Using the visual stimulator, the effects of the following visual stimuli in provoking generalized photoconvulsive responses (PCRs) were studied in 72 photosensitive cases with normal color sensation. The visual stimuli were either separate or combined stimulus of 15 Hz flicker, red-light, and dot and grating patterns with a constant brightness of 20 cd/m
2. The number of the cases in which each of the 11 kinds of visual stimuli provoked PCRs was as follows: (1) flicker of white light, 9 (13%); (2) red-light, 0; (3) dot-pattern, 8 (11%) ; (4) grating-pattern, 16 (22%); (5) red-flicker, 65 (90%); (6) red-dot-pattern, 10 (14%); (7) red-grating-pattern, 10 (14%); (8) flickering-dot-pattern, 34 (47%); (9) flickering-grating-pattern, 36(50%); (10) red-flickering-dot-pattern, 31 (43%); and (11) red-flickering-grating-pattern, 37 (51%). The results of serial examinations in 29 cases were as follows: (1) 6 (21%), (2) 0, (3) 4 (14%), (4) 11 (38%), (5) 29 (100%), (6) 3 (10%), (7) 5 (17%), (8) 18 (62%), (9) 21 (72%), (10) 21 (72%) and (11) 19 (66%). These numbers indicate positive effects of visual stimuli in provoking PCRs in more than a single examination. From these results, it was concluded that, in addition to the activation with pattern stimuli, those with red-flicker as well as flickering-patterns are necessary for routine EEG examination.
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