Relationship between hippocampal structure and memory function in elderly humans.

With progressing age, the ability to recollect personal events declines, whereas familiarity-based memory remains relatively intact. It has been hypothesized that age-related hippocampal atrophy may contribute to this pattern because of its critical role for recollection in younger humans and after acute injury. Here, we show that hippocampal volume loss in healthy older persons correlates with gray matter loss (estimated with voxel-based morphometry) of the entire limbic system and shows no correlation with an electrophysiological (event-related potential [ERP]) index of recollection. Instead, it covaries with more substantial and less specific electrophysiological changes of stimulus processing. Age-related changes in another complementary structural measure, hippocampal diffusion, on the other hand, seemed to be more regionally selective and showed the expected correlation with the ERP index of recollection. Thus, hippocampal atrophy in older persons accompanies limbic atrophy, and its functional impact on memory is more fundamental than merely affecting recollection.

Measures of hippocampal volumes, diffusion and 1H MRS metabolic abnormalities in temporal lobe epilepsy provide partially complementary information.

We assessed whether interictal measures of hippocampal volume, hippocampal diffusion and metabolic abnormalities yield correlated or complementary information about hippocampal pathology in patients with temporal lobe epilepsy (TLE). Volumes, apparent diffusion coefficients (ADC) and ratios of N-acetyl-aspartate (NAA) to Creatine/Phosphocreatine (Cr) and Choline (Cho) were measured from each hippocampus during one magnetic resonance imaging (MRI) session in patients with TLE. Structural MRI showed unilateral hippocampal sclerosis (HS) in 13 patients and was normal in the remaining nine patients. Pearson's correlation (two-tailed) between ADC values and NAA/(Cr + Cho) ratios was significant (P = 0.04, r = -0.45) for the hippocampus ipsilateral to the epileptogenic zone as determined on the basis of interictal and ictal scalp EEG recordings. This finding was driven by a very high correlation between the two measures in the presence of HS (P < 0.001, r = -0.96). Furthermore, ipsilateral ADC values but not NAA/(Cr + Cho) ratios were correlated with disease duration (P = 0.001, r = 0.67). Hippocampal volumes did not correlate with either ADC values, NAA/(Cr + Cho) ratios or disease duration. These data suggest that hippocampal volumes, NAA/(Cr + Cho) ratios and ADC values capture partially complementary aspects of hippocampal pathology.

Differences in brain potentials to open and closed class words: class and frequency effects.

Closed class (determiners, pronouns, conjunctions, prepositions etc. ) and open class (nouns, verbs, adjectives, adverbs) words have different linguistic functions and have been proposed to be processed by different neural systems. Here, event-related potentials (ERPs) were recorded in young German-speaking subjects while they read closed class and open class words flashed upon a video-screen. In the first experiment closed class words were sorted into four different frequency categories and open class words into three categories. The words were presented in a list with the subjects' task to detect occasional non-words. A centroparietal negativity (N400) with a peak latency of about 400 ms varied in amplitude as a function of frequency in both classes. The N400 in closed class items, however, was considerably smaller than that in open class words of similar frequency. A left anterior negativity (N280/LPN) showed some degree of frequency-sensitivity regardless of word class. Only for the very high frequency closed class words a frontal negativity with an onset of about 400 ms was obtained (N400-700). This N400-700 effect was replicated in the second study, in which medium frequency closed and open class words and very high frequency closed class words were presented at the fifth position of simple German sentences. It is suggested that neither N400 nor the left anterior negativity (N280/LPN) distinguish qualitatively between the two word classes and thus claims about different brain systems involved in the processing of open and closed class words are not substantiated electrophysiologically. The N400-700 effect is possibly related to specific grammatical functions of some closed class items, such as determiners.

Human brain potentials to reading syntactic errors in sentences of different complexity.

In order to determine if an event-related brain potential (ERP) effect described for syntactic violations (P600/SPS) varies with the amount of reprocessing entailed by a violation, number incongruencies were presented either within simple declarative or within subordinate clauses. ERPs were recorded while 12 German subjects read the stimulus materials presented word by word on a video monitor. The ERPs showed a P600/SPS effect for all sentence types, which was smallest in amplitude and earliest in latency for simple declarative sentences. This effect therefore qualifies as a metric for the amount and timing of syntactic reprocessing entailed by a syntactic error. In addition, a late frontal negativity (1000-1400 ms range) was found for the simple declarative sentences.

[Use of erythropoietin in pregnancy: review of the literature in connection with 2 cases]. / Erythropoietin alkalmazása terhességben: irodalmi áttekintés két eset kapcsán.

Recently a growing number of case reports has been published about successful pregnancy outcome of dialysed women on recombinant human erythropoietin therapy. During pregnancy the maternal demand for erythropoietin may undergo changes, with consideration of recombinant human erythropoietin therapy in the early stage of renal insufficiency, as is shown by our two reported cases. The use of recombinant human erythropoietin seems to be safe for the foetus: it does not cross the placental barrier, and therefore lacks any direct foetal effect. The treatment of anaemia with recombinant human erythropoietin carries benefits for both the mother and foetus. One of the most important preconditions for successful recombinant human erythropoietin therapy is adequate iron supplementation. Due to the increased risk of pregnancy induced hypertension or preeclampsia, there is a need for slow and gradual correction of anaemia, and an individually tailored target hematocrit. A close follow up of he patient by the obstetrical-nephrological team is essential, with the intensive monitoring of the fetuses. In some cases with normal renal function the stimulation of erythropoiesis with recombinant human erythropoietin may also be needed during the pregnancy.