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  • 1
    Digitale Medien
    Digitale Medien
    Springer
    Diseases of the colon & rectum 33 (1990), S. 974-976 
    ISSN: 1530-0358
    Schlagwort(e): Constipation ; Defecography ; Magnetic resonance imaging ; Anterior ectopic anus
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract A 25-year-old nulliparous woman with adult onset constipation and slight anterior displacement of the anus underwent pelvic magnetic resonance imaging and was diagnosed with congenital hemiabsence of the levator ani sling. Impaired defecation was confirmed by anorectal function studies and defecography demonstrated an anterior rectocele, perineal descent at the upper limit of normal, and partial obstruction of defecation, which appeared related to the levator sling abnormality. To our knowledge, this combination of findings has not been previously described as a cause of adult onset constipation.
    Materialart: Digitale Medien
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  • 2
    Digitale Medien
    Digitale Medien
    Springer
    Surgical and radiologic anatomy 12 (1990), S. 59-64 
    ISSN: 1279-8517
    Schlagwort(e): Cerebral ventricular volume ; Cerebrospinal fluid volume ; Volume of encephalic ventricles ; Computerized tomography ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Résumé Le volume des ventricules cérébraux a été mesuré à partir d'explorations en résonance magnétique. Il existe de nombreuses conditions pathologiques qui peuvent provoquer un élargissement ventriculaire, telles que la maladie d'Alzheimer et l'hydrocéphalie. La mesure précise de la taille des ventricules peut être d'importance pour le diagnostic de ces affections. Elle fournit également d'excellents critères de surveillance des patients porteurs de telles maladies. Notre objectif a été poursuivi au cours d'études séparées en 3 parties. Ce travail rapporte les résultats obtenus durant la première phase de cette étude. Celle-ci démontre qu'il est possible de mesurer les espaces liquidiens en IRM sur 3 fantômes ventriculaires (cavités petites, moyennes et larges). Les résultats ont été comparés avec ceux obtenus en examen tomodensitométrique des mêmes préparations. Des calculs volumétriques ont été obtenus à l'aide d'un analyseur numérique Calcomp 9 000 programmé pour corriger les facteurs d'agrandissement et les épaisseurs de coupe. L'étude des résultats des mesures de volume des cavités ventriculaires obtenus sur ces fantômes démontre que ceux-ci sont plus précis en coupes IRM qu'en coupes tomodensitométriques. La différence moyenne entre ces volumes obtenus en imagerie et les volumes réels calculés par mesure d'espaces liquidiens était de 15,8 % pour les coupes scanographiques et 8,3 % pour l'IRM.
    Notizen: Summary The volume of the encephalic ventricles was determined from magnetic resonance imaging (MRI) scans. Since there are many conditions in which the encephalic ventricles become enlarged such as Alzheimer's disease and hydrocephalus, accurate measurement of the ventricles provides a valuable and safe means of aiding the diagnosis of such conditions and also provides important follow-up information in affected patients. The objective was pursued in a three phase study. This paper presents the data obtained from the first phase. This first phase demonstrated the possibility of measuring fluid filled spaces by MRI in three phantom preparations (small, medium, and large “ventricles”). The results were compared with those obtained from computerized tomography (CT) scans of the same preparations. These volumetric calculations were done with the aid of a Calcomp 9,000 digital analyzer programmed to compensate for the scale factor and slice thickness of the images. The phantom study showed that the results obtained from the MRI scans were better than those obtained from the CT scans in measuring the volume of water-filled cavities (ventricles) in gelatin phantoms. The average percent difference between volumes obtained by an imaging procedure compared to the actual volume as determined by water displacement was 15.8% for CT scanning and a more impressive 8.3% for MRI.
    Materialart: Digitale Medien
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  • 3
    Digitale Medien
    Digitale Medien
    Springer
    Skeletal radiology 19 (1990), S. 509-514 
    ISSN: 1432-2161
    Schlagwort(e): Musculoaponeurotic fibromatosis ; Magnetic resonance imaging ; Gadolinium-DTPA
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Musculoaponeurotic fibromatosis can be mistaken for soft-tissue sarcoma both clinically and on X-ray computed tomography. Magnetic resonance imaging (MRI) in three patients with this condition enabled the correct diagnosis to be made prospectively in two. The appearance on MRI of a heterogeneous mass with well-defined, predominantly peripheral areas of very low signal intensity due to dense fibrous tissue and areas of medium to high signal intensity corresponding to a more cellular stroma should raise the the suspicion of musculoaponeurotic fibromatosis. Cellular areas within the tumour showed moderate enhancement after gadolinium diethylene triamine pentaacetic acid administration.
    Materialart: Digitale Medien
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  • 4
    ISSN: 1432-2315
    Schlagwort(e): Computer tomography ; Magnetic resonance imaging ; Ray-casting algorithm ; Voxel
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Informatik
    Notizen: Abstract Multi-slice images obtained from computer tomography and magnetic resonance imaging represent a 3D image volume. For its visualization we use a raycasting algorithm working on a gray-scale voxel data model. This model is extended by additional attributes such as membership to an organ or a second imaging modality (“generalized voxel model”). It is shown that the combination of different surface-rendering algorithms together with cutting and transparent display allow a realistic visualization of the human anatomy.
    Materialart: Digitale Medien
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  • 5
    Digitale Medien
    Digitale Medien
    Springer
    Urological research 18 (1990), S. 341-344 
    ISSN: 1434-0879
    Schlagwort(e): External urethral sphincter ; Myosin ; Electrophoresis ; Male ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The proportions of fast and slow myosin molecules in external urethral sphincter specimens from ten urodynamically normal male bladder carcinoma patients were estimated from the contents of fast and slow myosin light chains in two-dimensional electrophoretic gels. The percentages of fast and slow myosin molecules ranged from 5.0% to 61.4% with a mean of 35.5% and from 38.6% to 95.0% with a mean of 65.5% respectively. It is therefore concluded that the human external urethral sphincter is composed of both fast and slow muscle fibers as well as other voluntary muscles. The human external urethral sphincter is considered to be a highly fatigue-resistant muscle with a very high proportion of slow muscle fibers. In the cases studied so far, there is a great diversity in the proportions of fast and slow myosin molecules; the reason for this remains unknown.
    Materialart: Digitale Medien
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  • 6
    Digitale Medien
    Digitale Medien
    Springer
    Acta neurochirurgica 104 (1990), S. 126-135 
    ISSN: 0942-0940
    Schlagwort(e): Magnetic resonance imaging ; intracranial mass lesion ; intracranial pressure rebound ; brain oedema
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The rebound of intracranial pressure (ICP) occurring after decompression of an intracranial mass lesion was studied in an epidural balloon compression model. Intracranial morphology and brain tissue water content were assessed with magnetic resonance imaging (MRI). Fast and slow components of the transverse relaxation time (T2) were used as indicators of brain oedema development. During balloon compression a progressive prolongation of both the fast and the slow T2 components took place. Following deflation of the balloon both components increased rapidly, particularly the slow-T2. The MR scans displayed progressive occlusion of the aqueduct, and obliteration of the ambient and pontine cisterns. The changes in morphology and in water content after decompression had largely the same time course as the development of the rebound of ICP. In contrast, no changes in morphology and tissue water content occurred after hydrostatic brain compression achieved by subarachnoid fluid infusion. The findings suggest that the intracranial pressure rebound is caused by cerebral oedema accumulated during and particularly in the recirculation phase after an ischaemic injury of adequate intensity and adequate duration.
    Materialart: Digitale Medien
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  • 7
    Digitale Medien
    Digitale Medien
    Springer
    Anatomy and embryology 181 (1990), S. 351-364 
    ISSN: 1432-0568
    Schlagwort(e): Temporal cortex ; Auditory cortex ; Nissl ; Golgi ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The cortex of the superior, middle and inferior temporal gyri of the human cerebral hemispheres was investigated using Nissl, Golgi and fibre staining techniques. Brodmann's (1909) area 41, corresponding to the primary auditory cortex in Heschl's transverse temporal gyri, consisted of typical koniocortex, and formed the middle part of the superior temporal plane (the buried lower bank of the Sylvian fissure). Anteriorly the superior temporal plane contained area 22, and posteriorly the planum temporale (part of area 42). The lateral surfaces of the superior, middle and inferior temporal gyri respectively correspond to areas 22, 21 and 20. Neurons in much of the left temporal cortex, apart from area 41, formed radial columns. This columnar organisation was most pronounced posteriorly and superiorly, so that anterior area 20 was the least columnar and area 42 the most. The right temporal cortex was markedly less columnar than the left. Golgi studies showed a variety of pyramidal and non-pyramidal neurons, with specific varieties typical of individual cortical layers.
    Materialart: Digitale Medien
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  • 8
    ISSN: 1432-0568
    Schlagwort(e): Development ; Human ; Muscle ; Myosin ; Thyroid hormone
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary It has now been well established that during mammalian muscle development there is a sequential transition of the myosin isoforms, with the developmental isoforms being replaced just before or just after birth by the adult isozymes. In a previous study of human fetal muscle, we demonstrated the differentiation of two fiber populations as early as 15 weeks: one population of large diameter fibers containing predominantly slow myosin heavy and light chains, and another population which stained homogeneously for fetal myosin heavy chain and corresponded to histochemical type IIC fibers. We have carried out an immunocytochemical and bio-chemical study of human fetal quadriceps between 7 and 40 weeks. A chronology of the changes which occur in the expression of the myosin heavy and light chains is correlated with the results obtained by enzyme histo-chemistry. Evidence is also presented that in man excessive amounts of thyroid hormone act directly on the muscle, and result in a precocious accumulation of the adult myosin heavy chains and a precocious maturation of the muscle.
    Materialart: Digitale Medien
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  • 9
    Digitale Medien
    Digitale Medien
    Springer
    Surgical and radiologic anatomy 12 (1990), S. 287-290 
    ISSN: 1279-8517
    Schlagwort(e): Cerebral ventricular volume ; Cerebrospinal fluid volume ; Volume of encephalic ventricles ; Computerized tomography ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Résumé La détermination exacte du volume des ventricules cérébraux est importante en clinique comme par exemple dans la démence présénile d'Alzheimer, la schizophrénie et l'hypertension intracrânienne bénigne. Des études antérieures ont étudié la fiabilité de la résonance magnétique nucléaire en pratique clinique pour évaluer le volume des ventricules cérébraux. Toutefois une évaluation correcte dans les conditions pathologiques implique une bonne connaissance des données morphométriques du sujet normal. Pour établir ces données sur « le sujet normal », nous avons étudié les coupes obtenues en IRM chez 38 sujets apparemment indemnes de toute pathologie; nous avons calculé le volume ventriculaire dans chaque cas en utilisant des méthodes mises au point auparavant dans notre laboratoire. Les résultats ont été ensuite comparés avec ceux obtenus par d'autres études utilisant soit des moules ventriculaires, soit des coupes tomographiques computérisées. Le volume ventriculaire total moyen chez 38 sujets est de 17,4 cm3, mais il est chez les sujets masculins de 16,3 cm3 et chez les sujets de sexe féminin de 18 cm3. Une corrélation faible mais significative a été trouvée entre l'âge du sujet et le volume ventriculaire, étant entendu que la taille du ventricule augmente avec l'âge.
    Notizen: Summary Accurate volume determination of the encephalic ventricles is of importance in several clinical conditions, including Alzheimer's presenile dementia, schizophrenia, and benign intracranial hypertension. Previous studies have investigated the accuracy with which magnetic resonance imaging (MRI) can be used in clinical practice to evaluate the encephalic ventricles. However, adequate evaluation of pathological conditions depends on a sufficient amount of morphometric data from normal subjects. To begin establishing this data base for “normal” subjects, we evaluated the MRI scans of 38 subjects found to have no apparent pathology and calculated the ventricular volume in each case by using methods previously developed in our laboratory. The results were then compared with published volumes determined from studies that used either ventricular casts or computerized tomographic scans. The average total ventricular volume for all 38 subjects was 17.4 cm3, while that for males was 16.3 cm3 and that for females was 18.0 cm3. A small but significant correlation was found between age of subject and ventricular volume, with ventricular size increasing with age.
    Materialart: Digitale Medien
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  • 10
    Digitale Medien
    Digitale Medien
    Springer
    Surgical and radiologic anatomy 12 (1990), S. 43-51 
    ISSN: 1279-8517
    Schlagwort(e): Cryosections ; Magnetic resonance imaging ; Neonatal hip anatomy
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Résumé L'anatomie complexe de la hanche du nouveau-né est souvent difficile à illustrer. Récemment, l'IRM a été utilisée pour étudier la hanche normale et pathologique du nouveau-né. Nous avons corrélé des explorations IRM de la hanche d'un enfant mort-né avec des cryosections faites dans divers plans. La technique de coloration de Mallory-Cason a été utilisée pour montrer le détail des structures anatomiques de la hanche normale. Dans ce travail l'IRM s'est avérée un excellent moyen d'exploration de l'anatomie de la hanche.
    Notizen: Summary The complex anatomy of the neonatal hip is often difficult to image. Recently, magnetic resonance imaging (MRI) has been used to evaluate the normal and abnormal neonatal hip. We correlated the MRI scans of the hip of a newborn cadaver with multiplanar cryo-sections stained according to Mallory-Cason, to detail the anatomic structures of the normal hip joint space. In our experience, MRI was shown to provide excellent depiction of hip anatomy.
    Materialart: Digitale Medien
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  • 11
    Digitale Medien
    Digitale Medien
    Springer
    Surgical and radiologic anatomy 12 (1990), S. 225-227 
    ISSN: 1279-8517
    Schlagwort(e): Venae cavae, abnormalities ; Azygos vein ; Computed tomography ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Résumé Les auteurs rapportent un cas de veine cave inférieure gauche avec un drainage hémiazygos puis azygos préférentiel associé à un drainage accessoire par la veine intercostale supérieure gauche. Cette malformation congénitale exceptionnelle entrant dans le cadre d'un syndrome polysplénique a été étudiée par cavographie, tomodensitométrie et imagerie par résonance magnétique.
    Notizen: Summary The authors report a case of left IVC with a preferential hemiazygos-azygos drainage associated with an accessory left superior intercostal vein drainage. This exceptional congenital malformation which finds its place in polysplenia was studied by cavography, CT and MR imaging.
    Materialart: Digitale Medien
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  • 12
    ISSN: 1432-0509
    Schlagwort(e): Liver tumors ; Ultrasound ; Magnetic resonance imaging ; Angiography ; Computed tomography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Forty-one patients with liver tumor have been evaluated with ultrasound (US), computed tomography (CT), intra-arterial digital subtraction angiography (IA-DSA), and magnetic resonance imaging (MRI) in order to establish the accuracy of each technique. In group A (24 patients), in which all four imaging modalities were performed, our results show that MRI detected all hemangiomas (25/25) compared to 22/25, 21/25, and 20/25 with US, CT, and IA-DSA, respectively. No difference between the various methods was seen in the case of hepatoma. Finally, in the patients with metastases, all four techniques had the same sensitivity (100%) but the specificity of MRI was also 100%, compared to 33% for IA-DSA and 66% for US and CT.
    Materialart: Digitale Medien
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  • 13
    Digitale Medien
    Digitale Medien
    Springer
    Abdominal imaging 15 (1990), S. 279-281 
    ISSN: 1432-0509
    Schlagwort(e): Congenital esophageal cysts, adults ; Computed tomography ; Ultrasound, endoscopic ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The radiologic imaging of esophageal cysts (EC) in adults is described. These rare cysts, often detected incidentally on routine chest radiographs, seldom produce symptoms, but they may cause precordial sensations, arrhythmias, and dysphagia. They may also bleed and become malignant. As surgical excision is the treatment of choice, the preoperative diagnosis must be exact. For this, magnetic resonance imaging (MRI) or endoscopic ultrasound seem to be the imaging methods of choice even if a plausible diagnosis can be advanced on computed tomography (CT). Chest x-ray or esophagus roentgenogram have little differential diagnostic value.
    Materialart: Digitale Medien
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  • 14
    ISSN: 1432-0509
    Schlagwort(e): Liver, neoplasms ; Hepatocellular carcinoma ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Internal architecture of an encapsulated hepatocellular carcinoma (HCC) was studied with magnetic resonance imaging and histologic correlation. The capsule of HCC showed low intensity relative to liver on both T1- and T2-weighted images. The T1-weighted images were superior to the T2-weighted images in delineating the capsule of HCC. The tumor showed a mosaic pattern, which was a configuration composed of multiple compartments of different intensities, reflecting viable tumor nodules and a necrotic portion. Viable tumor nodules, composed of trabeculae of polygonal cells resembling the normal liver cell with well-formed sinusoids, showed low intensity relative to liver on T1-weighted images and high intensity on T2-weighted images. The necrotic portion, composed of coagulation of amorphous, thick eosinophilic material without hemorrhage or inflammatory reaction, showed low intensity relative to liver on both T1- and T2-weighted images. The T2-weighted images were superior to the T1-weighted images in demonstrating the mosaic pattern of HCC.
    Materialart: Digitale Medien
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  • 15
    Digitale Medien
    Digitale Medien
    Springer
    International journal of biometeorology 34 (1990), S. 76-86 
    ISSN: 1432-1254
    Schlagwort(e): Rheology ; Human ; Heart rate ; Oxygen consumption ; Body temperature
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Geographie , Physik
    Notizen: Abstract The evolution with time of cardio-respiratory variables, blood pressure and body temperature has been studied on six males, resting in semi-nude conditions during short (30 min) cold stress exposure (0°C) and during passive recovery (60 min) at 20°C. Passive cold exposure does not induce a change inHR but increasesVO 2,VCO 2 Ve and core temperatureT re, whereas peripheral temperature is significantly lowered. The kinetic evolution of the studied variables was investigated using a Kelvin-Voigt rheological model. The results suggest that the human body, and by extension the measured physiological variables of its functioning, does not react as a perfect viscoelastic system. Cold exposure induces a more rapid adaptation for heart rate, blood pressure and skin temperatures than that observed during the rewarming period (20°C), whereas respiratory adjustments show an opposite evolution. During the cooling period of the experiment the adaptative mechanisms, taking effect to preserve core homeothermy and to obtain a higher oxygen supply, increase the energy loss of the body.
    Materialart: Digitale Medien
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  • 16
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 81 (1990), S. 303-312 
    ISSN: 1432-1106
    Schlagwort(e): Fast arm movements ; Load disturbance ; Motor programmes ; Sensorimotor integration ; Stretch reflex ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Subjects made fast goal-directed elbow flexion movements against an inertial load. Target distance was 8 or 16 cm, randomly chosen. To exert a force in the direction of the movement subjects had to activate flexors of both shoulder and elbow, but shoulder flexors did not change appreciably in length during the movement. In 20% of the trials the inertial load was increased or decreased without knowledge of the subjects. Until 90–110 ms after the onset of the agonist muscle activity (about 65–85 ms after the start of movement) EMG activity was very similar in all conditions tested. The changes that occured in the EMG from that moment on were effectively a later cessation of the agonist activity and a later start of the antagonist activity if the load was increased unexpectedly. If the load was reduced unexpectedly, the agonist activity ceased earlier and the antagonist activity began earlier. The latency at which EMGs started to change was the same for muscles around shoulder and elbow, for agonists and antagonists and for both distances. All adjustments had the same latency (37 ms) relative to the point where the angular velocity of the elbow in the unexpectedly loaded movements differed by 0.6 rad/s from the expected value. We discuss why simple reflex- or servo-mechanisms cannot account for the measured EMG changes. We conclude that appropriate adjustments of motor programmes for fast goal-directed arm movements start within 40 ms of the detection of misjudgment of load.
    Materialart: Digitale Medien
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  • 17
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 81 (1990), S. 335-345 
    ISSN: 1432-1106
    Schlagwort(e): Saccade-trajectories ; Saccade-curvature ; Models ; Fast and slow saccades ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary In order to study the cooperation of peripheral motor subsystems, the degree of curvature of human saccades along cardinal (right, up, left, down) and oblique directions was computed from an extensive set of experimental data. Our curvature measure allows comparison of fast and slow saccade trajectories elicited in different experimental conditions, independent of the speed of execution. Although we found clear and consistent subject-specific differences, the most common pattern in oblique visually-guided (i.e., fast) saccades reflected early dominance of the horizontal velocity signal as expressed in saccade trajectories curving away from the horizontal axis. Plots of curvature against direction yielded consistent idiosyncratic patterns with periodical increases and decreases in saccade curvature which were largely independent of saccade amplitude. At the cardinal axes, mean saccade curvature was generally less, but rarely entirely absent, and fitted smoothly into the curvature pattern of neighbouring quadrants. Memory-guided saccades, which have been shown earlier to be considerably slower than visually-guided saccades and to be more variable in their dynamic properties, showed a strikingly similar dependence of curvature on saccade direction, although some small but consistent differences were noticed. This finding suggests that saccade curvature is determined by mechanisms residing in the final common pathway for both saccade types. The curvature data were compared with quantitative predictions from three different models for the generation of oblique saccades. By quantifying the curvature of human saccades and thereby revealing the shortcomings of these models, the present paper documents new constraints with which future models of the saccadic system must comply and allows certain suggestions on how these might be developed.
    Materialart: Digitale Medien
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  • 18
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 81 (1990), S. 413-416 
    ISSN: 1432-1106
    Schlagwort(e): Proprioception ; Trunk ; Rotation ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Proprioceptive sensation in rotation of the trunk about a vertical axis was investigated in normal human subjects. Subjects pointed at the big toe with the nose to test the accuracy of positioning of the trunk. Active rotation of the head and shoulders on the stationary hips and legs to align the nose and toe, was not significantly more accurate than moving the hips, legs and toe under the fixed head and shoulders. Passive displacements were imposed on the head and shoulders, or on the hips and legs. Thresholds for the detection of these displacements were unchanged by the exclusion of vestibular stimulation. Thresholds were highest (still less than 1°) at the slowest angular velocity (0.1 °/s) and became lower as the angular velocity was increased.
    Materialart: Digitale Medien
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  • 19
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 81 (1990), S. 567-572 
    ISSN: 1432-1106
    Schlagwort(e): Motor unit ; Recruitment threshold ; Synergism ; Movement control ; Muscle coordination ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Motor-unit activity in m. biceps brachii, m. brachialis and m. brachioradialis during isometric contractions has been compared with motor-unit activity during slow voluntary (extension and flexion) movements made against external loads. During these slow movements the recruitment threshold of m. biceps motor units is considerably lower than it is during isometric contractions but the recruitment threshold of both m. brachialis and m. brachioradialis motor units is considerably higher. For all three elbow flexor muscles the motor-unit firing frequency seems to depend on the direction of movement: the firing frequency is higher during flexion movements (3 deg/s) and lower during extension movements (−3 deg/s) than during isometric contractions. The relative contribution of the biceps to the total exerted flexion torque during slow voluntary movements is estimated to increase from 36% to about 48% and that of the brachialis/brachioradialis is estimated to decrease from 57% to about 45% compared to the relative contribution of these muscles during isometric contractions. This difference in the relative contribution of the three major elbow flexor muscles is shown to be caused by differences in the central activation in force tasks and movement tasks.
    Materialart: Digitale Medien
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  • 20
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 82 (1990), S. 167-177 
    ISSN: 1432-1106
    Schlagwort(e): Posture ; Somatosensory ; Vestibular ; Movement ; EMG ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary This study examines the roles of somatosensory and vestibular information in the coordination of postural responses. The role of somatosensory information was examined by comparing postural responses of healthy control subjects prior to and following somatosensory loss due to hypoxic anesthesia of the feet and ankles. The role of vestibular information was evaluated by comparing the postural responses of control subjects and patients with bilateral vestibular loss. Postural responses were quantified by measuring 1) spatial and temporal characteristics of leg and trunk EMG activation; 2) ankle, knee, and hip joint kinematics, and 3) surface forces in response to anterior and posterior surface translations under different visual and surface conditions. Results showed that neither vestibular nor somatosensory loss resulted in delayed or disorganized postural responses. However, both types of sensory deficits altered the type of postural response selected under a given set of conditions. Somatosensory loss resulted in an increased hip strategy for postural correction, similar to the movement strategy used by control subjects while standing across a shortened surface. Vestibular loss resulted in a normal ankle strategy but lack of a hip strategy, even when required for the task of maintaining equilibrium on a shortened surface. Neither somatosensory nor vestibular loss resulted in difficulty in utilizing remaining sensory information for orientation during quiet stance. These results support the hypothesis that cutaneous and joint somatosensory information from the feet and ankles may play an important role in assuring that the form of postural movements are appropriate for the current biomechanical constraints of the surface and/or foot. The results also suggest that vestibular information is necessary in controlling equilibrium in a task requiring use of the hip strategy. Thus, both somatosensory and vestibular sensory information play important roles in the selection of postural movement strategies appropriate for their environmental contexts.
    Materialart: Digitale Medien
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  • 21
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 82 (1990), S. 211-213 
    ISSN: 1432-1106
    Schlagwort(e): Tendon reflex ; Quadriceps ; Presynaptic inhibition ; Gait ; Ia afferents ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Amplitude modulation of the quadriceps tendon jerk reflex was investigated during the step cycle in normal human subjects. Reflex amplitude was compared with that obtained during a control stance condition, with “equivalent” levels of EMG activity and limb position. During gait there was a progressive decrease in the reflex amplitude early in the stance phase, i.e. during yielding of the knee, and it remained reduced throughout the step cycle. This pattern of changes in reflex amplitude correlated with neither the quadriceps EMG activity nor with the knee joint movements. The behavior of the tendon reflex was similar to that described for the modulation of the quadriceps H-reflex during the early stages of the stance phase of gait. In the latter study it was argued that changes in presynaptic inhibition of quadriceps la terminals could account for the amplitude modulation. We conclude that there is no dramatic change in the gamma drive to quadriceps muscle spindles: tendon reflexes are modulated during the step cycle in much the same way as H-reflexes, in spite of the peripheral and central differences between them. Similar behavior has been described for the soleus H-reflex and Achilles tendon reflex during gait although the modulation of these reflexes followed a different pattern than that seen in the quadriceps.
    Materialart: Digitale Medien
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  • 22
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 80 (1990), S. 591-599 
    ISSN: 1432-1106
    Schlagwort(e): Balance ; Sensory afference ; Reaction time ; EMG ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Peripheral sensory modulation of balance behavior may require a “calibrated” mechanism which would maintain upright standing by a feedback control of torque at the ankle joint. The calibration of human balance was studied using a systematic presentation of perturbation excursions and velocities in normal freely standing subjects. All perturbations (posterior movements of a force platform) induced a forward body sway and were presented by first increasing and then decreasing the magnitude of perturbation. In preselected conditions the stability of the ankle and hence the accuracy of surface orientation inputs was altered using a foam base placed under the subjects feet. Each subject pressed a hand held response key at the moment a postural disturbance was detected. The automatic neuromuscular response (ANR) was recorded from the gastrocnemius muscles bilaterally and the perturbation detection time (DT) was obtained from the onset of thenar muscle discharge. The major findings in this study were: (1) Conscious DT changed as a function of step variations in perturbation excursion and was disassociated from the ANR latency. The ANR latency remained essentially constant in all conditions and did not have any influence on the kinematics of body sway. (2) Normalized peak body sway decreased during unstable ankle conditions and the reduction of body sway could be attributed to an increase in the gain of the ANR across a 200 ms integration period. The ANR 200 ms amplitude also showed higher correlations with perturbation magnitude during unstable (versus stable) ankle conditions. (3) The 200 ms gastrocnemius amplitude was modulated by excursion and velocity of platform displacement but the amplitude integrated over 100 ms was dependent on only the velocity of perturbation. Our results indicate that balance is controlled by a centrally initiated postural response but regulated in amplitude by local sensory information. These results establish that the gain of the ANR is functional, peripherally driven, and occurs subconsciously to alter the kinematics of body sway.
    Materialart: Digitale Medien
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  • 23
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 81 (1990), S. 46-52 
    ISSN: 1432-1106
    Schlagwort(e): Optokinetic nystagmus ; Velocity storage ; Accessory optic system ; Retinal slip ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary In four normal human subjects we measured eye movements during full-field optokinetic stimulation (10–220 deg/s) and determined the relationship among retinal-slip velocity (drum velocity minus slow-phase eye velocity), the slow-phase velocity of optokinetic nystagmus (OKN) and the initial value of the slow-phase velocity of optokinetic afternystagmus (OKAN) measured in darkness. OKN and OKAN were maximum (63–84 and 11–19 deg/s, respectively) when retinal slip ranged from 30–100 deg/s. For higher values of retinal slip, OKN and OKAN fell (in 3 subjects) or reached a plateau (in the fourth). The amplitude of OKAN in human beings was much less than that reported in monkeys. The shape, however, of the curve relating retinal slip to the amplitude of OKAN was similar to that of monkeys. Furthermore, in both cases the curve resembles that obtained by plotting the results of experimental recordings of neural discharge in the nucleus of the optic tract as a function of retinal slip. These results imply that the processing of visual information for generation of OKAN is similar in monkeys and human beings but that the gain of the system is much less in human beings. We also found that fixation of a small target during optokinetic stimulation nearly completely prevented the development of OKAN while fixation of a small target for short periods after optokinetic stimulation did not alter the pattern of decay of OKAN. Thus, fixation may actively prevent the coupling of visual information into the velocity-storage mechanism.
    Materialart: Digitale Medien
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  • 24
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 81 (1990), S. 95-106 
    ISSN: 1432-1106
    Schlagwort(e): Motor unit ; Hand muscles ; Monkey ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary A new technique is described for recording the activity of single motor units in human or monkey hand muscles. A pair of microwire electrodes is introduced into the muscle using a fine needle. After insertion, the needle can be completely removed, leaving the recording microwires in situ. The method allows stable recording of a motor unit during natural movement of the hand and fingers. The identity of a given single motor unit was reflected in the form and amplitude of the motor unit-triggered average (MU-TA), derived by averaging the unrectified surface EMG recorded from the muscle with discharges of the motor unit. The MU-TA of a given unit remained constant despite variations in the form and size of its action potential. Inspection of successive MU-TAs increased confidence that records were taken from one and the same unit over long recording periods. Control experiments in human first dorsal interosseous showed that the peak-to-peak amplitude of the MU-TA was highly correlated with both the twitch force (r= 0.65–0.92, mean 0.82, six subjects) and force threshold (r=0.62–0.93, mean 0.83) of a given unit. Similar findings were obtained for human abductor pollicis brevis (AbPB) motor units. In the monkey, AbPB motor units which were recruited early in a precision grip task and which discharged steadily during the grip had smaller MU-TAs than laterecruited, phasic units. The combination of methods described in this paper enable a single motor unit to be identified and recognised. The relative size of the unit, which is an important parameter in most motor unit studies, can be reliably estimated from the amplitude of the MU-TA. This allows indirect assessment of motor unit size in a free-to-move animal.
    Materialart: Digitale Medien
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  • 25
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 81 (1990), S. 150-160 
    ISSN: 1432-1106
    Schlagwort(e): Visuo-vestibular interaction ; Vestibuloocular reflex ; VOR suppression ; Smooth pursuit ; Impulse vestibulo-ocular stimulations ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary In order to maintain clear vision, the images on the retina must remain reasonably stable. Head movements are generally dealt with successfully by counterrotation of the eyes induced by the combined actions of the vestibulo-ocular reflex (VOR) and the opto-kinetic reflex. We have studied how, in humans, the VOR gain (VORG) is modulated to provide appropriate eye movements in two situations: 1. fixation of a stationary object of the visual space while the head moves. This requires a visuo-vestibulo-ocular reaction to induce eye movements opposite in direction, and equal in velocity to head movements, and 2. fixation of an object moving with the head. Here, the visuo-vestibulo-ocular reaction should be totally suppressed. These two situations were compared to a basic condition in which, to induce “pure” VOR, the subjects (Ss) in darkness were not allowed a visual target. Eye movements were recorded in seated Ss during constant amplitude sinusoidal and pulse-like passive rotations applied around the vertical axis. Subjects were in total darkness (DARK condition) and performing mental arithmetic. Alternatively, they were provided with a small target, either stationary with respect to earth (earth-fixed target: EFT), or moving with them (chairfixed-target: CFT). The sinusoidal rotation experiment was used as baseline for the ensuing experiments and yielded control data in agreement with the literature. In particular, rotation in the dark showed a VORG of 0.6. With, for example, 0.8 s passive pulse rotations, typical responses in all three visual conditions were rigorously identical during the first 150 to 180 ms. They showed a delay of about 16 ms of the eye behind the head with no significant difference between passive whole-body and passive head-alone rotations. In all conditions, once the eyes had started to move, a rapid increase in eye velocity was observed during 75 to 80 ms, after which, the average VORG was 0.9 ± 0.15. During the following 50 to 100 ms, the gain remained around 0.9 in all three conditions. Beyond 180 ms, the VORG remained around 0.9 in DARK, increased slowly towards 1 or decreased towards zero in the EFT and CFT conditions, respectively. The time-course of these later events suggests that visual tracking mechanisms came into play to reduce retinal slip through smooth pursuit. Sinusoidal rotations, extensively used in VOR studies, do not seem to be a satisfactory stimulus to rapidly and precisely characterize VOR function, particularly in pathological cases. Our data suggest that rapid transient rotations are more appropriate.
    Materialart: Digitale Medien
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  • 26
    ISSN: 1432-1106
    Schlagwort(e): Motor units ; Voluntary contraction ; Muscle force ; Potentiation ; Stretch reflex ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Recruitment force thresholds of biceps brachii single motor units were studied in 4 male subjects before and after an isometric muscle contraction, passive muscle stretch, or following successive muscle contractions, muscle stretches or during alternations between muscle stretches and muscle contractions. Isometric muscle contractions of 5 s duration decreased subsequent single motor unit force thresholds. These force thresholds could usually be reset at or near precontraction force threshold values by passive muscle stretch induced by elbow extension. Single motor units showing reduced force thresholds following contraction were momentarily derecruited during and/or after muscle stretch. Successive muscle stretches alone did not significantly alter single motor unit force thresholds. In contrast, single motor unit recruitment force thresholds during successive weaker contractions were progressively lowered. Intercontraction muscle stretches maintained the single motor unit force thresholds at or near the initial force threshold level. The mechanism(s) underlying a muscle contraction-induced lowering of single motor unit force thresholds may reside in stretch reflex pathways.
    Materialart: Digitale Medien
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  • 27
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 82 (1990), S. 463-471 
    ISSN: 1432-1106
    Schlagwort(e): Vestibular ; VOR ; Semicircular canal ; Otolith ; Tilt ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary We measured the effect of static lateral tilt (roll) on the gain and time constant of the vestibulo-ocular reflex (VOR) in five normal subjects by recording both the horizontal and vertical components of eye velocity in space for rotation about an earth vertical axis with the head either upright or rolled to either side. The time constant of the VOR in the upright position was 19.6 ±3.2s (mean ± standard deviation). The time constant of the horizontal component with respect to the head decreased to 15.7±4.0s for 30° roll and to 12.7±2.7s for 60° roll. The time constant of the vertical component with respect to the head was 11.0±1.4 s for 30° roll and 7.5±1.6 s for 60° roll. The gain of the horizontal VOR with respect to space did not vary significantly with roll angle but a small space-vertical component to the VOR appeared during all rotations when the head was rolled away from upright. This non-compensatory nystagmus built up to a maximum of 2–3°/s at 17.0±4.7s after the onset of rotation and then decayed. These data suggest that static otolith input modulates the central storage of semicircular canal signals, and that head-horizontal and head-vertical components of the VOR can decay at different rates.
    Materialart: Digitale Medien
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  • 28
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 79 (1990), S. 167-174 
    ISSN: 1432-1106
    Schlagwort(e): Posture ; Optical flow ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Postural responses were measured for observers instructed to maintain an erect position when viewing a visual scene, which simulated motion of the observer relative to a corridor with texture on the walls. Both the direction and amplitude of the postural responses appeared to depend on the fixation direction of the observer. This result indicates that postural responses are not invariant with respect to fixation direction. Our results suggest that not one of the frequently suggested features in the optical flow in particular is used to maintain posture but rather that a combination of several optical flow components, that have been suggested in the literature, is relevant.
    Materialart: Digitale Medien
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  • 29
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 79 (1990), S. 365-372 
    ISSN: 1432-1106
    Schlagwort(e): Tendon organ ; Tension ; Proprioception ; Contraction ; Afferent ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Here we report observations on the sense of muscle tension in human subjects and compare them with responses of tendon organs in cat hindlimb muscles. Human subjects learned under visual guidance to estimate a 4% maximum voluntary contraction (m.v.c.) of elbow flexors of one arm. When they were able to reproduce this force reliably without visual feedback, they repeated the estimation immediately after a 5 second m.v.c or a 5 second period of relaxation. In a second experiment the 4% m.v.c was generated under visual control with one arm, and matched with the other, test arm, without visual feedback. The matching task was then repeated after test arm conditioning. In both experiments subjects reported an accurate match using significantly more than the reference force (“overmatched”) after an m.v.c. The overmatching was greatest during the first 5 second period following the conditioning contraction, and during the subsequent 20 seconds it gradually declined to near reference levels. The size of the matching error was directly proportional to the duration of the conditioning contraction. In the first experiment extension of the arm immediately following conditioning increased the error, in the second it slightly decreased it, although tension continued to be overmatched. In a series of experiments on the soleus muscle of anaesthetised cats responses of tendon organs to 10% of maximum contraction were seen to drop sharply when preceded by a conditioning maximum contraction. The time course of recovery was comparable to the decline in matching error in the human experiments. In conclusion, one explanation for the error in force matching seen in human subjects after an m.v.c is that sensitivity of tendon organs has been lowered as a result of the activity generated during the conditioning contraction.
    Materialart: Digitale Medien
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  • 30
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 80 (1990), S. 323-332 
    ISSN: 1432-1106
    Schlagwort(e): Stance perturbations ; Postural responses ; Postural set ; Triceps muscles ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The soleus (Sol) and medial and lateral gastrocnemii (GM and GL) behave differently during various movements, but no attempt has been made to disclose any distinct activation of these muscles during perturbations of upright stance. Therefore the pattern of activation of the three triceps surae (TS) muscles and of the tibialis anterior (TA) was studied in normal subjects following rotational and linear displacements of a movable platform. The effect of “postural set” on the responses was also studied while holding onto a frame. In free-standing subjects, TS stretches (upward tilt, UT and backward translation, BT) evoked a large short latency response (SLR) in Sol; smaller SLRs were sometimes induced in GM or GL. A medium latency response (MLR) was consistently present in both or only one gastrocnemii. On the average, the amplitude and the frequency of occurrence of the responses were distributed as follows: SLR, Sol〉GL〉GM; MLR, GM〉GL〉Sol. The type of perturbation did not affect the latency of all TS muscle responses, but the duration, amplitude and frequency of MLRs were larger during BT than UT. MLRs were followed by an antagonistic reaction (AR) in the TA, larger and more frequent during UT than BT. TA stretches (downward tilt, DT and forward translation, FT) induced a TA MLR, with duration and area larger in FT than DT. ARs occurred in one or more muscles of TS, being larger and more frequent in Sol. Under the conditions of stabilized stance, SLRs were not affected, but all the MLRs and ARs were much reduced in amplitude. The analogies between TS and TA MLRs (frequency of occurrence, latency and suppression under stabilized condition) suggest a common underlying mechanism and a similar postural role. On the other hand, all the TS responses are unequally distributed in the individual muscles and in the various subjects. This recommends caution in drawing conclusions in their absence or from their susceptibility to postural set in patients, when only one muscle of TS is being recorded.
    Materialart: Digitale Medien
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  • 31
    ISSN: 1432-1106
    Schlagwort(e): Vestibulo-ocular reflex ; Unilateral vestibular neurectomy ; Vestibular compensation ; Labyrinth ; Semicircular canal ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The normal horizontal vestibulo-ocular reflex (HVOR) is largely generated by simultaneous stimulation of the two horizontal semicircular canals (HSCCs). To determine the dynamics of the HVOR when it is generated by only one HSCC, compensatory eye movements in response to a novel vestibular stimulus were measured using magnetic search coils. The vestibular stimulus consisted of low-amplitude, high-acceleration, passive, unpredictable, horizontal rotations of the head with respect to the trunk. While these so called head “impulses” had amplitudes of only 15–20 degrees with peak velocities up to 250 deg/s, they had peak accelerations up to 3000 deg/s/s. Fourteen humans were studied in this way before and after therapeutic unilateral vestibular neurectomy; 10 were studied 1 week or 1 year afterwards; 4 were studied 1 week and 1 year afterwards. The results from these 14 patients were compared with the results from 30 normal control subjects and with the results from one subject with absent vestibular function following bilateral vestibular neurectomy. Compensatory eye rotation in normal subjects closely mirrored head rotation. In contrast there was no compensatory eye rotation in the first 170 ms after the onset of head rotation in the subject without vestibular function. Before unilateral vestibular neurectomy all the patients' eye movement responses were within the normal control range. One week after unilateral vestibular neurectomy however there was a symmetrical bilateral HVOR deficit. The asymmetry was much more profound than has been shown in any previous studies. The HVOR generated in response to head impulses directed away from the intact side largely by ampullofugal disfacilitation from the single intact HSCC (ignoring for the moment the small contribution to the HVOR from stimulation of the vertical SCCs), was severely deficient with an average gain (eye velocity/head velocity) of 0.25 at 122.5 deg/sec head velocity (normal gain=0.94+/−0.08). In contrast the HVOR generated in response to head impulses directed toward the intact side, largely by ampullopetal excitation from the single intact HSCC, was only mildly (but nonetheless significantly) deficient, with an average gain of 0.80 at 122.5 deg/sec head velocity. At these accelerations there was no significant improvement in the average HVOR velocity gain in either direction over the following year. These results indicate that ampullopetal excitation from one HSCC can, even in the absence of ampullofugal disfacilitation from the opposite HSCC, generate a near normal HVOR in response to high-acceleration stimulation. Furthermore, since ampullofugal disfacilitation on its own, can only generate an inadequate HVOR in response to high-acceleration stimulation, it may under some normal circumstances make little contribution to the bilaterally generated HVOR.
    Materialart: Digitale Medien
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  • 32
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 81 (1990), S. 589-592 
    ISSN: 1432-1106
    Schlagwort(e): Braille ; Mechanoreceptors ; Microneurography ; Somatosensory ; Tactile ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary We have used microneurographic techniques in human subjects to record mechanoreceptive afferent responses to standard Braille characters scanned across the finger pads. Responses from all four mechanoreceptor classes (FA I, FA II, SA I and SA II) have been reconstructed to form two-dimensional Spatial Event Plots (raster plots) of the Braille alphabet. Both the SA I and FA I responses resolve the dot patterns of Braille characters with sufficient fidelity that the representations of the individual characters can be recognized visually. Responses from SA II and FA II afferents do not resolve the Braille characters. We believe that the Spatial Event Plots derived from SA I and FA I responses closely approximate the images that are transmitted within a human nerve during Braille reading.
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  • 33
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 81 (1990), S. 325-334 
    ISSN: 1432-1106
    Schlagwort(e): Fast and slow oblique saccades ; Main-sequence ; Stretching ; Anisotropy ; Models ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary We have studied the dynamics of human saccades along various cardinal (horizontal and vertical) and oblique directions in two different experimental paradigms yielding fast and slow saccades, respectively. We found that the saturation of vectorial peak velocity with amplitude, which is already well known from earlier studies on fast saccades, was equally pronounced in slow saccades. In both paradigms, the saturation level had a quite similar strong dependence on saccade direction. We found that the peak-velocity/amplitude relationships (main-sequences) of fast saccades in different directions were not simply scaled versions of one another. Whereas peak velocity in small saccades showed less anisotropy, different rates of saturation with amplitude in different directions (expressed in the angular constant parameter) caused the bundle of main-sequence curves to fan out at larger amplitudes. This property is reflected in a straight-line relationship between the angular constant and the asymptotic peak velocity parameters of the mainsequence. The possible contribution of neural control signals and plant properties is discussed. We also studied the main-sequences of oblique saccade components and found clear evidence for component stretching in both paradigms which increased as the saccade vector turned away from the cardinal direction under study. We conclude that the factors determining component stretching probably reside in the final pathway common for both saccade types. These experimental findings, revealing several common features in fast and slow saccades, were compared with quantitative predictions for the dynamics of oblique saccades, made from two existing two-dimensional models, predicting that the dynamic properties of components depend upon the direction of the saccade vector.
    Materialart: Digitale Medien
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  • 34
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 81 (1990), S. 391-397 
    ISSN: 1432-1106
    Schlagwort(e): Visual-vestibular interaction ; Parabolic flight ; Circularvection ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary A helmet-mounted visual display system was used to study visually induced sensations of self-motion (vection) about the roll, pitch and yaw axes under normal gravity condition (1g) and during the microgravity and hypergravity phases of parabolic flights aboard the NASA KC-135 aircraft. Under each gravity condition, the following parameters were investigated: (1) the subject's perceived body vertical with eyes closed and with eyes open gazing at a stationary random dot display; (2) the magnitude of sensations of body tilt with respect to the subjective vertical, while the subject viewed displays rotating about the roll, pitch and yaw axes; (3) the magnitude of vection; (4) latency of vection. All eleven subjects perceived a definite “up and down” orientation throughout the course of the flight. During the microgravity phase, the average magnitudes of perceived body tilt and self-motion increased significantly, and there was no significant difference in vection latency. These results show that there is a rapid onset of increased dependence on visual inputs for perception of self-orientation and self-motion in weightlessness, and a decreased dependence on otolithic and somatosensory graviceptive information. Anti-motion sickness drugs appear not to affect the parameters measured.
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  • 35
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 82 (1990), S. 651-657 
    ISSN: 1432-1106
    Schlagwort(e): Posture ; Movement ; Neuromuscular control ; Modeling ; Computer simulations ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary A recent article by Crenna et al. (1987) has shown that fast, forward bending movements are accompanied by a backwards motion of the hips and lower limbs. The ongoing research presented in this brief note expands upon the experimental data described by Crenna and colleagues, concerning the postural activities associated with rapid forward bending in standing man. Our primary experimental tool is the computer simulation method, with the standing subject being represented by a double-joint system: the trunk is modeled as a rigid link mechanically coupled (via a “hip” joint) to the lower body link fixed to the ground (via an “ankle” joint). Each of the two joints in this system is independently controlled by a neurological control model for single joint movements, consisting of an idealized pair of antagonistic muscles (flexor and extensor), their common load, and proprioception from the muscle spindles. This model thereby integrates descending commands with proprioceptive feedback in controlling the joint movements. Our early simulation experiments determine a “reduced trajectory”, that is, the physical perturbation to the postural system, due to the voluntary movement, in the absence of any stabilizing activities. These simulation experiments clearly show that an important component of the backward movements in the hips and lower limbs during forward bending is indeed due to the mechanical (physical) coupling between the upper and lower body segments and thus not solely a consequence of the anticipatory postural muscle activity. Simulations also predict that any postural activities in the hips and lower limbs should be a two-fold process: first, some preprogrammed, descending control to the lower body would be required to actively enhance the passive, backwards motion (this is consistent with, though not strictly identical to, the hypothesis of Crenna and colleagues); secondly, there must be a subsequent activation in the anterior muscles of the lower body in order to arrest this backwards motion, since otherwise the uncountered momentum would carry the body backward to the floor in less than half a second after the upper body movement has terminated.
    Materialart: Digitale Medien
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  • 36
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 83 (1990), S. 22-28 
    ISSN: 1432-1106
    Schlagwort(e): H-reflex ; Muscle spindle ; Locomotion ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Hoffmann (H) reflexes were elicited from the soleus (SOL) muscle while subjects walked on a treadmill and on a narrow beam (3.5 cm wide, raised 34 cm from the floor). The speed of walking on the treadmill was selected for each subject to match the background activation level of their SOL muscle during beam walking. The normal reciprocal activation pattern of the tibialis anterior and SOL muscles in treadmill walking was replaced by a pattern dominated by co-contraction on the beam. In addition, the step cycle duration was more variable and the time spent in the swing phase was reduced on the beam. The H-reflexes were highly modulated in both tasks, the amplitude being high in the stance phase and low in the swing phase. The H-reflex amplitude was on average 40% lower during beam walking than treadmill walking. The relationship between the H-reflex amplitude and the SOL EMG level was quantified by a regression line relating the two variables. The slope of this line was on average 41% lower in beam walking than treadmill walking. The lower H-reflex gain observed in this study and the high level of fusimotor drive observed in cats performing similar tasks suggest that the two mechanisms which control the excitability of this reflex pathway (i.e. fusimotor action and control of transmission at the muscle spindle to motoneuron synapse) may be controlled independently.
    Materialart: Digitale Medien
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  • 37
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 80 (1990), S. 345-350 
    ISSN: 1432-1106
    Schlagwort(e): Vestibular ; Head movements ; Gravitoinertial force ; Post-rotary nystagmus ; Illusory self-motion ; Velocity storage ; Motion sickness ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary We studied suppression of oculomotor and perceptual after-responses by post-rotary head movements in high (1.8 G), low (0 G), and normal (1 G) gravitoinertial force backgrounds in parabolic flight. Our aim was to identify what sensory and motor signals are critical for triggering suppression. In a prior experiment (DiZio and Lackner 1988), we found suppression using 40° post-rotary head tilts in 1 G and 1.8 G but not 0 G force backgrounds. However, in free fall even without head tilts there was a significant suppression of nystagmus relative to 1 G and 1.8 G force backgrounds, thus potentially masking an effect of head tilt on suppression in 0 G. We have retested four of the original subjects with 90° head tilts to maximize the likelihood of detecting suppression in 0 G. Although nystagmus and illusory afterrotation were suppressed by post-rotary head tilts in normal and high gravitoinertial force environments, there was still no evidence of suppression in free fall. We present evidence that the lack of suppression in 0 G is not attributable to post-rotary responses already being at a “basement” level, but rather that suppression depends on the registration of a change in head position relative to a significant level of gravitoinertial force.
    Materialart: Digitale Medien
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  • 38
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 82 (1990), S. 304-314 
    ISSN: 1432-1106
    Schlagwort(e): Pulse height strategy ; Multi-articular actions ; Preparatory postural adjustments ; Force production ; Muscle EMG patterns ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary This study examined whether the torques and EMG activity that precede and accompany bilateral arm pulls made by standing humans demonstrate a pulse height form of organization. Nine adults made abrupt bilateral pulls in the sagittal plane against a handle, to force targets equal to 5, 10, 20, 40, 60, 80 and 95% of their maximal pulling force (%MPF). The force applied at the handle, ground reaction forces, the center of pressure (CP), and EMG activity in gastrocnemius (GS), biceps femoris (BF), tibialis anterior (TA) and quadriceps (QD) muscles were recorded. Our analysis divided the action into a pre-pull phase (events prior to the increase of handle force) and a pulling phase (while handle force was greater than zero). We evaluated the effects of %MPF on the durations and peak amplitudes of the pre-pull and pulling angular impulses about the ankle joint and on pre-pull EMG patterns. The results showed that the angular impulse associated with the pulling torque (due to the reactive force on the body during the pull) had a pulse height organization: peak torque increased linearly with %MPF, and the durations of the pulling torque were relatively constant. In contrast, a pulse height organization did not characterize the pre-pull period for either the angular impulse associated with ankle torque (due to net ground reaction force) or EMG activity in the leg muscles. Rather, peak ankle torque typically increased up to some submaximal %MPF and then plateaued, perhaps due to a constraining effect of foot length on CP. The durations of pre-pull ankle torques increased over the whole range of %MPF, thereby compensating for the limit on ankle torque. Depending on the subject, the muscles were recruited in two different orders: GS-BF-TA-QD, or GS-TA-BF-QD. As the %MPF increased, the EMG onset times of all four muscles occurred earlier, and there was a greater likelihood that the BF, TA and QD muscles would be recruited on a given trial. The changes in the ankle torque and EMG patterns were gradual, suggesting that the pre-pull phase could have one underlying form of organization, with parameters that are tuned to task goals and anatomical constraints.
    Materialart: Digitale Medien
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  • 39
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 79 (1990), S. 504-514 
    ISSN: 1432-1106
    Schlagwort(e): Cortical DC potential shift ; Movement-related potentials ; Bereitschaftspotential ; Bimanual coordination ; Supplementary motor area ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary In 15 musicians, cortical DC-potentials were recorded from the scalp before and during the execution of bimanual motor sequences. Subjects (Ss) either tapped with their two index fingers in synchrony (quavers against quavers; “2 against 2”) or they tapped quavers against triplets (“2 against 3”). Either the right or the left finger started tapping the quavers (onset time t1), after about 4 s the other finger joined in (t2) either with quavers as well (easy rhythm) or with triplets (difficult rhythm). Ss were free to start the sequences, i.e. to determine the onset times t1 and t2. Shifts of cortical DC potentials were averaged twice; (1) time-locked to t1 and (2) time-locked to t2. When moving in synchrony (easy rhythm) DC-potential shifts and maps of radial current densities across the scalp indicated activations of the two primary motor cortices (MI). When bimanually tapping different rhythms, there was not only an activation of MI cortices, but in addition a very large activation of the mesial, central cortex was observed. It is suggested that this cortical area which mainly contains the supplementary motor area (SMA) has the function of controlling the initiations of movements in the difficult sequence which have to fit into a very precise timing plan. Interestingly, activation of the mesial, central cortex preceded the actual performance of the difficult rhythm by about 4 s. This finding indicates that the preparatory set differs between the two tasks.
    Materialart: Digitale Medien
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  • 40
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 79 (1990), S. 150-156 
    ISSN: 1432-1106
    Schlagwort(e): Siffness ; Proprioception ; Force ; Movement ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The perception of stiffness was studied in ten human subjects using two servo-controlled electromagnetic linear motors with computercontrolled stiffness, one motor coupled to each wrist of the subject. Using the contralateral limbmatching procedure in which subjects adjusted the stiffness of the motor connected to one (matching) arm until it was perceived to be the same as that connected to the other (reference) arm, a psychophysical function for stiffness was calculated. Eight different stiffness intensities were matched by subjects with five repetitions at each stimulus amplitude. The relation between the stiffness of the reference and matching motors was linear, and the accuracy with which subjects could match stiffness paralleled that reported previously for force and displacement. The Weber fraction for stiffness was 0.23 which is three times that reported for elbow flexion forces and forearm displacement. These findings were interpreted as indicating that subjects can perceive changes in the stiffness of mechanical devices used to effect action in the environment and that these perceptions are based on sensory signals conveying force and movement information.
    Materialart: Digitale Medien
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  • 41
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 79 (1990), S. 357-364 
    ISSN: 1432-1106
    Schlagwort(e): Movement preparation ; Ankle dorsiflexion ; Ankle plantar flexion ; H-reflex ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Changes in excitability of the spinal motoneuron pool during the foreperiod, which was fixed at 0.8 s, in simple and choice reaction time experiments using ankle dorsiflexion and plantar flexion were studied in fourteen healthy normal subjects by combining the visually guided tracking and H-reflex testing methods. Almost all cases showed a significant facilitation in the soleus H-reflex within the time interval between 100 and 300 ms after a warning signal (Phase I), irrespective of movement direction and task modality. The pretibial H-reflex was also facilitated. On the other hand, variable effects were noted in the later half of the foreperiod, particularly within the 200 ms prior to the response signal (Phase II). Using a simple reaction task with dorsiflexion, six cases showed no changes in the soleus H-reflex, while four others showed statistically significant inhibitory changes and the remaining four showed facilitation. The inhibition and facilitation were often accompanied with very weak and unintended EMG activities in the pretibial and Sol muscles respectively. A similar finding was obtained in the simple plantar flexion task and the choice reaction task with dorsiflexion or plantar flexion. We suggest that the facilitation at Phase I represents a perceptual orienting response to a warning signal and the effects seen in Phase II represent the difference in the waiting attitude of each subject anticipating initiation of the coming task, or the preparatory “set” which primed the spinal motor structure in a biased position.
    Materialart: Digitale Medien
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  • 42
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 79 (1990), S. 431-435 
    ISSN: 1432-1106
    Schlagwort(e): Hand movements ; Grasping ; Corrections ; Motor programs ; Motor equivalence ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The experiments reported here were aimed at testing the degree of coupling of motor components during the act of prehension. Hand movements were recorded bidimensionnally by a Selspot system which monitored the displacement of IREDS placed at the thumb and index finger tips, at the metacarpophalangeal joint of the index and at the radial styloid. Targets were three-dimensional trnaslucent dowels placed concentrically at 30 cm from the subject. The dowels were 10° apart from each other. In blocked and control trials, one dowel was illuminated and served as a target for the movement. In the perturbed trials (20% of cases) one dowel was illuminated first and the light was unexpectedly shifted to another dowel at the onset of the subject's movements. Kinematic analysis of the movement revealed the following: 1. In blocked and control trials, the wrist moved with a single acceleration to the target dowel. Meanwhile, the finger grip (computed as the distance between thumb and index IREDS) increased up to a maximum size, located in time at about 60% of movement time and then decreased until contact with the dowel. 2. In perturbed trials the initial wrist acceration was aborted. A new acceleration started about 180 ms after the first, in order to reorient the hand to the new target. Similarly, the initial grip aperture also aborted and reincreased in synchrony with the second wrist acceleration. 3. Perturbations increased movement time by only 95 ms on average. The first peak in acceleration indicating abortion of the initial movement occured 100 ms after the movement onset, i.e., 30 ms earlier than in non perturbed trials. These data revealed very fast alterations in movements kinematics in response to perturbations at the visual input level, which preserved accuracy of the movements. In addition, they showed temporary coupling of the finger grip with acceleration of the wrist.
    Materialart: Digitale Medien
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  • 43
    ISSN: 1432-1106
    Schlagwort(e): MEG ; MRI ; Localization methods ; P100-P200 ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The purpose of this study was to compare the relative efficacy of two methods in assessing the location of the sources of the N100 and P200 components of evoked magnetic fields (EMFs) to transient tone stimuli. EMFs to left ear stimulation, containing both components, were recorded over the right hemisphere of six normal subjects. The magnetic scalp distributions calculated at several adjacent time points, covering the duration of each component's peak, were used to estimate the source parameters of each component. Good estimates of the source of both components were obtained from all magnetic field distributions. The averaged spatial parameters derived from all distributions of each component as well as the parameters derived from the distribution that gave the best source estimate for each component were projected onto magnetic resonance images of subject's head. It was found that the source of each component is located on the superior surface of the temporal lobe and that the source of the P200 component is anterior to the N100 source in all subjects using both procedures.
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  • 44
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 81 (1990), S. 573-580 
    ISSN: 1432-1106
    Schlagwort(e): Muscle spindles ; Agonist/antagonist muscle ; Forearm ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary During voluntary movement, muscle spindles of both the agonist and antagonist muscles potentially can supply information about position of the limb. Muscle vibration is known to increase muscle spindle discharge and cause systematic distortions of limb position sense in humans. The following two experiments attempted to examine these contributions by separately vibrating over the triceps and biceps muscles during forearm positioning. In the first experiment, subjects performed a horizontal flexion or extension of the right arm to a mechanical stop randomly positioned at 20, 40 or 60°. Vision was occluded and vibration was applied to the right arm. The perceived position of the right limb was assessed by instructing subjects to simultaneously match the right arm position with the left limb. Vibration of the shortening, agonist muscle had no effect on limb matching accuracy. However, antagonist muscle vibration resulted in a significant overestimation of the vibrated limb position by 6–13°. The procedures for the second experiment were similar to the first, except that movements of the right limb were self-terminated and only flexion movements were performed. A screen was mounted over the arms and subjects were instructed to move the right arm until it was positioned beneath a marker on the screen. Vibration of the shortening agonist muscle had no effect on either the positioning accuracy of the right limb or matching accuracy of the left limb. However, antagonist muscle vibration resulted in significantly shorter movements (6–10°) by the right limb and an overestimation of right limb position by the left, matching limb. These findings support the hypothesis that muscle spindle afferent information from the lengthening antagonist muscle contributes to limb position sense during voluntary movement.
    Materialart: Digitale Medien
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  • 45
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 79 (1990), S. 138-142 
    ISSN: 1432-1106
    Schlagwort(e): Motor unit ; Recruitment threshold ; Synergism ; Movement control ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Motor-unit activity in m. biceps brachii during isometric flexion contractions has been compared with motor-unit activity during a slow voluntary movements against constant or increasing preloads and b flexion contractions while movements were imposed by a torque motor. Recruitment levels and firing frequency behaviour of the motor units were found to be very similar when torques were generated during isometric contractions and during the imposed movements. However, these characteristics of the biceps motor units were quite different during the slow voluntary movements. It is suggested that the central activation of the α and/or γ motoneurone pools of m. biceps brachii is different for force tasks and slow movement tasks, even if the same torques are exerted and/or movements are made.
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  • 46
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 105 (1990), S. 423-431 
    ISSN: 1432-1106
    Schlagwort(e): Gait ; Sural nerve ; Sensory gating ; Somatosensory evoked potential ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract To investigate how gait influences the perceived intensity of cutaneous input from the skin of the foot, the tibial or sural nerves were stimulated at the ankle during walking or running on a treadmill. As compared to standing, the detection threshold for these stimuli was raised by more than 30% during the locomotion tasks. During walking, there was a phase-dependent modulation in perceived intensity of suprathreshold stimuli (1.5, 2, or 2.5×PT). Stimuli given just prior to footfall were perceived as significantly above average (Wilcoxon signed-rank test). In contrast there was a significant phasic decrease in sensitivity for shocks delivered immediately after ipsi- and contralateral footfall. The amplitude of somatosensory evoked potentials (P50–N80 complex), simultaneously evoked from pulse trains to the sural nerve and recorded at scalp level, was, on average, 62% of the level during standing. During gait, the amplitude of this complex was significantly smaller just after footfall than the amplitude during late swing (MANOVA). It is suggested that the reduced sensation and the decreased evoked potentials after touchdown may be due to occlusion or masking by concomitant afferent input from the feet. On the other hand, the phasic increase in sensitivity at the end of swing is thought to result from a centrally generated facilitation of sensory transmission of signals in anticipation of foot-placing.
    Materialart: Digitale Medien
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  • 47
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 105 (1990), S. 411-422 
    ISSN: 1432-1106
    Schlagwort(e): Posture ; Foot muscles ; Reflex ; Spindle secondary afferents ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract In eight subjects standing on a movable platform, surface EMG activity was recorded from the foot muscles extensor digitorum brevis (EDB) and flexor digitorum brevis (FDB) and from the leg muscles soleus (Sol) and tibialis anterior (TA) during perturbations of upright stance. Perturbations inducing foot dorsiflexion (upward tilt and backward translation) evoked a short-latency response (SLR) and a medium-latency response (MLR) to stretch in the physiological extensors FDB and Sol, and a long-latency response (LLR) in the physiological flexors EDB and TA. Perturbations inducing plantarflexion (downward tilt and forward translation) evoked the MLR in EDB and TA, and the LLR in FDB and Sol. The latency of the FDB and Sol SLR was compared to that of the H and T reflexes evoked in the same muscles by electrical or mechanical stimulation, respectively. In both muscles, the T reflex and the SLR followed the H reflex at delays accounted for by the different stimulation mode, indicating that the SLR induced in both muscles by upward tilt and backward translation was a true autogenetic stretch reflex from spindle primaries. The time interval between the onset of SLR and of MLR was significantly greater for the FDB than the Sol muscle, suggesting that MLR is a spinal reflex travelling through slower peripheral afferent pathways than SLR. From these latency differences and from the distance between the muscles, we calculated in four subjects the conduction velocity of the afferent fibres presumably responsible for the MLR in FDB. This was about 29 m/s. LLRs were evoked in TA and EDB during upward tilt and backward translation, and in Sol and FDB during downward tilt, but not forward translation. LLRs did not adhere to a proximal-to-distal pattern, since these could appear earlier in the foot than in the leg muscles. All responses were modulated by perturbation type (tilt vs translation) and body posture (normal stance vs forward leaning). Both the large amplitude of the foot muscle responses and their temporal pattern indicate that the muscles acting on the toes play a major role in stabilising posture. Their action increases in amplitude and extends in time the foot-ground reaction force, thereby improving the efficiency of the superimposed action of the leg muscle responses.
    Materialart: Digitale Medien
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  • 48
    ISSN: 1432-1106
    Schlagwort(e): Interlimb coordination ; Kinesthetic afferences ; Passive movement ; Relative phase ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The disruption of three patterns of two-limb coordination, involving cyclical flexion-extension movements performed in the same or in different directions, was investigated through application of passive movement to a third limb by the experimenter. The three patterns referred to the homologous, homolateral, and heterolateral (diagonal) limb combinations which were performed in the sagittal plane. The passive movement involved a spatiotemporal trajectory that differed from the movements controlled actively. Even though subjects were instructed to completely ignore the passive limb movement, the findings of experiment 1 demonstrated a moderate to severe destabilization of the two-limb patterns, as revealed by analyses of power spectra, relative phase, cycle duration, and amplitude. This disruption was more pronounced in the homolateral and heterolateral than in the homologous effector combinations, suggesting stronger coupling between homologous than nonhomologous limb pairs. Moreover, passive mobilization affected antiphase (nonisodirectional) movements more than inphase (isodirectional) movements, pointing to the differential stability of these patterns. Experiment 2 focused on homolateral coordination and demonstrated that withdrawal of visual information did not alter the effects induced by passive movement. It was therefore hypothesized that the generation of extra kinesthetic afferences through passive limb motion was primarily responsible for the detriment in interlimb coordination, possibly conflicting with the sensory information accompanying active movement production. In addition, it was demonstrated that the active limbs were more affected by their homologous passive counterpart than by their non-homologous counterpart, favoring the notion of “specific” interference. The findings are discussed in view of the potential role of kinesthetic afferences in human interlimb coordination, more specifically the preservance of relative phasing through a kinesthetic feedback loop.
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  • 49
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 105 (1990), S. 455-464 
    ISSN: 1432-1106
    Schlagwort(e): Motor control ; Precision grip force ; Prehension ; Cyclic arm movement ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract In this paper we examine the coordination of grip force and load during brisk cyclic arm movements with a hand-held object under a range of conditions. We show that, regardless of the surface texture of the object or movement frequency, grip force is modulated in parallel with load. Thus, the tight coupling between grip force and load observed in short-duration tasks such as lifting or point-to-point movements is also seen in longer-duration cyclic movements. Moreover, the gain of the relation between grip force and load remains essentially constant over time. Across conditions, we find a dissociation between the gain of the relation between grip force and load and the grip force offset. With a more slippery surface texture both the gain and offset increase, whereas increases in frequency lead to an increase in the offset but a decrease in gain. This suggests that these two parameters are under independent high-level control. We also observe that when subjects were instructed to maintain a high-baseline grip force during the movement, grip force was still modulated with load even though an increase in grip was not necessary to prevent slip. This suggests that there is an obligatory coupling between grip force and load. This coupling might be subserved by low-level mechanisms not under high-level control.
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  • 50
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 105 (1990), S. 432-438 
    ISSN: 1432-1106
    Schlagwort(e): Neck muscles ; Splenius capitis ; Head movement ; Electromyography ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Splenius capitis (SPL) electromyograms were recorded using conventional surface and intramuscular wire electrodes simultaneously during various head-neck movements and isometric tasks to test the selectivity of surface electrodes for SPL myoelectric signals. The insertion of bipolar wire electrodes was aided by a computerized tomographical study of each subject's neck. Surface electrodes were placed over the superficial SPL area. Head motion was recorded with an electromechanical device. The selective SPL wire recordings confirmed that SPL has two main functions: ipsilateral rotation and extension. It also plays a subordinate role in ipsilateral tilting of the head. Intramuscular and surface recording results were contradictory mainly for flexion and contralateral rotation. These discrepancies appeared to be due to ‘cross-talk’ from adjacent muscles, particularly from the sternocleidomastoid muscle. We conclude the validity of electrode recordings is questionable for SPL and most dorsal neck muscles, especially during isometric tests.
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  • 51
    ISSN: 1432-1912
    Schlagwort(e): Human ; Isolated ileum ; Circular muscle ; Tachykinins ; Tachykinin receptors ; Galanin ; VIP ; CGRP
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary (1) Circularly-oriented muscle strips from the human ileum responded to electrical field stimulation (1–50 Hz) with frequency-related primary relaxation at low frequency and primary contractions at high frequencies of stimulation. Both responses were abolished or markedly reduced by tetrodotoxin (1 μM). (2) Atropine (3 μ M) or omega conotoxin (0.1 μM) reduced but dit not abolish contraction to electrical field stimulation and enhanced the relaxation. Omega conotoxin (0.1 μM) did not affect carbachol-induced contraction nor isoprenaline-induced relaxation. (3) Neurokinin A and substance P (1 nM-1 μM) produced a concentration-dependent contraction. The NK-1 receptor selective agonist, [Pro9]SP sulfone and the NK-2 receptor selective agonist [βAla8]NKA(4-10) prodneed a contraction superimposable to that of substance P and neurokinin A, respectively. On the other hand, [MePhe7]-neurokinin B, an NK-3 receptor selective agonist was ineffective up to 1 [M. The response to substance P or neurokinin A was unaffected by atropine (3 μM). (4) Galanin, up to 0.1 μM produced a weak and inconsistent contraction. (5) Vasoactive intestinal polypeptide (10 nM - 1 μM) produced a concentration-dependent relaxation while human alpha calcitonin gene-related peptide exerted a weak and inconsistent relaxant effect. (6) These findings indicate that both cholinergic excitatory and non-cholinergic inhibitory nerves affect the motility of the circular muscle of the human small intestine. Transmitter release from excitatory nerves seems largely mediated by activation of omega conotoxin-sensitive (N-type) calcium channels. Tachykinins exert a potent contractile effect independently of cholinergic nerves via NK-1 and NK-2 receptors.
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  • 52
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 31 (1990), S. 492-497 
    ISSN: 1432-1920
    Schlagwort(e): Tuberous sclerosis ; Magnetic resonance imaging ; Computed tomography ; Gadolinium-DTPA
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Ten patients with clinical tuberous sclerosis were examined with CT and MR imaging, before and after IV contrast in order to determine the role of Gd-DTPA. Gd-DTPA enhancement occured in eleven subependymal nodules which did not enhance on CT after IV contrast. As illustrated by previous CT and pathologic observations and related to the histologic similarity of the subependymal nodules and giant-cell astrocytomas, these hyperintense nodules could represent active lesions with the potential to evolve. Four giant-cell astrocytomas were detected both with CT and Gd-DTPA-enhanced MRI; tumor conspicuity and size assessment were improved by postcontrast MRI in two cases. No cortical tuber or heterotopic cluster enhanced; T2-weighted sequences therefore remain necessary for their detection. If pre and post-Gd-DTPA T1-and T2-weighted imaging is negative, CT is clearly the most sensitive modality in the detection of the small calcified subependymal nodules.
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  • 53
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 32 (1990), S. 191-195 
    ISSN: 1432-1920
    Schlagwort(e): Cerebral infarction ; Cerebral hemorrhage ; Brain stem ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Magnetic resonance (MR) imaging of wallerian degeneration in the brain stem was studied in 30 hemiplegic patients within 12 months of ictus. As early as 25 days after the ictus, decreased signal intensities on proton-density (PD)-weighted images were observed in the brain stem ipsilaterally. This hypointensity gradually approached an isointense stage during 70–80 days after the ictus, abnormal intensities were not detected in any pulse sequence. We termed this phenomenon “Fogging effect of wallerian degeneration”. In later stages, at least 81 days after the ictus, increased signal intensities on T2-weighted images, with or without decreased signal intensities on T1-weighted images, were observed in the brain stem, ipsilaterally. Finally, at least six months after the ictus, mild shrinkage of the ipsilateral brain stem was newly detected on the T1-weighted images. MR imaging has proven to be a sensitive diagnostic modality for evaluating wallerian degeneration in the brain stem.
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  • 54
    ISSN: 1432-1920
    Schlagwort(e): Japanese encephalitis ; Sequelae ; X-ray computed tomography ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary A follow-up study by CT and MRI in 3 cases of Japanese encephalitis (JE) was performed. Neurologically dementia, forced laughing, tetraplegia and parkinsonism were observed as sequelae. In the CT and MR scans about 3 years after the onset of JE, low-density areas (LDAs) or abnormal signal intensities had remained in the thalamus and basal ganglia. The abnormalities were also found in the brain stem. When the main lesions shown by CT and MRI were compared with those of the acute stage, T2-weighted MRI clearly revealed multiple small areas with high signal intensities, although those in the acute stage had shown diffuse abnormal signals. These findings may be useful in helping to identify JE a long time after the onset.
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  • 55
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 32 (1990), S. 237-240 
    ISSN: 1432-1920
    Schlagwort(e): Pachygyria ; Vascular anomaly ; Perfusion failure ; Magnetic resonance imaging ; Neuropathology
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary A case of focal pachygyria with an unusual vascular anomaly is reported. Preoperative magnetic resonance imaging demonstrated few and broad gyri, and an abnormally thickened cortex of the right frontal lobe. In addition, T2-weighted imaging showed a high intensity lesion beneath the thickened cortex. In the pachygyric cortex, the peripheral portions of the arteries were tortuous and irregularly dilated, and prominent deep medullary veins were found draining into the subependymal veins. Histological examination revealed a decreased number of neurons with no tendency towards lamination, and degenerative changes with gliosis in the white matter. These findings suggest that the etiology of this anomaly may be gradual perfusion failure restricted to the territory of the anomalous vessels through the period of neuronal migration to the post-migratory, perinatal stage.
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  • 56
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 32 (1990), S. 331-333 
    ISSN: 1432-1920
    Schlagwort(e): Radiation induced glioma ; Magnetic resonance imaging ; Spinal cord ; Hodgkin's disease
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Radiation induced neoplasms of the spinal cord are rare lesions. This report details the MR evaluation of a patient with radiation induced astrocytoma of the cervical cord. The diagnosis of second primary neoplasm should be considered in patients with prior radiation therapy when MRI demonstrates an intramedullary lesion.
    Materialart: Digitale Medien
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  • 57
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 32 (1990), S. 367-370 
    ISSN: 1432-1920
    Schlagwort(e): Magnetic resonance imaging ; Echo planar ; Brain ; Spine ; High spped ; Fast imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Ultra high speed echo-planar imaging gives an imaging time typically of the order of a few minutes, facilitating throughput, improving patient tolerance and allowing real time dynamic studies. A complete two dimensional image may be aquired in a single shot lasting between 64 and 128 ms. In echo planar imaging the whole of k-space is sampled as a continuous trajectory. By a rapidly switched Gy frequency encoding gradient, a train of gradient echoes is formed, each corresponding to a line in the k plane. Variable degrees at T2- or T1-weighting can be produced by methods outlined. High quality 128×128 transverse axial inversion recovery images of 5–10 mm thickness are obtained in 128 ms plus the inversion time.
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  • 58
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 32 (1990), S. 371-391 
    ISSN: 1432-1920
    Schlagwort(e): Magnetic resonance imaging ; Cerebrospinal fluid flow ; Hydrocephalus ; Spinal cord cyst ; Cine-MR
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Evaluation of intracranial and intraspinal CSF flow was accomplished by the use of cardiac gated gradient echo magnetic resonance (MR) technique. Normal patterns of pulsatile flow within the ventricles, cisterns and cervical subarachnoid space were established by this technique and these observations were compared to prior description of CSF flow. With systole there is downward (caudal) flow of CSF in the aqueduct of Sylvius, the foramen of Magendie, the basal cisterns and the dorsal and ventral subarachnoid spaces while during diastole, upward (cranial) flow of CSF in these same structures is seen. The relationships between the cardiac cycle and the CSF pulsations are demonstrated on both magnitude reconstruction and phase reconstruction MR images. Calculations of actual fluid velocity within CSF containing spaces can be obtained from the phase reconstruction images and holds promise for a more accurate analysis of CSF flow. In conditions which result in alterations of flow, cine MR dramatically shows either obstruction or excessively turbulent flow within the CSF pathways. The site of obstructed flow whether in the third ventricle, aqueduct, fourth ventricle, or subarachnoid space can be appreciated by changes in or absence of the normal hypointense signal. Cystic cord lesions such as congenital syringohydromyelia and posttraumatic spinal cord cysts may show pulsatile flow of CSF, a fact which can relate to progressive enlargement of these cysts. The distinction between myelomalacia and cyst formation in the cord is facilitated by the technique. Although the use of cine MR for the analysis of CSF flow is in its infancy, our experience indicates that this technique is useful in a wide range of pathological conditions including, but not limited to, conditions resulting in hydrocephalus or cystic cord lesions.
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  • 59
    ISSN: 1432-1920
    Schlagwort(e): Magnetic resonance imaging ; Trigeminal neuropathy ; Lymphoma
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary A 50-year-old man with active histiocytic lymphoma for 12 years developed an isolated right trigeminal neuropathy. Initial evaluation with head computed tomography, X-rays of the skull base, bone scan, and cerebrospinal fluid analysis including cytology were normal. Gadolinium-enhanced magnetic resonance imaging (MRI) showed enlargement of the proximal third of the right trigeminal nerve. Gadolinium-enhanced MRI can be useful for the early demonstration of cranial nerve invasion by lymphoma.
    Materialart: Digitale Medien
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  • 60
    ISSN: 1432-1920
    Schlagwort(e): Spinal cord compression ; Computed tomography ; Magnetic resonance imaging ; Ossification of ligamentum flavum
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Sixteen cases of thoracic radiculomyelopathy due to ossification of the ligamentum flavum (OLF) were analyzed. The patients ranged in age from 39 to 78 years (average 57 years). There were 13 men and 3 women. A significant predilection of OLF for the lower thoracic spine (T9/10, T10/11, T11/12) was noticed. Plain X-ray of the thoracic spine and multidirectional tomography could give important information about the site of ossification. Computed tomography with the intrathecal injection of the water-soluble contrast material clearly demonstrated the ossification and the degree of compression of the spinal cord. The disadvantages of using computed tomography for diagnosing OLF included the necessity for the scan level to be previously decided by other methods because computed tomography of the entire spine was impractical. Magnetic resonance imaging was performed in 14 patients and gave important information about OLF and the compression of the spinal cord. The combination of MRI and computed tomography seems the most useful for the precise diagnosis of OLF.
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  • 61
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 32 (1990), S. 416-420 
    ISSN: 1432-1920
    Schlagwort(e): Brain ; Sodium ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary This is a review of recent work in23Na MR imaging. The main emphasis of recent papers has been pulse sequences that, with appropriate postprocessing, give images of the fast, slow, and intermediate components of T2 decay. The assignment of compartmental designation to the T2 component remains a problem except for homogeneous structures easily identifiable anatomically (ventricles, superior sagittal sinus, globe of the eye). Compartmental distribution of sodium is described. The predominance of the interstitial and plasma compartment, the invisibility of part of the intracellular sodium, and the difficulty in imaging the very fast T2 component of visible intracellular sodium make the usual Na spin-echo image essentially an image of the interstitial and plasma space. Use of super paramagnetic iron oxide coupled to dextran as a contrast medium may help to identify the plasma compartment. Because the usual Na MR images are essentially interstitial and plasma images, our own interest is in observing functional changes in these compartments. Another proposed application is the detection of the very fast T2 component in brain tumors to aid in defining tumor grade and extent.
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  • 62
    ISSN: 1432-1920
    Schlagwort(e): FLASH ; Spin-echo technique ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary A multisclice gradient echo sequence (FLASH) was compared with a conventional spin-echo (SE) technique with regard to its value for contrast enhanced brain studies. In 50 patients with contrast enhancing intracranial lesions, MR studies (0.5 Tesla MR tomograph) were performed with SE images (SE 400/30; four images/3.4 min) and FLASH scans (FLASH 315/14, 90°; 15 images/1.4 min) before and after Gd-DTPA. Based on visual and quantitative assessment diagnostic results of postcontrast SE- and FLASH images were equivalent with respect to contrast enhancement, lesion/brain-contrast, lesion/edema-contrast, and lesion delineation. Although image quality generally was excellent on postcontrast FLASH images, susceptibility artifacts were more severe on FLASH scans than on SE images. However, with the exception of postoperative patients with artifacts due to metal remains, diagnostic information was not decreased by artifacts on postcontrast FLASH images. In conclusion, because of the clearly higher efficiency of the multisclice FLASH technique, this pulse sequence offers the opportunity to speed up contrast enhanced brain imaging.
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  • 63
    ISSN: 1432-1920
    Schlagwort(e): Nerves, trigeminal ; Parapharyngeal space ; Masticator space ; Magnetic resonance imaging ; Cavernous sinus
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary 10 patients with symptoms of mandibular neuralgia formed the basis of this study. They were studied by both enhanced CT and MRI. MRI, better than CT, easily permits distinction between intrinsic and extrinsic lesions and detects involvement of the cavernous sinus and meninges. Morever, because of its multiplanar imaging capability, and ability to portray exquisite anatomic details and characteristic tissue signal intensity, MRI is helpful in the evaluation of tumor involvement for biopsy and preoperative planning for these deep tumours.
    Materialart: Digitale Medien
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  • 64
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 32 (1990), S. 523-525 
    ISSN: 1432-1920
    Schlagwort(e): Arachnoid cyst ; Lateral ventricle ; choroid plexus ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary A young women presented with chronic headaches associated with a cyst of the right lateral ventricle. The diagnosis of intraventricular so-called “arachnoid” cyst was supported by CT scan, MRI and stereotactic puncture. MRI was of great value for demonstrating that the cyst was located within the lateral ventricule, that it was delinated by a thin wall adherent to the choroid plexus and that the cyst content was CSF-like.
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  • 65
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 32 (1990), S. 19-25 
    ISSN: 1432-1920
    Schlagwort(e): Magnetic resonance imaging ; Tuberculosis
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Twenty-six patients with intracranial tuberculosis (Tb) (10 with acute meningitis, 5 with chronic meningitis, 5 with meningitic sequelae and 6 with localized tuberculoma(s) were examined with MR before and after Gd-DTPA enhancement (0.1 mmol/kg), using 2.0T superconducting unit, and the images were retrospectively analyzed and compared with CT scans. Without Gd-DTPA enhancement, the MR images were generally insensitive to detection of active meningeal inflammation and granulomas. The signal intensity of granulomas was usually isointense to gray matter on both T1- and T2-weighted images, whether they were associated with diffuse meningitis or presented as localized tuberculoma(s). A few granulomas showed focal hypointensity on T2-weighted images. Calcifications seen on CT of the meningitic sequelae group usually appeared markedly hypointense on all spin-echo sequences. On Gd-DTPA enhanced T1-weighted images, abnormal meningeal enhancement indicating active inflammation was conspicuous, and the granulomas often appeared as conglomerated ring-enhancing nodules, which seems to be characteristic of granulomas. Thin rim enhancement around the suprasellar calcifications were observed in two out of 5 patients with meningitic sequelae. Compared with CT, MR detected a few more ischemic infarcts, hemorrhagic infarcts, meningeal enhancement and granulomas in the acute meningitis group, but missed small calcifications in the basal cisterns well shown on CT in the sequelae group. Otherwise, MR generally matched CT scans. MR imaging appears to be superior to CT in evaluation of active intracranial Tb only if Gd-DTPA is used, while CT is better than MR in evaluating meningitic sequelae with calcification.
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  • 66
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 32 (1990), S. 47-49 
    ISSN: 1432-1920
    Schlagwort(e): Eclampsia ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary A patient with eclampsia and severe but reversible neurological disorders is presented. Initial magnetic resonance imaging (MRI) revealed multiple hyperintense areas throughout the brain and brainstem that were consistent with ischemia and/or edema. Despite these diffuse lesions extending to the brainstem, the patient made a progressive neurological recovery and a follow-up MRI on day 21 demonstrated complete resolution of the hyperintense foci. MRI abnormalities were found to correlate more closely with clinical and electrophysiological data than CT findings.
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  • 67
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 32 (1990), S. 98-103 
    ISSN: 1432-1920
    Schlagwort(e): Cerebral infarction ; Thrombembolism ; Computed tomography ; Density quantification ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary A 4 years review of high resolution thin slice (3–5 mm) computed tomography performed within 24 h after cerebral infarction revealed increased density in a major cerebral artery segment in 28 patients. Arteries affected were the vertebral and basilar artery in 6 and 8 patients, the sphenoid course of the middle cerebral artery in 13 cases and the extracranial internal carotid artery in 1 patient. In 35.7% of cases the so called “dense artery sign” provided earliest evidence of the ensuing infarction documented by CT controls in most patients. Angiography carried out in 8 patients, density caculations in the course of the affected vessel and resolution of the increased density on subsequent CT examinations suggest thrombembolism as the most likely etiology. In the clinical setting of acute stroke increased artery density encompassing the entire vessel diameter may serve as an early indicator of major cerebral artery occlusion and prompt angiographic investigation of a lesion potentially amenable to lysis.
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  • 68
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 31 (1990), S. 502-506 
    ISSN: 1432-1920
    Schlagwort(e): Joubert syndrome ; Developmental abnormalities ; Brain ; CT ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary A characteristic malformation of the cerebellum, including dysgenesis of the vermis and enlargement of the fourth ventricle was observed on computed tomography (CT) in 16 children on review of our consecutive material. Seven of these children underwent magnetic resonance imaging (MRI) which showed hypoplasia of the brainstem in addition to cerebellar vermian dysgenesis. One child had, in addition, dysgenesis of the corpus callosum. All these children were developmentally delayed, and many had neonatal breathing abnormalities, congenital retinal dystrophy and supranuclear ocular motor abnormalities. Joubert's syndrome should be suspected in children in whom dysgenesis of the cerebellar vermis and hypoplasia of the brainstem is shown on CT or MRI.
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  • 69
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 32 (1990), S. 124-136 
    ISSN: 1432-1920
    Schlagwort(e): Magnetic resonance imaging ; Spinal ; Comparison with myelography, radiculography ; Costs ; Effectiveness
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary All spinal magnetic resonance imaging examinations carried out during a three month period were analysed retrospectively in order to determine the clinical reasons for the scan requests. Technical details of the examinations they received and the clinical profiles formed a data set which revealed 10 separate “Clinical groups” for management purposes. Hardware, salary and expendables were costed as though the imaging unit had been sited within a National Health Service radiology department. A spread sheet was designed capable of calculating costs per patient for a variety of types of working week and of different staffing structures, sensitive to the mixture of clinical groups referred for examination. The spreadsheet also accomodated straight line depreciation for hardware value and interest rates for borrowed capital. A second, prospectively observed, sample of spinal MR examinations was used to improve the accuracy of the timing of the length of patient examinations. Costs were compared with those for patients submitted for myelography and radiculography at the adjacent hospital during the same period. The comparison indicated that spinal MR was less costly than myelography and radiculography. The most important element of the extra cost of myelography related to the need to admit patients to hospital for at least one night for this examination because of the likelihood of headache and other common (though usually minor) complications following lumbar puncture and/or the injection of contrast medium. From the limited information that it was possible to obtain in the period of follow up, it appeared that MR had either been superior or equivalent to myelography or radiculography in all the clinical groups of patients where both could be tested. There were a number of groups in which no myelograms had been requested, presumably because clinical suspicions had pointed toward conditions like tumours, developmental abnormalities and demyelinating diseases in which neurologists and neurosurgeons have already made up their minds about the superiority of MR.
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  • 70
    ISSN: 1432-2161
    Schlagwort(e): Magnetic resonance imaging ; Metastases ; Scintigraphy ; Radionuclide ; Bone scan
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We report three patients with known primary tumor in whom radionuclide skeletal imaging for metastatic disease was normal with or without clinical symptomatology referable to this area. Magnetic resonance imaging (MRI) of the spine demonstrated focal areas of abnormal signal intensity in the vertebral bodies of these patients. In all three patients, biopsy confirmed metastatic disease. All the patients received radiation or chemotherapy depending upon the etiology. These preliminary data suggest that MR imaging may be useful in evaluating patients with known primary tumor in whom clinical suspicion persists despite a negative radionuclide bone scan.
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  • 71
    Digitale Medien
    Digitale Medien
    Springer
    Skeletal radiology 19 (1990), S. 109-111 
    ISSN: 1432-2161
    Schlagwort(e): Magnetic resonance imaging ; Acute and chronic rotator cuff tears
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Magnetic resonance imaging has been assessed in patients with acute rotator cuff tears and normal radiographs (9 cases) and those with chronic tears and changes of cuff arthropathy (9 cases). All images were obtained using a low field strength system (FONAR 0.3 T). Particular attention was placed on the appearances of the tendon and the cuff muscles themselves. Six complete acute tears were clearly identified, but MRI failed to demonstrate two partial tears. Muscle bulk was preserved in all patients in this group. In contrast, all patients with cuff arthropathy had complete tears of the supraspinatus tendon with marked tendon retraction and associated muscle atrophy: these changes precluded primary surgical repair. MRI should be used to assess muscle atrophy preoperatively in those patients with acute tears. When plain radiographs demonstrate cuff arthropathy, the MRI appearances are predictable and primary repair is unlikely to be successful. Further imaging is therefore not indicated.
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  • 72
    ISSN: 1432-2161
    Schlagwort(e): Tibial fractures ; Tibial plateau ; Articular depression ; Fibro-cartilage ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Nine knees with persistent radiographic depression of the articular surface after tibial plateau fractures treated by traction and early knee motion were examined using magnetic resonance imaging (MRI). The MRI examinations demonstrated that the radiographic bone defects were filled up with different tissues, which we interpreted as cartilage, fibrous tissue and synovial plica. The type of tissue in the bone defect did not seem to affect the functional capabilities of the knee. However, a demonstrable thin cover of tissue, with the signal-intensity of cartilage, over the defect, seemed to be associated with an excellent functional result.
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  • 73
    Digitale Medien
    Digitale Medien
    Springer
    Skeletal radiology 19 (1990), S. 251-258 
    ISSN: 1432-2161
    Schlagwort(e): Musculoskeletal haemangiomas ; Magnetic resonance imaging ; Computed tomography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract MRI and CT findings were reviewed from 11 patients with musculoskeletal haemangiomas. With MRI, morphological characteristics and extent of haemangiomas were optimally demonstrated on T2-weighted spin echo scans. High-resolution contrast-enhanced CT provided equivalent information regarding lesional characteristics and extent for small, localized haemangiomas. In CT evaluation of the extent of large haemangiomas, the radiation dose, transaxial scan plane, amount of intravenous contrast medium required and the necessity for correct timing of post-contrast scans became limiting factors. For such lesions, particularly those extending into the trunk, MRI supplemented by a plain radiograph is the optimum method of evaluation.
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  • 74
    Digitale Medien
    Digitale Medien
    Springer
    Skeletal radiology 19 (1990), S. 335-339 
    ISSN: 1432-2161
    Schlagwort(e): Magnetic resonance imaging ; Knee ; Osteoarthritis
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Transection of the anterior cruciate ligament in the dog produces changes in the unstable joint typical of osteoarthritis, although full-thickness cartilage ulceration is rare. Information concerning the late fate of the cartilage after transection is meager. In the present study magnetic resonance imaging (MRI) was used to evaluate cartilage abnormalities 3 years after transection. Plain radiographs of the osteoarthritic and contralateral knees were obtained serially. MRI was performed 3 years after anterior cruciate ligament transection, at which time all three animals exhibited knee instability. Radiographs of the osteoarthritic knees showed osteophytes and subchondral sclerosis with progression between 2 and 3 years. On MRI, articular cartilage margins in the knee were indistinct, and the cartilage was thicker than that in the contralateral knee (maximum difference= 2.7 mm). This increase in thickness is consistent with biochemical data from dogs killed up to 64 weeks after creation of knee instability, which showed marked increases in cartilage bulk and in proteoglycan synthesis and concentration. The findings emphasize that increased matrix synthesis after anterior cruciate ligament transection leads to functional cartilage repair sustained even in the presence of persistent alteration of joint mechanics.
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  • 75
    ISSN: 1432-2072
    Schlagwort(e): Adrenocorticotropin (ACTH) ; Corticotropin releasing hormone (h-CRH) ; Central nervous effects ; Human ; Auditory evoked potential (AEP) ; Mood
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Hormones of the hypothalamus-pituitary-adrenal (HPA) axis have been considered to form part of an efferent humoral system modulating central nervous stimulus processing. The present experiments were designed to compare the effects of iv bolus administrations of placebo, porcine ACTH 1–39 (1.5 U) and h-CRH (25 µg) on auditory evoked potentials (AEPs) in healthy men. Also, cardiovascular parameters, cortisol and self-reported mood were assessed. ACTH significantly reduced the amplitude of the N1 component of the AEP; P1 and P2 remained unchanged. The selective reduction of N1 amplitude defies an interpretation of the changes in terms of a reduced stimulus-induced cortical arousal following ACTH; the ACTH-induced changes may rather indicate an influence on frontocortical functions of directing attention. The effect of ACTH on N1 cannot be attributed to its adrenocorticotropic action or to cardiovascular changes, but appears to represent an intrinsic extraadrenal influence of the hormone. The data do not provide evidence for effects of h-CRH on central nervous stimulus processing in humans, after peripheral administration.
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  • 76
    ISSN: 1432-2072
    Schlagwort(e): Memory ; Human ; Scopolamine ; Antidepressant ; Diazepam
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The effects of scopolamine, an anticholinergic drug, of trimipramine, a tricyclic antidepressant with both anticholinergic and sedative properties, of diazepam and a placebo, on explicit memory and repetition priming were assessed using a free-recall task and a word-stem completion task. Forty-eight healthy volunteers took part in this double-blind study. Diazepam provoked a dissociation between free recall, which was profoundly impaired, and word completion, which was spared. No significant changes in memory performances were observed in the scopolamine group; however, a significant correlation between explicit and implicit memory performances was observed in this group. At the low dose used, the effects of trimipramine on memory were mild. The results suggest that the cholinergic system is involved in the priming effect.
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  • 77
    ISSN: 1432-1076
    Schlagwort(e): Panhypopituitarism ; Magnetic resonance imaging ; Empty sella
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract A 13 year 2 month old girl was referred with panhypopituitarism without diabetes insipidus. Magnetic resonance imaging demonstrated transection of the pituitary stalk, a hypoplastic pituitary gland, and the presence of an ectopic neurohypophysis located at the proximal stump of the transected stalk.
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  • 78
    Digitale Medien
    Digitale Medien
    Springer
    European journal of pediatrics 149 (1990), S. 523-525 
    ISSN: 1432-1076
    Schlagwort(e): Criss-cross heart ; Two-dimensional echodardiography ; Colour Doppler echocardiography ; Magnetic resonance imaging ; Congenital heart disease
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Two-dimensional colour Doppler echocardiography was performed on a 1-month-old male infant with criss-cross heart, double outlet right ventricle, ventricular septum defect and pulmonary stenosis. Complex structural abnormalities were suspected after two-dimensional echocardiography (2-D echo) and confirmed by colour Doppler and magnetic resonance imaging (MRI). We stress that the blood streams in the ventricular inflow tracts revealed by colour Doppler and the spatial relationships of the cardiac segments disclosed by MRI are essential to make an accurate non-invasive diagnosis of this complex malformation.
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  • 79
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 105 (1990), S. 465-476 
    ISSN: 1432-1106
    Schlagwort(e): Coordination dynamics ; Stability ; Limb ; Joint ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Eight right-handed subjects performed rhythmic isometric applications of torque in the directions of pronation and supination of the forearm, in single limb and bimanual conditions. Bimanual ‘movements’ were executed in either in-phase (homologous muscles simultaneously active) or anti-phase (non-homologous muscles active simultaneously) modes of coordination, in self-paced and frequency-scaled conditions. In the inphase (frequency-scaled) condition, subjects were required to synchronise (applications of torque) with each beat of a metronome, either in the direction of pronation or supination. In the anti-phase (frequency-scaled) condition, subjects were required to synchronise (applications of torque) with each beat of the metronome, either to the left or to the right. Departures from the anti-phase mode of coordination were observed as pacing frequency was increased. However, these departures were of short duration and the anti-phase mode was always re-established. These findings are in marked contrast to those obtained when there is free motion of the limbs. There also existed systematic differences between the stability of the pronation and supination phases of torque application. These differences were, in turn, modified through coincidence with the pacing signal. These results are discussed with reference to the constraints imposed upon the coordination dynamics by the intrinsic properties of the neuromuscular-skeletal system.
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  • 80
    Digitale Medien
    Digitale Medien
    Springer
    Archives of gynecology and obstetrics 247 (1990), S. 53-62 
    ISSN: 1432-0711
    Schlagwort(e): Human ; Baboon ; Immunological ; Physicochemical ; Physiological ; Pregnancy-associated antigens (PAPP-A, PP5, PP14)
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary By radioimmunoassays established on human derived antigens, PAPP-A, PP5 and PP14 immunoreactivity was detected in placental extracts and blood of pregnant baboons. None of the serial dilution curves suggested parallelism between respective human and baboon samples. Based on slopes of regressed logit-log transformed binding data, PAPP-A demonstrated the greatest degree of interspecies immunological crossreactivity. PP14 showed the least conservation of antigenic determinants. Physicochemical characterization on heparin, zinc chelate and bovine thrombin affinity matrices could not distinguish human from baboon-derived antigens. As in the human, baboon PAPP-A and PP5 were not detected in blood of male or nonpregnant animals. PP14 was detected in baboon follicular fluid, and only PP5 immunoreactivity was measured in culture media of baboon embryos. Of the three antigens, PAPP-A was detected in pregnant baboons at about 61 days gestation, that is, 4 weeks before PP5 and PP14. With the exception of PP14 which attained peak concentration at 118 days of pregnancy, PAPP-A and PP5 concentrations were greatest at term. In conjunction with physicochemical and immunological criteria, these physiological kinetics clearly support a role for developing a baboon model to serve for further studies into fetomaternal signals, particularly antigens such as PAPP-A and PP5.
    Materialart: Digitale Medien
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  • 81
    Digitale Medien
    Digitale Medien
    Springer
    European journal of pediatrics 149 (1990), S. 333-336 
    ISSN: 1432-1076
    Schlagwort(e): Capillaria hepatica ; Hepatic capillariasis ; Human ; Liver parasitosis ; Thiabendazole
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We describe the 2nd European case of hepatic capillariasis. The diagnosis of this parasitosis caused byCapillaria hepatica was made by needle biopsy of the liver in a 1-year-old girl who presented with a triad of persistent fever, hepatomegaly and hypereosinophilia. The child recovered completely after treatment with thiabendazole (Mintezol, Merck, Sharp and Dohme, Hoddeston, UK).
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  • 82
    Digitale Medien
    Digitale Medien
    Springer
    Journal of neurology 237 (1990), S. 47-50 
    ISSN: 1432-1459
    Schlagwort(e): Giant aneurysm ; Frontal lobe syndrome ; Cranial computed tomography ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary A 67-year-old patient with a completely thrombosed giant aneurysm of the anterior communicating artery is described. The only neurological findings were a disturbance of stance and gait and slight bilateral grasp reflexes. He had had the features of a frontal lobe psychotic syndrome for more than 12 years. Computed tomography demonstrated a primarily hyperdense calcified suprasellar space-occupying lesion. Magnetic resonance imaging proved valuable in establishing the correct diagnosis, which was confirmed post mortem.
    Materialart: Digitale Medien
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  • 83
    Digitale Medien
    Digitale Medien
    Springer
    Journal of neurology 237 (1990), S. 424-426 
    ISSN: 1432-1459
    Schlagwort(e): Sarcoidosis ; Cauda equina ; Laminectomy ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Three cases of sarcoidosis of the cauda equina are presented. In two there was no previous history suggestive of sarcoidosis and the presentation was one of a painful flaccid paralysis; in these the diagnosis was made after myelography and laminectomy with subsequent histology. The third patient had a previous diagnosis of lupus pernio and magnetic resonance imaging (MRI) was used to aid diagnosis. Only two previous cases have been reported of sarcoidosis presenting in the cauda equina with no other systemic manifestations. This is the first report of the use of MRI in sarcoidosis of the lower meninges.
    Materialart: Digitale Medien
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  • 84
    ISSN: 1432-1459
    Schlagwort(e): Infratentorial atrophy ; Idiopathic cerebellar ataxia ; Olivopontocerebellar atrophy ; Magnetic resonance imaging ; Computed tomography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The development of infratentorial atrophy in six patients suffering from idiopathic cerebellar ataxia of late onset was studied by a retrospective evaluation of consecutive computed tomography (CT) scans. Four patients had evidence of olivopontocerebellar atrophy (OPCA) both on clinical testing and magnetic resonance imaging (MRI). In these four patients, atrophy of the cerebellum and brain stem became visible at the same time and progressed in a roughly parallel manner, whereas in the remaining two the brain stem was left intact. In all patients with OPCA, definite brain-stem atrophy was visible earlier than the appearance of non-cerebellar clinical symptoms. The present data suggest that CT investigations at regular intervals may be of prognostic value in cerebellar ataxias.
    Materialart: Digitale Medien
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  • 85
    Digitale Medien
    Digitale Medien
    Springer
    Journal of neurology 237 (1990), S. 208-212 
    ISSN: 1432-1459
    Schlagwort(e): Hemimedullary syndrome ; Intracranial vertebral artery occlusion ; Magnetic resonance imaging ; Literature review
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Hemi-infarction of the medulla causes the clinical constellation of symptoms and signs of both the lateral and medial medullary syndromes and nearly always results from occlusion of an intracranial vertebral artery. In the case reported here, with a clinical diagnosis of hemimedullary syndrome, the expected infarction was imaged by magnetic resonance. A review of the literature confirms that the hemimedullary syndrome, in which both medial and lateral syndromes occur simultaneously, is extremely rare, since it yielded only two previous cases with adequate anatomical confirmation.
    Materialart: Digitale Medien
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  • 86
    Digitale Medien
    Digitale Medien
    Springer
    Journal of neurology 237 (1990), S. 265-266 
    ISSN: 1432-1459
    Schlagwort(e): Brain-stem abscess ; Antibiotics ; Stereotactic aspiration ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary A 25-year-old man with lung abscess and signs of an abscess in the rostral brain-stem was cured by large doses of antibiotics and stereotactic aspiration of the abscess.
    Materialart: Digitale Medien
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  • 87
    Digitale Medien
    Digitale Medien
    Springer
    Journal of neurology 237 (1990), S. 275-276 
    ISSN: 1432-1459
    Schlagwort(e): Central pontine myelinolysis ; Serum electrolytes ; Magnetic resonance imaging ; Vitamin
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Two patients with chronic alcohol abuse and central pontine myelinolysis are described. One developed a Korsakoff syndrome 2 days before admission to our hospital and the other showed signs of a incipient delirium without Korsakoff syndrome. Diagnosis of incipient central pontine myelinolysis was based on acute brain-stem dysfunction, serum electrolyte disturbances, malnutrition with vitamin B1 (thiamine), B6 (pyridoxine) and B12 (cyanocobalamine) deficiency in combination with typical neuroradiological findings. Hypokalaemia but no disturbance in serum sodium levels was found in both patients. After correction of hypokalaemia and vitamin deficiency the patients showed complete recovery of neurological and neuropsychological function. The findings are interpreted as suggesting that disturbances in serum potassium levels as well as rapid correction of hyponatraemia may be associated with pontine swelling and dysfunction which, if undetected, leads to central pontine myelinolysis.
    Materialart: Digitale Medien
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  • 88
    ISSN: 1432-1459
    Schlagwort(e): Multiple sclerosis ; Myelopathy ; Magnetic resonance imaging ; Evoked potentials
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Brain magnetic resonance imaging (MRI), multimodality evoked potentials (EPs) and cerebrospinal fluid examination were performed in 42 patients with myelopathy of undetermined aetiology in order to detect abnormalities usually related to multiple sclerosis (MS). Patients were divided into three groups: insidious-onset myelopathy with only motor signs (group A; 11 patients), with both motor and sensory signs (group B; 18 patients) and acute-onset myelopathy (group C; 13 patients). Multiple brain MRI lesions were found in 18 patients (2 of group A, 13 of group B and 3 of group C). Another 7 patients had a single white-matter lesion. Visual EPs were abnormal in 21 and brain-stem auditory EPs in 12 patients. Paraclinical tests supported the diagnosis of MS in 25 patients (60%) by showing subclinical brain abnormalities. Oligoclonal bands were found in 16 of these 25 patients. The findings strongly suggest a diagnosis of MS in the patients of group B.
    Materialart: Digitale Medien
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  • 89
    Digitale Medien
    Digitale Medien
    Springer
    Journal of neurology 237 (1990), S. 489-490 
    ISSN: 1432-1459
    Schlagwort(e): Miller-Fisher syndrome ; Pontine lesions ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The authors report a patient with Miller-Fisher syndrome in whom MRI of the brain stem showed increased signal density on T2 sequence anterior to the fourth ventricle, on the right and the left. The authors discuss the relation between these MRI abnormalities and some clinical features of the syndrome. The authors believe that the cardinal features of Miller-Fisher syndrome are due to peripheral nervous system dysfunction, but that this does not preclude a possible central nervous system involvement.
    Materialart: Digitale Medien
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  • 90
    ISSN: 1432-1459
    Schlagwort(e): Chronic GM1 gangliosidosis ; Dystonia ; GM1 ganglioside metabolism ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Clinical and biochemical studies are reported on a 32-year-old man with GM1 gangliosidosis who presented with a slowly progressive dystonia that began when he was aged 7 years and eventually became almost totally incapacitating at the age of 35. There was only mild intellectual deterioration, but myoclonus, seizures and macular cherry-red spots were never observed. Proton-density and T2-weighted MRI scans showed symmetrical hyperintense lesions of both putamina. No increase of GM1 ganglioside was found in plasma or cerebrospinal fluid, and the metabolism of GM1 ganglioside in cultured skin fibroblasts from the patient was also almost normal, although the residual activity of GM1 ganglioside β-galactosidase activity was only 10% of normal. These findings suggest that impaired GM1 ganglioside metabolism is not present systemically as it is in the infantile and juvenile types of the disorder, but is mainly confined to the central nervous system in chronic GM1 gangliosidosis.
    Materialart: Digitale Medien
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  • 91
    ISSN: 1432-1459
    Schlagwort(e): HIV infection ; Slowness of movement ; Basal ganglia disease ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Motor tests were performed in 50 HIV-infected patients in all stages according to the current CDC classification, but without any clinically evident central nervous system deficit, and the results compared with an age-matched control group. Patients were excluded from the study if there was alcohol or drug abuse, fever and/or opportunistic cerebral infection. The parameters tested were postural tremor of the outstretched hands, most rapid voluntary alternating index finger movements (MRAM) and rise time of most rapid index finger extensions (MRC). Whereas tremor peak frequencies did not differ significantly in the patients and controls, MRAM and rise times of MRCs showed significant slowing in the patient group. Morphologically, the motor test performance of the HIV-infected patients was similar to that of patients with manifest basal ganglia disease (Parkinson's, Huntington's and Wilson's diseases). MRI scans of all patients were normal. It is concluded that in HIV-infected patients there is a very early subclinical central nervous system affection, especially of the basal ganglia, which is detectable with appropriate, quantitative motor function tests. These functional abnormalities precede the structural alterations in the MRI scans.
    Materialart: Digitale Medien
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  • 92
    ISSN: 1432-1335
    Schlagwort(e): Carcinoembryonic antigen ; Immunohistochemistry ; Colorectal Carcinoma ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The reactivity of D-14 monoclonal antibody (mAb) to a specific epitope of carcinoembryonic antigen (CEA) was evaluated on formalin-fixed, paraffin-embedded tissues. A total of 52 normal tissues, 90 colorectal carcinomas and 127 non-colorectal neoplasms were tested using the peroxidase/antiperoxidase technique. D-14 mAb did not react with normal tissues apart from producing a weak staining of normal colonic glands immediately adjacent to the neoplastic structures. All 61 primary and 29 metastatic colorectal carcinomas expressed the carcinoembryonic antigen. However, there was considerable heterogeneity in cellular antigen expression in both primary and metastatic colorectal carcinomas with 10%–99% of tumor cells staining. Of 22 stomach adenocarcinomas, 14 were also immunoreactive, as were 2 of 5 pancreatic carcinomas. Only 6 of 100 neoplasms of non-gastrointestinal origin expressed weak to moderate immunoreactivity. In 7 cases, colorectal micrometastases not recognized in conventional hematoxylin and eosin slides could be identified with D-14 mAb. The specificity of this antibody could be used in differentiating colorectal carcinomas from other types of tumors, including adenocarcinoma from other sites.
    Materialart: Digitale Medien
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  • 93
    Digitale Medien
    Digitale Medien
    Springer
    Child's nervous system 6 (1990), S. 161-165 
    ISSN: 1433-0350
    Schlagwort(e): Magnetic resonance imaging ; Spinal dysraphism ; Spinal cord abnormalities ; Pediatric spinal cord
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Magnetic resonance (MR) imaging of the spine was performed as the initial imaging technique in 20 children when spinal dysraphism was suspected clinically and plain radiographs showed spina bifida. The correlation with surgical findings indicated that MR provided accurate information preoperatively in all the cases. Some unusual observations in cases with spina bifida cystica and occulta are discussed. It is concluded that plain radiograph and MR complete the preoperative radiologic evaluation of cases with spinal dysraphism.
    Materialart: Digitale Medien
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  • 94
    ISSN: 1433-0350
    Schlagwort(e): Methotrexate leukoencephalopathy ; Ommaya reservoir ; Computed tomography ; Magnetic resonance imaging ; Meningeal leukemia
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract A 14-year-old boy, suffering from acute lymphoblastic leukemia with meningeal involvement, was treated with intraventricular methotrexate and cytosine arabinoside, administered via an Ommaya reservoir (OR). Three months later, right occipital headache, vomiting, and lethargy appeared. Cerebrospinal fluid specimens showed increased proteins and a right frontal slow-wave focus was evident on the EEG recording. The computed tomography scan revealed white matter hypodensity within the right frontal and rolandic regions. After injection of medium contrast, an abscesslike hyperdensity appeared, surrounding both a well-placed cannula tip and the right frontal horn of the lateral ventricle. Brain swelling and shift signs were also evident. Nine cases of focal methotrexate leukoencephalopathy have been previously reported, and in six of these there was a misplaced OR cannula tip. The focal meihotrexate leukoencephalopathy seems to be related to the neurotoxicity of the drugs administered, and may also exist with a well-placed OR cannula tip. Immediate removal of the catheter may be associated with a benign evolution.
    Materialart: Digitale Medien
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  • 95
    ISSN: 1433-0350
    Schlagwort(e): Tethered cord syndrome ; Low-placed conus medullaris ; Myeloschisis ; Lipomeningocele ; Magnetic resonance imaging ; Over-distended spinal cord
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We present findings obtained from a total of 100 patients who had previously undergone surgery for spina bifida and whose progress had been monitored by magnetic resonance imaging (MRI) in our meningomyelocele clinic. Fourteen of these patients (14.0%) developed delayed symptom(s) of progressive spinal neurologic dysfunction. In those with myeloschisis, increase of motor deficit was the most common clinical manifestation during infancy and early childhood (mean age: 6.8 years), whereas pain on back flexion was seen in patients who were over 15 years of age (mean age: 17.3 years). MRI carried out in myeloschisis patients invariably demonstrated that the conus medullaris was in an abnormally low position, suggesting over-distension of the spinal cord. This was irrespective of whether symptom(s) developed or not and did not correlate with the initial surgical procedure (reconstructive or otherwise) used. Patients with symptom(s) were revealed by MRI to have an extremely low conus set at the spinal level of S-1 or below; neurological examination showed that the motor deficit occurred at high levels in the spine. Results from lipomeningocele patients were more erratic in terms of conus position and delayed development of neurological defects. The authors conclude: (1) that elongation of the spinal cord as an MRI finding seen postoperatively in cases of myeloschisis (radiological finding of a low-placed concus medullaris) does not necessarily imply functional disorder (tethered cord syndrome) and (2) that the pathophysiology of the late onset of progressive neurological deterioration in the spine occurring in patients who have previously undergone lipomeningocele repair may be associated with an invasive or expansile mass effect and should not always be regarded as involving tethered cord syndrome.
    Materialart: Digitale Medien
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  • 96
    ISSN: 1432-2161
    Schlagwort(e): Fibromatosis ; Desmoid tumor ; Soft-tissue tumors ; Skeletal neoplasms ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We reviewed retrospectively the magnetic resonance (MR) images of 14 soft-tissue lesions of fibromatosis (desmoid tumors) encountered in 11 patients. The lesions were typically inhomogeneous in texture and round to oval in configuration. Margins were well-defined in 78% of the lesions at presentation and were infiltrating in all recurrences. On T1-weighted spin echo MR images, the predominant signal intensity was either isointense or minimally hyperintense when compared with skeletal muscle. On T2-weighted MR images the predominant signal intensity was typically intermediate between skeletal muscle and subcutaneous fat or isointense to fat. Linear and curvilinear areas of decreased signal intensity were distributed throughout the lesions on both pulse sequences in 86% of cases. This pattern strongly suggested fibromatosis. Speculation concerning possible etiologies of this appearance are discussed, and the relevant literature on previously reported cases is reviewed.
    Materialart: Digitale Medien
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  • 97
    ISSN: 1433-0350
    Schlagwort(e): Epidermoid cysts ; Dermoid cysts ; Computed tomography ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Between 1956 and 1987 operations were performed on 36 patients below the age of 20 years for epidermoid and dermoid cysts of the central nervous system. Seventeen tumors were intracranial intradural lesions (47%): 12 were located in the supratentorial region (71%) and 5 were located in the infratentorial region (29%). Ten of these tumors (59%) were seated along the midline structures. The clinical presentation was consistent with the location of the tumors. The neuroradiological diagnosis was mostly made with the aid of pneumoencephalography, computed tomography (CT), nonionic contrast medium CT cisternography, and magnetic resonance imaging. Complete removal of the tumor contents was performed in all cases but one, although the completeness of removal of the tumor capsule could not be exactly estimated in some patients. At late follow-up only two tumor recurrences were observed. Radical removal of the tumor capsule of these congenital tumors, even when it is connected to vital neurovascular structures, seems advisable in patients who become symptomatic within the first two decades of life.
    Materialart: Digitale Medien
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  • 98
    Digitale Medien
    Digitale Medien
    Springer
    Child's nervous system 6 (1990), S. 275-276 
    ISSN: 1433-0350
    Schlagwort(e): Dura mater ; Anatomical variation ; Magnetic resonance imaging ; Cavernous hemangioma
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We report on a 12-year-old boy who underwent a right frontotemporoparietal craniotomy for complete extirpation of three cavernous hemangiomas of the temporal lobe. On this occasion, an accessory dural septum was observed that spanned, in the direction of the corona, the temporo-occipital base upward to the lower pariental area. It produced a deep notch in the cortex, was supplied by a small leptomeningeal artery, and probably contained a small venous sinus. Embryological considerations and clinical relevance are discussed.
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  • 99
    Digitale Medien
    Digitale Medien
    Springer
    Child's nervous system 6 (1990), S. 212-215 
    ISSN: 1433-0350
    Schlagwort(e): Sonography ; Fetal ventriculomegaly ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract While fetal cranial sonography has been used for the sensitive detection of ventriculomegaly, ancillary imaging techniques may be needed for precise delineation of structural abnormalities. This report outlines the radiologic and clinical results using maternal magnetic resonance imaging (MRI) in ten patients with suspected fetal intracranial anomalies. Imaging was accomplished at 17–39 weeks gestational age, using spin-echo, a multislice technique with intramuscular morphine sulfate for sedation. In four cases, MRI significantly clarified the sonographic diagnosis, while in two cases the scan agreed with the sonographic findings. In one patient, MRI failed to image a lumbar meningomyelocele associated with the Chiari II malformation. In two patients with the Chiari II malformation, both sonography and MRI failed to delineate the anatomic pathology completely. Optimal imaging resolution was achieved in the third trimester. Four patients died in the perinatal period. All the surviving patients required shunting to treat intracranial hypertension; only two patients were meeting cognitive milestones. We conclude that due to the high incidence of multiple anomalies in the fetus with ventriculomegaly, precision in neuroradiological diagnosis is essential. MRI can be a useful adjunct to cranial sonography for the specific delineation of abnormalities of the fetal central nervous system.
    Materialart: Digitale Medien
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  • 100
    Digitale Medien
    Digitale Medien
    Springer
    Child's nervous system 6 (1990), S. 338-345 
    ISSN: 1433-0350
    Schlagwort(e): Fetal hydrocephalus ; Intracranial pressure ; Magnetic resonance imaging ; Postnatal outcome
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract At the National Kagawa Children's or Kobe University Hospital, 24 cases of fetal hydrocephalus were managed between 1982 and 1988. There were 8 simple, 11 dysgenetic, and 5 secondary cases of hydrocephalus, and the fetal age at diagnosis ranged between 24 and 40 weeks of gestation (average 33.4 weeks). All were diagnosed using ultrasonography, with either magnetic resonance imaging or whole-body computed tomography, additionally performed in 10 patients to determine their usefulness in evaluating the morphology. Four patients underwent transabdominal or transvaginal cephalocentesis in the prenatal period and intracranial pressure was measured during the drainage of cerebrospinal fluid in two of these. Postnatal outcome was analyzed for each type of hydrocephalus. The results suggested that in such cases the fetal brain is subjected to extremely high intracranial pressures resulting from a mixture of hydrocephalic pressure and intermittent uterine constriction. Immediately after birth, the biparietal diameter was found to be increased by an average of 7.7 mm and the hydrocephalic state was transformed into the neonatal type characterized by macrocephaly and a relatively low intracranial pressure. Overall mortality was 25% and 16 of the 24 infants underwent the postnatal shunt procedure, largely at the neonatal stage. The follow-up period varied from 4 months to 6 years (average, 25.8 months for nonfatal cases) and the mean intelligence or developmental quotient was 45.2. There were no significant differences in postnatal outcome between the three major types of fetal hydrocephalus. Findings revealed that the length of the gestation period after the diagnosis of hydrocephalus has a significant effect on outcome (P〈0.01). Based on these results, it is suggested that fetal hydrocephalus may be extremely hypertensive and that impairment of neuronal functional development accompanying its prenatal progression can be irreversible.
    Materialart: Digitale Medien
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