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Biomedical subjects

G Curio

Publications and source records attributed to G Curio.

At least 37 records · Page 2Linked to original sources

Rapid recovery (20 ms) of human 600 Hz electroencephalographic wavelets after double stimulation of sensory nerves.

Non-invasive scalp-recordings of human somatosensory evoked potentials (SEP) contain high-frequency (600 Hz) wavelet bursts, presumably generated by synchronized thalamocortical and/or intracortical population spikes. Here, double pulse stimulation (interval 20 ms) in 12 healthy subjects revealed significantly different burst recovery for mixed vs. sensory-only nerves. For median nerves the second burst response was decreased (11/11 subjects), possibly due to interfering reafferent (e.g. muscle spindle) input. In contrast, for sensory-only superficial radial nerves (containing less fibers than median nerves), weak bursts were detected in 6/11 subjects and were found fully recovered in 4/6 subjects. This potential for rapid burst recovery at 20 ms intervals renders contributions from neurons emitting bursts based on slowly recovering low-threshold calcium spikes unlikely and favors the generation of macroscopic SEP bursts by specialized cell populations, e.g. inhibitory interneurons and/or chattering cells the latter of which are capable to discharge rapidly repeating (50 Hz) high-frequency (600 Hz) bursts of fast sodium spikes.

Action Potentials↗

fMRI shows multiple somatotopic digit representations in human primary somatosensory cortex.

Using electrical finger nerve stimulation in normal human subjects, fMRI detected separate representations for all 5 fingers in the primary somatosensory cortex. Responses were located in the posterior wall of the deep central sulcus (most likely corresponding to Brodmann Area (BA) 3b), and the anterior (BA 1) or posterior crown of the postcentral gyrus (BA 2) with rare activations in BA 3a and 4. In BA 3b we found a regular somatotopic mediolateral digit arrangement for fingers 5 to 1 with a mean Euclidean distance of 16 mm between fingers 1 and 5. In contrast BA 1/2 showed a greater number of adjacent activation foci with significantly more overlap and partly even reversed ordering of neighbouring fingers.

Adult↗

Double-pulse stimulation dissociates intrathalamic and cortical high-frequency (>400Hz) SEP components in man.

Human somatosensory evoked potentials (SEP) contain high-frequency (600 Hz) wavelet bursts possibly reflecting repetitive population spikes in thalamocortical axons and/or postsynaptic responses. To dissociate thalamic and cortical burst components the recovery of intrathalamic SEP (derived from electrodes implanted for movement disorder therapy in seven patients) was compared with scalp SEP in six age-matched Parkinsonian patients and six healthy younger subjects. Upon electric median nerve double-pulse stimulation conditioned scalp bursts were found attenuated in both groups, more for 10ms than 20ms interstimulus intervals; moreover, intraburst frequencies decreased from 690Hz to 590Hz. By contrast, intrathalamic burst amplitudes and frequencies (around 1 kHz) remained largely stable. These dissociations indicate functionally distinct generator mechanisms for scalp and intrathalamic high-frequency SEP bursts.

Action Potentials↗

Speaking modifies voice-evoked activity in the human auditory cortex.

The voice we most often hear is our own, and proper interaction between speaking and hearing is essential for both acquisition and performance of spoken language. Disturbed audiovocal interactions have been implicated in aphasia, stuttering, and schizophrenic voice hallucinations, but paradigms for a noninvasive assessment of auditory self-monitoring of speaking and its possible dysfunctions are rare. Using magnetoencephalograpy we show here that self-uttered syllables transiently activate the speaker's auditory cortex around 100 ms after voice onset. These phasic responses were delayed by 11 ms in the speech-dominant left hemisphere relative to the right, whereas during listening to a replay of the same utterances the response latencies were symmetric. Moreover, the auditory cortices did not react to rare vowel changes interspersed randomly within a series of repetitively spoken vowels, in contrast to regular change-related responses evoked 100-200 ms after replayed rare vowels. Thus, speaking primes the human auditory cortex at a millisecond time scale, dampening and delaying reactions to self-produced "expected" sounds, more prominently in the speech-dominant hemisphere. Such motor-to-sensory priming of early auditory cortex responses during voicing constitutes one element of speech self-monitoring that could be compromised in central speech disorders.

Adult↗

Thalamic and cortical high-frequency (600 Hz) somatosensory-evoked potential (SEP) components are modulated by slight arousal changes in awake subjects.

Human somatosensory-evoked potentials (SEP) recorded at the scalp after conventional electrical median-nerve stimulation contain a low-amplitude (<500 nV), high-frequency (approximately 600 Hz) burst of repetitive wavelets, which are superimposed onto the primary cortical response N20. Previous electroencephalographic (EEG) studies have shown: (1) that these wavelets are generated near the hand area of the primary somatosensory cortex and in deep fibers of thalamocortical afferences; and (2) that only the 600-Hz burst, but not the N20 is decreased during sleep. Since the thalamus is involved in regulating both, selective attention and arousal, the present study aimed at characterizing the effects of focused attention and slight arousal changes on the 600-Hz oscillations. A dipole-source analysis of 64-channel SEP recordings after electric right-median-nerve stimulation allowed the comparison of brainstem, thalamic, and two cortical (one tangential, one radial) source activities in ten awake human subjects under two slightly different arousal states (eyes open vs. eyes closed), each tested for three conditions of focused attention (directed towards rare acoustic and right- or left-hand somatosensory target stimuli). While the N20 was not modified at all, the source strength of the high-frequency wavelet burst was significantly increased for eyes opened versus eyes closed, at the thalamic source site as well as for the tangentially oriented cortical source. In contrast, there were no significant differences between conditions with different attentional targets. This evidence for modulatory effects of increased arousal (eyes open) on both thalamic and cortically generated high-frequency SEP activity fits the hypothesis that the 600-Hz SEP burst at least partially represents an arousal-dependent signal generated at the thalamic level and transmitted to the primary somatosensory cortex.

Adult↗

Linking 600-Hz "spikelike" EEG/MEG wavelets ("sigma-bursts") to cellular substrates: concepts and caveats.

Somatosensory evoked human EEG and magnetoencephalographic (MEG) responses comprise a brief burst of low-amplitude, high-frequency (approximately 600 Hz) spikelike wavelets ("sigma-bursts") superimposed on the primary cortical response (e.g., the N20 to electrical median nerve stimulation). The recent surge of interest in these macroscopic sigma-burst responses is energized by the prospect of monitoring noninvasively, highly synchronized and rapidly repeating population spikes generated in the human thalamic and cortical somatosensory system. Thus, analyses of spike-related sigma-bursts could uniquely complement conventional low-frequency EEG/MEG, reflecting mass excitatory and inhibitory postsynaptic potentials that potentially also incorporate subthreshold activities of undetermined functional relevance. Recent studies using spatiotemporal source analysis of multichannel recordings identified regional burst sources subcortically (near-thalamic) as well as cortically. At the primary somatosensory cortex, sigma-burst generators showed the well-established homuncular somatotopic ordering. Functionally, the 600-Hz burst appears to comprise multiple subcomponents with differential sensitivity to stimulus rate, intensity, sleep-wake cycle, tactile interference, subject age, and certain movement disorders. A plenitude of cellular candidates contributing to burst generation at different levels can already now be envisaged, including cuneothalamic and thalamocortical relay cells, as well as cortical bursting pyramidal cells and fast-spiking inhibitory interneurons. Although cellular burst coding might serve to relay information with high efficiency, concepts to link macroscopic sigma-bursts and cellular substrates call for additional study.

Brain Stem↗

Artifact reduction in magnetoneurography based on time-delayed second-order correlations.

Artifacts in magnetoneurography data due to endogenous biological noise sources, like the cardiac signal, can be four orders of magnitude higher than the signal of interest. Therefore, it is important to establish effective artifact reduction methods. We propose a blind source separation algorithm using only second-order temporal correlations for cleaning biomagnetic measurements of evoked responses in the peripheral nervous system. The algorithm showed its efficiency by eliminating disturbances originating from biological and technical noise sources and successfully extracting the signal of interest. This yields a significant improvement of the neuro-magnetic source analysis.

Algorithms↗

Independent component analysis of noninvasively recorded cortical magnetic DC-fields in humans.

We apply a recently developed multivariate statistical data analysis technique--so called blind source separation (BSS) by independent component analysis--to process magnetoencephalogram recordings of near-dc fields. The extraction of near-dc fields from MEG recordings has great relevance for medical applications since slowly varying dc-phenomena have been found, e.g., in cerebral anoxia and spreading depression in animals. Comparing several BSS approaches, it turns out that an algorithm based on temporal decorrelation successfully extracted a dc-component which was induced in the auditory cortex by presentation of music. The task is challenging because of the limited amount of available data and the corruption by outliers, which makes it an interesting real-world testbed for studying the robustness of ICA methods.

Acoustic Stimulation↗

Current multipole expansion to estimate lateral extent of neuronal activity: a theoretical analysis.

High-resolution magnetoencephalography (MEG) allows for a detailed description of focal neuronal current sources going far beyond the dipole approximation which merely indicates the center and magnitude of neuronal activity. Higher order multipole coefficients can be related to other bulk properties, like spatial extent or curvature. The possibility and limitations of measuring spatial extent by interpreting reconstructed multipole coefficients was tested under realistic noise conditions and for model misspecifications; for this analysis the primary cortical response ("N20") to electric median nerve stimulation was modeled by a one dimensional source distribution. The forward calculation was done analytically up to octapolar order for a spherical volume conductor. The multipole expansion is shown to estimate the lateral source extent with negligible bias; this estimate is to first-order stable against additional source features, like gyral curvature or spatial extent in a second direction (gyral depth, neuronal length). For a dipole moment of 20 nAm a lateral extent of 2 cm can be detected for a realistic noise level with large but experimentally still reasonable effort. Approximating a realistic head model by a sphere results in errors larger than the extent to be estimated; accordingly, studies on human cortical evoked responses will require multipole fitting in realistic head models.

Humans↗

Spatiotemporal characteristics of human intrathalamic high-frequency (>400Hz) SEP components.

Somatosensory evoked potentials (SEP) were recorded in 11 awake patients from intrathalamic electrodes implanted for tremor treatment. A brief (7ms) polyphasic SEP burst (mean frequency > 1000 Hz, with occasional drops to 600 Hz) was found to be superimposed onto the primary thalamic low-frequency response at 16 ms (tP16) and preceeded a scalp-derived 600 Hz burst by 4 ms. Thalamic burst and tP16 generators had a close intrathalamic co-localization. The thalamic burst strength varied more than and independently from tP16. High-frequency thalamic SEP bursts probably reflect a superposition of slightly asynchronously triggered population spikes, generated e.g. by bursting thalamocortical relay cells. The thalamic burst amplitude fluctuations independent from low-frequency responses suggest a peculiar role for thalamic burst coding in awake subjects.

Adult↗

Non-invasive long-term recordings of cortical 'direct current' (DC-) activity in humans using magnetoencephalography.

Recently, biomagnetic fields below 0.1 Hz arising from nerve or muscle injury currents have been measured non-invasively using superconducting quantum interference devices (SQUIDs). Here we report first long-term recordings of cortical direct current (DC) fields in humans based on a horizontal modulation (0.4 Hz) of the body and, respectively, head position beneath the sensor array: near-DC fields with amplitudes between 90 and 540 fT were detected in 5/5 subjects over the auditory cortex throughout prolonged stimulation periods (here: 30 s) during which subjects were listening to concert music. These results prove the feasibility to record non-invasively low amplitude near-DC magnetic fields of the human brain and open the perspective for studies on DC-phenomena in stroke, such as anoxic depolarization or periinfarct depolarization, and in migraine patients.

Acoustic Stimulation↗

Differential effects of overt, covert and replayed speech on vowel-evoked responses of the human auditory cortex.

Recent magnetoencephalographic studies showed that speaking dampens voice-evoked activity in the human auditory cortex. To further characterize this audio-vocal interaction, neuromagnetic responses to short tape-recorded probe vowels were measured while subjects were vocalizing long (8 s) 'background' vowels either aloud or silently, or while both probe and background vowels were replayed from tape. Auditory cortex responses peaking at 100 ms (M100) were delayed and dampened bilaterally relative to a background-free control during both overtly spoken and replayed long vowels, identifying auditory interference as the main cause for these modifications. During covert speech M100 peaked later for matching than non-matching probe/background vowels in the speech-dominant left hemisphere. Thus, voiceless 'inner' speaking is sufficient to modify utterance-specific processing in the human auditory cortex.

Adult↗

Multiple generators of 600 Hz wavelets in human SEP unmasked by varying stimulus rates.

Human scalp-derived somatosensory evoked potentials contain a high-frequency wavelet burst, presumably reflecting repetitive synchronized population spikes. Here, the burst refractory behavior was characterized using median nerve electrostimulation with 18 frequencies (0.5-25Hz) for comparison with cellular burst characteristics. Above 10 Hz only a brief high-frequency (700 Hz) burst component remained discernible, which gradually decreased; possible generators comprise cells capable of generating spike bursts of extraordinarily high frequency, such as pyramidal 'chattering cells', cortical fast spiking inhibitory interneurons and some thalamocortical relay cells. At stimulation frequencies <4 Hz an additional late burst component appeared with only 494 Hz intraburst frequency. Comparably long refractory periods and low intraburst frequencies have been described for bursting cells driven by low-threshold calcium currents.

Action Potentials↗

Magnetometry of injury currents from human nerve and muscle specimens using superconducting quantum interferences devices.

Acute lesions of polarized membranes lead to slowly decaying ('near-DC') injury currents driven by the transmembrane resting potential gradient. Here we report the first recordings of injury-related near-DC magnetic fields from human nerve and muscle specimens in vitro using Superconducting Quantum Interference Devices (SQUIDs) operated in a conventional magnetically shielded room in a clinical environment. The specimen position was modulated sinusoidally beneath the sensor array by a non-magnetically fabricated scissors lift to improve the signal-to-noise ratio for near-DC fields. Depending on the specimen geometry the field patterns showed dipolar or quadrupolar aspects. The slow decay of human nerve and muscle injury currents was monitored for several hours from a distance of a few centimeters. Thus DC-magnetometry provides a sensitivity which might allow the remote detection of injury currents also in vivo.

Animals↗

Epidural abscess of the cervical spine with osteomyelitis of the odontoid process.

STUDY DESIGN: A case report. OBJECTIVES: To document the rare condition of staphylococcal osteomyelitis of the odontoid process and to increase knowledge about the clinical characteristics and favorable outcome if patients are managed appropriately. SUMMARY OF BACKGROUND DATA: Osteomyelitis of the odontoid process caused by Staphylococcus aureus is a rare disease. A handful of cases have been reported within the last 30 years. Destructive odontoid peg involvement is most commonly associated with rheumatoid disease, which has a distinct clinical course compared with that of bacterial infection. METHODS: Two patients with bacterial osteomyelitis of the odontoid peg underwent medical and surgical treatment. They were observed for 3 years. All authors were involved in the care of these patients. RESULTS: Close monitoring of the patients' neurologic status and the use of noninvasive imaging techniques to evaluate the cervical spine led to an individualized treatment plan including antibiotic medication and transoral surgery with good outcomes in both cases. CONCLUSIONS: Awareness of the occurrence of bacterial osteomyelitis of the odontoid process, with or without neurologic symptoms, in patients with neck pain and fever may lead to earlier detection of this potentially critical condition, which has an excellent prognosis when treated early and appropriately.

Abscess↗

Stability of high-frequency (600 Hz) components in human somatosensory evoked potentials under variation of stimulus rate--evidence for a thalamic origin.

The generators of spike-like high-frequency (600 Hz) wavelets superimposed on the primary cortical response (N20) in human median nerve somatosensory evoked potentials (SEP) have been localized anatomically both close to the primary somatosensory hand cortex and in deep axon segments of thalamo-cortical projection neurons. Here, N20 and 600 Hz burst components were functionally dissociated by varying the stimulus rate (1.5, 3, 6, 9 Hz). The N20 source amplitudes were significantly reduced at the higher stimulus rates. In contrast, the source amplitudes of the 600 Hz oscillations remained stable across all stimulus rates. This reflects different source origins, confirming a postsynaptic intracortical generation of the N20 component and provides further evidence for a presynaptic origin of the 600 Hz activity like repetitive neuronal population spikes conducted in deep and superficial segments of thalamo-cortical projection fibers.

Brain↗

The effect of artifact rejection by signal-space projection on source localization accuracy in MEG measurements.

The consequences of artifact suppression by means of signal-space projection on dipole localization accuracy for magnetoencephalography measurements are studied. Approximate analytical formulas, equivalent to the Cramer-Rao bound, are presented and verified by Monte Carlo simulations which relate the increase of localization error for individual coordinates to the similarity of the artifact field and respective (contravariant) quadrupole fields obtained by differentiating the dipole field with respect to its origin. The expressions simplify significantly for dipoles placed below the center of the measuring system giving rise to highly symmetric field patterns. Formulas are presented both for single- and for multiple-artifact rejection. As illustrative examples artifact fields are constructed which a) lead to highly decreasing signal-to-noise ratio and goodness-of-fit (GOF), while the localization error is unaffected for all coordinates and b) lead to an increase of localization error while the SNR and the GOF stays constant. Finally, the rich structure of localization error increase is demonstrated for a class of artifact fields originating from artifact current dipoles.

Artifacts↗