[Higher mental functions and cognitive auditory event-related potentials impairment in liquidators of Chernobyl...

An integrated neuropsychological study and analysis of cognitive auditory event-related potentials (ERP) using the three-stimulus oddball paradigm was performed in ten subjects who participated in the liquidation of Chernobyl accident and ten healthy subjects. Impairment of higher mental functions, including aspontaneity, fatigability, a decrease in the auditory-verbal and visual memories, and higher motor function deficiency was shown in liquidators. A decrease of amplitude in all components of ERP (N1, N2 and P3) was found in liquidators for all stimuli in both experimental situations (audition of all stimuli and counting of deviant stimuli) compared to healthy subjects. The latent period (LP) of ERP in liquidators was decreased for N1 and N2 components and increased for P3. The largest between-group differences in the LP were revealed in the frontal areas for N1 and P3 in the left hemisphere and for N2 - in the right one. The correlation analysis between the ERP and a neuropsychological study had shown that changes in the LP of N1 are correlated to the impairment of short-term memory and pose praxis of the right hand while changes in the N2 were correlated to the impairment of long-term memory and pose praxis of the left hand. The changes in LP of P3 were correlated to complex cognitive processing disorders. Thus, the complex study identified the deceleration of perception, processing, and analysis of information combined with the weakened inhibition and "uneconomical" type of reactivity which led to the impairment of higher mental functions in liquidators compared to healthy subjects of the same age. The changes found in liquidators are similar to those observed in elderly people and support the hypotheses on accelerated brain ageing caused by low dose irradiation.