<p>In this thesis lateralization of olfactory functions was investigated by both behavioral and electrophysiological assessment, the latter with the olfactory event-related potential (OERP) technique. The olfactory sense is primarily ipsilateral in that a stimulus that is presented to one nostril is initially processed in the same hemisphere. This makes it possible to observe differences between stimulated nostrils as an indication of hemispheric difference. Study I explored differences in olfactory cognitive functions with respect to side of rhinal stimulation and demonstrated that familiarity ratings are higher at right- compared to left-nostril stimulation. No differences were found in episodic recognition memory or free identification, possibly reflecting inter-hemispheric interactions in higher cognitive functions. Effects of repetition priming were present in odor identification and tended to be more pronounced when tested via left nostril. Study II further investigated the effect of previous exposure in odor identification by a different experimental set-up, and demonstrated effects of repetition priming when tested via left- but not right-nostril stimulation. This finding indicates the importance of reconsidering possible sequential effects in olfactory research. Study III examined methodological aspects of an OERP protocol with respect to stimulus duration, which was used in Study IV. No differences in amplitudes or latencies where found between the stimulus durations of 150, 200 and 250 ms, suggesting the commonly used duration of 200 ms in a standard protocol. Study IV investigated laterality effects in OERPs with respect to side of stimulation and electrode site. The results showed consistent amplitudes and latencies regardless of rhinal side of stimulation. Larger amplitudes were demonstrated on left hemisphere and midline compared to right hemisphere, possibly explained by smaller N1/P2 amplitudes at the right-hemisphere sites at left-nostril stimulation. Apart from a proposed OERP protocol, the findings support the notions of a right-hemisphere predominance in processes related to olfactory perception and indicate, in accordance with other findings, a left-side advantage in conceptual repetition priming.</p>

In this thesis lateralization of olfactory functions was investigated by both behavioral and electrophysiological assessment, the latter with the olfactory event-related potential (OERP) technique. The olfactory sense is primarily ipsilateral in that a stimulus that is presented to one nostril is initially processed in the same hemisphere. This makes it possible to observe differences between stimulated nostrils as an indication of hemispheric difference. Study I explored differences in olfactory cognitive functions with respect to side of rhinal stimulation and demonstrated that familiarity ratings are higher at right- compared to left-nostril stimulation. No differences were found in episodic recognition memory or free identification, possibly reflecting inter-hemispheric interactions in higher cognitive functions. Effects of repetition priming were present in odor identification and tended to be more pronounced when tested via left nostril. Study II further investigated the effect of previous exposure in odor identification by a different experimental set-up, and demonstrated effects of repetition priming when tested via left- but not right-nostril stimulation. This finding indicates the importance of reconsidering possible sequential effects in olfactory research. Study III examined methodological aspects of an OERP protocol with respect to stimulus duration, which was used in Study IV. No differences in amplitudes or latencies where found between the stimulus durations of 150, 200 and 250 ms, suggesting the commonly used duration of 200 ms in a standard protocol. Study IV investigated laterality effects in OERPs with respect to side of stimulation and electrode site. The results showed consistent amplitudes and latencies regardless of rhinal side of stimulation. Larger amplitudes were demonstrated on left hemisphere and midline compared to right hemisphere, possibly explained by smaller N1/P2 amplitudes at the right-hemisphere sites at left-nostril stimulation. Apart from a proposed OERP protocol, the findings support the notions of a right-hemisphere predominance in processes related to olfactory perception and indicate, in accordance with other findings, a left-side advantage in conceptual repetition priming.

Les traumatismes crâniens peuvent provoquer des troubles de la perception de molécules odorantes chez l’homme. Les causes de ces troubles post-traumatiques peuvent être : une altération mécanique dans la cavité nasale, des cisaillements des filets nerveux olfactifs et des lésions des régions cérébrales impliquées dans le traitement de l’information olfactive.Il est crucial en clinique ORL de pouvoir déterminer objectivement la fonctionnalité de l’odorat.Pour cela, nous avons conçu une méthode d’enregistrement électrophysiologique des potentiels évoqués olfactifs incluant, en plus de la composante classique P2/P3, une composante cognitive reflétant la perception du stimulus odorant : la variation de contingence négative (CNV).Cette méthode a été tout d’abord validée avec 24 sujets normosmiques et 8 sujets totalement anosmiques (absence congénitale des bulbes olfactifs). La CNV était présente chez tous les normosmiques contrairement à l’onde P2/P3 présente dans seulement 82% (28/34 cavités nasales stimulées) des observations. Les signaux sont tous absents chez les anosmiques.Nous avons aussi examiné 41 patients se plaignant d’anosmie ou d’une hyposmie associée à une perception déformée des odeurs. Dans la plupart des cas ces troubles étaient consécutifs à un choc occipital et/ou temporal. Les enregistrements ont été confrontés aux observations IRM focalisées sur la région des bulbes olfactifs : aspect des bulbes olfactifs et lésions dans le gyrus rectus et le gyrus orbitaire médian.Dans la grande majorité des cas, les deux bulbes présentaient un aspect anormal et les enregistrements électrophysiologiques montraient une absence totale de fonctionnalité.Cependant pour quelques patients, l’anormalité de l’aspect des bulbes n’empêchait pas la transmission de l’information au cerveau, comme indiqué par l’enregistrement des potentiels évoqués. Dans ce cas, la lésion bulbaire était associée à une parosmie (perception déformée des odeurs) et à une incapacité d’identification de celles-ci.Au bilan, notre méthode d’enregistrement permet, au niveau de chaque individu, d’obtenir de façon objective des informations essentielles permettant le diagnostic objectif de l’existence d’un trouble de l’odorat. Notre étude des traumatisés crâniens montre que la région des bulbes olfactifs est fragile et susceptible d’être endommagée partiellement ou totalement, même en cas de traumatisme crânien de relativement faible importance. / Head traumas can cause trouble of odor perception in humans. The causes of these post-traumatic troubles can be either mechanical damage to the nasal cavity, shearing of olfactory nerve fibers or lesions of the brain regions involved in processing olfactory information.In clinical ENT, it is crucial to objectively determine olfaction functionality.We developed electrophysiological recording of olfactory evoked potentials including, in addition to the classic P2/P3 component, a cognitive component reflecting the perception of odorants i.e.: the contingent negative variation (CNV).This method was first validated with 24 normosmic subjects and 8 completely anosmic subjects (congenital anosmia without olfactory bulb). The CNV was present in all normosmic subjects whereas P2/P3 was present in only 82 % (28/34 nasal cavities stimulated) of the observations. No signal was observed in any anosmic subjects.We also examined 41 patients complaining of anosmia or hyposmia associated with a distorted perception of odorants. In most cases, these troubles were consecutive to an occipital and / or temporal impact. The recordings were compared to MRI observations focusing on the region of the olfactory bulbs which exhibited olfactory bulbs lesions and lesions in the gyrus rectus and in the medial orbital gyrus. In most cases, the two bulbs had an abnormal appearance and electrophysiological recordings showed a complete lack of functionality. However, for some patients, the abnormal aspect of the bulb did not prevent the transmission of information to the brain, as indicated by the electrophysiological responses. In this case, the bulbar lesion was associated with parosmia (distorted perception of smell) and an inability to identify odors.In conclusion, our recording method allows obtaining, for each subject, the essential information for an objective diagnosis of the existence of a smell disorder. Our study of patients with head trauma shows that the region of the olfactory bulbs is fragile and can be damaged either partially or completely, even for light head trauma.