title: Attentional deficits in patients with obstructive sleep apnea syndrome: an event-related potential study.
abstract: OBJECTIVE
  Patients with obstructive sleep apnea syndrome (OSAS) show cognitive deficits, vigilance alteration and attentional decline. The aim of this study was to use event-related potentials (ERP) to further document the attentional impairments in these patients.
  
  
  METHODS
  Twelve OSAS patients and 12 age-matched controls underwent the ERP task which consisted in the presentation of short (50ms, 50%) and long tones (400ms, 50%). For these two categories, 90% were standard (1000Hz) and 10% were deviant tones (750 or 1250Hz). Subjects had to discriminate short and long tones by a motor response.
  
  
  RESULTS
  OSAS patients had a sustained and delayed P300 in comparison with control subjects following standard tones (p<0.05). A reduction in amplitude was found in OSAS patients for the P3a obtained by the subtraction of standard from deviant tones (p<0.05). No group difference was observed for N1, mismatch negativity and reorienting negativity components.
  
  
  CONCLUSIONS
  Apneas and hypopneas produce deficits related to involuntary attentional switch and stimulus classification processing.
  
  
  CONCLUSIONS
  The changes observed in P3a and P300 components further support the hypothesis that attentional deficits play a pivotal role in cognitive deficits noted in OSAS.
authors.affiliation: Sleep Disorder Center, Sacre-Coeur Hospital and University of Montreal, Montreal, Canada.
authors.forename: Nadia
authors.initials: N
authors.lastname: Gosselin
authors.forename: Annie
authors.initials: A
authors.lastname: Mathieu
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Mazza
authors.forename: Dominique
authors.initials: D
authors.lastname: Petit
authors.forename: Jacques
authors.initials: J
authors.lastname: Malo
authors.forename: Jacques
authors.initials: J
authors.lastname: Montplaisir
mesh_terms: D000328:Adult; D001288:Attention / Q000502:physiology*; D001921:Brain / Q000503:physiopathology*; D018913:Event-Related Potentials, P300 / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020181:Sleep Apnea, Obstructive / Q000503:physiopathology*