and amplitude as a function of the type of stimulus (verbal/non-verbal, auditory/visual) and age group (younger/older). Evoked potentials to target notes in an auditory target-detection ('odd-ball') task were also recorded for comparison with the memory tasks. Potentials evoked by probes consisted of a sequence of sensory components in the first 250 msec followed by a cognitive component that was positive in polarity and sustained in duration (approximately 700 msec labeled P3), consisting of an earlier frontal component, P3a (mean latency: younger = 385 msec, older = 406 msec), and a large (15 microV) and later parietal constituent, P3b (mean latency: younger = 574 msec, older = 630 msec). The frontal derivation of the younger subjects showed a sustained negative bias of the wave forms in the latency range of 200-500 msec (P2 to P3) compared to the older subjects. Reaction times were longer in older subjects than in younger subjects for all stimulus types and set sizes. For the potentials evoked by the probes the younger group had consistently larger late parietal components (P3b) than the older group, whereas the late frontal potentials (P3a) were larger for the older than younger subjects. Except for visual stimuli, the latencies of the parietal sustained potentials were not influenced by subject age in contrast to the uniform changes in RT for all stimulus types. Significant amplitude and latency effects on the parietal sustained potentials accompanied the different stimulus types and memorized-set sizes which were similar for the two age groups. These results suggest that the effects of aging on short-term memory are primarily on response selection, as evidenced by RT slowing with aging, and not on memory-scanning processes as evidenced by the similarity of the latency measures of the accompanying brain potentials between the two age groups.     

Frontal kindling in rabbits and its influence on visual and auditory evoked response

Frontal kindling in rabbits, prolongation of the duration of afterdischarge concomitant and clinical manifestations and the epileptic foci (primary and independent secondary foci) were revealed. Auditory and visual evoked responses were recorded after completion of the kindling phenomenon. 1. Electrical stimulations, 300 microA, 60 Hz. 1 msec in duration, 2 sec train, were applied once a day. Clinical manifestations were divided into five stages: 1) the arrest of behavior or no response, 2) the adversive movement with a tonic and/or clonic convulsion of left paw, 3) the adversive movement following mastication, facial spasms and postictal stupor, 4) falling down abruptly and generalized convulsive seizure, and 5) generalized seizure followed by rotatory movement, vocalization and myoclonus. The appearance of five generalized convulsions was defined as a completion of the kindling phenomenon. 2. The duration of afterdischarge increased stepwisely from 2--3 sec to more than 400 sec. However, there was no constant duration of AD even though the animal showed generalized convulsion after completion of the kindling phenomenon. 3. Visual and auditory evoked responses were recorded after completion of kindling. There was a change in the auditory evoked response but not in the visual. A shortening of the latency of P2 component (73.3 msec in peak latency), N2 component (146.7 msec in peak latency) and amplification of the amplitude of N2 component were noticed. Thus, the intermittent weak electrical stimulation on the frontal cortex in rabbits induced generalized convulsion and produced primary and independent secondary epileptic focus on EEG, and the change of auditory evoked response was recognized in kindled animals.     

Somatosensory evoked potentials in the term newborn.

Median nerve somatosensory evoked potentials (SEPs) were recorded from surface electrodes in 40 healthy term infants (range 36.5-43 weeks postmenstrual age). Electrical stimulation at 5 Hz was used, averaging the response to several runs of 1024 stimuli to each median nerve, bandpass 10-3000 Hz, sweeptime 100 msec. Identifiable potentials were collected over the cervical cord on all runs in all 40 infants and from the cortex in at least some runs in 39 out of 40 infants. The cervical response showed little variation and consisted of a clear negative wave with up to 3 peaks, mean latency of the largest 10.2 +/- 0.7 msec, followed by a positive deflection. The cortical response was very variable in form and latency between infants and to a lesser degree within infants. Four types of cortical wave form were found, symmetrical, asymmetrical, plateau and M shaped, of increasing complexity. In 11% of trials the response was absent or indistinct but could usually be uncovered by alteration in stimulus frequency or intensity. In the whole group, the mean latency for N1 was 30.0 +/- 6.8 msec and for the central conduction time 19.8 +/- 6.5 msec. Significant differences were found between the 4 cortical wave forms in the main variables measured, which gave support for form S being the most primitive and form M the most mature response.     

Brain potentials in a memory-scanning task. III. Potentials to the items being memorized

Cerebral potentials evoked by items presented for memorization in a memory-scanning task were recorded from subjects ranging in age from 18 to 86 years old. Subjects were divided into younger (average age = 29 years) and older groups (average age = 66 years). Both verbal (digits) and non-verbal (musical notes) stimuli were used. Digits were presented in the auditory as well as the visual modality, and notes were presented acoustically. Potentials are described in terms of their scalp distribution, latency, and amplitude and are compared between the young and old subjects. Potentials evoked by the memorized items consisted of a positive (P50-90), negative (N100-150), positive (P185-225) sequence in the first 250 msec following stimulus onset. A sustained potential shift then followed whose amplitude differed with the items being memorized. The shift was positive in the parietal region being largest (5 microV) with verbal items presented visually and slightly smaller (3 microV) with non-verbal auditory stimuli (the notes); in contrast, verbal auditory digits were not associated with a detectable sustained parietal potential shift. In the frontal recordings there was a sustained potential shift accompanying all stimulus types, which was more negative in the young subjects. The amplitude of these sustained potential shifts differed as a function of the position of the item in the memorized set. These results provide electrophysiological evidence of brain activity during memorization that varies with the items being processed as well as differing between young and old subjects.     

Defensive engagement and perceptual enhancement

We tested whether visual cortical sensitivity to external cues in the context of an acute defensive reaction is heightened or attenuated. A strong cardiac defense (fear) response was elicited by presenting an abrupt, loud acoustic stimulus following a 10-min period of quiescence. Electrocortical responses to aversive and neutral pictures following defensive stimulus onset were measured using dense-array EEG. Pictures were flickered at 12.5 Hz to evoke steady-state visual evoked potentials (ssVEP), which can be reliably extracted on the basis of single trials. Visual cortical activity indexing perceptual processing was substantially heightened when pictures were shown in temporal proximity to (i.e., 5 s after) the defense stimulus. Replicating previous studies, aversive visual stimuli were associated with enhanced ssVEP amplitude, compared to neutral stimuli. Acute defense facilitates visual perception of external cues and preserves accurate discrimination between threatening and safe cues.     

Electrophysiologic correlates of visuo-spatial attention shift

We investigated neurophysiologic correlates of shifting visual attention across the visual field. Event-related potentials (ERPs) were recorded in 12 normal subjects during a visual discrimination task in which target stimuli were presented at a predictable or unpredictable location in the eccentric visual field. Subjects were obliged to shift their attention from the expected site to the unpredictable site immediately after the presentation of shifted stimuli in order to detect the change of stimulus attributes. Shifted stimuli modulated the NI component (130–200 msec), producing a larger amplitude at the posterior temporal site contralateral to the stimulus field and a smaller amplitude over the ipsilateral hemisphere. Furthermore, shifted stimuli uniquely evoked a positive ERP component with a latency of 200–300 msec, which distributed broadly over the skull maximally at the frontal and central electrode sites. Both the negative and positive components changed in amplitude as a function of shift distance and direction. These results suggest that modulations of the negative and positive deflections reflect the shift of covert visuo-spatial attention and that right hemispheric dominance does not exist at least in the early stage of shifting spatial attention.     

Deviance-elicited changes in event-related potentials are attenuated by ketamine in mice

BACKGROUND: People with schizophrenia exhibit reduced ability to detect change in the auditory environment, which has been linked to abnormalities in N-methyl-D-aspartate (NMDA) receptor-mediated glutamate neurotransmission. This ability to detect changes in stimulus qualities can be measured with electroencephalography using auditory event-related potentials (ERPs). For example, reductions in the N100 and mismatch negativity (MMN), in response to pitch deviance, have been proposed as endophenotypes of schizophrenia. This study examines a novel rodent model of impaired pitch deviance detection in mice using the NMDA receptor antagonist ketamine. METHODS: ERPs were recorded from unanesthetized mice during a pitch deviance paradigm prior to and following ketamine administration. First, N40 amplitude was evaluated using stimuli between 4 and 10 kHz to assess the amplitude of responses across the frequency range used. The amplitude and latency of the N40 were analyzed following standard (7 kHz) and deviant (5-9 kHz) stimuli. Additionally, we examined which portions of the ERP are selectively altered by pitch deviance to define possible regions for the mouse MMN. RESULTS: Mice displayed increased N40 amplitude that was followed by a later negative component between 50 and 75 msec in response to deviant stimuli. Both the increased N40 and the late N40 negativity were attenuated by ketamine. Ketamine increased N40 latency for both standard and deviant stimuli alike. CONCLUSIONS: The mouse N40 and a subsequent temporal region have deviance response properties similar to the human N100 and, possibly, MMN. Deviance responses were abolished by ketamine, suggesting that ketamine-induced changes in mice mimic deviance detection deficits in schizophrenia.     

The influence of pattern size on amplitude, latency and wave form of retinal and cortical potentials elicited by checkerboard pattern reversal and stimulus onset-offset.

Transient pattern electroretinograms (PERGs) and visual evoked potentials (VEPs) were recorded with checkerboard pattern reversal and equiluminance stimulus onset-offset, elicited by a high quality moving mirror stimulator. Different sized checkerboard patterns (0.35-4.2 c/deg) were used as stimulus patterns. The wave forms of the equiluminance stimulus onset responses were similar to ERGs evoked with luminance decrease and the stimulus offset PERGs were like ERGs elicited by luminance increase. The PERG c wave and the VEP showed spatial frequency tuning with pattern reversal and stimulus offset. Spatial frequency tuning was not detectable with PERG a and b waves. Pattern reversal and stimulus onset evoked PERGs had no major spectral components above 40 Hz; stimulus offset evoked PERGs contained components up to 55.3 Hz. Retino-cortical time--measured as a latency difference of the PERG b wave to VEP P100--was identical with pattern reversal and stimulus onset and about 12 msec longer with stimulus offset. Our results suggest that the 3 stimulation modes, reversal, onset and offset induce different types of processing at the retinal and cortical levels. PERG a and b waves to our high luminance/contrast stimuli contain no pattern specific information and the c waves are the sum of luminance and pattern specific responses.     

Visual processing affects the neural basis of auditory discrimination

The interaction between auditory and visual speech streams is a seamless and surprisingly effective process. An intriguing example is the "McGurk effect": The acoustic syllable /ba/ presented simultaneously with a mouth articulating /ga/ is typically heard as /da/ [McGurk, H., & MacDonald, J. Hearing lips and seeing voices. Nature, 264, 746-748, 1976]. Previous studies have demonstrated the interaction of auditory and visual streams at the auditory cortex level, but the importance of these interactions for the qualitative perception change remained unclear because the change could result from interactions at higher processing levels as well. In our electroencephalogram experiment, we combined the McGurk effect with mismatch negativity (MMN), a response that is elicited in the auditory cortex at a latency of 100-250 msec by any above-threshold change in a sequence of repetitive sounds. An "odd-ball" sequence of acoustic stimuli consisting of frequent /va/ syllables (standards) and infrequent /ba/ syllables (deviants) was presented to 11 participants. Deviant stimuli in the unisensory acoustic stimulus sequence elicited a typical MMN, reflecting discrimination of acoustic features in the auditory cortex. When the acoustic stimuli were dubbed onto a video of a mouth constantly articulating /va/, the deviant acoustic /ba/ was heard as /va/ due to the McGurk effect and was indistinguishable from the standards. Importantly, such deviants did not elicit MMN, indicating that the auditory cortex failed to discriminate between the acoustic stimuli. Our findings show that visual stream can qualitatively change the auditory percept at the auditory cortex level, profoundly influencing the auditory cortex mechanisms underlying early sound discrimination.     

Human short-latency auditory responses obtained by cross-correlation

Short-latency auditory responses were obtained by cross-correlation of continuous, pseudorandom noise stimuli with averaged scalp potentials from adults with normal hearing. Responses were recorded for spectrum levels of 14-74 dB for noise bandwidths from 800 to 6000 Hz. At the lowest intensity level of broadband noise, all 10 subjects showed replicable cross-correlation functions (CCFs), which were characterized by prominent positive peaks at delays (latencies) of 5-7 msec. Male subjects exhibited longer delays than females. Delay (latency) increased with decreasing stimulus intensity. Very early responses (less than 2 msec) attributable to cochlear microphonic, which were prominent in earlier work on guinea pigs, were not well seen in these human data. CCFs for responses to band-limited stimuli and off-line derivation of band-limited CCFs for responses evoked by broadband stimuli both showed that this technique is most sensitive to frequency-following behavior at low frequencies (less than 800 Hz). However, definite phase-locked responses to even the highest passband (3100-6200 Hz) were seen. These results support the use of the CCF technique as an efficient method of frequency-specific assessment of the auditory system.     

Brain stem auditory evoked potentials: significant latency differences between ipsilateral and contralateral stimulation

A number of electrical potentials can be recorded from the human scalp following acoustic stimulation. The potentials which occur within 10 msec of the stimulus onset have been termed the brain stem auditory evoked potentials (BAEPs). Latency appears to be the most stable measure and in consequence knowledge of the exact limits of normal latency of each wave is important. In this study the effects of ipsilateral and contralateral stimulation on BAEP latencies have been investigated in 23 normal subjects. The exact limits of normal latency of each wave have been established. It has been shown that significant latency differences exist between ipsilateral and contralateral stimulation. Possible hypotheses are put forward to explain the findings which demonstrate that different neural pathways are followed by ipsilateral and contralateral stimuli and that their respective responses can be investigated separately in man using BAEP recordings.     

Factors that affect the amplitudes and latencies of the vertex short latency acoustic responses in the cat.

The latencies and amplitude of the short latency (less than 10 msec) acoustic evoked responses recorded from the vertex of the cat have been studied as a function of acoustic stimulus parameters. A change in the stimulus intensity, duration, or rate of repetition resulted in parallel changes in the first 5 evoked responses, i.e., the latencies shifted the same amount and the amplitudes were modified in the same proportion. Comparison of responses to monaural versus binaural stimuli indicated an occlusive effect of binaural stimulation only in potential 4.     

Raphe unit activity in freely moving cats: Effects of phasic auditory and visual stimuli

The effects of phasic auditory or visual stimuli upon the single unit activity of serotonergic neurons within the dorsal raphe nucleus (DRN) were studied in freely moving cats. The predominant response to auditory stimulation (86% of the cells) was excitation, with a mean latency of 40 ± 3 ms (S.E.M.) and a mean duration of 64 ± 4 ms. This was typically followed by a longer period (206 ± 32 ms) with unit activity below the baseline level. This did not appear to be a stimulus-induced inhibition of unit activity, however, since its duration closely corresponded to the normal interspike interval for that particular neuron. The response to repetitive auditory stimulation showed no evidence of habituation and was even present during sleep. A similar response, although generally of lesser magnitude, was evoked by a phasic visual stimulation in 64% of the cells tested. The mean latency for the response to visual stimulation was 53 ± 4 ms, the mean duration of excitation was 76 ± 7 ms, and the mean duration of the subsequent suppressed period was 239 ± 37 ms. The response to the visual stimulus also showed no evidence of habituation. These data indicate that serotonergic neurons of the DRN are driven, with similar temporal characteristics, by stimuli in two different sensory modalities. We hypothesize that these similar effects are attributable to a common excitatory input.     

Auditory stimulus processing at different stimulus intensities as reflected by auditory evoked potentials

The influence of stimulus intensity on the components of auditory evoked potentials was investigated at different levels of attention and task relevance in six healthy adult subjects. A negative component with a latency of 130 msec (N130) was produced by stimuli applied as targets or nontargets in a random sequence. The N130 amplitude had an inverse U-shaped relationship to stimulus intensity, with its maximum value at a stimulus intensity of 70 dB SL. The P300 latency showed a U-shaped relationship to stimulus intensity and obtained its minimum value at 70 dB. Thus, evoked-potential equivalents of cognitive auditory stimulus processing could be shown to be loudness driven and to have highest amplitudes or shortest latencies at a stimulus loudness of 70 dB SL.     

Intermodal selective attention. I. Effects on event-related potentials to lateralized auditory and visual stimuli.

The effects of intermodal selective attention on event-related brain potentials (ERPs) were examined in 2 experiments. In experiment 1, auditory ERPs were compared (1) when subjects responded to easy and difficult-to-detect target tones in sequences of tone bursts; and (2) when they ignored the same auditory sequences and played a demanding video game. In experiment 2, auditory ERPs to tone bursts and visual ERPs to vertical line gratings were compared as subjects responded to difficult-to-detect targets in one modality or the other. Attention to auditory stimuli resulted in biphasic enhancements in auditory ERPs, the Nda (negative auditory difference wave, latency 120-160 msec) and the Pda (positive auditory difference wave, latency 200-240 msec) waves. These had longer latencies and somewhat different scalp distributions than N1 and P2 components evoked by non-attended tones. The Nda and Pda could be contrasted with the monophasic processing negativities typically found in dichotic selective attention tasks. Nda amplitudes were larger for difficult-to-detect targets (closely resembling standards) than for standards themselves, but no Ndas were recorded to highly deviant targets. Deviant auditory stimuli evoked mismatch negativities (MMNs) that persisted during visual attention. MMN amplitudes to difficult-to-detect deviants were enlarged with attention, but no change was found in MMN amplitudes to easy-to-detect deviants. In experiment 2 intermodal attention was associated with biphasic changes in visual ERPs over the posterior scalp: the occipital Pdv (100-130 msec), and contralateral-temporal Ndv (120-320 msec) deflections. Deviant visual stimuli also elicited mismatch negativity/N2b components, largest over the inferotemporal cortex contralateral to the stimulated visual field. Like the auditory MMN, the MMN increased in amplitude with attention, but it was also evident during attend auditory conditions. The results suggest that sustained, intermodal attention depends primarily in processing modulations in modality-specific cortex. We found no evidence of the participation of modality non-specific cortex. This excludes the possibility that intermodal attention depends on a single, supramodal attention system. The relatively long latency of intermodal effects suggests that they may depend on the reafferent (top down) modulation, and do not index "template matching" operations.