Synopsis
A veraged cortical evoked potentials from single clicks were recorded from 51 patients and controls. The patient group consisted of 40 subjects with a diagnosis of ‘nuclear’ schizophrenia, and 11 subjects with diagnoses including mania, anxiety neurosis and personality disorder.
Changes in auditory evoked cortical responses (AECR's) were most marked in clinically stable, dysphoric, chronic schizophrenics. These subjects showed reproducible, low amplitude, ‘untidy’ responses in which the amplitude of the primary peak was lower than the amplitude of later peaks. Chronic schizophrenics who were rated as being depressed, showed a more ‘normal’ AECR.
AECR changes during the memorising of nonsense syllables demonstrated a functional separation between early and later peaks of the AECR. It was postulated that the AECR changes in schizophrenia and during memorising result from pathological patterns of cortical desynchronisation produced by altered mid-brain activity different from that of anxious arousal, and that the clinical ‘steady-state’ of chronic schizophrenia is reflected in the ‘steady-state’ desynchronisation changes in the AECR.