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Biomedical subjects

G Lindinger

Publications and source records attributed to G Lindinger.

At least 55 records · Page 3Linked to original sources

Electric and magnetic fields of the brain accompanying internal simulation of movement.

Methods of functional brain imaging have been used to identify brain structures which are active during internal simulation of movements (ISM). Between 1977 and 1993 it was consistently reported that the primary motor cortex (MI) is not active during ISM whereas other cortical areas, in particular the supplementary motor area (SMA) are active. ISM was assumed to be a situation of "internal programming'. Brain systems involved in ISM or 'programming' were hypothesized to be superior to and separable from 'executive system' including MI. We have studied electric and magnetic fields of the brain when subjects internally simulated either a single movement or a sequence of movements. Results of the studies are consistent with the assumption that MI is active with ISM. Internally subjects experienced effort which was required to inhibit overt movements during ISM. A recent EEG study showed different patterns of cortical activity with ISM and with movement inhibition suggesting that different brain structures may be active during ISM and movement inhibition [23].

Brain↗

Supplementary motor area in spatial coordination of bilateral movements: a new aspect to 'the SMA debate'?

To test whether the supplementary motor area's (SMA) role is confined to determining the 'temporal' but not the 'spatial' properties of a movement (H.H. Kornhuber et al., in: W.A. Hershberger (Ed.), Volitional Action, Elsevier, Amsterdam, 1989, pp. 107-168), movement-related scalp-recorded negative DC potential shifts were recorded in bilateral movements requiring complex spatial coordination. In such bilateral continuous rotation movements, the effect of the rotation sense (symmetrical vs. antisymmetrical), i.e. the direction in which an arm or a finger rotated in relation to the other, heavily affected DC shifts over the frontocentral midline. Antisymmetrical rotation of upper limb segments was associated with higher negative DC shifts than symmetrical rotation was. This was true for rotations in the sagittal plane, irrespective of whether the rotation involved predominantly proximal muscles (by a rotation predominantly in the shoulder) or only distal muscles (by a rotation in the metacarpo-phalangeal joint of the index finger). If these negative cortical DC-shifts over the frontocentral midline relate to activity of mesial frontocentral structures including the SMA, then the present results suggest that there is a role for these cerebral areas in spatial coordination of bilateral movements. Surprisingly, this was not the case for similar finger movements performed in the frontal plane. The results of the present study and particularly the considering of some fundamentals of theoretical physics and of Popper's philosophy of science, made us revise our assumption motivating the present study, that time and space would represent two orthogonal factors of a movement and that the contributions of a particular cerebral motor area (such as the SMA) to 'spatial parameters' versus 'temporal parameters' of a movement can thus be teased apart.

Adult↗

Brain potentials with old/new distinction of non-words and geometric figures.

Event-related potentials (ERPs) were recorded in a continuous memory recognition task. Readable non-words and abstract geometric figures were presented in an alternating manner with an inter-stimulus interval of 2.1 s. Probability of item repetition was 0.25, a lag of one item lay between initial presentation and repetition. OLD/NEW distinction was indicated by the subject's motor response. Using linked-mastoid electrodes for reference, material-specific hemispheric asymmetries of ERPs started 150 ms after stimulus onset in temporo-lateral and parietal recordings with ERPs elicited by non-words being lateralized to the left and those by figures to the right. Clear OLD/NEW ERP effects were found with non-words: Starting about 200-250 ms after stimulus presentation, ERPs of formerly presented (OLD) items were more positive-going in recordings over the midline than ERPs of items that were new and to be repeated (NEW). In contrast, no local OLD/NEW ERP-difference was found with figures. In some brain regions, OLD/NEW ERP-differences were larger over the left hemisphere compared to the right. This finding, however, did not differ between non-words and figures.

Adult↗

The functional organization of the interictal spike complex in benign rolandic epilepsy.

PURPOSE: We studied the functional organization of the interictal epileptic spike complex in patients with benign rolandic epilepsy of childhood (BREC). METHODS: We recorded interictal epileptiform spikes and somatosensory evoked potentials after median nerve stimulation, providing a biologic marker for the location of the central sulcus in 12 patients with BREC. We used multiple dipole modeling to assess the number, the three-dimensional intracerebral location, and the time activity of the underlying neuronal sources. RESULTS: Although the interictal spike complex could be modeled by a single tangential dipolar source in seven patients (group 1), in the remaining five patients, two sources-a radial and a tangential dipole-were necessary adequately to explain the interictal spikes (group 2). The tangential source was located deeper than the radial source and was characterized by a frontal positivity and a centroparietal negativity with a phase reversal across the central sulcus, suggesting that the interictal spikes originated in the anterior wall of the central sulcus. The radial source showed a single electronegativity over the ipsilateral central region, which would be compatible with involvement of the top of either the pre- or postcentral gyrus. Both sources showed biphasic time patterns with an average latency difference of 30 ms. CONCLUSIONS: Our results indicate that in some patients with typical BREC, the interictal epileptiform spike complex is generated by multiple, simultaneously active neuronal populations within the central region and that epileptiform activity is propagated between these two adjacent cortical areas.

Adolescent↗

Epileptic negative myoclonus: An EEG-single-photon emission CT study indicating involvement of premotor cortex.

We report a combined EEG-single-photon emission CT (SPECT) study on a patient with epileptic negative myoclonus (ENM). Clinically, the ENM was characterized by brief repetitive lapses in postural tone of the right upper extremity when the arms were held outstretched, whereas no movement effect was observed during rest. Ictal EEG showed repetitive left frontal spikes with a maximum at electrodes EC1 and F1. EMG silent periods lasting from 100 to 200 ms followed the onset of the EEG transients by a latency of 20 to 40 ms. The N20 component of median nerve somatosensory evoked potentials-representing a biological marker of the location of central fissure-showed a phase reversal between electrodes P3 and C1 and thus was located considerably posterior to the spike maximum. We obtained accurate anatomic reference of cerebral blood flow changes visible on SPECT by a special coregistration technique of MRI and SPECT. SPECT performed during ENM showed a marked regional hyperperfusion in the left middle frontal gyrus and a less pronounced increase in tracer uptake in the left supramarginal gyrus. Our results suggest that ENM is generated by epileptic activity in the premotor area in the middle frontal gyrus corresponding to Brodmann's area 6.

Adolescent↗

Mental representations of movements. Brain potentials associated with imagination of hand movements.

The present study was designed in order to contribute towards the understanding of the physiology of motor imagery. DC potentials were recorded when subjects either imagined or executed a sequence of unilateral or bilateral hand movements. The sequence consisted of hand movements in 4 directions, forwards, backwards, to the right and to the left, and varied from trial to trial. The sequence had been cued by visual targets on a computer screen and had to be memorized before the trial was initiated. Changes of DC potentials between task execution and imagination were localized in central recordings (C3, Cz, C4) with larger amplitudes when executing the task than when imagining to do so. Stimulation of peripheral receptors associated with task execution or a different level of activation of the cortico-motoneural system could account for this finding. The main result of the present study was that with unilateral performance, the side of the performing hand (right, left) had localized effects in recordings over the sensorimotor hand area (C3, C4) which were qualitatively the same with imagination and execution and quantitatively similar (i.e., without significant difference). Performance of the right hand augmented negative DC potentials in C3, performance of the left hand augmented amplitudes in C4. This result is consistent with the assumption that the primary motor cortex is active with motor imagery. Finally, the question has been addressed whether motor imagery may involve the left hemisphere to a larger extent than the execution of the movement. It is shown that a particular contribution of the left hemisphere associated with motor imagery may only show up under strictly controlled conditions.

Adult↗

Propagation of interictal epileptic activity in temporal lobe epilepsy.

We recorded interictal spikes with closely spaced scalp electrodes and sphenoidal electrodes in four patients with temporal lobe epilepsy. We used multiple dipole modeling to study the number, three-dimensional intracerebral location, time activity, and functional relationship of the neuronal sources underlying the epileptic spike complexes. In all patients, we found two significant sources generating the interictal spikes which showed considerable overlap in both space and time. Source 1 was located in the mesiobasal temporal lobe and generated a restricted negativity at the ipsilateral sphenoidal electrode and a widespread positivity over the vertex. Source 2 could be attributed to the lateral temporal neocortex and was associated with a relatively restricted negativity at the ipsilateral temporal electrodes and a more widespread positivity over the contralateral hemisphere. The sources were well separated in space, with an average distance of 45 mm between them. The time activities of both sources showed similar biphasic patterns, with the mesial source leading the lateral source by approximately 40 msec, suggesting propagation of interictal epileptic activity from the mesiobasal to the lateral temporal lobe.

Adult↗

Tactile mental imagery in sighted persons and in patients suffering from peripheral blindness early in life.

Patterns of cortical activity as measured by scalp-recorded event-related slow negative DC potential shifts were recorded in 9 early blind and 23 sighted normals while they imagined the feel of textures with the fingertips of one hand. All sighted subjects reported to have concomitant visual imagery as well. Hence, it was not surprising to observe occipital negative shifts, previously described as a sign of occipital visual cortex involvement in visual mental imagery. Though having never had visual perception, the blind, too, had occipital negativities. Their absolute amplitudes were smaller than in the sighted, not only occipitally but also and more pronounced at other areas, particularly frontally where amplitudes were even positive. On the hypothesis that the smaller overall amplitudes in the blind could obscure topographical differences between groups, the relative distribution of negativity across the scalp was assessed, using normalized data. Such normalized parameters significantly differed between groups, indicating that the occipital potentials of the blind were relatively more negative as related to the other scalp areas, than were the occipital potentials of the sighted as related to the other scalp areas. This occipital finding might indicate a participation of the blind's visually deprived occipital cortex in tactile imagery. Second, parietal DC potentials were maximal over the hemisphere contralateral to the imaging hand, possibly indicating involvement of the contralateral parietal association cortex in tactile imagery. Reasons why this was true only for the sighted, are discussed.

Adolescent↗

Functional localization of motor processes in the primary and supplementary motor areas.

Aspects of human brain activity were measured when subjects performed self-initiated voluntary movements, responded to external cues, or either executed or imagined performing sequential movements. Biophysical modeling of movement-related magnetic and electric fields of the brain succeeded in localizing focal activity in primary and supplementary motor areas, describing the temporal course of focal activation, and analyzing effects of type and consequences of movements on motor preparation. Positron emission tomography was used to test functional specializations of primary and supplementary areas by systematic variations of motor sequence tasks. Studies on functional brain imaging have been employed not only to contribute towards the understanding of brain physiology but also to investigate pathophysiology of movement disorders, principles of functional reorganization following brain lesions, and drug-induced changes of movement-related brain activity.

Brain↗

Changes of cortical activity when executing learned motor sequences.

Fifteen right-handed subjects performed a learned sequence of four movements (flex index finger, extend hand, extend index finger, flex hand) either with their left or their right hand. The sequence of movements had to be continuously repeated for 20 s (period of execution). In the beginning of each period of execution large negative DC potentials were recorded in positions located above the mesial fronto-central cortex (Cz) and the sensorimotor hand areas of either hemisphere (C3 and C4). In contrast, DC potentials were absent in Cz at the end of the period of execution. In recordings from a position above the sensorimotor hand area contralateral to the performing side, negative DC potentials declined to some extent during task execution but were still present at the end of the period. Variations of both the amplitude and topography of negative cortical DC potentials during task-execution indicate changes of both the size and pattern of cortical activity. These findings were consistently found at both the beginning and end of the experiment. Motor performance as quantified by movement times and inter-onset latencies of movements showed no change, either during the periods of execution or when comparing the beginning of the experiment with the end. Conclusions are: (1) the execution of a learned motor sequence task cannot be associated with a particular size and pattern of cortical activity. (2) A pronounced decline of neural activity in the mesial, fronto-central area constitutes the predominant feature of the changes of cortical activity during the period of execution.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Frontal DC potentials in auditory selective attention.

Selective dichotic listening during periods of 35 sec was associated with negative shifts of the cortical DC potential. Amplitudes of negative DC potentials had maxima in frontal, in particular, in anterior frontal records. The temporal pattern of negative DC potentials was different between the fronto-lateral records of the two hemispheres: in records from the right side, DC potentials declined during the 35 sec observation period, whereas they remained sustained in those of the left side. Different instructions ("attend left ear," "attend right," "attend both") and different levels of pitch separation between deviants and standards had no effects on frontal negative DC potential shifts, which are discussed in terms of higher order control of selective dichotic listening.

Adult↗

Frontocentral DC-potential shifts predicting behavior with or without a motor task.

This study was designed to investigate the predictive value of the event-related potentials (ERPs) preceding the initiation of a difficult perceptual-memory task and to investigate whether these ERPs require a motor movement on the part of the subject for their occurrence. Across 4 conditions the DC-potential shifts were recorded from 23 right-handed subjects using DC amplifiers. Although the start of each trial began with a ready signal, the conditions differed in that the subjects initiated the task by a button press in 2 conditions and the computer initiated it in 2 others without a press. The results showed that, especially in the frontocentral electrode sites, the DC-potential shifts which began those trials ending in correct performance were more negative relative to those trials ending in an incorrect response. Those conditions which required the subjects to self-initiate the trial and those which were initiated by the computer showed similar results indicating that the negative DC-potential shifts preceding correct performance are neither produced by nor depend on a task initiating motor movement. The onset of the DC-potential shifts preceded task initiation by up to 4.1 sec indicating that they were more than the Bereitschaftspotential.

Adult↗

Cortical DC potential shifts accompanying auditory and visual short-term memory.

Negative DC potential shifts appeared over the scalp during the performance of verbal and non-verbal short-term memory tasks. Three items were successively presented (presentation of memory items) and then had to be retained in memory for 3 sec (memory retention) before being compared to a probe which was either a member (in set) or not a member (out of set) of the memory set. Verbal items (the digits "1" through "9") were tested in the auditory and visual modality and non-verbal items (musical notes) were tested in the auditory modality. Stimulus modality had a significant effect on DC potential shifts during both presentation of memory items and memory retention. There was a sustained negative shift during these periods which was larger over frontal regions with auditory than with visual material whereas the negative shift was larger over posterior temporal regions with visual than with auditory material. Out of 21 subjects who participated in the study, 9 reported the use of visual images in the auditory task, 5 used subvocal auditory rehearsal in the visual task and 7 used imagery concordant with the stimulus modality being memorized. These different strategies had a significant effect on the amplitudes and distribution of the DC potential shifts. The speed of response affected the amplitude of the DC potential shifts in the frontal regions, being larger with fast RTs than with slow RTs but only when verbal items were being processed. These results indicate that stimulus modality, modality of mental imagery, and speed of scanning of the memory store affect DC potential shifts during a 3 sec period of memory retention.

Acoustic Stimulation↗

Human somatosensory cortical finger representation as studied by combined neuromagnetic and neuroelectric measurements.

We studied somatotopy of human hand somatosensory cortex using evoked responses recorded on magnetoencephalogram (MEG) and scalp-electroencephalogram (EEG) in conjunction with dipole modeling. We found a somatotopic arrangement of cortical digit representations with a sensory sequence from lateral inferior to medial superior in the anatomical order thumb, index finger, middle finger, ring finger, and little finger. MEG alone was able to reproduce this sensory sequence more accurately than scalp-EEG alone. However, the combined information provided by both techniques improved localization accuracy even further. As MEG and scalp-EEG are complementary and confirmatory techniques, this combined approach was useful to get more complete information on the functional organization of human hand somatosensory cortex.

Brain Mapping↗

Localization of brain activity during auditory verbal short-term memory derived from magnetic recordings.

We have studied magnetic and electrical fields of the brain in normal subjects during the performance of an auditory verbal short-term memory task. On each trial 3 digits, selected from the numbers 'one' through 'nine', were presented for memorization followed by a probe number which could or could not be a member of the preceding memory set. The subject pressed an appropriate response button and accuracy and reaction time were measured. Magnetic fields recorded from up to 63 sites over both hemispheres revealed a transient field at 110 ms to both the memory item and the probe consistent with a dipole source in Heschl's gyrus; a sustained magnetic field between 300 and 800 ms to just the memory items localized to the temporal lobe slightly deeper and posterior to Heschl's gyri; and a sustained magnetic field between 300 and 800 ms to just the probes localized bilaterally to the medio-basal temporal lobes. These results are related to clinical disorders of short-term memory in man.

Adult↗

On the functionality of the visually deprived occipital cortex in early blind persons.

In early blind mammals, the deprived visual cortex undergoes anatomical and functional alterations. Its functional role was investigated in the early human blind by using patterns of cortical activation as measured by scalp-recorded event-related slow negative DC potential shifts. The blind showed higher occipital negativity than did sighted persons both during a tactile reading task and a non-reading tactile control task. Results point to a possible role for the blind's visual cortex in tactile processes.

Adult↗

Neuromagnetic investigation of somatotopy of human hand somatosensory cortex.

In order to investigate functional topography of human hand somatosensory cortex we recorded somatosensory evoked fields (SEFs) on MEG during the first 40 ms after stimulation of median nerve, ulnar nerve, and the 5 digits. We applied dipole modeling to determine the three-dimensional cortical representations of different peripheral receptive fields. Median nerve and ulnar nerve SEFs exhibited the previously described N20 and P30 components with a magnetic field pattern emerging from the head superior and re-entering the head inferior for the N20 component; the magnetic field pattern of the P30 component was of reversed orientation. Reversals of field direction were oriented along the anterior-posterior axis. SEFs during digit stimulation showed analogous N22 and P32 components and similar magnetic field patterns. Reversals of field direction showed a shift from lateral inferior to medial superior for thumb to little finger. Dipole modeling yielded good fits at these peak latencies accounting for an average of 83% of the data variance. The cortical digit representations were arranged in an orderly somatotopic way from lateral inferior to medial superior in the sequence thumb, index finger, middle finger, ring finger, and little finger. Median nerve cortical representation was lateral inferior to that of ulnar nerve. Isofield maps and dipole locations for these components are consistent with neuronal activity in the posterior bank of central fissure corresponding to area 3b. We conclude that SEFs recorded on MEG in conjunction with source localization techniques are useful to investigate functional topography of human hand somatosensory cortex non-invasively.

Brain Mapping↗

Three-dimensional localization of SMA activity preceding voluntary movement. A study of electric and magnetic fields in a patient with infarction of the right supplementary motor area.

Previous studies by magnetoencephalography (MEG) failed to consistently localize the activity of the supplementary motor area (SMA) prior to voluntary movements in healthy human subjects. Based on the assumption that the SMA of either hemisphere is active prior to voluntary movements, the negative findings of previous studies could be explained by the hypothesis that magnetic fields of current dipole sources in the two SMAs may cancel each other. The present MEG study was performed in a patient with a complete vascular lesion of the right SMA. In this case it was possible to consistently localize a current dipole source in the intact left SMA starting about 1200 msec prior to the initiation of voluntary movements of the right thumb. Starting at about 600 msec prior to movement onset the assumption of a current dipole source in the left primary motor cortex was needed to account for the observed fields. Measurements of brain potentials were consistent with MEG findings of activity of the left SMA starting about 1200 msec prior to movement onset.

Brain Mapping↗