Auditory P300 event related potential in minor ischemic stroke

Objective - Various degenerative cerebral diseases and even depression may cause abnormalities of the cognitive event related potentials (ERPs). We co nducted the present study to elucidate the effects of ischemic stroke on th e P300 ERP component. Material and methods - We recorded the P300 wave usin g an auditory oddball paradigm in 38 consecutive brain infarct patients wit h mild neurological deficits at 3 and 12 months poststroke, and in 29 healt hy control subjects. Results - Brain infarction slightly prolonged the P300 latency, and the observed delay was related to the presence and degree of post-stroke depression evaluated with the Zung Depression Scale and the DSM -III criteria. Infarction did not affect the P300 amplitude or its distribu tion on the scalp. The results of the patients with hemispheric brain infar ction and those of the patients with brainstem infarction were similar, and also the values of the patients with the left- and right-sided lesions. Th e normal physiological correlation between subject age and the P300 latency was absent at 3 months post-stroke, but was present at 12 months post-stro ke. Conclusion - Brain infarction delays the P300 ERP and temporarily disto rts its age-related physiology. The increase of the P300 latency seems to b e associated with the post-stroke depression.