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J Pernier

Publications and source records attributed to J Pernier.

At least 55 records · Page 3Linked to original sources
PubMed1987

Brain-stem monitoring. I. A system for high-rate sequential BAEP recording and feature extraction.

A computerized system is proposed for the continuous automatic monitoring of BAEPs in the intensive care unit or in the operating room. A new adaptive optimal digital filtering technique has been developed to allow BAEP recording with 200-400 stimulations, i.e., within 10-20 sec only, every 2 min. This method permits a selective cancellation of the major artifacts as soon as they occur: electrical interference and myogenic activities which are commonly encountered in such environments. An algorithm for automatic peak detection (waves I-V) has been implemented, and the whole system has been evaluated in terms of reduction of the intra-individual variability of latencies and amplitudes. Some clinical examples of comatose patient monitoring are briefly presented to illustrate the performance and the reliability of the system.

Brain Stem↗
PubMed1987

Brain-stem monitoring. II. Preterminal BAEP changes observed until brain death in deeply comatose patients.

Preterminal BAEP changes were studied until brain death in 8 head-injured patients out of a series of 38 comas monitored by means of a system allowing high-rate sequential recording. Two different modalities of BAEP degradation were disclosed: (1) simultaneous latency increase of all components associated with a decrease of cerebral perfusion pressure (CPP), consistent with ongoing ischaemia of the posterior fossa; (2) deterioration of brain-stem components (waves III-V) with preserved or even enhanced wave I. The latter pattern was not consistently associated with any haemodynamic change and might be related to mechanical factors causing rostro-caudal deterioration of brain-stem function. The time course of BAEP degradation ranged from a few minutes to more than 10 h. In the case of slow preterminal evolution definitely pathological trends were identified even when individual BAEPs were still within normal limits. Such trends would have remained unnoticed in single BAEP records. Hypothermia and anaesthetic drugs were found to induce falsely alarming BAEP changes very similar to those seen during preterminal evolution. Our results suggest that continuous brain-stem monitoring could be helpful for management of comatose head-injured patients.

Blood Pressure↗
PubMed1985

Sequential colour mapping system of brain potentials.

We present a colour mapping system for the visualization of both the spatial scalp distribution and the temporal evolution of brain potentials. The system is applicable to recordings of auditory, visual and somatosensory potentials. It uses a Tektronix 4113 colour terminal connected to a Solar 16 (SEMS) mini-computer. The brain potentials are recorded on up to 16 scalp electrodes. The gain and the baseline are corrected separately on each channel. At each point of the scalp the potential is reconstructed by a linear interpolation of the measured potentials of the four nearest electrodes. Simultaneously n2 (1 less than n less than 8) colour maps can be presented on the screen. This allows the study of the temporal evolution of full scalp evoked potentials. The user chooses the two extreme latencies defining the time window to be explored and the latencies of the maps are regularly time-spaced within this window. In a typical case, in which four maps are desired, the latencies of the maps can be chosen independently. The 16-colour palette is predetermined but the user has three possibilities to establish the correspondence between the electrical potential and the colours. Examples are shown in the visual and somatosensory stimulation modalities. The advantages and limitations of such a representation are discussed.

Brain↗
PubMed1985

[Sequential spatial maps of visual potentials evoked by checkerboard-pattern reversal: effect of the retinal field stimulated on response topography].

Sequential color maps of visual potentials evoked by the reversal of various checkerboard patterns were recorded in 10 young adults using a 16 channel montage. It was found that each of the components of the N75-P100-N145 occipital complex had a specific spatial distribution on the scalp and was selectively influenced by the size, the spatial frequency, the luminance and possibly the wave length of the stimulus. Component N75 was found to be elicited by the more peripheral area of the TV stimulus (12 degrees X 16 degrees). Component P100 was associated with a frontal negativity of similar latency favoring the hypothesis of a dipolar occipital generator. With half-field stimulations the dipole orientation was modified, leading to a 'paradoxical' lateralization of P100 in most cases. However the reverse situation (P100 contralateral to the stimulated half-field) was observed in 4 and 3 subjects out of 10 with left and right half-field stimulations respectively. Thus VEP to full-field TV pattern reversal cannot be recommended to investigate hemianopic patients. Component N145 was of maximal amplitude when elicited by the reversal of small foveal patterns (2.18 degrees), especially red light emitting diodes.

Adult↗
PubMed1984

The temporal component of the auditory evoked potential: a reinterpretation.

The auditory evoked potentials in man cannot be explained by a single source even though a strong influence of the primary areas in the supra-temporal plane has been pointed out in different works. In 26 normal adults we mathematically extracted the greater part of the experimental AEPs explicable by such an origin. The residual part obtained by subtracting this first component from the experimental data is in agreement with an origin in the precentral motor cortex.

Brain Mapping↗