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  • 1995-1999  (10.966)
  • 1997  (10.966)
  • Chemistry  (10.047)
  • Numerical Methods and Modeling  (616)
  • Human  (145)
  • Magnetic resonance imaging  (137)
  • crystal structure  (134)
Materialart
Erscheinungszeitraum
  • 1995-1999  (10.966)
Jahr
  • 101
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 302-310 
    ISSN: 1432-1920
    Schlagwort(e): Key words Corpus callosum ; dysgenesis ; Developmental anomalies ; Probst's bundles ; Anterior commissure ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We analysed the MRI findings in 23 patients with callosal dysgenesis in relation to their associated telencephalic anomalies to investigate the morphological significance of the development of Probst's bundles and the anterior commissure in congenital callosal dysgenesis. We classified callosal dysgenesis into three types: total defect (9 patients), partial defect (7) and hypoplasia (7). Associated anomalies were observed in 15 patients, including migration disorder (8 patients), micrencephaly (5), and lipoma (2). The remaining 8 patients had no associated anomalies. Probst's bundles were not identified in 4 patients with a severe migration disorder. An absent or hypoplastic anterior commissure was observed in 9 of the 16 patients with callosal defect and all 7 of those with callosal hypoplasia. Colpocephaly and keyhole dilatation of the temporal horns were seen in 16 and 21 patients, respectively. Callosal dysgenesis may occur not only through a defect in the callosal anlage, but also from impaired growth of axonal fibres projecting from the cerebral isocortex. Therefore, associated telencephalic anomalies may be responsible for additional features in callosal dysgenesis. Consequently, identification of Probst's bundles and the anterior commissure may be important when assessing cortical development in patients with callosal dysgenesis.
    Materialart: Digitale Medien
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  • 102
    ISSN: 1432-1920
    Schlagwort(e): Key words Arteries ; vertebral ; Arteries ; dissection ; Magnetic resonance imaging ; Magnetic resonance angiography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract A review of 4,500 angiograms yielded 11 patients with dissection of the vertebral arteries who had MRI and (in 4 patients) MR angiography (MRA) in the acute phase of stroke. One patient with incidental discovery at arteriography of asymptomatic vertebral artery dissection and two patients with acute strokes with MRI and MRA findings consistent with vertebral artery dissection were included. Dissection occurred after neck trauma or chiropractic manipulation in 4 patients and was spontaneous in 10. Dissection involved the extracranial vertebral artery in 9 patients, the extra-intracranial junction in 1, and the intracranial artery in 4. MRI demonstrated infarcts in the brain stem, cerebellum, thalamus or temporo-occipital regions in 7 patients with extra- or extra-intracranial dissections and a solitary lateral medullary infarct in 4 patients (3 with intracranial and 1 with extra-intracranial dissection). In 2 patients no brain abnormality related to vertebral artery dissection was found and in one MRI did not show subarachnoid haemorrhage revealed by CT. Intramural dissecting haematoma appeared as crescentic or rounded high signal on T1-weighted images in 10 patients examined 3–20 days after the onset of symptoms. The abnormal vessel stood out in the low signal cerebrospinal fluid in intracranial dissections, whereas it was more difficult to detect in extracranial dissections because of the intermediate-to-high signal of the normal perivascular structures and slow flow proximal and distal to the dissection. In two patients examined within 36 h of the onset, mural thickening was of intermediate signal intensity on T1-weighted images and high signal on spin-density and T2-weighted images. MRA showed abrupt stenosis in 2 patients and disappearance of flow signal at and distal to the dissection in 5. Follow-up arteriography, MRI or MRA showed findings consistent with occlusion of the dissected vessel in 6 of 8 patients.
    Materialart: Digitale Medien
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  • 103
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 354-356 
    ISSN: 1432-1920
    Schlagwort(e): Key words Spine ; Atlas ; Axis ; Osteoarthritis ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We present the MRI appearances of advanced degenerative changes at the atlanto-odontoid (AO) joint. Changes including obliteration of the joint space, subchondral sclerosis and osteophytosis were clearly depicted on fast gradient-echo T1-weighted MRI images. Recognition of these changes may be helpful in the diagnosis in patients with suboccipital pain.
    Materialart: Digitale Medien
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  • 104
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 381-385 
    ISSN: 1432-1920
    Schlagwort(e): Key words Morquio's disease ; Craniocervical junction ; Brain ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We reviewed MRI of the brain and cervical spine in 11 patients with Morquio's disease. No abnormality was seen in the brain. The odontoid peg was abnormal in all patients, with varying degrees of cord compression due to an anterior soft tissue mass and indentation by the posterior arch of the atlas. The degree of cord compression was more marked than suggested by the symptoms and signs. We recommend MRI of the cervical spine in children with Morquio's disease before the development of neurological symptoms, to optimise the timing and type of surgical intervention.
    Materialart: Digitale Medien
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  • 105
    ISSN: 1432-1920
    Schlagwort(e): Key words Chordoma ; clivus ; Magnetic resonance imaging ; Differential diagnosis
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We present six proven cases of chordoma of the clivus studied by CT and MRI, with special attention to the extent of the tumour and to the signal intensity after intravenous gadolinium. MRI is the best technique for assessing the extent of the tumour but CT is important for showing osteolysis. Our aim was to determine differential diagnostic neuroradiological criteria. Reliable signs of chordoma of the skull base are: posterior extension to the pontine cistern; a lobulated, “honeycomb” appearance after gadolinium; the swollen appearance of the bone in the early stages; bone erosion on CT and frequent extension to critical structures such as the circle of Willis, cavernous sinuses and brain stem.
    Materialart: Digitale Medien
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  • 106
    ISSN: 1432-1920
    Schlagwort(e): Key words Aneurysm ; giant ; Magnetic resonance imaging ; Dural tail sign
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The “dural tail” sign on gadolinium (Gd-DTPA)-enhanced MRI has been described in association with meningiomas. Various series with histopathological correlation have shown that in some cases there is tumour invasion into the dura mater, but in the majority of cases it represents a hypervascular, non-neoplastic reaction. While this sign was originally thought to be specific for meningioma, subsequent case reports have described the presence of a dural tail in other intra- and extra-axial lesions. We present a patient with a giant aneurysm arising from the P2 segment of the right posterior cerebral artery, adjacent to the tentorium, with a prominent dural tail on Gd-DTPA-enhanced MRI. In this location, differentiation of an aneurysm from a meningioma was critical.
    Materialart: Digitale Medien
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  • 107
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 811-814 
    ISSN: 1432-1920
    Schlagwort(e): Key words Meningeal melanocytoma ; Magnetic resonance imaging ; Computed tomography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We report the MRI and CT findings of an intracranial meningeal melanocytoma (IMM) arising from Meckel's cave and review the imaging characteristics of IMM. On CT, IMM constantly appear as well-circumscribed, isodense to slightly dense, extra-axial tumours with homogeneous contrast enhancement. This appearance is nonspecific and similar to that of meningiomas or small neuromas. On MRI, the signal of IMM is strongly related to the amount of melanin pigment: the more melanin, the more shortening of T1 and T2 relaxation times. Only when it shows as a homogeneous mass, bright on T1 and dark on T2 weighting, can a specific diagnosis of a melanin-containing tumour be made. However, this still cannot provide a distinction between IMM and malignant meningeal melanoma.
    Materialart: Digitale Medien
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  • 108
    ISSN: 1432-1920
    Schlagwort(e): Key words Spine ; Spinal cord ; compression ; Arachnoid cyst ; extradural ; Myelography ; Computed tomography ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Extradural arachnoid cysts are uncommon expanding lesions in the spinal canal which may communicate with the subarachnoid space. Usually in the lower thoracic spine, they may cause symptoms by compressing the spinal cord or nerve roots. We report cases of thoracic and lumbar arachnoid cysts studied by cystography, myelography, CT and MRI. These techniques showed extradural cystic lesions containing cerebrospinal fluid, with variable communication with the subarachnoid space, causing anterior displacement and flattening of the spinal cord.
    Materialart: Digitale Medien
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  • 109
    ISSN: 1432-1920
    Schlagwort(e): Key words Sturge-Weber syndrome ; Single-photon emission computed tomography ; Magnetic resonance imaging ; Computed tomography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Demonstration of the full extent of abnormality in patients with the Sturge-Weber syndrome (SWS) is important for prognosis and in planning surgery to remove the seizure focus. We compared single-photon emission computed tomography (SPECT), MRI and CT in nine children under the age of 4 years with seizures as part of SWS, in an attempt to determine the optimal method of imaging in different clinical settings. Seven unilateral and two bilateral cases were studied by interictal 99mtechnetium hexamethylpropyleneamineoxime (HMPAO) SPECT, and contrast-enhanced CT and MRI, giving information on 11 abnormal hemispheres. All imaging modalities showed abnormalities in every child. Perfusion imaging showed focal regions of decreased uptake in 9 of 11 (82 %) abnormal hemispheres and demonstrated a widespread decrease but no focal defect in 2; it also revealed crossed cerebellar diaschisis in 2 cases. CT demonstrated typical gyriform calcification in 9 of 11 (82 %) affected hemispheres. Contrast-enhanced MRI showed more extensive involvement than contrast-enhanced CT in 5 of 11 (45 %) cases. The area of hypoperfusion shown by SPECT was smaller than the area of contrast enhancement on MRI in 6 of 11 cases (55 %), comparable in 3 (27 %) and larger in 2 cases (18 %). CT is sufficient to confirm the clinical diagnosis of SWS, but MRI frequently shows more extensive abnormal areas. 99mTc HMPAO imaging is a useful addition when it is important to know the full extent of the disease, for example prior to surgery. It is likely to detect areas of hypoperfusion, representing ischaemic regions, which may act as an epileptogenic focus and may not be shown by CT or MRI.
    Materialart: Digitale Medien
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  • 110
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 296-301 
    ISSN: 1432-1920
    Schlagwort(e): Key words Mesenchymal chondrosarcoma ; Orbital neoplasms ; Magnetic resonance imaging ; Computed tomography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Extraskeletal mesenchymal chondrosarcoma is a relatively uncommon entity, an orbital location being extremely rare. A review of the literature revealed 16 reported cases of primary orbital mesenchymal chondrosarcoma demonstrated by plain film and CT. To the best of our knowledge, the MRI features of orbital extraskeletal mesenchymal chondrosarcoma have not been previously reported. We present the case of an 18-year-old man with a 2-year history of progressive proptosis of the right eye who underwent CT, dynamic CT, MRI without and with gadolinium enhancement, and magnetic resonance angiography of the orbits. CT of orbital mesenchymal chondrosarcoma demonstrates a well-defined mass with multiple areas of fine and coarse calcification and shows moderate contrast enhancement. The noncalcified portions of the mass demonstrate signal intensity lower than or equal to gray matter on T1-weighted images and are isointense to the gray matter on T2-weighted images. Dynamic CT reveals delayed contrast enhancement. MRI has proven to be a valuable diagnostic tool in the diagnosis and differentiation of well-defined intraorbital masses. By a combination of CT and MRI, it appears mesenchymal chondrosarcoma can be differentiated from other intraorbital lesions, such as cavernous hemangioma, hemangiopericytoma, orbital amyloidosis and fibrous histiocytoma.
    Materialart: Digitale Medien
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  • 111
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 326-328 
    ISSN: 1432-1920
    Schlagwort(e): Key words Encephalopathy ; Portal-systemic ; Basal ganglia ; Embolization ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We report MRI in a patient with portal-systemic encephalopathy, in which the high signal in the basal ganglia on T1-weighted images showed marked resolution after successful embolization of the intrahepatic portal-systemic venous shunt.
    Materialart: Digitale Medien
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  • 112
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 431-433 
    ISSN: 1432-1920
    Schlagwort(e): Key words Brain ; Computed tomography ; Magnetic resonance imaging ; Echinococcosis multilocularis
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Cerebral alveolar echinococcosis is rare and has a poor prognosis. We report an unusual case presenting with disseminated intracranial lesions secondary to primary hepatic infection.
    Materialart: Digitale Medien
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  • 113
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 437-440 
    ISSN: 1432-1920
    Schlagwort(e): Key words Encephalitis ; carcinomatous ; Brain neoplasms ; metastatic ; Magnetic resonance imaging ; Computed tomography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We report a rare case of miliary brain metastases presenting with symptoms similar to encephalitis (“carcinomatous encephalitis”). Contrast-enhanced MRI demonstrated miliary metastases more distinctly than other imaging methods and reproduced the pathological features.
    Materialart: Digitale Medien
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  • 114
    ISSN: 1432-1920
    Schlagwort(e): Key words Meningeal fibrosis ; Spinal fluid ; contrast CSF enhancement ; Magnetic resonance imaging ; Cryptococcal meningitis
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We describe the case of a 52-year-old man, with cryptococcal meningitis and meningeal fibrosis who had undergone ventricular shunting. Gd-DTPA-enhanced T1-weighted MRI revealed diffuse meningeal enhancement. Remarkably, there was enhancement of the pia mater and posterior fossa subarachnoid space.
    Materialart: Digitale Medien
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  • 115
    ISSN: 1432-1920
    Schlagwort(e): Key words Sarcoidosis ; Magnetic resonance imaging ; Brain neoplasm
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Sarcoidosis may also present as an extra- or intra-axial mass involving the central nervous system. These lesions are sometimes operated upon, because a neoplasm is suspected. We report two cases of unusual tumour-like extra- and intra-axial sarcoidosis. The extra-axial mass was just medial to the jugular foramen. Its morphology and signal characteristics differed from the more common lesions in this area. The intra-axial mass was in the temporal lobe, with only minor leptomeningeal involvement. Extra-axial sarcoidosis can be confused with a meningioma because these lesions can give relatively low signal on T2-weighted images. Intra-axial masses are presumed to represent a propagation and fusion of multiple leptomeningeal granulomas through the Virchow-Robin spaces in the brain; this pattern can be sought on contrast-enhanced T1-weighted images.
    Materialart: Digitale Medien
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  • 116
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 537-545 
    ISSN: 1432-1920
    Schlagwort(e): Key words Ageing brain ; Magnetic resonance imaging ; High-signal foci ; Signal intensity
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Our purpose was to document the MRI appearances of the brain in healthy middle-aged to elderly subjects. T2- and proton density-weighted axial slices were obtained in 61 volunteers, 30–86 years of age. After visual inspection, signal intensities of brain structures were measured on T2-weighted images. Age-related changes became increasingly apparent after age 50. The main findings were that signal intensity of the white matter increased concomitantly with widening of the cerebrospinal fluid spaces; that basal ganglia remained stable; that high-signal foci in white matter increased in number and size after the age of 50 years; that periventricular high-signal foci were constant after the age of 65 years. Our visual impression of a decrease in signal intensity of the central grey matter with age seems to be mistaken. Pathological processes should be suspected if periventricular foci are found in middle-aged or young subjects.
    Materialart: Digitale Medien
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  • 117
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 556-559 
    ISSN: 1432-1920
    Schlagwort(e): Key words Aphasia ; primary progressive ; Magnetic resonance imaging ; Single photon emission computed tomography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Primary progressive aphasia (PPA) presents with aphasia, with or without other minor cognitive dysfunction. We report five patients with PPA to show the correlation between their clinical signs and imaging findings. The patients can be divided into those with nonfluent (group 1) and those with fluent (group 2) aphasia. The characteristic speech impairment was bradylalia in group 1 and word amnesia in group 2. Impairment of comprehension was common but mild in both groups. On MRI, patients in group 1 showed predominantly left frontal and perisylvian atrophy with reduced uptake in the same region on single photon emission computed tomography (SPECT) using technetium-99m hexamethyl propyleneamine oxime (99mTc HMPAO). Patients in group 2 showed left temporal atrophy involving the superior, middle and inferior temporal gyri, hippocampus and parahippocampal gyrus on MRI and reduced uptake in the same region on SPECT. These findings correlated well with the functional anatomy of speech impairment.
    Materialart: Digitale Medien
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  • 118
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 599-601 
    ISSN: 1432-1920
    Schlagwort(e): Key words Acoustic neuroma ; size ; Computed tomography ; Magnetic resonance imaging ; Interobserver comparisons
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The growth rate of acoustic neuromas is very variable: some tumours grow rapidly, some do not grow and some even get smaller. When making treatment decisions, it may be important to have an idea of the growth rate of the individual tumour, and this is only possible when there are comparable examinations. We performed both CT and MRI on 15 patients. Two radiologists estimated the size of their acoustic neuromas. There was a significant difference between the two examiners' calculations of tumour volumes on CT and between the first examiner's CT and MRI volume calculations. No difference was found between the two MRI volume estimations or the second examiner's estimation of volumes on CT and MRI. Measurements of the maximal tumour diameter along the pyramid showed good concordance. We conclude that measurement the size of acoustic neuromas is reproducible with MRI and the measurement of the maximal tumour diameter is in practice a better parameter for comparison than calculation of real volume.
    Materialart: Digitale Medien
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  • 119
    ISSN: 1432-1920
    Schlagwort(e): Key words Acquired immunodeficiency syndrome (AIDS) ; Brain ; infection ; Magnetic resonance imaging ; Computed tomography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We sought to determine the value of follow-up CT and MRI in patients with acquired immunodeficiency syndrome (AIDS) and progressive multifocal leukoencephalopathy (PML). We reviewed 50 CT and 19 MRI examinations performed in 21 biopsy- or autopsy-proven cases of PML; 17 patients had follow-up examinations (mean time 5.9 weeks). The radiological examinations were correlated with pathological findings at autopsy. On initial imaging studies, 73 lesions were found. On follow-up, the most striking feature was rapid progression in both size and number of the lesions (from a mean of 3.2 to 6.9 per patient). One third of the patients showed increasing mass effect. A central area suggesting necrosis, of variable size, was found in 12/16 patients. Autopsy revealed macroscopic necrotic changes in the lesions in 11/16 patients.
    Materialart: Digitale Medien
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  • 120
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 654-657 
    ISSN: 1432-1920
    Schlagwort(e): Key words Basilar artery ; Arteries dissection ; Magnetic resonance imaging ; Magnetic resonance angiography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract MRI showed a pontine infarct and mural thickening of intermediate signal in T1-weighted images proximal to occlusion of the basilar artery in a 10-year-old boy. Two days later the mural thickening was of high signal, consistent with methaemoglobin formation and MR angiography (MRA) showed nonspecific lack of flow in the mid-segment of the basilar artery, which corresponded to a tapered occlusion at arteriography. MRI is more useful than MRA for noninvasive diagnosis of basilar artery dissection.
    Materialart: Digitale Medien
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  • 121
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 593-598 
    ISSN: 1432-1920
    Schlagwort(e): Key words Temporal bone ; Acoustic neuroma ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract To evaluate the efficacy of a gradient-echo sequence (3DFT-CISS) in the diagnosis of acoustic neuromas, two independent observers twice reviewed the images of the temporal bones of 83 patients. Contrast-enhanced T1-weighted spin echo images were used as the reference, showing 18 acoustic neuromas, including 5 purely intracanalicular and one intralabyrinthine tumours. High sensitivity (89-94 %), specificity (94–97 %) and accuracy (94–95 %) were found. Intraobserver (kappa 0.93–1) and interobserver (kappa 0.83–0.84) reproducibility were very good. The smallest intracanalicular tumour was overlooked twice by both observers; the intralabyrinthine tumour once by one observer. All tumours were detected with a less stringent decision criterion, at the expense of lower specificity.
    Materialart: Digitale Medien
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  • 122
    ISSN: 1432-1920
    Schlagwort(e): Key words Meningioma ; Schwannoma ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We studied 23 patients with meningiomas and 14 with schwannomas using dynamic spin-echo (TR/TE 200/15 ms) MRI. Histologically the meningiomas were classified according to the 1993 WHO classification. Serial images were obtained every 30 s for 210 s after rapid injection of gadopentetate dimeglumine (0.1 mmol/kg). The contrast-enhancement ratio (CER) was divided into three patterns; a sharp rise with a peak within 60 s (A), a relatively rapid increase with a peak between 60 and 210 s (B), a slow increase without a peak (C). The patterns were correlated with the histology of the tumors. The signal intensities of the tumours on T2-weighted images were also analyzed and correlated with the dynamic patterns. Meningiomas had more varied dynamic patterns than schwannomas. Almost half of the meningiomas showed pattern A, and one third pattern C. Of six meningothelial meningiomas showed pattern A; all schwannomas and fibrous meningiomas showed pattern C. Various patterns were observed in transitional meningiomas. Of the 8 meningiomas showing pattern C, only one gave high signal on T2-weighted images, and could not be differentiated from the schwannomas. Thus, one third of meningiomas could not be differentiated from schwannomas by the dynamic contrast enhancement alone. However, when this was combined with the signal intensity on T2-weighted images, most meningiomas could be differentiated from schwannomas.
    Materialart: Digitale Medien
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  • 123
    ISSN: 1432-1920
    Schlagwort(e): Key words Temporomandibular joint ; Internal derangement ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Our purpose was to assess the diagnostic accuracy of three-dimensional (3D) gradient-echo (GRE) MRI in the diagnosis of internal derangements of the temporomandibular joint (TMJ). We studied 140 joints in 70 patients with TMJ internal derangements. We obtained 3D-GRE and spin-echo (SE) images in the closed-mouth position; the images were reviewed for disc displacement as well as bone and cartilage abnormalities. The 3D-GRE and SE images were interpreted independently by different radiologists. The sensitivity and specificity of 3D-GRE imaging for assessing mediolateral disc displacement was 100 %, whereas the sensitivity and specificity of sagittal SE images were 82 % and 72 %, respectively (P 〈 0.001). The 3D-GRE images also demonstrated more bone abnormalities (in 112 condyles or 80 %) than did SE images (in 79 condyles or 56 %) (P 〈 0.001). Furthermore, 3D-GRE imaging revealed articular cartilage abnormalities in 46 condyles (33 %) that were not visible on SE images. The frequency of pain was significantly higher in joints with bone and cartilage abnormalities (P 〈 0.05 and P 〈 0.001, respectively). For assessment of disc displacement, 3D-GRE images were superior to sagittal SE images alone, and comparable to combined sagittal and coronal SE images, while for bone and cartilage abnormalities, they were superior to sagittal and coronal SE images.
    Materialart: Digitale Medien
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  • 124
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 724-727 
    ISSN: 1432-1920
    Schlagwort(e): Key words Paraplegia ; autosomal dominant ; Magnetic resonance imaging ; Corpus callosum
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We examined 16 patients with autosomal dominant pure spastic paraplegia (HSP) and 15 normal controls matched for age and sex using MRI of the brain and spinal cord. Images were assessed qualitatively by two independent radiologists, blinded to the clinical diagnosis. Areas of the brain and corpus callosum on one midsagittal slice and the area of the brain on one axial slice were measured and a “corpus-callosum index” expressing the size of the corpus callosum relative to that of the brain was calculated. Cross-sectional areas and anteroposterior and transverse diameters of the spinal cord at the levels of C 2, C 5, T 3, T 6, T 9 and T 11 were measured. No significant differences between patients and controls were found on qualitative evaluation of the images. The patients had a significantly smaller corpus callosum and “corpus-callosum index” than controls. This finding, not reported previously, might indicate that the disease process in pure HSP is not confined to the spinal cord. The anteroposterior diameters of the spinal cord at T 3 and T 9 were significantly smaller in patients than in controls. This might correspond to the degeneration of the pyramidal tracts and the dorsal columns described at neuropathological examination.
    Materialart: Digitale Medien
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  • 125
    ISSN: 1432-1920
    Schlagwort(e): Key words Deep cerebral vein thrombosis ; Magnetic resonance imaging ; Venous infarcts
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Deep cerebral vein thrombosis can present with acute, severe neurological symptoms and may be rapidly fatal as in the 20-year-old woman reported here. Although MRI is superior for establishing the diagnosis, CT is usually the first examination performed in the clinical setting. It is therefore important to recognise certain indicators such as extensive bithalamic low density. These and certain other less specific signs are correlated with the MRI and autopsy findings.
    Materialart: Digitale Medien
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  • 126
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 785-787 
    ISSN: 1432-1920
    Schlagwort(e): Key words Cerebral infarct ; Magnetic resonance imaging ; Stroke ; posterior cranial fossa
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Subacute cerebral infarcts may appear normal on T2-weighted MRI as an area isointense with surrounding normal tissue. This MRI “fogging effect” has been described in only a few cases. We present a further case of fogging observed during the evolution of a cerebellar infarct.
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  • 127
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 781-784 
    ISSN: 1432-1920
    Schlagwort(e): Key words MELAS ; Migraine ; Stroke ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract A case of MELAS (mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes) which presented as migraine complicated by stroke is reported. Strokes associated with migraine have often been reported, but the mechanism remains unclear and may include a variety of pathologies. MELAS also presents with migrainous headache, vomiting, and stroke-like symptoms. Magnetic resonance imaging demonstrates characteristic findings. MELAS should be considered in the differential diagnosis of infarct-like lesions with migrainous headaches in young adults, especially if the symptoms fluctuate and are accompanied by a homonymous hemianopia.
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  • 128
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 797-803 
    ISSN: 1432-1920
    Schlagwort(e): Key words Brain volume measurement ; Magnetic resonance imaging ; Contour extraction ; Image processing
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We compared brain volumes computed by trained operators using the BRAIN-MAP algorithm, which automatically extracts the contours of the brain from gradient-echo magnetic resonance images. The images of 19 subjects randomly selected from a group of normals and a group of patients with dementia were included. BRAIN-MAP found brain perimeters that were on the average ca. 3 % tighter than those obtained by two experienced operators. Between-operator and within-operator reproducibility of the analyses were also estimated and found to be (−0.13 ± 0.51) % and (−0.63 ± 0.08) %, respectively. Replicate volume measurement by the computer alone provided a reproducibility of (0.44 ± 0.46) %.
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  • 129
    ISSN: 1432-1920
    Schlagwort(e): Key words Temporal lobe epilepsy ; Hippocampal sclerosis ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract MRI was performed in 222 consecutive adult patients with temporal lobe epilepsy of varying severity from January 1991 to May 1993. The diagnosis of hippocampal sclerosis was established visually by three independent observers. The accuracy of visual assessment of hippocampal asymmetry was compared with volumetric measurements. Neuropathological correlations were obtained in 63 patients with refractory seizures. Temporal lobe abnormalities were observed in 180 patients (81 %) as follows: hippocampal sclerosis in 122 (55 %); developmental abnormalities in 16 (7.2 %); tumours in 15 (6.8 %); scars in 11 (5 %); cavernous angiomas in 10 (4.5 %); miscellaneous lesions in 6. MRI was normal or showed unrelated changes in 42 patients (19 %). Visual assessment correctly lateralised hippocampal sclerosis in 79 of the 84 patients measured (94 %). Temporal lobectomy confirmed the MRI data (side and aetiology) in all 63 operated patients. Patients with normal MRI had an older age of seizure onset and were more often drug-responsive than patients with hippocampal sclerosis. MRI showed temporal lobe abnormalities in 81 % of epileptic patients with varying severity with good neuropathological correlation. Patients with normal MRI had a less severe form of the disease.
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  • 130
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 195-197 
    ISSN: 1432-1920
    Schlagwort(e): Key words Heat stroke ; Cerebellar atrophy ; Magnetic resonance imaging ; Computed tomography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We report the clinical course and CT and MRI findings in a case of heat-stroke-induced cerebellar atrophy. Although the cerebellar syndrome was severe concomitant with the onset of heat stroke, no abnormality was observed on brain CT in the first 2 weeks following the event. Cerebellar atrophy was first noted after 10 weeks on MRI; it was progressive during a 1-year follow-up.
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  • 131
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 357-360 
    ISSN: 1432-1920
    Schlagwort(e): Key words Neurosarcoidosis ; Spinal cord ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Intramedullary lesions are infrequently the first manifestation of sarcoidosis. We present clinical and radiological follow-up of spinal cord sarcoidosis in a 68-year-old woman, mimicking an intramedullary tumour. MRI revealed an unusual area of low signal intensity on T2-weighted spin-echo images at the core of the lesion, consistent with calcification. Clinical and MRI follow-up showed progressive resolution of the intraspinal lesion, except for the calcification, with oral steroid therapy.
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  • 132
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 394-399 
    ISSN: 1432-1920
    Schlagwort(e): Key words Pituitary adenoma ; Acromegaly ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Adenomas causing acromegaly represent at least a quarter of pituitary adenomas. We studied 12 patients presenting with active acromegaly due to a pituitary adenoma with a 1.5 T superconductive MRI unit. All had T1-weighted sagittal and coronal sections before and after Gd-DTPA; six had coronal T2-weighted images. Surgical correlation was obtained in seven patients. Histologically, there were eight growth hormone (GH)-secreting and three mixed [GH and prolactin (PRL) secreting] adenomas, and one secreting GH, PRL and follicle-stimulating hormone. Macroadenomas (10) were more frequent than microadenomas (2). No correlation was found between serum GH and tumour size. There were nine adenomas in the lateral part of the pituitary gland; seven showed lateral or infrasellar invasion. Homogeneous, isointense signal on T1- and T2-weighted images was observed in six cases. Heterogeneous adenomas had cystic or necrotic components.
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  • 133
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 427-430 
    ISSN: 1432-1920
    Schlagwort(e): Key words Mitochondrial cytopathy ; MELAS ; Computed tomography ; Magnetic resonance imaging ; Single-photon emission computed tomography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We report two patients with fatal mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS). Single-photon emission computed tomography (SPECT) with 123I-N-isopropyl-p-iodoamphetamine was more sensitive to the lesions than CT or MRI. SPECT showed focal hyperperfusion before or during the stroke and diffuse hypoperfusion of the brain, sparing the basal ganglia in the terminal stages. These findings support the theory that metabolic disturbance in the brain causes the “stroke” in MELAS.
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  • 134
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 446-449 
    ISSN: 1432-1920
    Schlagwort(e): Key words Arachnoid diverticula ; Spine ; Magnetic resonance imaging ; Gadolinium
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Our goal was to find MRI signs of use for identifying a spinal arachnoid diverticulum. Three cases of spinal arachnoid diverticula, one extradural and two intradural, were examined on a 1.5 T imager. There was obvious mass effect on the adjacent structures in one case and increased signal intensity in the diverticulum on proton density- and T2-weighted images in two cases. Signal changes due to turbulent movement of the spinal fluid inside the diverticula were seen in all cases on sagittal fast spin-echo (FSE) proton density- and T2-weighted images; it was difficult to tell whether these signal changes imply a communication or are simply FSE artefacts. On contrast-enhanced studies, all cases showed partial enhancement inside the diverticula. There thus are four signs of diverticula: mass effect, the increased signal, signal void sign and partial enhancement; the last of these, the most reliable, has never been reported before.
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  • 135
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 474-479 
    ISSN: 1432-1920
    Schlagwort(e): Key words Brain infarcts ; Cortical laminar necrosis ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We studied the MRI characteristics of cortical laminar necrosis in ischaemic stroke. We reviewed 13 patients with cortical laminar high signal on T1-weighted images to analyse the chronological changes in signal intensity and contrast enhancement. High-density cortical lesions began to appear on T1-weighted images about 2 weeks after the ictus. At 1–2 months they were prominent. They began to fade from 3 months but could be seen up to 11 months. These cortical lesions showed isointensity or high intensity on T2-weighted images and did not show low intensity at any stage. Contrast enhancement of the laminar lesions was prominent at 1–2 months and became less apparent from 3 months, but could be seen up to 8 months.
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  • 136
    ISSN: 1432-1920
    Schlagwort(e): Key words Parotid tumours ; Magnetic resonance imaging ; Sonography ; Computed tomography ; Sialography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Our aim was to explore the possibility of delineation of the facial nerve within the parotid gland and to differentiate between superficial and deep parotid lesions in relationship to it, using ultrasound, CT, MRI, MRI sialography (MRIS) and CT sialography (CTS). We examined 47 patients with clinically suspected parotid tumours by US, 31 of them also by CT, MRI and CTS, and 13 by MRIS as well. Low-intensity curvilinear structures seen on T1-weighted MRI were delineated better after intraductal gadolinium injection and proved to represent parotid ducts on CTS. Using the main parotid duct as a landmark, we distinguished parotid lesions as deep or superficial to the facial nerve by T1-weighted MRI images in 69 % and by MRIS in all cases. The facial nerve itself was indistinguishable from the parotid gland in all our imaging methods.
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  • 137
    ISSN: 1432-1920
    Schlagwort(e): Key words Dermoid cyst ; nasal ; Nose ; tumours ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We report a child with a nasal dermoid cyst, the intracranial extension of which was shown on contrast-enhanced MRI, facilitating complete surgical removal
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  • 138
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 512-515 
    ISSN: 1432-1920
    Schlagwort(e): Key words Orbital diseases ; Hydatid cyst ; Echinococcus granulosus ; Computed tomography ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Orbital hydatid cyst is rare. We present a case with CT and MRI, emphasizing the superiority of the latter.
    Materialart: Digitale Medien
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  • 139
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 520-522 
    ISSN: 1432-1920
    Schlagwort(e): Key words Castleman's disease ; Magnetic resonance imaging ; Neck
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We describe a case of Castleman's disease in a 8-year-old-boy who presented with a slowly growing mass in the upper neck. MRI showed a well-defined homogeneous mass with nonspecific signal features. Unusual features were a kidney-bean shape and the deep location in the suprahyoid region, the mass originating in the left retropharyngeal space.
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  • 140
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 619-623 
    ISSN: 1432-1920
    Schlagwort(e): Key words Idiopathic hypertrophic pachymeningitis ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Hypertrophic pachymeningitis is extremely rare. It is a fibrosing inflammatory process which involves the dura mater, including the tentorium. Numerous pathological entities produce thickening of the pachymeninges, so that idopathic hypertrophic pachymeningitis is a diagnosis of exclusion. We describe four patients with idiopathic hypertrophic pachymeningitis who had varied clinical presentation. Imaging studies revealed diffuse thickening of the pachymeninges; in one patient there was extensive dural sinus thrombosis. Since no identifiable cause was found, the cases were labelled as idiopathic.
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  • 141
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 658-660 
    ISSN: 1432-1920
    Schlagwort(e): Key words Nonketotic hyperglycinaemia ; Ultrasonography ; Magnetic resonance imaging ; Computed tomography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We report a case of transient nonketotic hyperglycinaemia in which radiography correlated closely with clinical and biochemical findings. Only 5 patients have been previously described with this transient form of nonketotic hyperglycinaemia. Among the radiographic findings, thinning of the corpus callosum is the most characteristic.
    Materialart: Digitale Medien
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  • 142
    ISSN: 1432-1920
    Schlagwort(e): Granuloma ; Pituitary ; Computed tomography ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Idiopathic pituitary granuloma is a rare disorder similar to lymphocytic adenohypophysitis. Few cases have been reported. We report a new histologically case proven with MRI. The patterns of clinical and radiological presentation and the management of this disorder are discussed. MRI findings suggestive of this condition include an intensely enhancing pituitary mass, associated with dural enhancement. Steroid therapy may be suggested avoiding unnecessary surgery.
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  • 143
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 2-6 
    ISSN: 1432-1920
    Schlagwort(e): Key words Neuro-Behçet's disease ; Behçet's syndrome ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Our purpose was to characterise specific MRI findings and to determine their value in neuro-Behçet's disease. We examined 17 patients (14 men, 3 women) with neuro-Behçet's disease using T1- and T2-weighted spin-echo images and contrast-enhanced images at 0.5 T. There were 13 patients (76.5 %) who had single or multiple lesions. Most of these were in the basal ganglia, brain stem or deep white matter region, giving high signal on T2-weighted images and isointense or low signal on T1-weighted images. In 3 cases (17.6 %) there was linear high signal along the posterior limb of the internal capsule on T2-weighted images. This was considered as a potential differentiating feature of neuro-Behçet's disease. Contrast-enhancement was seen in 17 lesions in 7 patients.
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  • 144
    ISSN: 1432-1920
    Schlagwort(e): Key words Cytomegalovirus encephalitis ; Lymphoma ; cerebral ; Wernicke's encephalopathy ; Magnetic resonance imaging ; AIDS
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We report a 29-year-old HIV-positive patient admitted with dysarthria, ataxia and somnolence. Imaging findings were typical of Wernicke's encephalopathy, but autopsy revealed cytomegalovirus encephalitis and primary cerebral lymphoma.
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  • 145
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 12-18 
    ISSN: 1432-1920
    Schlagwort(e): Key words Cysticercosis ; central nervous system ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We describe the evolution of parenchymal cerebral cysticerci on MRI, to assess signs of early cyst degeneration. We studied 15 lesions in four treated and one untreated patient. MRI was performed before therapy and repeated in the 1st month after each course of anticysticercus drugs, every 4 months during the 1st year and then annually; the follow-up period was 8–48 months. Lesions were classified according to changes in four features: cyst content and capsule signal, gadolinium enhancement and oedema signal. We were able to recognise each of the pathological phases; five MRI stages were identified. Stage 1 showed oedema and/or nodular gadolinium enhancement in the tissue invasion phase; stage 2 was cerebrospinal fluid-like signal within a cyst in the vesicular phase; stage 3 showed a thick capsule with an impure liquid content signal and surrounding oedema, in the cystic phase; stage 4 showed the disappearance of the cyst fluid content signal in the degenerative phase; stage 5 showed a calcified lesion in the residual phase. Stage 1 lesions disappeared after therapy; the other progressed from one stage to another. Stage 4 indicated the end of viability of the parasite and determined the point after which treatment was useless. On T2-weighted images changes in the cyst content differed according to the history of the lesion; nodular low intensity followed the natural degeneration of the parasite and a mixed fluid signal with punctate low signal seemed to represent the specific result of therapy. MRI staging can help in the evaluation of indications for treatment and facilitate clinical therapeutic trials.
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  • 146
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 23-24 
    ISSN: 1432-1920
    Schlagwort(e): Key words Meningococcal meningoencephalitis ; Vasculitis ; infectious ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Occasionally, striking abnormalities are found on MRI in patients with mild neurological disturbances. In most of these cases the diagnosis is not immediately evident and the history does not provide an unequivocal explanation. We present a patient with extensive symmetrical white matter abnormalities in the posterior temporal, temporo-occipital and parietal regions, 24 years after documented severe meningococcal meningoencephalitis. A meningitic vasculitis, affecting the insular branches of the middle cerebral arteries, could have been responsible for these changes.
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  • 147
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 44-45 
    ISSN: 1432-1920
    Schlagwort(e): Key words Epilepsy ; gelastic ; Cortical dysplasia ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We present a case of gelastic seizures in a child with focal cortical dysplasia of the anterior cingulate gyrus. This is only the second published case of a confirmed lesion at this site presenting in such a way. The underlying neurological mechanism is described.
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  • 148
    ISSN: 1432-1920
    Schlagwort(e): Key words Hemifacial spasm ; Magnetic resonance imaging ; Magnetic resonance angiography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract MRI was used to investigate 100 patients with hemifacial spasm, using 3D-FT T2-weighted (CISS) and contrast-enhanced 3D-FT T1-weighted (turbo-FLASH) sequences in all cases. MR angiography was performed in 54 patients, using 3D-MT FISP images. Decompression of the facial nerve through a retromastoid craniotomy was performed in all patients. Hemifacial spasm caused by tumours in the cerebellopontine angle was not included. Vascular contact with the facial nerve root-exit zone or at the internal auditory canal was present in 96 of 100 patients with hemifacial spasm. The vessel responsible was the vertebral artery (VA) in 18 cases, the posterior inferior cerebellar artery (PICA) in 23, the anterior inferior cerebellar artery (AICA) in 22, the VA and PICA in 24, VA and AICA in 3, PICA and AICA in 1, VA, PICA and AICA in 4, and a vein in 1 case. CISS images showed compressive vascular loops better than contrast-enhanced turbo-FLASH images alone. The sensitivity of MRI was high, since only one false-negative case was found among the 100 patients who underwent surgery.
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  • 149
    ISSN: 1432-1920
    Schlagwort(e): Key words Leptomeningitis ; tuberculous ; Cortical venous occlusion ; Medullary veins ; Magnetic resonance imaging ; Cerebral angiography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We report a case of surgically proven, focal left parietal tuberculous leptomeningitis. Occlusion of superficial cerebral veins in the affected area led to dilatation of medullary veins to drain the left parietal lobe. Deep medullary veins were clearly demonstrated on MRI and angiography.
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  • 150
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 693-698 
    ISSN: 1432-1920
    Schlagwort(e): Key words Thalamus ; Stroke ; Magnetic resonance imaging ; Sleep
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The paramedian thalamus is believed to play an important role in the regulation of sleep, and disturbances of sleep regulation are known to occur in paramedian thalamic stroke (PTS). We examined 12 consecutive patients with PTS and sleep disturbance by MRI. Two distinct groups of patients could be defined: six presenting with severe hypersomnia (group 1) and six with slight sleepiness (group 2). On MRI, all patients had ischaemic lesions involving the paramedian thalamic nuclei, the centre of the lesions being the dorsomedial and centromedial thalamic nuclei. In group 1 the lesions were bilateral, butterfly-shaped infarcts involving the paramedian nuclei (three cases), or unilateral with an extension into the subthalamic nuclei. In group 2 the lesions were unilateral and limited to the paramedian nuclei, mainly the dorsomedial nucleus. Bilateral lesions can be attributed to a common origin in some cases for both paramedian thalamic arteries and the mesencephalic arteries.
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  • 151
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 708-710 
    ISSN: 1432-1920
    Schlagwort(e): Key words Human African trypanosomiasis ; Meningitis ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We report a case of human African trypanosomiasis caused by Trypanosoma brucei rhodesiense. After the febrile period of parasite dissemination, the patient had meningeal involvement but normal CT. MRI showed the appearances of meningitis. After two periods of arsenical treatment, a severe encephalopathy occurred suggesting post-therapeutic reactive encephalitis (PTRE). Nevertheless, T2-weighted MRI showed no oedema, but focal bilateral high signal areas in the white matter. PTRE was excluded and a third course of treatment was undertaken. The lesions progressively disappeared.
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  • 152
    ISSN: 1432-1920
    Schlagwort(e): Key words Rhabdoid tumour ; Spine ; Brain ; Magnetic resonance imaging ; Computed tomography
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract In this article two cases of primary malignant extrarenal rhabdoid tumour are described. In the affected children the brain and the spinal cord were the primary sites of origin of the tumour. The imaging findings are presented and the pathology discussed. Although the imaging features are non-specific, rhabdoid tumour should be included in the differential diagnosis of childhood intracranial and spinal neoplasms.
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  • 153
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 733-736 
    ISSN: 1432-1920
    Schlagwort(e): Key words Spinal cord ; compression ; Extramedullary haematopoiesis ; Myelofibrosis ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We describe a case of spinal cord compression secondary to extramedullary haematopoiesis in a patient with primary myelofibrosis. We show that MRI should be the procedure of choice for patients suspected of this condition. Furthermore, it could be of value for assessing the extent of cord compression, planning radiotherapy and for follow-up.
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  • 154
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 821-823 
    ISSN: 1432-1920
    Schlagwort(e): Key words Osteoid osteoma ; Temporal bone ; Computed tomography ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We present a case of osteoid osteoma of the petrous bone presenting with progressive sensorineural hearing loss. CT showed a dense homogeneous mass at the promontory surrounded by a thin bony border. On MRI this lesion gave intermediate signal intensity on T1- and T2-weighted spin-echo images and enhanced intensely with gadolinium. Surgical removal and pathological study proved the diagnosis.
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  • 155
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 824-826 
    ISSN: 1432-1920
    Schlagwort(e): Key words Rhinolith ; Nose ; Computed tomography ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We report a 5-year old girl with progressive difficulty in breathing through the nose whose clinical diagnosis was nasal tumour. CT showed a calcified nodular mass and MRI a nonspecific nodular lesion in the right nasal cavity. The radiological suspicion was a rhinolith. The operative specimen showed that an eraser from a pencil was the primary source. We underline the rarity of this entity and the important role of radiological studies in preoperative recognition.
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  • 156
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 841-846 
    ISSN: 1432-1920
    Schlagwort(e): Key words Cerebrum ; volume ; Quantification ; Cerebrum ; development ; Myelination ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We devised a three-dimensional method for estimation of cerebral development and myelination which measures cerebral volume using MRI. Accuracy of the system was estimated using cadaver brains. The mean percentage error in the calculated volumes compared with the real volumes was 2.33 %, range 0.00–5.33 %. We applied the method to the volume of both cerebral hemispheres (CH), basal ganglia, thalamus and internal capsule (BT), and myelinated white matter (WM) in 44 neurologically normal individuals (4 months to 28 years of age), 13 patients with spastic motor disturbances (2–25 years of age), and 9 patients with athetotic motor disturbances (2–23 years of age). In the neurologically normal cases, the volumes of CH, BT and WM increased with age; the volume of MW more slowly than that of CH. In cases with spastic motor disturbances, the volumes of CH, BT and WM were between –1.4 and 3.5 SD, –1.0 and –3.5 SD, and 0.0 and –5.2 SD respectively, of those of neurologically-normal cases. On the other hand, 7 of the 9 cases with athetotic motor disturbances were within 2 SD of the volume of CH in neurologically normal cases. Our method for direct measurement of cerebral volume based on serial MRI should be useful for the accurate assessment of brain development and quantitative analysis of delayed myelination.
    Materialart: Digitale Medien
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  • 157
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 847-851 
    ISSN: 1432-1920
    Schlagwort(e): Key words Amyotrophic lateral sclerosis ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract MRI of the brain and spinal cord was performed in 21 patients with amyotrophic lateral sclerosis (ALS), 8 normal volunteers and 16 neurological disease controls. High signal was seen in the intracranial corticospinal tract in 16 of the 21 patients on T2-weighted and in 10 on proton density (PD)-weighted images. In one patient, the high signal on T2-weighted images became less marked with progression of the disease. Low signal intensity was seen in the motor cortex in 12 of the 21 patients. High signal in the anterolateral column of the spinal cord on T1 weighted images was seen in 14, and high signal in the lateral corticospinal tract on T2 weighted images was seen in 7 of the 21 patients. The relationship between the abnormal images and upper motor neurone signs remained unclear. High signal intensity was seen in the corticospinal tract in the brain on T2-weighted images in two normal volunteers and four disease controls, and on PD weighted images in three disease controls. Low signal intensity in the motor cortex on T2 weighted images was seen in three normal volunteers and four disease controls. However, high signal intensity was seen in the intracranial corticospinal tract on T1 weighted images in five patients with ALS who showed pronounced upper motor neurone signs including spastic paraparesis, but not in controls. Thus, abnormalities on MRI in the brain and spinal cord should be considered in the diagnosis of ALS, and high signal intensity of the intracranial corticospinal tract on T1-weighted images may reflect the severe pathological changes of the upper motor neurones in ALS.
    Materialart: Digitale Medien
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  • 158
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 857-859 
    ISSN: 1432-1920
    Schlagwort(e): Key words Brain ; abscess ; Nocardia asteroides ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We present a patient with multiple brain abscesses caused by Nocardia asteroides. On T2-weighted MRI, multiple concentric rims were seen in the abscess, which could be a finding specific for infection. The rims may be due to organization of the necrotic debris and phagocytoses by macrophages in the capsule.
    Materialart: Digitale Medien
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  • 159
    ISSN: 1432-1920
    Schlagwort(e): Key words Germ-cell neoplasms ; Pineal body ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Germinomas arising within the sella turcica are extremely rare. The association of intrasellar and a pineal region tumours is even more unusual. We report a 30-year-old man with germinomas in the sellar and pineal region.
    Materialart: Digitale Medien
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  • 160
    Digitale Medien
    Digitale Medien
    Springer
    Neuroradiology 39 (1997), S. 865-869 
    ISSN: 1432-1920
    Schlagwort(e): Key words Vacuolar myelopathy ; Human immunodeficiency virus ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We correlated MRI features with histopathological findings in an HIV-positive patient with vacuolar myelopathy. On MRI symmetrical nonenhancing high-signal areas in the posterior columns on T2-weighted images result from extensive vacuolation visible on histological sections.
    Materialart: Digitale Medien
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  • 161
    ISSN: 1432-1920
    Schlagwort(e): Key words Acquired immunodeficiency syndrome ; Human immunodeficiency virus ; Brain ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract In addition to opportunistic infections, neoplasms or cerebrovascular complications, metabolic encephalopathies are a classical cause of diffuse brain dysfunction in HIV infection and are frequent in the terminal stage. We report an HIV-infected patient with symmetrical, focally increased signal in the midbrain on proton density- and T1-weighted MRI without corresponding high signal on T2-weighted images or on CT. While the precise nature and cause of this uncommon finding is not fully understood, the available evidence suggests that these lesions might represent a novel metabolic encephalopathy.
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  • 162
    Digitale Medien
    Digitale Medien
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 355 (1997), S. 743-750 
    ISSN: 1432-1912
    Schlagwort(e): Key words Erythromycin ; Potassium channels ; Arrhythmias ; Kv1.5 ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Erythromycin administration has been associated with a prolongation of cardiac repolarization in certain clinical settings. This could be due to blockade of voltage-dependent K+ channels in the human heart. For this reason we examined the effects of erythromycin on a rapidly activating delayed rectifier K+ channel (Kv1.5) cloned from human heart and stably expressed in human embryonic kidney cells. When examined using the whole-cell patch clamp technique, erythromycin (100 μM) blocked Kv1.5 current in a time-dependent manner but required prolonged exposure to do so. However, when we examined Kv1.5 current using inside-out macropatches, erythromycin applied to the cytoplasmic surface rapidly (within 1-2 min) inhibited Kv1.5 current with an IC50 value of 2.6 x 10-5M (1.7 - 3.9 x 10-5M, 95% C.L.). The main effect of erythromycin was to accelerate the rate of Kv1.5 current decay thereby reducing the current at the end of a prolonged voltage-clamp pulse. Erythromycin also blocked Kv1.5 current in both a voltage- and frequency-dependent manner but had little effect on the activation kinetics, deactivation kinetics, or the steady-state inactivation properties of Kv1.5. These data suggest that erythromycin acts as a blocker of an activated state of the Kv1.5 channel and that it may access its binding site from the intracellular face of the channel. This study is the first to examine the effects of erythromycin on a cloned human cardiac K+ channel. It is concluded that erythromycin blocks Kv1.5 at clinically relevant concentrations. Blockade of voltage-dependent K+ channels in the heart could contribute to the alterations in cardiac repolarization that have been observed with erythromycin.
    Materialart: Digitale Medien
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  • 163
    Digitale Medien
    Digitale Medien
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 356 (1997), S. 583-589 
    ISSN: 1432-1912
    Schlagwort(e): Key words Cannabinoid CB1 receptors ; Human ; hippocampus ; Guinea-pig hippocampus ; Noradrenaline release ; Presynaptic receptors ; cAMP accumulation ; WIN 55 ; 212-2 ; SR 141716
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract We examined the question of whether cannabinoid receptors modulating noradrenaline release are detectable in the brain of humans and experimental animals. For this purpose, hippocampal slices from humans, guinea-pigs, rats and mice and cerebellar, cerebrocortical and hypothalamic slices from guinea-pigs were incubated with [3H]noradrenaline and then superfused. Tritium overflow was evoked either electrically (0.3 or 1Hz) or by introduction of Ca2+ ions (1.3μM) into Ca2+-free, K+-rich medium (25μM) containing tetrodotoxin 1μM. Furthermore, the cAMP accumulation stimulated by forskolin 10μM was determined in guinea-pig hippocampal membranes. We used the following drugs: the cannabinoid receptor agonists (–)-cis-3-[2-hydroxy-4-(1,1-dimethylheptyl)phenyl]-trans-4-(3-hydroxypropyl)cyclohexanol (CP-55,940) and R(+)-[2,3-dihydro-5-methyl-3-[(morpholinyl)methyl]pyrrolo[1,2,3-de]-1,4-benzoxazin-yl]-(1-naphthalenyl)methanone (WIN 55,212-2), the inactive S(–)-enantiomer of the latter (WIN 55,212-3) and the CB1 receptor antagonist N-piperidino-5-(4-chlorophenyl)-1-(2,4-dichlorophenyl)-4-methyl-3-pyrazole-carboxamide (SR 141716). The electrically evoked tritium overflow from guinea-pig hippocampal slices was reduced by WIN 55,212-2 (pIC30% 6.5) but not affected by WIN 55,212-3 up to 10μM. The concentration-response curve of WIN 55,212-2 was shifted to the right by SR 141716 (0.032μM) (apparent pA2 8.2), which by itself did not affect the evoked overflow. WIN 55,212-2 1μM also inhibited the Ca2+-evoked tritium overflow in guinea-pig hippocampal slices and the electrically evoked overflow in guinea-pig cerebellar, cerebrocortical and hypothalamic slices as well as in human hippocampal slices but not in rat and mouse hippocampal slices. SR 141716 (0.32μM) markedly attenuated the WIN 55,212-2-induced inhibition in guinea-pig and human brain slices. SR 141716 0.32μM by itself increased the electrically evoked tritium overflow in guinea-pig hippocampal slices but failed to do so in slices from the other brain regions of the guinea-pig and in human hippocampal slices. The cAMP accumulation stimulated by forskolin was reduced by CP-55,940 and WIN 55,212-2. The concentration-response curve of CP 55,940 was shifted to the right by SR 141716 (0.1μM; apparent pA2 8.3), which by itself did not affect cAMP accumulation. In conclusion, cannabinoid receptors of the CB1 subtype occur in the human hippocampus, where they may contribute to the psychotropic effects of cannabis, and in the guinea-pig hippocampus, cerebellum, cerebral cortex and hypothalamus. The CB1 receptor in the guinea-pig hippocampus is located presynaptically, is activated by endogenous cannabinoids and may be negatively coupled to adenylyl cyclase.
    Materialart: Digitale Medien
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  • 164
    ISSN: 1432-1912
    Schlagwort(e): Key wordsα2-Adrenoceptor subtypes ; α2-Autoreceptors ; α2A-Adrenoceptor ; α2D-Adrenoceptor ; Rat vena cava ; Rat atria ; Human ; kidney ; Guinea-pig urethra ; Noradrenaline release ; Oxymetazoline ; UK 14 ; 304
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: EC 50 between 6.3 and 13.2 nM. All antagonists (except prazosin in one case) shifted the concentration-inhibition curve of UK 14,304 to the right. Comparison of the K d values thus obtained with K d values at known α2 subtypes indicated that the autoreceptors in the rat vena cava, rat atria and the guinea-pig urethra were α2D and those in the human kidney α2A. For example, the pK d values of the antagonists in the rat vena cava, in rat atria and in the guinea-pig urethra were closely correlated with pK d values at the prototypic α2D radioligand binding sites in the bovine pineal gland (r = 0.96, P 〈 0.001; r = 0.92, P 〈 0.01; and r = 0.95; P 〈 0.001) and with the pK d values at the α2D-autoreceptors of guinea-pig atria (r = 0.99, P 〈 0.001; r = 0.95, P 〈 0.001; and r = 0.98, P 〈 0.001). The pK d values at the autoreceptors in rat vena cava, rat atria and guinea-pig urethra were not significantly or more loosely correlated with pK d values at α2A, α2B and α2C binding sites and α2A-autoreceptors. On the other hand, the pK d values of the antagonists in the human kidney were closely correlated with pK d values at the prototypic α2A radioligand binding sites in HT29 cells (r = 0.95; P 〈 0.001) and with pK d values at the α2A-autoreceptors of the pig brain cortex (r = 0.97; P 〈 0.001), but were not significantly or more loosely correlated with pK d values at α2B, α2C and α2D binding sites and α2D-autoreceptors.
    Kurzfassung: 2D , those in the human kidney α2A, and those in the guinea-pig urethra equally α2D. All, therefore, conform to the rule that α2-autoreceptors belong at least predominantly to the genetic α2A/D subtype of the α2-adrenoceptor. The apparent paradox of an α2A-autoreceptor in the urethra of the guinea pig, a species in which the genetic α2A/D-adrenoceptor otherwise has α2D pharmacological properties, is removed.
    Notizen: Abstract It has been suggested that at least the majority of mammalian presynaptic α2-autoreceptors belong to the genetic α2A/D-adrenoceptor subtype. The aim of the present study was to re-examine the α2-autoreceptors in tissues in which previous assignments conflicted with this α2A/D rule: in the rat vena cava and rat heart atria, where the autoreceptors were classified as α2B or similar to, but not identical with, α2D, and in the human kidney, where they were classified as α2C. Also re-examined were the autoreceptors in the guinea-pig urethra, where they were suggested to be α2A, in agreement with the rule, but in contrast to indications that the α2A/D-adrenoceptor of the guinea pig possesses α2D pharmacological properties. Tissue pieces were preincubated with 3H-noradrenaline and then superfused and stimulated electrically under autoinhibition-free or almost autoinhibition-free conditions. The K d values of up to 14 antagonists (including the partial agonist oxymetazoline) against the release-inhibiting effect of the α2 agonist 5-bromo-6-(2-imidazolin-2-ylamino)-quinoxaline (UK 14,304) were determined.
    Materialart: Digitale Medien
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  • 165
    ISSN: 1432-2102
    Schlagwort(e): Schlüsselwörter Spondylitis ; Spondylodiszitis ; Wirbelkörper ; Bandscheibe ; Kernspintomographie ; Key words Spondylitis ; Spondylodiscitis ; Spine ; Intervertebral disc ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Summary Aim and methods: The aim of the present study was to evaluate the MRI criteria of infectious spondylitis (spondylodiscitis). The MR images of 23 patients suffering from spondylodiscitis (78 % unspecific, 22 % specific) were retrospectively analyzed. Results: The height of the intervertebral discs involved was normal in 40 %, reduced in 43 % and increased in 17 % of the cases. The most common findings can be summarized in an MR triad: 1) The vertebral bodies involved are hypointense in T1-weighted images (100 %) with a lack of delineation of the intervertebral discs (53 %). 2) The injection of Gd-DTPA yields an enhancement of the vertebral bodies involved and intervertebral discs (95 % and 74 % respectively). 3) The vertebral bodies and intervertebral discs are hyperintense in T2-weighted sequences (76 % and 90 % respectively). When present, a paravertebral or intraspinal extension of the infection was isointense compared with the adjacent involved vertebral body in the majority of the patients. A differentiation between unspecific and specific etiology based on the MR images was not possible. Conclusions: The vertebral bodies affected were usually hypointense in T1-W with enhancement after the administration of Gd-DTPA and hyperintense in T2-W. The discs involved were usually hyperintense in T2-W and demonstrated an inhomogeneous enhancement.
    Notizen: Zusammenfassung Um die kernspintomographischen Merkmale der Spondylitis zu überprüfen, wurden die MRT-Bilder von 23 Patienten mit einer Spondylitis (78 % unspezifisch, 22 % spezifisch) retrospektiv analysiert; 40 % der befallenen Bandscheiben zeigten eine normale Höhe, 43 % waren verschmälert und 17 % zeigten eine Höhenzunahme. Die häufigsten Veränderungen lassen sich in einer MRT-Trias zusammenfassen: 1. In T1-gewichteten Sequenzen sind die befallenen Wirbelkörper hypointens (100 %) und die Bandscheiben nicht abgrenzbar (53 %). 2. Wirbelkörper und Bandscheiben nehmen Kontrastmittel auf (95 bzw. 74 %). 3. Wirbelkörper und Bandscheiben sind in T2-gewichteten Sequenzen hyperintens (76 bzw. 90 %). Dabei stellt sich ein paravertebraler Weichteilbefall in allen Sequenzen isointens zum befallenen Wirbelkörper dar. Eine Differenzierung zwischen unspezifischer und spezifischer Ätiologie war kernspintomographisch nicht möglich.
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  • 166
    Digitale Medien
    Digitale Medien
    Springer
    Psychopharmacology 130 (1997), S. 41-58 
    ISSN: 1432-2072
    Schlagwort(e): Key words Cocaine ; Drug discrimination ; Dopamine (DA) ; Human ; Rat ; Reuptake inhibitor ; Reinforcing effects ; Self-administration ; Serotonin (5-HT) ; 5-HT1A ; 5-HT2 ; 5-HT3 ; Subjective effects ; Stimulus effects
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  The purpose of the present manuscript is to review the current status of the role of serotonin (5-hydroxytryptamine; 5-HT) systems in the stimulus and reinforcing properties of cocaine in non-humans and the subjective effects of cocaine in humans. Review of the current literature suggests that general enhancement (via precursor administration) or depletion of brain 5-HT content (via neurotoxin administration or tryptophan depletion) impact the reinforcing effects of cocaine in non-humans and its subjective effects in humans. Selective 5-HT reuptake inhibitors (SSRIs) enhance the discriminability of cocaine and decrease cocaine self-administration in animals, although data to the contrary also exist. Studies in humans suggest that SSRIs attenuate the subjective effects of cocaine in humans. Although few drugs with selectivity for 5-HT2 receptors have been studied systematically, a 5-HT2 agonist and several antagonists show some efficacy in enhancing and reducing, respectively, the reinforcing effects of cocaine in non-humans. Limited data from humans suggest that a 5-HT2 antagonist may also decrease the subjective effects of cocaine; thus, 5-HT2 compounds deserve further attention. The majority of studies evaluating the 5-HT3 antagonists have reported negative results across all paradigms. In summary, while the functional significance of 5-HT receptors has not been fully elucidated, these data suggest that changes in serotonergic activity can modulate the effects of cocaine in both animals and humans under a variety of experimental conditions. One commonality among the studies with positive findings is that cocaine effects are only partially modified by 5-HT agents regardless of the direction of change.
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  • 167
    Digitale Medien
    Digitale Medien
    Springer
    Psychopharmacology 132 (1997), S. 311-314 
    ISSN: 1432-2072
    Schlagwort(e): Key words Alprazolam ; Human ; Residential laboratory ; Food intake ; Macronutrient ; Carbohydrate ; Protein ; Fat ; Benzodiazepines ; Hyperphagia
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The present study investigated the effect of alprazolam on the pattern of food intake in seven male participants living in a residential laboratory for 17 days. A wide selection of meals, snacks and beverages was freely available. Capsule administration occurred at 1300 and 1730 hours. Food intake on days when alprazolam (0.75 mg) was administered (days 2, 11) was compared to days when no capsule (days 1, 9) or placebo (days 3, 10) was administered. Alprazolam increased total caloric intake by approximately 975 kcal from a baseline of 2800 kcal. Alprazolam increased the number of eating occasions occurring in the evening (1700–2330 hour), without altering the size of eating occasions (kcal), or the proportion of total calories derived from carbohydrate, fat and protein. These data demonstrate alprazolam’s robust effects on food intake in humans.
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  • 168
    Digitale Medien
    Digitale Medien
    Springer
    Psychopharmacology 130 (1997), S. 285-291 
    ISSN: 1432-2072
    Schlagwort(e): Key words Gaboxadol ; GABA ; GABAA receptor ; Sleep state ; Spectral analysis ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Recent studies in the rat demonstrated that systemic administration of muscimol and THIP, both selective GABAA receptor agonists, elevates slow wave activity in the EEG during non-rapid eye movement (NREM) sleep. In this placebo-controlled study, we assessed the influence of an oral dose of 20 mg THIP on nocturnal sleep in young healthy humans. Compared to placebo, THIP increased slow wave sleep by about 25 min. Spectral analysis of the EEG within NREM sleep revealed significant elevations in the lower frequencies (〈8 Hz) and reductions in the spindle frequency range (≈10–16 Hz). In accordance with previous findings in the rat, these data imply that GABAA agonists promote deep NREM sleep, without suppressing REM sleep. These effects are opposite to those induced by agonistic modulators of GABAA receptors such as benzodiazepines and are at variance with established mechanisms according to which GABAA agonists and modulatory agonists would have similar effects. The sleep response to GABAA agonists is highly similar to that evoked by sustained wakefulness, suggesting that GABAA receptors may be implicated in the homeostatic regulation of sleep.
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  • 169
    ISSN: 1432-1084
    Schlagwort(e): Key words: Pulseless disease ; Aortitis ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract. Three-dimensional time-of-flight MR angiography was performed in 16 patients with Takayasu's arteritis. Two regions were evaluated, the arch of aorta and its intrathoracic major branches, and the abdominal aorta with proximal portions of its major visceral and renal branches. Individual arteries and aortic segments, i. e. aortic arch and abdominal aorta, were evaluated for abnormalities such as stenosis, occlusion, dilatation and aneurysm formation. The results were compared with contrast angiography. Follow-up MR angiography was performed in three patients after 9–12 months. MR angiography demonstrated steno-occlusive lesions in all the patients and aneurysms in 2. In comparison with contrast angiography, good correlation was found in 129 of the 145 arteries and aortic segments. For the 12 false-positive results, incorrect slab placement and overestimation of stenosis were implicated. Interestingly, there were three false-negative results and one occlusion was underestimated as stenosis. A new lesion developed in 1 patient and one stenosis progressed in another patient upon follow-up. Three-dimensional time-of-flight MR angiography is a simple and fairly accurate method for documenting the lesions in Takayasu's arteritis and for its follow-up.
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  • 170
    ISSN: 1432-1106
    Schlagwort(e): Key words Parkinson’s disease ; Motor learning ; Interlimb coordination ; Basal ganglia ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  The basal ganglia have traditionally been associated with motor control functions and this view has prevailed since the late nineteenth century. Recent experimental studies suggest that this neuroanatomical system is also critically involved in motor learning. In the present study, motor learning/transfer capabilities were compared between patients with Parkinson’s disease and a group of normal elderly people. Subjects practiced a bimanual coordination task that required continuous flexion-extension movements in the transverse plane with a 90° phase offset between the forearms. During acquisition, augmented visual feedback of the relative motions was provided in real time. The findings revealed improvements in the bimanual coordination pattern across practice in both groups when the augmented concurrent feedback was present. However, when transferred to performance conditions in which the augmented information was withheld, performance deteriorated (relative to the augmented condition) and this effect was more prevalent in the Parkinson patients. More specifically, no improvement in interlimb coordination was observed under nonaugmented feedback conditions across practice. Instead, a drift toward the preferred in-phase and anti-phase coordination patterns was evident. The present findings suggest that Parkinson patients can improve their performance on a new motor task, but they remain strongly dependent on augmented visual information to guide these newly acquired movements. The apparent adoption of a closed-loop control mode is accompanied with decreases in movement speed in order to use the feedback to ensure accuracy. When the augmented feedback is withheld and the movement pattern is to be controlled by means of intrinsic information feedback sources, performance is severely hampered. The findings are hypothesized to indicate that learning/transfer is affected in Parkinson patients who apparently prefer some constancy in the environmental contingencies under which practice takes place. The present findings are consistent with the notion that the basal ganglia form a critical neuroanatomical substrate for motor learning.
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  • 171
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 114 (1997), S. 124-129 
    ISSN: 1432-1106
    Schlagwort(e): Key words Otolith ocular reflex ; Linear acceleration ; Eye movements ; Vestibular function ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  Eye movement responses were obtained from six normal subjects exposed to randomly ordered rightwards/leftwards linear acceleration steps of 0.05 g, 0.1 g or 0.24 g amplitude and 650 ms duration along the inter-aural axis. With the instruction to gaze passively into the darkness, compensatory nystagmus was evoked with slow-phase velocity sensitivity of 49° s−1 g −1. When subjects viewed earth-fixed targets at 30 cm, 60 cm or 280 cm, eye movements at 130 ms from motion onset were proportional to acceleration and inversely proportional to target distance, before the onset of visually guided eye movements. Our results show that a modulation with viewing distances of the earliest human otolith-ocular reflexes occurs in the presence of pure linear acceleration. However, full compensation was not attained for the nearer targets and higher accelerations.
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  • 172
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 114 (1997), S. 352-361 
    ISSN: 1432-1106
    Schlagwort(e): Key words EEG ; Movement-related potentials ; Somatosensory evoked potentials ; Dipole source analysis ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  The cerebral events related to limb movements can be studied noninvasively with the method of evoked potentials. In this study, a brain potential is analysed that follows the onset of a simple finger movement. Because this potential occurred after active as well as after passive movements, its previously alleged reafferent somatosensory nature is confirmed in this study. Detailed topographic analysis revealed that this potential has the same polarity and merges with the preceeding Bereitschaftspotential (BP; in the active movement) at central electrodes, whereas at parietal electrodes polarity is opposite to the BP. In individual subjects, the maximum of the BP and the peak of the reafferent potential are separated by a small gap, previously described as pre-motion positivity. A comparison with the N20 potential of the electrically evoked somatosensory potential showed similar potential topography, albeit opposite polarity. The dipole analysis supported the view that the reafferent and the electrically evoked potentials are likely to arise from the same cortical area, namely the primary somatosensory cortex.
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  • 173
    ISSN: 1432-1106
    Schlagwort(e): Key words Tremor ; Electromyogram ; Muscle vibration ; Frequency analysis ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  The output from the central nervous system to muscles may be rhythmic in nature. Previous recordings investigating peripheral manifestations of such rhythmic activity are conflicting. This study attempts to resolve these conflicts by employing a novel arrangement to measure and correlate rhythms in tremor, electromyographic (EMG) activity and muscle vibration sounds during steady index finger abduction. An elastic attachment of the index finger to a strain gauge allowed a strong but relatively unfixed abducting contraction of the first dorsal interosseous (1DI). An accelerometer attached to the end of the finger recorded tremor, surface electrodes over 1DI recorded EMG signals and a heart-sounds monitor placed over 1DI recorded vibration. This arrangement enabled maintenance of a constant overall muscle contraction strength while still allowing measurement of the occurrence of tremulous movements of the finger. Ten normal subjects were studied with the index finger first extended at rest and then contracting 1DI to abduct the index finger against three different steady forces up to 50% of maximal voluntary contraction (MVC). Power spectral analysis of tremor, EMG activity and muscle vibration signals each revealed three frequency peaks occurring together at around 10 Hz, 20 Hz and 40 Hz. Coherence analysis showed that the same three peaks were present in the three signals. Phase analysis indicated a fixed time lag of tremor behind EMG of around 6.5 ms. This is compared with previous measurements of electromechanical delay. Other experiments indicated that the three peaks were of central nervous origin. Introducing mechanical perturbations or extra loading to the finger and making recordings under partial anaesthesia of the hand and forearm demonstrated preservation of all the peaks, suggesting that they did not originate from mechanical resonances or peripheral feedback loop resonances. It is concluded that, at least for a small hand muscle, there exist not one but a number of separate peak frequencies of oscillation during active contraction, and that these oscillations reflect synchronization of motor units at frequencies determined within the central nervous system. It is proposed that the multiple oscillations may be a means of frequency coding of motor commands.
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  • 174
    ISSN: 1432-1106
    Schlagwort(e): Key words Non-monosynaptic group I excitation ; Group II excitation ; Spinal reflexes ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  Non-monosynaptic group I and group II excitation of human lower limb motoneurones was investigated. Changes in the firing probability of individual voluntarily activated motor units belonging to various muscles (soleus, gastrocnemius medialis, tibialis anterior, peroneus brevis, quadriceps and biceps femoris) were investigated after stimulation of various nerves (posterior tibial, common peroneal and femoral nerves) with weak (0.4–0.6×motor threshold) electrical stimuli. In all investigated motor nuclei, stimulation of the ”homonymous” nerve evoked a peak of increased firing probability with a latency that was 3–7 ms longer than the monosynaptic Ia latency. The more caudal the motor nucleus explored, the greater the central delay. This strongly suggests a transmission through neurones located above the lumbar enlargement. If one excepts the sural-induced excitation of peroneus brevis units, which seems to be mediated through a particular pathway, the main peripheral input to neurones mediating non-monosynaptic excitation evoked by these weak stimuli is group I in origin. The pattern of distribution of non-monosynaptic group I excitation was very diffuse, since stimulation of each nerve was able to evoke excitation in all investigated nuclei. In most cases, non-monosynaptic excitation evoked in a given motor unit by stimulation of one nerve was depressed on combined stimulation of two nerves, and evidence is presented that this lateral inhibition is exerted at a premotoneuronal level. By contrast, there was no evidence that increasing the afferent input in a given pathway evokes an ”autogenetic” inhibition in this pathway. The negative correlation found between non-monosynaptic group I-induced and late group II-induced facilitation of the quadriceps H-reflex when using high stimulus intensities applied on the common peroneal nerve suggests that these two effects could be mediated through common interneurones.
    Materialart: Digitale Medien
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  • 175
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 114 (1997), S. 339-351 
    ISSN: 1432-1106
    Schlagwort(e): Key words Spatial attention ; Pointing ; Saccades ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  The aim of the present study was to investigate how spatial attention influences directional manual and saccadic reaction times. Two experiments were carried out. In experiment 1 subjects were instructed to perform pointing responses toward targets that were located either in the same or the opposite hemifield with respect to the hemifield in which an imperative stimulus was presented. In experiment 2, they were instructed to make saccadic or pointing responses. The direction of the responses was indicated by the shape of the imperative stimulus. Reaction time (RT), movement time, and, in experiment 2, saccadic trajectory were measured. The imperative stimulus location was either cued (endogenous attention) or uncued. In the latter case the imperative stimulus presentation attracted attention (exogenous attention). The main results of the experiments were the following: First, exogenous attention markedly decreased the RTs when the required movement was directed toward the imperative stimulus location. This directional effect was much stronger for pointing than for ocular responses. Second, endogenously allocated attention did not influence differentially RTs of pointing responses directed toward or away the attended hemifield. In contrast, endogenous attention markedly favored the saccadic responses when made away from the cued hemifield. Third, regardless of cueing, the direction of movement affected both pointing and saccadic reaction times. Saccadic reaction times were faster when the required movement was directed upward, while manual reaction times were faster when the movement was directed downward. Fourth, lateralized spatial attention deviated the trajectory of the saccades contralateral to the attention location. This pattern of results supports the notion that spatial attention depends on the activation of the same sensorimotor circuits that program actions in space.
    Materialart: Digitale Medien
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  • 176
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 114 (1997), S. 492-499 
    ISSN: 1432-1106
    Schlagwort(e): Key words Hand-eye co-ordination ; Perceptual information ; Intra-modal/inter-modal matching ; Non-preferred hand ; Lateralization ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  Inter- and intra-sensory modality matching by 8-year-old children diagnosed as having hand-eye co-ordination problems (HECP) and by a control group of children without such problems were tested using a target-location and pointing task. The task required the children to locate target pins visually (seen target), with the hand (felt target) or in combination (felt and seen target), while pointing to the located target was always carried out without vision. The most striking finding, for both the control and the HECP children, was the superiority of performance when the target had to be located visually. When combined scores for both hands were analysed, the HECP children showed inferior performance to the control children in both inter- and intra-modal matching. Analyses of the scores achieved with the preferred and non-preferred hand separately, however, demonstrated that the differences between the HECP and the control children could, in the main, be attributed to lowered performances when the non-preferred hand was used for pointing to the target. When pointing with the preferred hand, the only significant difference between the groups was when the target was visually located, the control children showing superior performance. Pointing with the non-preferred hand gave rise to significant differences, in favour of the control children, when the target was located visually, with the hand or in combination. These findings suggest that earlier studies, using only the preferred hand or a combination of the scores of both hands, might need to be qualified. Putative neurological disorders in the HECP children are invoked to account for the poor performance with the non-preferred hand.
    Materialart: Digitale Medien
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  • 177
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 114 (1997), S. 542-560 
    ISSN: 1432-1106
    Schlagwort(e): Key words Saccadic system ; Auditory system ; Visual system ; Eye-head movements ; Gaze control models ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  The coordination between eye and head movements during a rapid orienting gaze shift has been investigated mainly when subjects made horizontal movements towards visual targets with the eyes starting at the centre of the orbit. Under these conditions, it is difficult to identify the signals driving the two motor systems, because their initial motor errors are identical and equal to the coordinates of the sensory stimulus (i.e. retinal error). In this paper, we investigate head-free gaze saccades of human subjects towards visual as well as auditory stimuli presented in the two-dimensional frontal plane, under both aligned and unaligned initial fixation conditions. Although the basic patterns for eye and head movements were qualitatively comparable for both stimulus modalities, systematic differences were also obtained under aligned conditions, suggesting a task-dependent movement strategy. Auditory-evoked gaze shifts were endowed with smaller eye-head latency differences, consistently larger head movements and smaller concomitant ocular saccades than visually triggered movements. By testing gaze control for eccentric initial eye positions, we found that the head displacement vector was best related to the initial head motor-error (target-re-head), rather than to the initial gaze error (target-re-eye), regardless of target modality. These findings suggest an independent control of the eye and head motor systems by commands in different frames of reference. However, we also observed a systematic influence of the oculomotor response on the properties of the evoked head movements, indicating a subtle coupling between the two systems. The results are discussed in view of current eye-head coordination models.
    Materialart: Digitale Medien
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  • 178
    ISSN: 1432-1106
    Schlagwort(e): Key words Movement-related magnetic field ; Movement-evoked field ; Magnetoencephalography ; Dipole source analysis ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  We investigated the movement-related cortical fields (MRCFs) recorded by magnetoencephalography (MEG) to identify the motor and sensory brain activities at the instant of the unilateral finger movement using six normal subjects. We focused our investigation on the source analysis of the events tightly linked to movement onset, and we used brain electric source analysis (BESA) to model the sources generating MRCFs during the interval from 200 ms before to 150 ms after the movement onset. Four sources provided satisfactory solutions for MRCF activities in this interval. Sources 1 and 2, which were located in the pre-central regions in the hemisphere contralateral and ipsilateral to the moved finger, respectively, generated the readiness fields (RF), but source 1 was predominant just before movement onset. The motor field (MF), the peak of which was just after movement onset, was mainly generated by source 1. Sources 3 and 4 were located in the post-central regions in the hemisphere contralateral and ipsilateral to the moved finger, respectively. The first motor evoked field (MEF-I), the peak of which was about 80 ms after the movement, was mainly generated by source 3, but with the participation of sources 1, 2 and 4. The results indicated that the activities of both pre -and post-central regions in bilateral hemispheres were related to voluntary movements, although the predominant areas varied over time. This is the first noninvasive study to clarify the complex spatiotemporal activities relating movements in humans using a multi-channel MEG system.
    Materialart: Digitale Medien
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  • 179
    ISSN: 1432-1106
    Schlagwort(e): Key words Sensorimotor control ; Centrifugal gating ; Motor preparation ; Tibial nerve ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  Movement-related gating of cerebral somatosensory evoked potentials (SEPs) occurs during active and passive movements of both the upper and the lower limbs. The general hypothesis was tested that the brain participates in setting the gain of the ascending path from somatosensory receptors of the human leg to the somatosensory cortex. In experiment 1, SEPs from Cz’ and soleus H-reflexes were evoked by electrical stimulation of the tibial nerve in the popliteal fossa during passive movement about the right ankle. Early SEPs and H-reflexes sampled during simple passive movement were significantly attenuated when compared with stationary controls (P〈0.05). The additional requirement of tracking the passive ankle movement with the other foot led to a significant relative facilitation of mean SEP, but not H-reflex amplitude, compared with means from passive movement alone (P〈0.05). In experiment 2, SEPs were evoked in the active (tracking) leg during a forewarned reaction-time task. Subjects were required to move in a preferred direction or to track the passive movement of their right foot with their left. Significant attenuation of early SEP components occurred 100 ms prior to EMG onset (P〈0.05), with no apparent effect due to tracking. In the 3rd experiment, SEPs and H-reflexes were evoked in the passively moved leg (the target for active movement of the left leg) during the same forewarned reaction-time task. During the warning period, SEPs were significantly attenuated compared with stationary controls for non-tracking movements, but not for movements involving tracking (P〈0.05). It is concluded that centrifugal factors are important in modulating SEP gain required by the kinaesthetic demands of the task.
    Materialart: Digitale Medien
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  • 180
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 115 (1997), S. 217-233 
    ISSN: 1432-1106
    Schlagwort(e): Key words Reaction time ; Motor preparation ; Coordinate transformations ; Vectorial planning ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  We have previously demonstrated that, in preparing themselves to aim voluntary impulses of isometric elbow force to unpredictable targets, subjects selected default values for amplitude and direction according the range of targets that they expected. Once a specific target appeared, subjects specified amplitude and direction through parallel processes. Amplitude was specified continuously from an average or central default; direction was specified stochastically from one of the target directions. Using the same timed response paradigm, we now report three experiments to examine how the time available for processing target information influences trajectory characteristics in two-degree-of-freedom forces and multijoint movements. We first sought to determine whether the specification of force direction could also take the form of a discrete stochastic process in pulses of wrist muscle force, where direction can vary continuously. With four equiprobable targets (two force amplitudes in each of two directions separated by 22° or 90°), amplitude was specified from a central default value for both narrow and wide target separations as a continuous variable. Direction, however, remained specified as a discrete variable for wide target separations. For narrow target separations, the directional distribution of default responses suggested the presence of both discrete and central values. We next examined point-to-point movements in a multijoint planar hand movement task with targets at two distances and two directions but at five directional separations (from 30° to 150° separation). We found that extent was again specified continuously from a central default. Direction was specified discretely from alternative default directions when target separation was wide and continuously from a central default when separation was narrow. The specification of both extent and direction evolved over a 200-ms time period beginning about 100 ms after target presentation. As in elbow force pulses, extent was specified progressively in both correct and wrong direction responses through a progressive improvement in the scaling of acceleration and velocity peaks to the target. On the other hand, movement time and hand path straightness did not change significantly in the course of specification. Thus, the specification of movement time and linearity, global features of the trajectories, are given priority over the specific values of extent and direction. In a third experiment, we varied the distances between unidirectional target pairs and found that movement extent is specified discretely, like direction, when the disparity in distances is large. The implications of these findings for contextual effects on trajectory planning are discussed. The independence of extent and direction specification and the prior setting of response duration and straightness provide critical support for the hypothesis that point-to-point movements are planned vectorially.
    Materialart: Digitale Medien
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  • 181
    ISSN: 1432-1106
    Schlagwort(e): Key words Ménière’s disease ; Unilateral vestibular neurotomy ; Static posture ; Postural recovery ; Sensory strategies ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  Vestibular inputs tonically activate the antigravitative leg muscles during normal standing in humans, and visual information and proprioceptive inputs from the legs are very sensitive sensory loops for body sway control. This study investigated the postural control in a homogeneous population of 50 unilateral vestibular-deficient patients (Ménière’s disease patients). It analyzed the postural deficits of the patients before and after surgical treatment (unilateral vestibular neurotomy) of their diseases and it focused on the visual contribution to the fine regulation of body sway. Static posturographic recordings on a stable force-plate were done with patients with eyes open (EO) and eyes closed (EC). Body sway and visual stabilization of posture were evaluated by computing sway area with and without vision and by calculating the percentage difference of sway between EC and EO conditions. Ménière’s patients were examined when asymptomatic, 1 day before unilateral vestibular neurotomy, and during the time-course of recovery (1 week, 2 weeks, 1 month, 3 months, and 1 year). Data from the patients were compared with those recorded in 26 healthy, age- and sex-matched participants. Patients before neurotomy exhibited significantly greater sway area than controls with both EO (+52%) and EC (+93%). Healthy participants and Ménière’s patients, however, displayed two different behaviors with EC. In both populations, 54% of the subjects significantly increased their body sway upon eye closure, whereas 46% exhibited no change or significantly swayed less without vision. This was statistically confirmed by the cluster analysis, which clearly split the controls and the patients into two well-identified subgroups, relying heavily on vision (visual strategy, V) or not (non-visual strategy, NV). The percentage difference of sway averaged +36.7%±10.9% and –6.2%±16.5% for the V and NV controls, respectively; +45.9%±16.8% and –4.2%±14.9% for the V and NV patients, respectively. These two distinct V and NV strategies seemed consistent over time in individual subjects. Body sway area was strongly increased in all patients with EO early after neurotomy (1 and 2 weeks) and regained preoperative values later on. In contrast, sway area as well as the percentage difference of sway were differently modified in the two subgroups of patients with EC during the early stage of recovery. The NV patients swayed more, whereas the V patients swayed less without vision. This surprising finding, indicating that patients switched strategies with respect to their preoperative behavior, was consistently observed in 45 out of the 50 Ménière’s patients during the whole postoperative period, up to 1 year. We concluded that there is a differential weighting of visual inputs for the fine regulation of posture in both healthy participants and Ménière’s patients before surgical treatment. This differential weighting was correlated neither with age or sex factors, nor with the clinical variables at our disposal in the patients. It can be accounted for by a different selection of sensory orientation references depending on the personal experience of the subjects, leading to a more or less heavy dependence on vision. The change of sensory strategy in the patients who had undergone neurotomy might reflect a reweighting of the visual and somatosensory cues controlling balance. Switching strategy by means of a new sensory selection of orientation references may be a fast adaptive response to the lesion-induced postural instability.
    Materialart: Digitale Medien
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  • 182
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 115 (1997), S. 479-484 
    ISSN: 1432-1106
    Schlagwort(e): Key words Saccadic reaction time ; Eye movements ; Event-related potentials ; Slow waves ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  Saccades elicited by suddenly appearing targets show a broad distribution of reaction times. This may depend on variations in the subject’s state of preparation before target onset. To test this hypothesis, we recorded scalp event-related potentials from eight human subjects to investigate whether differences in saccadic reaction times (SRTs) are related to differences in cortical slow potentials prior to target onset. Compared with trials with medium SRTs (180–230 ms), trials with fast SRTs (130–180 ms) were found to be preceded by a more negative slow potential and trials with slow SRTs (230–280 ms) were found to be preceded by a more positive slow potential. These results support the hypothesis that cortical activation prior to target appearance influences SRTs.
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  • 183
    ISSN: 1432-1106
    Schlagwort(e): Key words Simple reaction time ; Electrical stimulation ; Transcranial magnetic stimulation ; Intersensory facilitation ; Motor cortex ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  Subthreshold transcranial magnetic stimulation (TMS) over the motor cortex can shorten the simple reaction time in contralateral arm muscles if the cortical shock is given at about the same time as the reaction stimulus. The present experiments were designed to investigate whether this phenomenon is due to a specific facilitatory effect on cortical circuitry. The simple visual reaction time was shortened by 20–50 ms when subthreshold TMS was given over the contralateral motor cortex. Reaction time was reduced to the same level whether the magnetic stimulus was given over the bilateral motor cortices or over other points on the scalp (Cz, Pz). Indeed, similar effects could be seen with conventional electrical stimulation over the neck, or even when the coil was discharged (giving a click sound) near the head. We conclude that much of the effect of TMS on simple reaction time is due to intersensory facilitation, although part of it may be ascribed to a specific effect on the excitability of motor cortex.
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  • 184
    ISSN: 1432-1106
    Schlagwort(e): Transcranial magnetic stimulation ; Motor cortex ; D wave ; I wave ; Pyramidal tract neurons ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Transcranial magnetic stimulation (TMS) over the human primary motor cortex (M1) evokes motor responses in the contralateral limb muscles. The latencies and amplitudes of those responses depend on the direction of induced current in the brain by the stimuli (Mills et al. 1992, Werhahn et al. 1994). This observation suggests that different neural elements might be activated by the differently directed induced currents. Using a figure-of-eight-shaped coil, which induces current with a certain direction, we analyzed the effect of direction of stimulating current on the latencies of responses to TMS in normal subjects. The latencies were measured from surface electromyographic responses of the first dorsal interosseous muscles and the peaks in the peristimulus time histograms (PSTHs) of single motor units from the same muscles. The coil was placed over the M1, with eight different directions each separated by 45°. Stimulus intensity was adjusted just above the motor threshold while subjects made a weak tonic voluntary contraction, so that we can analyse the most readily elicited descending volley in the pyramidal tracts. In most subjects, TMS with medially and anteriorly directed current in the brain produced responses or a peak that occurred some 1.5 ms later than those to anodal electrical stimulation. In contrast, TMS with laterally and posteriorly directed current produced responses or a peak that occurred about 4.5 ms later. There was a single peak in most of PSTHs under the above stimulation condition, whereas there were occasionally two peaks under the transitional current directions between the above two groups. These results suggest that TMS with medially and anteriorly directed current in the brain readily elicits I1 waves, whereas that with laterally and posteriorly directed current preferentially elicits I3 waves. Functional magnetic resonance imaging studies indicated that this direction was related to the course of the central sulcus. TMS with induced current flowing forward relative to the central sulcus preferentially elicited I1 waves and that flowing backward elicited I3 waves. Our finding of the dependence of preferentially activated I waves on the current direction in the brain suggests that different sets of cortical neurons are responsible for different I waves, and are contrarily oriented. The present method using a figure-of-eight-shaped coil must enable us to study physiological characteristics of each I wave separately and, possibly, analyse different neural elements in M1, since it activates a certain I wave selectively without D waves or other I waves.
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  • 185
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 116 (1997), S. 421-433 
    ISSN: 1432-1106
    Schlagwort(e): Key words Reaching ; Minimum jerk ; Target acceleration ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  We studied the kinematic characteristics of arm movements and their relation to a stimulus moving with a wide range of velocity and acceleration. The target traveled at constant acceleration, constant deceleration, or constant velocity for 0.5–2.0 s, until it arrived at a location where it was required to be intercepted. For fast moving targets, subjects produced single movements with symmetrical, bell-shaped velocity profiles. In contrast, for slowly moving targets, hand velocity profiles displayed multiple peaks, which suggests a control mechanism that produces a series of discrete submovements according to characteristics of target motion. To analyze how temporal and spatial aspects of these submovements are influenced by target motion, we decomposed the vertical hand velocity profiles into bell-shaped velocity pulses according to the minimum-jerk model. The number of submovements was roughly proportional to the movement time, resulting in a relatively constant submovement frequency (∼2.5 Hz). On the other hand, the submovement onset asynchrony showed significantly more variability than the intersubmovement interval, indicating that the submovement onset was delayed more following a submovement with a longer duration. Examination of submovement amplitude and its relation to target motion revealed that the subjects achieved interception mainly by producing a series of submovements that would keep the displacement of the hand proportional to the first-order estimate of target position at the end of each submovement along the axis of hand movement. Finally, we did not find any evidence that information regarding target acceleration is properly utilized in the production of submovements.
    Materialart: Digitale Medien
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  • 186
    ISSN: 1432-1106
    Schlagwort(e): Key words Vestibular-collic reflex ; Cervico-collic reflex ; Head-righting ; Labyrinthine-defective ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  Reflex head-righting in normal and labyrinthine-defective (LD) subjects was compared to identify the relative functional effectiveness of vestibular-collic and cervico-collic myotactic reflexes. To restrict stimuli largely to the head and neck, subjects lay supine, supported up to the shoulders on a horizontal bed with their head supported in a sling over the edge. The head fell freely as the sling was released with an electromagnetic catch. Head drops were delivered with the subjects instructed to relax and accept the fall passively or to actively right the head as fast as possible. With both instructions, righting responses in normal subjects commenced with electromyographic (EMG) bursts in the sternocleidomastoid (SCM) at 24.5 ms latency, which was reflected in a deceleration of the downwards head velocity. The latency of the earliest EMG responses in LD subjects was 67.4 ms, accompanied by similar deceleration. It is assumed that the earliest response in normal subjects is vestibular, whereas in LDs the SCM stretch reflex is the earliest response. These reflexes are followed at circa 100 ms by more intense EMG activity due to voluntary movement, but braking of head fall is evident before voluntary activity takes effect. Righting was more effective in normal subjects than in LDs, and when “active” normal subjects made more vigorous righting responses than when “passive”; whereas active righting in LDs was no better than passive. The results demonstrate that reflex responses contribute significantly to head-righting. The vestibular contribution gives an advantage over stretch reflexes alone and also assists in voluntary enhancement of reflex responses.
    Materialart: Digitale Medien
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  • 187
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 117 (1997), S. 273-280 
    ISSN: 1432-1106
    Schlagwort(e): Key words Time to contact ; Catching ; Prehension ; Visuomotor control ; Limb movements ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  In the present study, a kinematic analysis was made of unconstrained, natural prehension movements directed toward an object approaching the observer on a conveyor belt at one of three constant velocities, from one of three different directions (head-on or along the fronto-parallel plane coming either from the subject′s left or right). Subjects were required to grasp the object when it reached a target located 20 cm directly in front of the hand′s start position. The kinematic analysis revealed that both the transport and grasp components of the movement changed in response to the experimental manipulations, but did so in a manner that guaranteed that, for objects approaching from a given direction, hand closure would begin at a constant time prior to object contact (regardless of the object’s approach speed). The kinematic analysis also revealed, however, that the onset of hand closure began earlier with objects approaching from the right than from other directions – an effect which would not be predicted if time to contact was the key variable controlling the onset of hand closure. These results, then, lend only partial support to the theory that temporal coordination between the transport and grasp components of prehension is ensured through their common dependence on time to contact information.
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  • 188
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 116 (1997), S. 299-308 
    ISSN: 1432-1106
    Schlagwort(e): Key words Jaw movement ; EMG ; Stretch reflex ; Muscle spindle ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  We investigated phasic and tonic stretch reflexes in human jaw-opener muscles, which have few, if any, muscle spindles. Jaw-unloading reflexes were recorded for both opener and closer muscles. Surface electromyographic (EMG) activity was obtained from left and right digastric and superficial masseter muscles, and jaw orientation and torques were recorded. Unloading of jaw-opener muscles elicited a short-latency decrease in EMG activity (averaging 20 ms) followed by a short-duration silent period in these muscles and sometimes a short burst of activity in their antagonists. Similar behavior in response to unloading was observed for spindle-rich jaw-closer muscles, although the latency of the silent period was statistically shorter than that observed for jaw-opener muscles (averaging 13 ms). Control studies suggest that the jaw-opener reflex was not due to inputs from either cutaneous or periodontal mechanoreceptors. In the unloading response of the jaw openers, the tonic level of EMG activity observed after transition to the new jaw orientation was monotonically related to the residual torque and orientation. This is consistent with the idea that the tonic stretch reflex might mediate the change in muscle activation. In addition, the values of the static net joint torque and jaw orientation after the dynamic phase of unloading were related by a monotonic function resembling the invariant characteristic recorded in human limb joints. The torque-angle characteristics associated with different initial jaw orientations were similar in shape but spatially shifted, consistent with the idea that voluntary changes in jaw orientation might be associated with a change in a single parameter, which might be identified as the threshold of the tonic stretch reflex. It is suggested that functionally significant phasic and tonic stretch reflexes might not be mediated exclusively by muscle spindle afferents. Thus, the hypothesis that central modifications in the threshold of the tonic stretch reflex underlie the control of movement may be applied to the jaw system.
    Materialart: Digitale Medien
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  • 189
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 116 (1997), S. 309-314 
    ISSN: 1432-1106
    Schlagwort(e): Key words Transcranial Doppler ultrasonography ; Cerebral blood flow velocity ; Somatosensory stimuli ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  Preparing for and processing of sensory stimuli are energy-requiring processes. We attempted to assess the relative contributions of these processes to increases in regional cerebral perfusion. Nineteen healthy right-handed subjects were examined while they were engaged in detecting tactile stimuli to the index finger 5 s after a cueing tone. Cerebral blood flow velocity (CBFV) modulations in the middle cerebral arteries (MCAs) were continuously measured by bilateral simultaneous transcranial Doppler ultrasonography. Tactile stimuli well above threshold per se did not produce a significant, relative CBFV increase in the contralateral MCA. However, when subjects were expecting a threshold tactile stimulus, there was a significant regional increase in CBFV in the hemisphere contralateral to the attended index finger for approximately 15 s, starting within the first seconds after the cueing. This increase was present even before the tactile stimulus was applied and also in sessions when the stimulus was omitted. We conclude that preparation of the cortex causes a stronger regional cerebral blood flow increase than the processing of the tactile stimulus itself.
    Materialart: Digitale Medien
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  • 190
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 116 (1997), S. 406-420 
    ISSN: 1432-1106
    Schlagwort(e): Key words Target interception ; Reaching ; Acceleration ; Coincidence timing ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  We investigated the capacities of human subjects to intercept moving targets in a two-dimensional (2D) space. Subjects were instructed to intercept moving targets on a computer screen using a cursor controlled by an articulated 2D manipulandum. A target was presented in 1 of 18 combinations of three acceleration types (constant acceleration, constant deceleration, and constant velocity) and six target motion times, from 0.5 to 2.0 s. First, subjects held the cursor in a start zone located at the bottom of the screen along the vertical meridian. After a pseudorandom hold period, the target appeared in the lower left or right corner of the screen and traveled at 45º toward an interception zone located on the vertical meridian 12.5 cm above the start zone. For a trial to be considered successful, the subject’s cursor had to enter the interception zone within 100 ms of the target’s arrival at the center of the interception zone and stay inside a slightly larger hold zone. Trials in which the cursor arrived more than 100 ms before the target were classified as ”early errors,” whereas trials in which the cursor arrived more than 100 ms after the target were classified as ”late errors.” Given the criteria above, the task proved to be difficult for the subjects. Only 41.3% (1080 out of 2614) of the movements were successful, whereas the remaining 58.7% were temporal (i.e., early or late) errors. A large majority of the early errors occurred in trials with decelerating targets, and their percentage tended to increase with longer target motion times. In contrast, late errors occurred in relation to all three target acceleration types, and their percentage tended to decrease with longer target motion times. Three models of movement initiation were investigated. First, the threshold-distance model, originally proposed for optokinetic eye movements to constant-velocity visual stimuli, maintains that response time is composed of two parts, a constant processing time and the time required for the stimulus to travel a threshold distance. This model only partially fit our data. Second, the threshold-τ model, originally proposed as a strategy for movement initiation, assumes that the subject uses the first-order estimate of time-to-contact (τ) to determine when to initiate the interception movement. Similar to the threshold distance model, the threshold-τ model only partially fit the data. Finally, a dual-strategy model was developed which allowed for the adoption of either of the two strategies for movement initiation; namely, a strategy based on the threshold-distance model (”reactive” strategy) and another based on the threshold-τ model (”predictive” strategy). This model provided a good fit to the data. In fact, individual subjects preferred to use one or the other strategy. This preference was allowed to be manifested at long target motion times, whereas shorter target motion times (i.e., 0.5 s and 0.8 s) forced the subjects to use only the reactive strategy.
    Materialart: Digitale Medien
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  • 191
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 116 (1997), S. 501-509 
    ISSN: 1432-1106
    Schlagwort(e): Key words Eye movements ; Vestibulo-ocular reflex ; Vestibular injury ; Ocular torsion ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  Abnormalities in the vestibulo-ocular reflex (VOR) after unilateral vestibular injury may cause symptomatic gaze instability. We compared five subjects who had unilateral vestibular lesions with normal control subjects. Gaze stability and VOR gain were measured in three axes using scleral magnetic search coils, in light and darkness, testing different planes of rotation (yaw and pitch), types of stimulus (sinusoids from 0.8 to 2.4 Hz, and transient accelerations) and methods of rotation (active and passive). Eye velocity during horizontal tests reached saturation during high-velocity/acceleration ipsilesional rotation. Rapid vertical head movements triggered anomalous torsional rotation of the eyes. Gaze instability was present even during active rotation in the light, resulting in oscillopsia. These abnormal VOR responses are a consequence of saturating nonlinearities, which limit the usefulness of frequency-domain analysis of rotational test data in describing these lesions.
    Materialart: Digitale Medien
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  • 192
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 117 (1997), S. 30-42 
    ISSN: 1432-1106
    Schlagwort(e): Key words Kinematics ; Impedance ; Jumping ; Posture control ; Astronaut performance ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  Astronauts exposed to the microgravity conditions encountered during space flight exhibit postural and gait instabilities upon return to earth that could impair critical postflight performance. The aim of the present study was to determine the effects of microgravity exposure on astronauts’ performance of two-footed jump landings. Nine astronauts from several Space Shuttle missions were tested both preflight and postflight with a series of voluntary, two-footed downward hops from a 30-cm-high step. A video-based, three-dimensional motion-analysis system permitted calculation of body segment positions and joint angular displacements. Phase-plane plots of knee, hip, and ankle angular velocities compared with the corresponding joint angles were used to describe the lower limb kinematics during jump landings. The position of the whole-body center of mass (COM) was also estimated in the sagittal plane using an eight-segment body model. Four of nine subjects exhibited expanded phase-plane portraits postflight, with significant increases in peak joint flexion angles and flexion rates following space flight. In contrast, two subjects showed significant contractions of their phase-plane portraits postflight and three subjects showed insignificant overall changes after space flight. Analysis of the vertical COM motion generally supported the joint angle results. Subjects with expanded joint angle phase-plane portraits postflight exhibited larger downward deviations of the COM and longer times from impact to peak deflection, as well as lower upward recovery velocities. Subjects with postflight joint angle phase-plane contraction demonstrated opposite effects in the COM motion. The joint kinematics results indicated the existence of two contrasting response modes due to microgravity exposure. Most subjects exhibited “compliant“ impact absorption postflight, consistent with decreased limb stiffness and damping, and a reduction in the bandwidth of the postural control system. Fewer subjects showed “stiff“ behavior after space flight, where contractions in the phase-plane portraits pointed to an increase in control bandwidth. The changes appeared to result from adaptive modifications in the control of lower limb impedance. A simple 2nd-order model of the vertical COM motion indicated that changes in the effective vertical stiffness of the legs can predict key features of the postflight performance. Compliant responses may reflect inflight adaptation due to altered demands on the postural control system in microgravity, while stiff behavior may result from overcompensation postflight for the presumed reduction in limb stiffness inflight.
    Materialart: Digitale Medien
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  • 193
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 117 (1997), S. 120-130 
    ISSN: 1432-1106
    Schlagwort(e): Key words Motor unit ; Isometric tasks ; Movements ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  Simultaneous recordings of action potentials (APs) of multiple single motor units (MUs) were obtained in brachialis and biceps (caput breve) muscles during sinusoidally modulated isometric contractions of elbow flexor muscles and during sinusoidal flexion/extension movements in the elbow against a preload in the extension direction. The results show that MUs typically fire in one short burst for each sinusoidal cycle. The mean phase lead of the bursts of APs relative to a sinusoidally modulated isometric torque in the elbow joint or relative to sinusoidal movements in the elbow increases gradually with frequency. The increase of the mean phase lead during isometric contractions was very similar for all MUs and could be explained well by modeling the force production of MUs with a second-order linear low-pass system. For sinusoidal flexion/extension movements each MU reveals a specific, reproducible phase lead as a function of frequency. However, there is a large variability in phase behavior between MUs. Also, the modulation of the firing rate for sinusoidal isometric contractions versus sinusoidal movements appeared to be different for various MUs. In simultaneous recordings some MUs clearly revealed a larger firing rate in each burst for movements relative to isometric contractions, whereas other MUs revealed a smaller firing rate. This suggests that some MUs are preferentially activated during movements whereas others are preferably activated during isometric contractions. The results demonstrate task-dependent changes in the relative activation of MUs within a single muscle for sinusoidal isometric contractions and movements.
    Materialart: Digitale Medien
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  • 194
    Digitale Medien
    Digitale Medien
    Springer
    European journal of pediatrics 156 (1997), S. S9 
    ISSN: 1432-1076
    Schlagwort(e): Key words Stable isotopes ; Tracers ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Stable isotope tracers do not have approval for diagnostic use in humans. We assume that stable isotope tracers behave like natural compounds, because there is no evidence for the opposite despite a wide use in human studies. From this point of view, they are drugs comparable to unlabelled natural substances. Under this assumption a pharmacy is allowed to prepare isotope solutions by following the guideline for the preparation of infusion solutions using chemicals. The pharmacy has to perform tests for identification, content and purity following the U.S. pharmacopoeia or the corresponding national standard for the unlabelled drug. If these tests are passed then it can prepare the tracer solution. An approach is outlined which is designed to ensure sterility of the preparation as far as possible and an adequate pharmaceutical quality. From the regulation for the preparation we define requirements for an alternative preparation for immediate infusion by the physician.
    Materialart: Digitale Medien
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  • 195
    ISSN: 1432-1084
    Schlagwort(e): Key words: Liver ; neoplasm ; Magnetic resonance imaging ; Contrast media ; fatty acid
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract. Opinion is divided regarding the influence of iodized oil on MRI signal intensity of hepatic tumours treated with transcatheter arterial chemoembolization (TACE), in which lipiodol deposits. The aim of our study was to ascertain whether or not lipiodol directly influences the MRI signal intensity of hepatocellular carcinoma (HCC) treated by TACE and that of the surrounding liver. Thirteen patients with HCC were studied retrospectively. CT and MRI scans were performed both before and 3 months after TACE. The CT scan was performed to check whether embolized nodules contained lipiodol and how lipiodol was distributed within them. In addition, eight patients were examined prospectively within 7 days after TACE. In these patients a CT scan was performed to see how lipiodol was distributed in the neoplastic nodules and in normal hepatic parenchyma. In the first group of patients the contrast-to-noise (C/N) ratio on T1-weighted (T1W) images and the T2 relaxation time on T2-weighted (T2W) images were calculated for both neoplasm and surrounding liver. In the second group of patients we also measured the signal intensity of non-neoplastic liver that was either permeated or not permeated by lipiodol. The data were analysed with Wilcoxon's test. On T1W images we observed that the retention of lipiodol increased the C/N ratio in all the tumours studied within 1 week after TACE. In the patients studied 3 months after TACE the C/N ratio was not significantly increased. On T2W images lipiodol retention did not change tumour signal intensity. The iodized oil did not change the signal intensity of the liver surrounding the tumour, in comparison with the liver not permeated by lipiodol, on either T1W or T2W images. The results indicate that lipiodol does not modify the signal intensity in non-neoplastic hepatic parenchyma in which it is deposited; after 3 months it does not significantly affect the signal of the tumours that accumulated it. Lipiodol produces a high signal on T1W images over the first few days following TACE in those tumours in which it is deposited.
    Materialart: Digitale Medien
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  • 196
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 113 (1997), S. 189-199 
    ISSN: 1432-1106
    Schlagwort(e): Finger movements ; Movement sequences ; Kinematics ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Pianists were asked to play short excerpts from several pieces on an electronic keyboard. In each piece, there were two phrases whose first few notes were played identically with the right hand. Thereafter, the two phrases were played differently. The aim of the investigation was to ascertain whether or not hand and finger kinematics diverged prior to the depression of the last common note. Such a divergence would imply an anticipatory modification of sequential movements of the hand, akin to the phenomenon of coarticulation in speech. The lack of such a divergence would imply a strictly serial organization of movement sequences with one hand, as was found previously to be the case for typing. The time at which each key was depressed and released and the speed with which the key was depressed was recorded via a MIDI interface to a laboratory computer. The motion of the right wrist and of the fingers of the right hand was recorded optoelectronically. Piano playing can invoke anticipatory modifications of hand and finger kinematics. The time at which two patterns of movements diverged varied considerably from piece to piece. Playing an ascending scale with the requirement of a “thumb-under” maneuver could evoke an anticipatory modification as much as 500 ms in advance of the last common note. In another piece, keypresses appeared to be executed in a strict serial ordering and a third piece gave results intermediate between these two extremes. We interpret the results to suggest that a strict serial execution of a movement sequence is favored as long as this is compatible with the demands of the task.
    Materialart: Digitale Medien
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  • 197
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 113 (1997), S. 273-282 
    ISSN: 1432-1106
    Schlagwort(e): Thalamus ; Sleep ; Calcium spike ; Bursting ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The firing patterns of thalamic neurons in mammals undergo a dramatic change as the animal's state changes between sleep and wakefulness. During sleep the normal tonic firing of thalamic neurons changes into a slower bursting mode characterized by repetitive activation of a low-threshold calcium (Ca2+) current. The present report describes the patterns of thalamic neuronal firing during sleep and wakefulness in one human patient. Extracellular single neuron activity was recorded during functional stereotactic surgery in the thalamus of a patient with chronic pain, who was observed to fall asleep during the recording. Evolutive power spectra of the thalamic slow wave were used in place of cortical encephalography to confirm the patient's states of sleep and wakefulness. Twenty-nine sites were observed in motor and somatosensory thalamus (Vop, Vim, and Vc) that were characterized by the presence of neurons with bursting activity when the patient was asleep. Such bursting was not observed in the patient when she was awakened. At 14 of these sites we were able to discriminate the bursting activity of single units. In each case the cell stopped firing or its bursting was replaced by a tonic firing pattern when the patient was awakened. In three cases the patient began to lapse back into sleep and the neuron resumed firing in a bursting pattern once again. None of these units had a peripheral receptive field (RF), while several other units recorded in nearby regions that did not fire in a bursting pattern during sleep had kinesthetic or cutaneous RFs. Analysis of the intraburst firing pattern revealed increasing interspike intervals (ISI) for successive action potentials in a burst and that the duration of the first ISI in the burst decreased as the number of ISIs increased. This pattern is similar to that reported to occur as a result of a calcium spike. These data have confirmed for the first time that state-dependent changes in thalamic firing exist in the human and that the physiological substrates at the thalamic level that are involved in human sleep are similar to those observed in animals.
    Materialart: Digitale Medien
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  • 198
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 113 (1997), S. 104-116 
    ISSN: 1432-1106
    Schlagwort(e): Electromyography ; Adaptation ; Space flight ; Locomotion ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Astronauts adopt a variety of neuromuscular control strategies during space flight that are appropriate for locomoting in that unique environment, but are less than optimal upon return to Earth. We report here the first systematic investigation of potential adaptations in neuromuscular activity patterns associated with postflight locomotion. Astronaut-subjects were tasked with walking on a treadmill at 6.4 km/h while fixating a visual target 30 cm away from their eyes after space flights of 8–15 days. Surface electromyography was collected from selected lower limb muscles and normalized with regard to mean amplitude and temporal relation to heel strike. In general, high correlations (more than 0.80) were found between preflight and postflight activation waveforms for each muscle and each subject; however, relative activation amplitude around heel strike and toe off was changed as a result of flight. The level of muscle cocontraction and activation variability, and the relationship between the phasic characteristics of the ankle musculature in preparation for toe off also were altered by space flight. Subjects also reported oscillopsia during treadmill walking after flight. These findings indicate that, after space flight, the sensory-motor system can generate neuromuscular-activation strategies that permit treadmill walking, but subtle changes in lower-limb neuromuscular activation are present that may contribute to increased lower limb kinematic variability and oscillopsia also present during postflight walking.
    Materialart: Digitale Medien
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  • 199
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 113 (1997), S. 158-164 
    ISSN: 1432-1106
    Schlagwort(e): Posture ; Center of pressure ; Stochastic processes ; Development ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The stochastic processes of postural center-of-pressure profiles were examined in 3- and 5-year-old children, young adult students (mean 20 years), and an elderly age group (mean 67 years). Subjects stood still in an upright bipedal stance on a force platform under vision and nonvision conditions. The time evolutionary properties of the center-of-pressure dynamic were examined using basic stochastic process models. The amount of motion of the center of pressure decreased with increments of age from 3 to 5 years to young adult but increased again in the elderly age group. The availability of vision decreased the amount of motion of the center of pressure in all groups except the 3-year-old group, where there was less motion of the center of pressure with no vision. The stochastic properties of the center-of-pressure dynamic were assessed using both a two-process, random-walk model of Collins and De Luca and an Ornstein-Uhlenbeck model that is linear and has displacement governed only by a single stiffness term in the random walk. The two-process open- and closed-loop model accounted for about 96% and the Ornstein-Uhlenbeck model 92% of the variance of the diffusion term. Diffusion parameters in both models showed that the data were correlated and that they varied with age in a fashion consistent with developmental accounts of the changing regulation of the degrees of freedom in action. The findings suggest that it is premature to consider the trajectory of the center-of-pressure as a two-process, open- and closed-loop random-walk model given that: (a) the linear Ornstein-Uhlenbeck dynamic equation with only two parameters accommodates almost as much of the variance of the random walk; and (b) the linkage of a discontinuity in the diffusion process with the transition of open- to closed-loop processes is poorly founded. It appears that the nature of the stochastic properties of the random walk of the center-of-pressure trajectory in quiet, upright standing remains to be elucidated.
    Materialart: Digitale Medien
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  • 200
    Digitale Medien
    Digitale Medien
    Springer
    Experimental brain research 113 (1997), S. 243-248 
    ISSN: 1432-1106
    Schlagwort(e): Visual motion ; Parallax ; Posture ; Balance ; Spatial orientation ; Human
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The purpose of this study was to establish whether visual motion parallax participates in the control of postural sway. Body sway was measured in ten normal subjects by photoelectric recordings of head movements and by force-plate posturography. Subjects viewed a visual display (“background”), which briefly moved (2 s) along the y (horizontal) axis, under three different conditions: (1) direct fixation of the background, (2) fixation of a stationary window frame in the foreground, and (3) fixation of the background in the presence of the window in the foreground (“through the window”). In response to background fixation, subjects swayed in the same direction as stimulus motion, but during foreground (window) fixation they swayed in the opposite direction. The earlier forces observed on the force platform occurred at circa 250 ms in both conditions. The results show that motion parallax generates postural responses. The direction of these parallax-evoked postural responses — opposite to other visually evoked postural responses reported so far — is appropriate for stabilizating posture in natural circumstances. The findings show that motion parallax is an important source of self-motion information and that this information participates in the process of automatic postural control. In the “fixating through the window” condition, which does not mimic visual conditions induced by body sway, no consistent postural responses were elicited. This implies that postural reactions elicited by visual motion are not rigid responses to optokinetic stimulation but responses to visual stimuli signalling self-motion.
    Materialart: Digitale Medien
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