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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of neurochemistry 58 (1992), S. 0 
    ISSN: 1471-4159
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Abstract: Following a recent report that epithelial cells of the choroid plexus possess histamine H2 receptors, the effect of cimetidine and ranitidine, histamine H2 receptor antagonists, on the secretion and electrolyte content of CSF was examined. Fifty cats were divided into one control (n = 6) and six experimental groups. CSF was collected by puncture of the cisterna magna following pentobarbital anesthesia, and its volume, concentrations of Na+, K+, Cl-, and pH were determined. Cimetidine or ranitidine (50, 20, or 10 mg/kg) was injected intravenously 2 h after the start of the test, and their concentrations were measured in hourly blood samples and in 30-min aliquots of CSF in the 50 mg/kg experimental groups. Whereas the secretion of CSF did not change over 6 h in the control group, it decreased significantly by 30–60 min after injection of cimetidine or ranitidine and remained low for the following 61/2 h in all experimental groups except the 10-mg ranitidine group. Peak cimetidine and ranitidine concentrations in CSF in the 50-mg experimental groups were noted 60 and 90 min, respectively, after intravenous injection. CSF electrolyte concentrations and pH did not change during the test in any group. We conclude that intravenous cimetidine or ranitidine can significantly reduce CSF secretion in the cat, possibly by competitive inhibition of the histamine effect on H2 receptors located on the choroid plexus epithelial cell, or by a direct effect on the capillaries of the choroid plexus.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Psychophysiology 20 (1983), S. 0 
    ISSN: 1469-8986
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine , Psychology
    Notes: Reaction times (RTs) to words or patterns presented in the left or right visual fields and averaged Event-Related Potentials (ERPs) evoked by the same stimuli presented foveally were measured separately. In both experiments, an oddball paradigm known to elicit the P3 component was used. Twenty-four subjects (12 males) were tested in each experiment. In the electrophysiological study EEG was measured differentially from five different scalp sites, each referred to linked ear lobes. There were two frontal and two parietal lateralized electrodes, and a fifth which was located at the vertex (Cz).The RTs to words were significantly delayed relative to the RTs to patterns. Furthermore, the responses were significantly shorter in the right visual field when the target was a word, yet only slightly shorter in the left visual field when the target was a nonsense pattern. The same pattern of results was found with the evoked potentials: A positive wave evoked by the target stimulus was measured at vertex with mean latency of 511.3 msec in the verbal task, and 464.4 msec in the nonverbal task. At the lateralized locations, a significant Task by Hemisphere interaction was found. When the target was a word the base to peak P3 amplitudes were higher over the left than over the right hemisphere. A reverse trend was found with nonverbal targets. The base to peak P3 amplitudes were slightly (but not significantly) higher over the right than over the left hemisphere.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Psychophysiology 12 (1975), S. 0 
    ISSN: 1469-8986
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine , Psychology
    Notes: The somatosensory evoked response (SER) to Vibrotactile stimuli superimposed on a constant vibrotactile background of different intensities was studied in 5 subjects. It was found that vibrotactile background of low intensity enhanced the amplitude of the SER. Further increase of the intensity of the background caused a decrease in the SER amplitude.These resulted are compared to evoked response studies in visual and auditory systems.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    European journal of pediatrics 143 (1985), S. 235-237 
    ISSN: 1432-1076
    Keywords: Cerebellar astrocytoma ; Posterior fossa tumor ; Handwriting
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Deterioration of handwriting in an 11-year-old boy over a 2 month period was found to be caused by a cerebellar astrocytoma. The clinical picture was characterised by a lack of the classic symptoms of increased intracranial pressure. The only positive neurological findings pointed to an isolated right cerebellar symptomatology expressed by mild intention tremor and decreased tone of the right hand. Progressive deterioration of handwriting can be an ominous sign and it should be known to all professionals, as a lack of awareness can cause delay in expert referral and diagnosis.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1433-0350
    Keywords: Key words Brain injury ; severe ; Children ; Prognosis ; Intensive care
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We suggest a few possible explanations, including improvement of intensive care, as the main cause, for the improved outcome after severe head injury in children and present the predictors of outcome observed in a contemporary series. From January 1984 to June 1988 we saw 117 children (ages 0–14) with postresuscitation GCS (Glasgow Come Scale) scores of 3–8. The more recent cohort of children seen in 1994–1996 was made up of 152 patients. Apart from standard statistics we used a segmentation method called CHAID (SSPS software). Previously known predictors of outcome are found still to apply in our series. Although in the recent period there was a lower proportion of patients with GCS 3–4 (11% versus 32%), a higher percentage had suffered multiple trauma (56% versus 33%). The rates of craniotomy and of ICP monitoring were similar (66% and 61%). Comparison of the two cohorts for outcome at discharge and through 1 year shows that mortality fell from 33% to 10% and the proportion achieving improvement of neurological status increased from 24% to 56%. CHAID analysis showed that the mortality rates of patients within specific groups declined significantly over the two periods: (1) a significant reduction in mortality was seen in patients with GCS 5–7, especially those with diffuse axonal injury (DAI) (17.3% to 0%); (2) no child admitted in shock survived in the earlier period, whereas 7 with GCS 4–6 survived during the recent period. The best model for mortality prediction includes GCS, and in the GCS 4–7 subgroup, the presence of subdural hematoma. It seems that the trend toward better immediate outcome is continuous, and this is the more striking when the severity of injury is taken into consideration. Our belief is that the modern medical and surgical techniques, although incurring higher costs and necessitating ongoing intensity, are well worth the effort.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Documenta ophthalmologica 29 (1971), S. 169-200 
    ISSN: 1573-2622
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Sixty-nine cases of optic nerve atrophy were examined electrophysiologically. 42% displayed enhanced ERGs together with reduced or absent visual evoked potentials. Eight cases of these with conditions resulting from blunt head injury, brain tumor, encephalitis and multiple sclerosis are presented in detail. The distribution of the b-wave and a-wave amplitudes of the pathological ERG was studied and compared with normal ERGs. The b-wave was taken as criterion for retinal sensitivity for reasons explained. Possible underlying mechanisms of the electrophysiological data are speculated considering that 55% of the cases displayed reduced ERGs. The data seem to support the hypothesis that in the intact visual system impulses propagated along centrifugal optic nerve fibers inhibit retinal activity at the bipolar cell level, an effect rivaled by the growing retinal sensitivity during dark adaptation. In the absence of the efferent effect in optic nerve involvement, the ERG recovery would be unrivaled resulting in enhanced ERGs. An inhibition of this assumed inhibitory feedback on the retina by light adaptation is postulated and supported by evidence from animal experiments found in the literature. This hypothesis and alternative hypotheses are applied to the cases examined.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Documenta ophthalmologica 34 (1973), S. 47-55 
    ISSN: 1573-2622
    Keywords: Cat ; Electroretinogram ; Centrifugal optic nerve fibers ; Dark adaptation ; Intermittent stimulation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In twelve cats the ERG was examined prior to and after severance of one optic nerve. The neurally isolated eye displayed enhanced ERG b-waves as compared to preoperative recordings and to recordings from the fellow eye. The concept of an inhibitory control of retinal function via centrifugal fibers within the optic nerve which rivals retinal sensitivity is discussed. Photic stimulation superimposed upon background illumination did not produce differences in the ERGs. During recovery from light adaptation the ERG was often equal in both eyes during the photopic phase of dark adaptation. Thereafter the isolated eye exhibited enhanced retinal responses. These findings are in accordance with those from patients with optic nerve lesion. When intermittent stimulations at different intensities were used the positive amplitudes of the first response in the isolated eye were always higher than those in the fellow eye. The steady states were achieved later in the isolated eye than in the fellow eye and decreased at a faster rate in the former. This suggests a decreased ability of the isolated eye to maintain its performance as compared to the eye under cerebral control.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Documenta ophthalmologica 29 (1971), S. 201-211 
    ISSN: 1573-2622
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Seven patient with low visual acuity displaying enhanced positive waves in retinal responses of normal shape and reduced or extinct visual evoked potentials were presented. None of these cases exhibited any sign of optic nerve affection and visual field defects nor any localizing neurological deficits. Conclusions drawn in an earlier report from similar electrophysiological findings but obtained in cases with optic nerve atrophy were applied here. On the basis of these findings, it is hypothesized that the enhanced ERG represents the result of an abolition of a physiological rivalry between the increasing retinal sensitivity in the dark and an inhibitory cerebral influence upon retinal activity exerted via efferent fibers in the optic nerve. The possible origins of this assumed negative feedback mechanism are discussed, though neither experimental facts nor speculation did provide a reasonable clue. An answer may be given by observing the patients during the following years and possibly by animal experiments.
    Type of Medium: Electronic Resource
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