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K Reinikainen

Publications and source records attributed to K Reinikainen.

At least 55 records · Page 3Linked to original sources

Neurofibrillary tangles and histamine-containing neurons in Alzheimer hypothalamus.

The location of histamine-immunoreactive (IR) cell bodies in normal aged human brain and in cases of Alzheimer's disease (AD) were compared to the distribution of neurofibrillary tangles (NFT). Cryostat sections were fixed with carbodiimide and processed for histamine-immunohistochemistry using the PAP technique. NFT were visualized in the same sections using thioflavin. Histamine-IR cell bodies in human brain were concentrated in the tuberomammillary (TM) nucleus that embodied a major part of the hypothalamus. Although located in similar large profiles and mainly concentrated in the TM area, the numerous hypothalamic NFT in AD were seldom found within the histamine-IR neurons.

Aged↗

Right hemisphere dominance of different mismatch negativities.

Auditory stimulus blocks were presented to 10 reading subjects. Each block consisted of 2 types of stimulus, standard (P = 90%) and deviant (P = 10%), delivered in a random order with short constant inter-stimulus intervals. The standard stimuli were 600 Hz. 80 dB SPL 50 msec sine wave bursts. In different blocks, the deviant stimuli differed from the standards either in frequency (650 Hz), intensity (70 dB) or duration (20 msec). Left- and right-ear stimulations were used in separate blocks. Event-related brain potentials (ERPs) were recorded with 16 electrodes over both hemispheres. All the different types of deviant stimuli elicited an ERP component called the mismatch negativity (MMN). The MMN was larger over the right hemisphere irrespective of the ear stimulated whereas the N1 component, elicited by both standards and deviants, was larger over the hemisphere contralateral to the ear stimulated. The results provide further evidence for the view that the MMN reflects a neural mismatch process with a memory trace which automatically codes the physical features of the repetitive stimuli.

Acoustic Stimulation↗

Histamine neurons in human hypothalamus: anatomy in normal and Alzheimer diseased brains.

The anatomy of histamine-immunoreactive cell bodies in normal adult human brain was examined in detail. In addition, the distribution of these cells in three cases of Alzheimer's disease was compared to the distribution of neurofibrillary tangles. Histamine-immunoreactive cell bodies were confined to the tuberal and posterior hypothalamus, forming the tuberomammillary nuclear complex. Most of the about 64,000 histamine neurons were large and multipolar. They comprised four distinct parts: (i) a major ventral part corresponding to the classical tuberomammillary nucleus, (ii) a medial part including the supramammillary nucleus and part of the posterior hypothalamic area, (iii) a caudal paramammillary part, and (iv) a minor lateral part. The parts showed some similarity with the subgroups in rat. In human, as compared to rat, the histamine neurons occupy a larger proportion of the hypothalamus. Numerous neurofibrillary tangles were found in the Alzheimer hypothalami, concentrated in the tuberomammillary area. Most of them were of globular type and extracellular, and only a minority were histamine immunoreactive. They may represent remnants of degenerated tuberomammillary neurons.

Alzheimer Disease↗

Human somatosensory evoked potentials to mechanical pulses and vibration: contributions of SI and SII somatosensory cortices to P50 and P100 components.

Somatosensory evoked potentials (SEPs) were measured to short tactile pulses and vibratory stimuli applied to the fingertip to determine the characteristics and scalp topography of different early and late SEP components to these types of stimulus. The measurements were obtained from 3 homologous contra- and ipsilateral locations and from the vertex. In 2 subjects the SEPs were measured from 23 recording locations. The subjects were reading during the experiments. The first distinct contralateral response was an anteriorly negative and centrally as well as posteriorly positive peak at about 50 msec latency (P50). Largest P50 responses with shortest peak latencies were measured to single tactile pulses. We suggest that P50 is probably generated in the contralateral SI cortex. The P50 was followed by a distinct negative deflection (N70) in the middle and posterior recording locations on the contralateral hemisphere, which reversed its polarity in the frontal records. This peak was also seen ipsilaterally. At about 100 msec latency a distinct bilateral positive P100 peak was obtained. This peak was most prominent to vibratory stimuli, and especially to high frequency vibration. Comparisons with recent intracortical SEP studies in primates and MEG studies in humans suggest that P100 might be best accounted for by bilateral generators in SII cortices. The early components were followed by a negative N140 wave and by a slow, positive wave with a maximum at about 300 msec. Both waves had an asymmetrical distribution. The N140 wave occurred bilaterally, but was largest contralaterally, and often had two peaks at posterior recording locations. The slow positivity was largest at the vertex and at mid-posterior recording sites.

Adult↗

Cerebrospinal fluid somatostatin in delirium. II. Changes at the acute stage and at one year follow-up.

Cerebrospinal fluid somatostatin-like immunoreactivity (CSF SLI) was determined for elderly delirious patients during the acute stage and after one-year follow-up. The SLI levels were compared with age-equivalent controls. For the group as a whole, and also when the group was subdivided according to the severity of cognitive decline at the acute stage, type of delirium, or the central nervous system disease, delirious patients showed significant reduction of SLI as compared with the controls. In the follow-up, we observed a further reduction of CSF SLI together with significant correlations in the second and third samples between SLI levels and Mini-Mental State Examination score. Our results suggest a role for somatostatinergic dysfunction in the genesis of some symptoms of delirium. This dysfunction may be a common phenomenon in various forms of delirium and dementia.

Acute Disease↗

The effect of small variation of the frequent auditory stimulus on the event-related brain potential to the infrequent stimulus.

We investigated whether the mismatch process between a rare stimulus and the trace of the frequent stimulus, which generates the mismatch-negativity component of the event-related potential, can tolerate a small variation in the intensity of the frequent stimulus. Series of short tone pips were presented to 10 subjects while they were reading a book and ignoring the auditory stimuli. The intensity (mean 80dB) of the frequent stimulus (600 Hz) varied within a range that was different in different blocks. The probability of the infrequent stimuli which were, in different blocks, either intensity deviants (600 Hz/70dB) or frequency deviants (650 Hz/80dB) was 10%. Both deviant stimuli elicited mismatch negativity even when the intensity of the frequent stimulus varied, although the amplitude of this component decreased with the increasing variability of the frequent stimulus. These results show that the generator process of mismatch negativity tolerates some variation in the repetitive stimulus, thus indicating that this process is also activated in ecologically more valid conditions. This is crucial to the interpretation of the generator process of mismatch negativity as a biologically vital warning mechanism.

Adult↗

Event-related brain potentials in selective listening to frequent and rare stimuli.

Our previous event-related brain potential (ERP) results suggest that during selective listening, relevant stimuli are selected for further processing by comparing each stimulus to an "attentional trace," a neuronal representation of the physical features of the relevant stimuli that distinguish them from the irrelevant stimuli. This comparison process is reflected by the early component of the processing negativity (PN), which is largest and longest to the relevant stimuli (perfectly matching with the trace). In the present study, the subjects selectively listened to designated tone stimuli which randomly appeared among irrelevant tones of a different pitch. The probability of relevant stimuli in a block was varied. The processing negativity elicited by relevant stimuli was smaller the less frequent they were. The results support the attentional-trace theory of selective attention, which proposes that, in addition to active maintenance, the trace also depends on the rate of sensory reinforcement provided by the relevant stimuli.

Acoustic Stimulation↗

Do event-related potentials to infrequent decrements in duration of auditory stimuli demonstrate a memory trace in man?

Sequences of identical acoustic stimuli were presented to normal subjects reading a book while event-related brain potentials (ERP) elicited by these stimuli were recorded. Occasional irrelevant decreases and increases in stimulus duration elicited an ERP component called the mismatch negativity (MMN). This component was larger over the right hemisphere irrespective of the ear stimulated. These data implicate memory representations which develop automatically and represent the physical features of the repetitive stimulus accurately. Further, when an input does not match with such a trace the MMN is generated. The memory traces involved appear to be those of the acoustic sensory memory, the 'echoic' memory.

Adult↗

CSF beta-endorphin-like immunoreactivity in delirium.

Cerebrospinal fluid beta-endorphin-like immunoreactivity (CSF BLI) was determined for 69 patients who met DSM-III criteria for delirium and for 8 controls. The CSF BLI was significantly lower in the delirious patient group than in the controls (12.5 +/- 3.0 pg/ml versus 15.0 +/- 3.4 pg/ml, p less than 0.05). CSF BLI had no correlation with age or neuroleptic drug dosage, but did have a significant positive correlation with cognitive functioning as evaluated by the Mini-Mental State. Our findings suggest a role for beta-endorphinergic dysfunction in the development of delirium.

Aged↗

Do event-related potentials reveal the mechanism of the auditory sensory memory in the human brain?

Event-related brain potentials (ERP) to task-irrelevant tone pips presented at short intervals were recorded from the scalp of normal human subjects. Infrequent decrements in stimulus intensity elicited the mismatch negativity (MMN) which was larger in amplitude and shorter in latency the softer the deviant stimulus was. The results obtained imply memory representations which develop automatically and accurately represent the physical features of the repetitive stimulus. These memory traces appear to be those of the acoustic sensory memory, the 'echoic' memory. When an input does not match with such a trace the MMN is generated.

Acoustic Stimulation↗

Mismatch negativity to change in spatial location of an auditory stimulus.

Auditory stimulus blocks were presented to 12 reading subjects. Each block consisted of 2 types, standard (P = 90%) and deviant stimuli (P = 10%), delivered in a random order. The only difference between these stimuli was their spatial location of origin. The subject always heard the standards as coming straight in front and the deviants from an angle of either 10, 45, or 90 degrees to the right of the standards. The spatial locations were produced via earphones by introducing for low-frequency (600 Hz) tones an interaural phase difference and for high-frequency (3000 Hz) tones an interaural intensity difference. Standard and deviant stimuli were also delivered in more natural, free-field, conditions via differently positioned loudspeakers. The deviant tones elicited an event-related brain potential component called the mismatch negativity (MMN), followed by a P3a component. Thus changes in spatial location of an auditory stimulus produced by following either one of the two main principles of human sound localization elicited the MMN. Consequently, it was concluded that the spatial location of a sound source is coded in the hypothesized neuronal stimulus traces reflected by the MMN and, further, that a change in this location is automatically detected by the brain by means of the MMN generator process.

Adult↗

Cerebrospinal fluid somatostatin in delirium.

Cerebrospinal fluid somatostatin-like immunoreactivity (CSF SLI) was determined for 67 elderly patients who met the DSM-III criteria for delirium and for 19 age-matched controls. As a group, and also when subdivided according to the type of delirium, severity of cognitive decline or the type of central nervous system disease, the delirious patients showed significant reductions of SLI compared with the controls, together with a declining trend associated with increasing cognitive dysfunction. These findings are in accordance with previous observations that reduced CSF SLI is associated with diseases in which cognitive function is disturbed and they extend this finding to delirium.

Aged↗

Event-related brain potentials reflecting processing of relevant and irrelevant stimuli during selective listening.

Event-related brain potentials were recorded from the human scalp during selective listening to tone pips differing in location and/or pitch from irrelevant tones. The subjects' task was to discriminate infrequent deviant tones of lower intensity appearing among designated (relevant) tones. A large processing negativity was observed in the event-related potentials to relevant tones differing from the irrelevant tones in location even when both tones randomly varied in pitch. Similarly, a large processing negativity was elicited by the relevant tones differing from the irrelevant tones in pitch even when the location of both tones varied randomly. The results support the theory that the processing negativity to relevant stimuli reflects a match of these stimuli with an "attentional trace," an actively maintained neuronal representation of the physical feature(s) of relevant stimuli that distinguish these stimuli from the irrelevant stimuli. Furthermore, the infrequent lower-intensity tones appearing among irrelevant tones elicited a mismatch negativity similar to the mismatch negativity elicited by target tones, equivalent lower-intensity tones appearing among relevant tones. This indicates that these infrequent stimulus changes were automatically discriminated by the generator mechanism associated with mismatch negativity.

Adult↗

Delirium among elderly persons admitted to a psychiatric hospital: clinical course during the acute stage and one-year follow-up.

Seventy elderly patients meeting the DSM-III criteria for delirium were examined during the acute stage and followed up to one year. The mean age of the patients was 75 years (range 60-88), their delirium lasted on average 20 days (range 3-81) and the psychiatric hospitalization on average 30 days (range 8-365). The most common etiologies for delirium were stroke, infections and metabolic disorders. For 57 cases (81%) a predisposing structural brain disease was found. During the index admission, the cognitive dysfunction associated with delirium ameliorated significantly (the mean +/- SD Mini-Mental State Examination score 9.7 +/- 6.6 at admission and 13.9 +/- 7.2 at discharge; P less than 0.001), but during the one-year follow-up progression of the basic central nervous system disease was seen together with declining cognition and deterioration of functions of daily living.

Activities of Daily Living↗

Cerebrospinal fluid somatostatin correlates with spectral EEG variables and with parietotemporal cognitive dysfunction in Alzheimer patients.

Somatostatin levels of the cerebrospinal fluid (CSF) were correlated with variables of quantitative EEG and with neuropsychological performance in patients with probable Alzheimer's disease. Low somatostatin levels of CSF correlated with decreased beta activity and with decreased mean frequency in the combined alpha and theta EEG range. In the subgroup of mild Alzheimer cases CSF somatostatin correlated positively also with alpha power, and the peak and the mean frequency, and negatively with theta power but not with delta activity. Furthermore, low somatostatin of the CSF correlated with neuropsychological tests assessing temporoparietal dysfunction. To our knowledge, this is the first study to indicate the correlation between spectral analysis results of the EEG and CSF somatostatin suggesting that the relationship between somatostatin and EEG variables is worthy of further studies.

Aged↗

Frequency and location specificity of the human vertex N1 wave.

Test tones of 1000 Hz subjectively located in the middle of the head were randomly presented with equiprobable intervening tones. The latter stimulus was constant within a stimulus block. The frequency of the intervening stimulus varied between different blocks from 578 Hz to 1728 Hz and its location varied in parallel with the frequency along the left-right dimension through 7 different locations. The constant inter-stimulus interval was 460 msec. The EEG was recorded at Cz and Fz. The N1 wave elicited by the test stimuli was smaller the smaller was the separation between the two stimuli in frequency or location. These results were interpreted in terms of stimulus-specifically adapted detector activity. The more the test and intervening stimuli resemble each other the greater is the overlap between the respective feature-detector populations activated and, therefore, the smaller is the N1 amplitude. Thus the sensory-specific component of the N1 wave generated in the primary auditory areas at least in part reflects detector activity. The selective frequency adaptation was much more specific in the present study than in the previous ones and suggested that the N1 component recorded was generated by highly frequency-specific neurons. The frequency and location effects were independent, i.e., the frequency effect was rather similar for different location separations, and vice versa. Thus, evidence for separate detectors for frequency and location of an auditory stimulus was obtained.

Adult↗