Evaluation of tests of central nervous system performance after hypoxemia for a model for cognitive impairment

J Psychopharmacol. 2002 Dec;16(4):337-43. doi: 10.1177/026988110201600408.

Abstract

The sensitivity of several neurophysiological and cognitive tests to different levels of hypoxia was investigated. Cerebral hypoxia in healthy volunteers may be a disease model for dementia or other forms of brain dysfunction. Twelve healthy subjects were included in a randomized, single-blind, placebo-controlled, three-period cross-over trial. They received three air/N2 gas mixtures via mask breathing [aimed at peripheral oxygen saturation (SPO2) values of > 97% (placebo), 90% and 80%, with normal end-tidal CO2]. Central nervous system effects were tested regularly for 130 min by saccadic and smooth pursuit eye movements, electro-encephalogram, visual analogue scales and cognitive tests. Treatments were well tolerated. Compared to SPO2 90%, SPO2 80% reduced saccadic peak velocity by 16.4 degrees/s [confidence interval (CI) -26.3, -6.4], increased occipital delta power by 14.3% (CI 3.6, 25.1), and significantly increased most cognitive reaction times. SPO2 80% also decreased correct responses for the binary choice task and serial word recognition [-1.3 (-2.2, -0.3) and -3.5 (-6.2, -0.8), respectively] compared to SPO2 90%. Cognitive performance was decreased by SPO2 80% and increased by SPO2 90% compared to placebo. Sensitive effect measurements can be identified for these interventions. The applicability as a model for cognitive impairment should be investigated further.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Affect / physiology
  • Attention / physiology
  • Carbon Dioxide / blood
  • Choice Behavior / physiology
  • Cognition Disorders / psychology*
  • Cross-Over Studies
  • Double-Blind Method
  • Electroencephalography
  • Female
  • Heart Rate / physiology
  • Humans
  • Hypoxia / complications
  • Hypoxia / psychology*
  • Male
  • Memory / physiology
  • Mental Recall / physiology
  • Models, Biological
  • Neuropsychological Tests
  • Oxygen / blood
  • Psychomotor Performance / physiology*
  • Reaction Time / physiology
  • Reading
  • Saccades / physiology
  • Visual Perception / physiology

Substances

  • Carbon Dioxide
  • Oxygen