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1.
J Phys Condens Matter ; 33(19)2021 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-33540392

RESUMO

Single-spin quantum sensors, for example based on nitrogen-vacancy centres in diamond, provide nanoscale mapping of magnetic fields. In applications where the magnetic field may be changing rapidly, total sensing time is crucial and must be minimised. Bayesian estimation and adaptive experiment optimisation can speed up the sensing process by reducing the number of measurements required. These protocols consist of computing and updating the probability distribution of the magnetic field based on measurement outcomes and of determining optimized acquisition settings for the next measurement. However, the computational steps feeding into the measurement settings of the next iteration must be performed quickly enough to allow real-time updates. This article addresses the issue of computational speed by implementing an approximate Bayesian estimation technique, where probability distributions are approximated by a finite sum of Gaussian functions. Given that only three parameters are required to fully describe a Gaussian density, we find that in many cases, the magnetic field probability distribution can be described by fewer than ten parameters, achieving a reduction in computation time by factor 10 compared to existing approaches. ForT2*=1µs, only a small decrease in computation time is achieved. However, in these regimes, the proposed Gaussian protocol outperforms the existing one in tracking accuracy.

2.
Nat Nanotechnol ; 11(3): 247-52, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26571007

RESUMO

Quantum sensors based on single solid-state spins promise a unique combination of sensitivity and spatial resolution. The key challenge in sensing is to achieve minimum estimation uncertainty within a given time and with high dynamic range. Adaptive strategies have been proposed to achieve optimal performance, but their implementation in solid-state systems has been hindered by the demanding experimental requirements. Here, we realize adaptive d.c. sensing by combining single-shot readout of an electron spin in diamond with fast feedback. By adapting the spin readout basis in real time based on previous outcomes, we demonstrate a sensitivity in Ramsey interferometry surpassing the standard measurement limit. Furthermore, we find by simulations and experiments that adaptive protocols offer a distinctive advantage over the best known non-adaptive protocols when overhead and limited estimation time are taken into account. Using an optimized adaptive protocol we achieve a magnetic field sensitivity of 6.1 ± 1.7 nT Hz(-1/2) over a wide range of 1.78 mT. These results open up a new class of experiments for solid-state sensors in which real-time knowledge of the measurement history is exploited to obtain optimal performance.

3.
Rev. bras. plantas med ; 15(4,supl.1): 734-741, 2013. ilus, graf, tab
Artigo em Português | LILACS | ID: lil-700012

RESUMO

A homeopatia baseia-se no princípio da cura pelos semelhantes, e na experimentação no indivíduo sadio, doses mínimas e medicamento único. O uso de tratamentos a base de soluções dinamizadas aplicadas em vegetais aumentou nas ultimas décadas, sendo assim necessária a experimentação patogenésica para aplicação de todos os princípios homeopáticos e consolidação da Matéria Vegetal Homeopática. O ensaio patogenésico com plantas de feijão tratadas diariamente via pulverização e irrigação utilizando óleo essencial de Eucalyptus citriodora em diluições (0,5 e 1%) e dinamizados (12 e 30CH) revelaram sintomas externos semelhantes aos provocados por Pseudocercospora griseola, agente causal da mancha angular em feijoeiro. O estudo patogenésico com E. citriodora levanta a possibilidade deste ser utilizado no controle da mancha angular de acordo com o princípio homeopático da cura pela similitude.


Homeopathy is based on the principle of cure by similarity and on the prescription of minimal doses and single medicine to healthy individuals. In plants, performing treatments on the basis of drug dynamisation has increased in the recent decades. In these treatments, it is necessary to conduct a pathogenetic experimentation in order to apply homeopathic principles and to consolidate homeopathic plant material. Through a pathogenetic test with bean plants treated daily by pulverization and irrigation, using diluted and dynamized essential oil of Eucalyptus citriodora - (dilutions: 0.5 and 1%) (oil dynamisation: 12 and 30CH) -, there appeared external symptoms similar to those symptoms caused by Pseudocercospora griseola, i.e., the causal agent of angular leaf spot of bean. The pathogenetics study with E. citriodora raises the possibility of its application to control angular leaf spot in bean plants in accordance with the homeopathic principle of cure by similarity.


Assuntos
Patogenesia Homeopática/métodos , Phaseolus nanus/farmacologia , Eucalyptus/classificação , Óleos Voláteis/análise , Trituração de Resíduos Sólidos , Sintomas Patogenéticos/análise , Homeopatia/instrumentação
4.
J Periodontal Res ; 47(6): 783-92, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22738033

RESUMO

BACKGROUND AND OBJECTIVE: Cardiovascular diseases are significantly correlated with chronic periodontitis. The aim of this study was to evaluate bone-loss level, neutrophil migration, CXCL2/CINC-2α, CXCL5/LIX, CCL20/MIP-3α and tumor necrosis factor-α (TNF-α) production, inducible nitric oxide synthase (iNOS) expression and C-reactive protein (CRP) release in spontaneously hypertensive rats (SHRs) and normotensive (WTK) rats after experimental induction of periodontal disease. MATERIAL AND METHODS: Periodontitis was induced by placement of silk yarn ligatures around the first molar counterparts. The levels of CRP, CCL20/MIP-3α and CXCL5/LIX were evaluated in the peripheral blood, and bone-loss level, neutrophil recruitment, the production of myeloperoxidase, CXCL2, CXCL5, CCL20 and TNF-α, and the expression of iNOS were evaluated in the gingival tissue. Histological sections were taken to evaluate and measure bone resorption and neutrophil recruitment in the furcation region. RESULTS: Rats with periodontitis had alveolar bone resorption. SHRs with periodontitis showed marked bone loss and increased neutrophil infiltration in comparison with WTK rats. SHRs with periodontitis showed increased levels of TNF-α and CXCL2, and a slight tendency for increased levels of CXCL5, in the gingival tissue but no increase in the level of CCL20. In SHRs, even without periodontitis, the levels of TNF-α, CXCL2, CXCL5 and CCL20 showed a slight tendency to increase. In the WTK rats, TNF-α, CXCL2 and CXCL5 levels were increased with periodontitis, but the level of CCL20 was not. iNOS was expressed in the gingival tissue of WTK rats and SHRs with periodontitis; however, SHRs appeared to express a higher level of iNOS than did WKT rats. The CRP level was elevated in both types of rats with periodontitis; however, the CRP level was higher in SHRs with periodontitis than in WTK rats with periodontitis. CONCLUSION: In SHRs, the hypertensive condition per se seems to favor the inflammatory processes that become potentiated with periodontitis, when compared with WKT rats.


Assuntos
Periodontite Crônica/fisiopatologia , Hipertensão/complicações , Mediadores da Inflamação/metabolismo , Perda do Osso Alveolar/sangue , Perda do Osso Alveolar/fisiopatologia , Animais , Proteína C-Reativa/análise , Quimiocinas/biossíntese , Quimiocinas/sangue , Periodontite Crônica/sangue , Periodontite Crônica/etiologia , Gengiva/metabolismo , Hipertensão/sangue , Infiltração de Neutrófilos , Óxido Nítrico Sintase Tipo II/biossíntese , Peroxidase/biossíntese , Ratos , Ratos Endogâmicos SHR , Ratos Wistar , Fator de Necrose Tumoral alfa/biossíntese
5.
Acta Neurol Scand ; 118(4): 275-80, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18397363

RESUMO

OBJECTIVE: Frontotemporal lobar degeneration (FTLD) includes different heterogeneous conditions mainly characterized by personality changes and cognitive deficits in language and executive functions; movement disorders have also been associated with FTLD. The present study aimed to measure the primary motor cortex (M1) inhibitory and facilitatory functions in patients affected by FTLD. MATERIALS AND METHODS: The study included 17 FTLD patients, 8 age-matched healthy controls and 8 Alzheimer's disease (AD) patients. Transcranial magnetic stimulation (TMS) was used to study intracortical inhibition (ICI) and facilitation (ICF) by using a double-pulse paradigm. RESULTS: FTLD patients were comparable with controls and AD patients for ICI and ICF. Corticobasal degeneration (CBD) patients presented significant reduced inhibition at ISI3; moreover two out of seven CBD patients had only ipsilateral responses. DISCUSSION: The present study reveals a selective impairment of M1 ICI inhibitory response in CBD, which may help in distinguishing among the FTLD clinical spectrum.


Assuntos
Demência/fisiopatologia , Potencial Evocado Motor/fisiologia , Córtex Motor/fisiopatologia , Estimulação Magnética Transcraniana , Idoso , Doença de Alzheimer/fisiopatologia , Feminino , Lateralidade Funcional/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Inibição Neural/fisiologia
6.
Eur J Neurol ; 14(9): 1057-9, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17718701

RESUMO

We describe a case of a young patient suffering from a rapidly progressive cognitive decline, associated with delusions, myoclonus and seizures and with no family history for dementia. Clinical features, along with skin biopsy findings were overlapping storage disease; the genetic analysis, however, demonstrated a de novo presenilin 1 mutation. The present report suggests the usefulness of genetic determinations in early-onset cases of dementia, even without an autosomal dominant trait of inheritance; for these cases and their relatives an extensive genetic counselling should be recommended.


Assuntos
Doença de Alzheimer/genética , Delusões/genética , Demência/genética , Mutação , Presenilina-1/genética , Convulsões/genética , Adulto , Doença de Alzheimer/líquido cefalorraquidiano , Doença de Alzheimer/complicações , Delusões/líquido cefalorraquidiano , Delusões/etiologia , Demência/líquido cefalorraquidiano , Demência/complicações , Seguimentos , Aconselhamento Genético , Humanos , Masculino , Convulsões/líquido cefalorraquidiano , Convulsões/etiologia
7.
PDA J Pharm Sci Technol ; 61(3): 204-10, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17722487

RESUMO

We investigated the influence of variable parameters of plasma sterilization and compared its effectiveness with that of ethylene oxide using a reactive ion etching plasma reactor at 13.56 MHz. Gases tested were pure oxygen and oxygen-hydrogen peroxide mixtures in 190/10, 180/20, and 160/40 sccm ratios with constant gas flow at 200 sccm, pressure at 0.100 torr, radio-frequency power at 25 W, 50 W, 100 W, and 150 W, and temperature below 60 degrees C. Ethylene oxide sterilization was performed using 450 mg/L at 55 degrees C, 60% humidity, and -0.65 and 0.60 kgf/cm2 pressure. The biological indicator was Bacillus atrophaeus ATCC 9372, with exposure times of 3 to 120 min. Observed D values were 215.91, 55.55, 9.19, and 2.98 min for pure oxygen plasma at 25 W, 50 W, 100 W, and 150 W, respectively. Oxygen-hydrogen peroxide plasma produced D values of 6.41 min (190/10), 6.47 min (180/20), and 4.02 min (160/40) at 100 W and 1.47 min (190/10), 3.11 min (180/20), and 1.94 min (160/40) at 150 W. Ethylene oxide processes resulted in a D value of 2.86 min. Scanning electron microscopy analyses showed damage to the spore cortex.


Assuntos
Desinfetantes/farmacologia , Óxido de Etileno/farmacologia , Plasma/química , Humanos , Plasma/efeitos dos fármacos , Esterilização
8.
Clin Neurophysiol ; 117(8): 1699-707, 2006 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-16797232

RESUMO

OBJECTIVE: In recent years, a promising tool has been introduced which allows the co-registration of electroencephalographic (EEG) activity during brain transcranial magnetic stimulation (TMS). The aims of the present study are to identify eventual stimulus-related artefacts, and to confirm and extend previous EEG/TMS findings about the possible networks generating EEG responses evoked by TMS. METHODS: Focal TMS was delivered to the left primary motor cortex (MI), with different coils (real and sham) and orientations (45 and 135 degrees in respect to the sagittal plane), in six healthy subjects. EEG and motor evoked potentials (MEPs) were simultaneously recorded from 19 scalp electrodes. RESULTS: TMS, with coil oriented at 45 degrees , induced EEG responses characterized by a sequence of positive deflections peaking at approximately 14, 30, 60 and 190 ms and negative deflections peaking at approximately 10, 18, 40 and 100 ms post-TMS. The negative components were recorded at the recording electrode corresponding with the stimulation site (N10, N18), as well as at recording electrodes over the frontal region of the contralateral, unstimulated, hemisphere (N40) and bilaterally over the central hemispheres with its maximal representation at the stimulation site (N100). The positive components were instead detected at the frontal region of the right, unstimulated, hemisphere (P14), over the central electrodes Cz, Fz and the frontal region of the right hemisphere (P30), at the stimulation site (P60), and over the frontal regions of both hemispheres. When TMS was delivered with the coil oriented at 135 degrees , no MEPs were recorded from the right target muscle. Nonetheless, all the TMS-induced EEG components were still evoked apart from the N20-P30. Finally, TMS with the sham coil over left MI did not induce either significant EEG responses or MEPs. CONCLUSIONS: In conclusion, the TMS evoked components we have obtained by recording in continuous mode strikingly fit with those already described by other authors for both their latencies and the spatio-temporal pattern of scalp distribution. SIGNIFICANCE: This experiment is a farther validation of the combined EEG/TMS recording technique as a promising tool for experimental and clinical purposes.


Assuntos
Artefatos , Córtex Cerebral/fisiologia , Eletroencefalografia , Potenciais Evocados/fisiologia , Estimulação Magnética Transcraniana , Adulto , Feminino , Humanos , Masculino
9.
Clin Neurophysiol ; 116(5): 1062-71, 2005 May.
Artigo em Inglês | MEDLINE | ID: mdl-15826846

RESUMO

OBJECTIVE: Repetitive transcranial magnetic stimulation (rTMS) is proposed for the treatment of drug-resistant depression. Studies performed in accordance with evidence-based medicine (EBM) are scarce, particularly in seeking optimal treatment and evaluation parameters. We aimed to test various types of rTMS in a large sample of depressed patients following EBM rules and to investigate treatment-related changes in plasma levels of neurotransmitters involved in depression. METHODS: Seventy-one drug-resistant depressed patients were randomly assigned to low (1 Hz) or high (17 Hz) rate TMS, applied for 5 days over the left dorsolateral prefrontal cortex (L-DLPFC). Patients were separated into two study designs. One group (20 patients) received only active treatment, while the other entered a double-blind, placebo-controlled, crossover design. Pre- and post-treatment blood samples were taken for evaluation of plasma levels of dopamine and serotonin. RESULTS: After a week of treatment patients had a measurable benefit. However, overall the placebo stimulation did not differ significantly from real stimulation, nor were differences observed between the two rates of rTMS. The only difference emerged when the real stimulation was applied at 17 Hz following placebo treatment. Plasma levels of neurotransmitters between active and placebo rTMS were similar. CONCLUSIONS: Using the treatment schedule of 1 week, although a clinical improvement after active treatment was indeed observed, this was both clinically and biochemically indistinguishable from that seen in the placebo arm. SIGNIFICANCE: This suggests that most of the previous emphasis, for short period of treatment, should be tempered down and that further work is required in order to verify whether optimal stimulation and evaluation parameters for TMS-treatment of depression beyond the placebo effect may be found following EBM rules.


Assuntos
Transtorno Depressivo Maior/terapia , Terapia por Estimulação Elétrica , Estimulação Magnética Transcraniana , Adulto , Idoso , Idoso de 80 Anos ou mais , Antidepressivos/uso terapêutico , Cromatografia Líquida de Alta Pressão , Dopamina/sangue , Resistência a Medicamentos , Terapia por Estimulação Elétrica/métodos , Feminino , Ácido Homovanílico/sangue , Humanos , Ácido Hidroxi-Indolacético/sangue , Masculino , Pessoa de Meia-Idade , Serotonina/sangue , Resultado do Tratamento
11.
Eur J Clin Microbiol Infect Dis ; 19(7): 551-4, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10968329

RESUMO

The aim of this study was to evaluate, using high-performance liquid chromatography, the concentration of ceftazidime in agar released from an E test strip, sampling at the edge of the strip at different points (1, 2, 4, 8, 16, 32, 64, and 128 microg/ml) at 6, 15, and 24 h after its deposition on uninoculated plates. From 6 to 24 h, the ceftazidime concentration in agar increased at the graduations 1, 2, and 4 microg/ml (+140, +82, and +58%, respectively), remained fairly constant at 8 microg/ml (-1.9%), and decreased at 16, 32, 64, and 128 microg/ml (-25, -44, -36, and -58%, respectively). In the 6-24 h range, the ceftazidime concentrations between 16 and 1 microg/ml were +/-1 serial dilution of the values reported on the strip, confirming the accuracy of the E test in agar.


Assuntos
Ceftazidima/análise , Cefalosporinas/análise , Testes de Sensibilidade Microbiana/métodos , Fitas Reagentes , Ágar , Cromatografia Líquida de Alta Pressão
12.
Digestion ; 60(5): 456-60, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10473970

RESUMO

BACKGROUND/AIM: Several diagnostic tests are available for evaluating Helicobacter pylori (Hp) infection: histological examination, culture of gastric biopsy specimens, rapid urease test, urea breath test and serology. A recently marketed direct enzyme immunoassay (HpSA) detects Hp antigen in stool samples. The aim of our study was to evaluate overall diagnostic sensitivity, specificity and positive and negative predictive values of this new diagnostic test. METHODS: We included in the study 84 patients (39 males and 45 females; mean age 49.57 years) with dyspeptic symptoms who were examined by upper gastrointestinal endoscopy. Exclusion criteria were previous treatment with proton pump inhibitors, bismuth compounds or antibiotics. During the endoscopic examination biopsies were taken from antrum and corpus for Hp culture and histological examination, and stool specimens were submitted to the laboratory to be stored until the HpSA test. Hp was judged to be present when culture or histology and culture were positive. The (13)C-urea breath test was done only in culture-negative patients in whom either histology or immunoassay or both were positive. RESULTS: Hp was found in 55 patients by both culture and histology. Stool antigen has been detected in 54 of the 55 Hp-positive patients, giving a sensitivity of 98.2% and a negative predictive value of 96.4%. In 2 out of 29 patients HpSA gave a positive result, but the biopsy-based methods were negative, resulting in a low rate of false-positives, with 93.1% specificity and 96.4% positive predictive value; the (13)C-urea breath test confirmed these results as negative. CONCLUSION: Our results show that this new test is highly sensitive and specific for the detection of Hp infection, and it is satisfactorily reproducible.


Assuntos
Antígenos de Bactérias/análise , Fezes/microbiologia , Infecções por Helicobacter/diagnóstico , Helicobacter pylori/imunologia , Adulto , Idoso , Testes Respiratórios , Estudos de Avaliação como Assunto , Feminino , Humanos , Técnicas Imunoenzimáticas , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
13.
Brain ; 121 ( Pt 9): 1785-94, 1998 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9762965

RESUMO

The human somatosensory cortex (S1) is capable of modification after partial peripheral deafferentation, but it is not known whether spinal and brainstem changes contribute to this process. We recorded spinal, brainstem and cortical somatosensory evoked potentials following ulnar nerve stimulation in patients affected by unilateral carpal tunnel syndrome with EMG evidence of chronic alterations in median nerve sensorimotor conduction at the wrist lasting at least 4 weeks, and compared them with those from the unaffected hand and with those obtained in a control group. Amplitudes of spinal N13 and brainstem P14 potentials following stimulation of the ulnar nerve ipsilateral to the deafferented median nerve were greater than those following stimulation of the contralateral ulnar nerve. Side-to-side amplitude differences in N13 and P14 were greater in patients than in the control group. Parietal N20 and P27 potentials, supposedly generated in S1, were also significantly increased. The present results suggest that a chronic pathological modification of peripheral sensorimotor inputs is associated with changes in neural activity at multiple sites of the somatosensory system. Changes in spinal and brainstem structures could contribute to the mechanisms subserving changes in the S1. Changes in synaptic strength and unmasking inputs secondary to disconnection of the normally dominant inputs to the 'median nerve' cortex may be the mechanisms underlying ulnar nerve SEP changes.


Assuntos
Mapeamento Encefálico , Síndrome do Túnel Carpal/fisiopatologia , Potenciais Somatossensoriais Evocados/fisiologia , Nervo Mediano/fisiopatologia , Plasticidade Neuronal/fisiologia , Córtex Somatossensorial/fisiopatologia , Adulto , Tronco Encefálico/fisiologia , Tronco Encefálico/fisiopatologia , Estimulação Elétrica , Eletromiografia , Feminino , Lateralidade Funcional , Humanos , Masculino , Nervo Mediano/fisiologia , Pessoa de Meia-Idade , Condução Nervosa , Valores de Referência , Couro Cabeludo/inervação , Limiar Sensorial , Córtex Somatossensorial/fisiologia , Medula Espinal/fisiologia , Medula Espinal/fisiopatologia , Nervo Ulnar/fisiologia , Nervo Ulnar/fisiopatologia
14.
Electroencephalogr Clin Neurophysiol ; 107(1): 18-26, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9743268

RESUMO

OBJECTIVES: We report the analysis of scalp topography and dipole modeling of the rolandic spikes in 6 patients suffering of benign rolandic epilepsy of childhood with extremely high amplitude SEP by tapping stimulation of the finger of the hand. METHODS: EEG and BESA analysis were performed for both rolandic spontaneous interictal spikes and high amplitude scalp activity evoked by tapping and electrical stimulation of the first finger of the right hand. RESULTS: The evoked responses showed a morphology characterized by a rapid phase (spike) followed by a slow phase (slow wave). The spike presented an early small positive component followed by a main negative component. Similar morphology, dipole configuration and source localization were observed for both rolandic spikes and evoked high amplitude scalp responses. Dipole localization showed an overlap of spatial coordinates between rolandic and evoked spikes. CONCLUSIONS: These findings suggest that the extremely high amplitude SEPs could be evoked spikes which probably had the same cortical generators of the spontaneous rolandic spikes.


Assuntos
Mapeamento Encefálico , Epilepsia Rolândica/fisiopatologia , Potenciais Somatossensoriais Evocados , Criança , Estimulação Elétrica , Eletroencefalografia , Feminino , Humanos , Masculino , Estimulação Física , Couro Cabeludo
15.
Neurology ; 50(6): 1655-61, 1998 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-9633707

RESUMO

We evaluated vertex-parietal P37, N50, and contralateral N37 somatosensory evoked potentials (SEPs) to posterior tibial nerve stimulation during weak (20 to 30%) and strong (80 to 90%) ipsilateral gastrocnemius-soleus contraction. The results were compared with data obtained during full relaxation. P37 and N50 were attenuated significantly during weak contraction and then abolished during strong contraction, whereas the contralateral N37 was not. The N37 potential spreads over the vertex and over the ipsilateral parietal region during strong contraction. The Cz'-F3 montage was not appropriate for detecting these SEP patterns. These findings suggest that thalamic or cortical gating mechanisms affect specific cortical responses. P37 and N50 could reflect the arrival of the afferent volley into the motor areas from thalamic and cortical (subareas 1 and 2 of S1) projections. N37 could be generated in subarea 3b. Differential analysis of N37 and P37 is required in clinical practice, mainly in those conditions that involve the motor system and in those conditions in which tonic muscular activity is increased.


Assuntos
Potenciais Somatossensoriais Evocados , Ativação do Canal Iônico/fisiologia , Contração Muscular/fisiologia , Córtex Somatossensorial/fisiologia , Nervo Tibial/fisiologia , Adulto , Estimulação Elétrica , Potenciais Somatossensoriais Evocados/fisiologia , Feminino , Humanos , Masculino , Músculo Esquelético/fisiologia
16.
Brain ; 121 ( Pt 4): 647-58, 1998 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9577391

RESUMO

We studied six patients suffering from benign rolandic epilepsy of childhood with central temporal spikes who presented so-called 'extreme somatosensory evoked potentials (SEPs)' following peripheral somatosensory stimulation. Stimuli were delivered to the fingers of one hand using both a triggered tendon hammer and low-intensity electrical stimulation. The electrical stimulation was delivered in sequences in different conditions (i.e. random order, 1, 3 and 10 Hz). Both tapping and electrical stimulation produced scalp evoked potentials in all subjects, characterized by a spike followed by a slow wave, similar in morphology and scalp distribution to the spontaneously occurring spikes. This paroxysmal activity was sensitive to stimulus rate; the number of evoked spikes was inversely related to the frequency of stimulation, being maximal at 1 Hz and disappearing at high frequencies (10 Hz). Spontaneous spikes disappeared during high-frequency stimulation but were present during low-frequency stimulation. Averaged SEPs at 3-Hz stimulation showed a late high-amplitude component, identical in morphology and distribution to the single evoked spike. We therefore conclude that, in these subjects, the so-called 'extreme SEPs' are evoked spikes and that evoked and spontaneous spikes share common cortical sensorimotor generators. The evidence that these generators can be influenced by afferent input provides important information regarding the functional mechanisms involved in modulating cortical excitability in benign rolandic epilepsy. Moreover, we suggest that peripheral electrical stimulation can be used as an additional activation test in this kind of epilepsy.


Assuntos
Mapeamento Encefálico , Epilepsia Parcial Complexa/fisiopatologia , Epilepsia Rolândica/fisiopatologia , Potenciais Somatossensoriais Evocados/fisiologia , Dedos/inervação , Córtex Somatossensorial/fisiopatologia , Idade de Início , Anticonvulsivantes/uso terapêutico , Encéfalo/fisiopatologia , Carbamazepina/uso terapêutico , Criança , Estimulação Elétrica , Eletroencefalografia , Epilepsia Parcial Complexa/tratamento farmacológico , Epilepsia Rolândica/tratamento farmacológico , Feminino , Seguimentos , Humanos , Masculino
17.
Electroencephalogr Clin Neurophysiol ; 105(4): 269-79, 1997 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9284234

RESUMO

We mapped the cortical representations of the abductor pollicis brevis, flexor carpi radialis, biceps and deltoid muscles in six subjects with unilateral wrist fractures, immediately after the removal of the splint. This was repeated 1 month later in three out of the six subjects. Duration of immobilization was 1 month. Muscle maps were obtained by delivering four focal magnetic pulses for each scalp position (1 cm apart with reference to Cz) over the contralateral hemisphere. Motor evoked potentials (MEPs) were averaged off-line and expressed as a percentage of the motor action potential evoked by supramaximal peripheral nerve stimulation. Volume, area and threshold of the motor maps showed no significant hemispheric differences within each muscle in 10 control subjects. In the first recording session the volume of each immobilized muscle was distinctly higher when compared to that of controls in terms of absolute value and side-to-side ratio. This finding disappeared 1 month later. Moreover, MEP amplitude difference recorded from hand muscle could be reversed during a small tonic voluntary contraction. Immobilization had no significant effect on the threshold for activation of the target muscles and on the area of the motor map. The increase in MEP amplitudes occurred without changes in spinal excitability as tested by the F wave. These findings suggest that immobilization of the upper limb induces a reversible enhancement of the excitability of structures along the corticomotoneuronal pathway. Sustained restriction of volitional movements and reduction in somatic sensory inputs might promote this functional modulation of the motor system.


Assuntos
Braço/fisiopatologia , Imobilização/fisiologia , Córtex Motor/fisiopatologia , Vias Neurais/fisiopatologia , Adulto , Potencial Evocado Motor/fisiologia , Feminino , Humanos , Magnetismo , Masculino , Traumatismos do Punho/fisiopatologia
18.
Electroencephalogr Clin Neurophysiol ; 105(4): 280-9, 1997 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9284235

RESUMO

We studied the influence of contralateral and ipsilateral cutaneous digital nerve stimulation on motor evoked potentials (MEPs) elicited in hand muscles by transcranial magnetic stimulation (TMS). We tested the effect of different magnetic stimulus intensities on MEPs recorded from the thenar eminence (TE) muscles of the right hand while an electrical conditioning stimulus was delivered to the second finger of the same hand with an intensity four times above the sensory threshold. Amplitude decrement of conditioned MEPs as a function of magnetic stimulus intensity was observed. The lowest TMS stimulus intensity produced the largest decrease in conditioned MEPs. Moreover, we investigated the effects of ipsilateral and contralateral electrical digital stimulation on MEPs elicited in the right TE and biceps muscle using an intensity 10% above the threshold. Marked MEP inhibition in TE muscles following both ipsilateral and contralateral digital stimulation is the main finding of this study. The decrease in conditioned MEP amplitude to ipsilateral stimulation reached a level of 50% of unconditioned MEP amplitude with the circular coil and 30% with the focal coil. The amplitude of conditioned MEPs to contralateral digital stimulation showed a decrease of 60% with the circular coil and more than 50% with the focal coil. The onset of the inhibitory effect of contralateral stimulation using the focal coil occurred at a mean of 15 ms later than that of ipsilateral stimulation. No MEP inhibition was observed when recording from proximal muscles. Ipsilateral and contralateral digital stimulation had no effect on F wave at appropriate interstimulus intervals, where the main MEP suppression was noted. We stress the importance of selecting an appropriate test stimulus intensity to evaluate MEP inhibition by digital nerves stimulation. Spinal and cortical sites of sensorimotor integration are adduced to explain the direct and crossed MEP inhibition following digital nerves stimulation.


Assuntos
Encéfalo/fisiologia , Potencial Evocado Motor/fisiologia , Magnetismo , Adulto , Estimulação Elétrica , Eletromiografia , Feminino , Mãos/fisiologia , Humanos , Masculino , Nervo Mediano/fisiologia
19.
J Clin Neurophysiol ; 14(3): 217-25, 1997 May.
Artigo em Inglês | MEDLINE | ID: mdl-9244161

RESUMO

We performed topographical mapping of somatosensory evoked potentials (SEPs) to the posterior tibial nerve using earlobe references both ipsilateral and contralateral to the stimulation side. The voltage of the frontal contralateral N37 and P50 components was enhanced, while the voltage of the parietal ipsilateral P37 and N50 components was reduced when the contralateral earlobe was substituted by the ipsilateral earlobe reference. Maps of the same data documented concomitant changes in negative and positive potential fields, showing an expansion of the pre-Rolandic N37 toward the centrotemporal contralateral regions, and a tendency of the parietal ipsilateral P37, N50 components to be more focally distributed at the vertex. SEPs recorded at each earlobe (Cv6 reference) provided an explanation of these results: The contralateral earlobe detected a negative potential corresponding to the N37 potential recorded over the scalp, followed by a P50 potential that attenuated the contralateral responses and enhanced the ipsilateral ones. The ipsilateral earlobe had no significant effects on scalp SEPs, since it detected only a large N33 negativity. Current source density (CSD) maps were, of course, not influenced by the ear used as reference. Our results suggest that the ipsilateral ear reference is better than the contralateral one for recording "genuine" cortical SEPs. Therefore, it can be recommended in the clinical domain for mapping studies of lower-limb cortical SEPs.


Assuntos
Mapeamento Encefálico/métodos , Córtex Cerebral/fisiologia , Potenciais Somatossensoriais Evocados/fisiologia , Nervo Tibial/fisiologia , Adulto , Orelha Externa , Feminino , Humanos , Masculino , Valores de Referência
20.
Neurosci Lett ; 223(1): 21-4, 1997 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-9058413

RESUMO

Human somatosensory cortex (S1) is capable of rapid modification after temporary peripheral deafferentation but it is not known whether subcortical changes contribute to this modulation. We recorded spinal, brainstem and cortical somatosensory evoked potentials (SEPs) to median nerve stimulation following anaesthetic block of the ipsilateral ulnar nerve. Spinal N13 and subcortical P14, N18 potentials remained unchanged during the experiment. N20/P20, P27 and N30 cortical potentials, which are generated in different subareas of the S1 (N20/P20, N30 in area 3b; P27 in area 1), showed different increases in amplitude during the anaesthesia, which were more marked for N20/P20 and N30 than for P27 potentials. These results suggest that changes in S1 neural activity induced by transient deafferentation may be primarily intracortical in origin and appear to be segregated within the different subareas of the somatosensory cortex. Unmasking of pre-existing thalamo-cortical projections from median nerve territories, induced by ipsilateral ulnar nerve deafferentation, may be the mechanism underlying cortical SEP enhancement.


Assuntos
Denervação , Potenciais Somatossensoriais Evocados , Plasticidade Neuronal , Córtex Somatossensorial/fisiologia , Adulto , Vias Aferentes/fisiologia , Tronco Encefálico/fisiologia , Córtex Cerebral/fisiologia , Estimulação Elétrica , Humanos , Nervo Mediano/fisiologia , Bloqueio Nervoso , Medula Espinal/fisiologia , Fatores de Tempo , Nervo Ulnar
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