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Biomedical subjects

M Kajola

Publications and source records attributed to M Kajola.

24 records · Page 2Linked to original sources

Landau-Kleffner syndrome: epileptic activity in the auditory cortex.

The Landau-Kleffner syndrome (LKS) is characterized by electroencephalographic spike discharges and verbal auditory agnosia in previously healthy children. We recorded magnetoencephalographic (MEG) spikes in a patient with LKS, and compared their sources with anatomical information from magnetic resonance imaging. All spikes originated close to the left auditory cortex. The evoked responses were contaminated by spikes in the left auditory area and suppressed in the right--the latter responses recovered when the spikes disappeared. We suggest that unilateral discharges at or near the auditory cortex disrupt auditory discrimination in the affected hemisphere, and lead to suppression of auditory information from the opposite hemisphere, thereby accounting for the two main criteria of LKS.

Aphasia↗

Localization of epileptic foci using a large-area magnetometer and functional brain anatomy.

We used a large-area, 7-channel, first-order superconducting quantum interference device (SQUID) gradiometer to preoperatively determine the sites of epileptic foci in 2 patients with intractable temporal lobe seizures. The equivalent dipoles for the epileptic spikes were located with respect to external landmarks of the skull and in relation to the generation sites of magnetic auditory evoked responses. It was also possible, for the first time, to determine the location of the equivalent source using simultaneously measured data from seven locations only. The sites of the equivalent dipoles, in the right temporal lobe, agreed with the electrocorticographic and depth electrode recordings made during the operation.

Adult↗

Magnetoencephalography in the study of epilepsy.

A brief review is given about the basic principles of magnetoencephalography (MEG), a noninvasive brain research method in which weak magnetic fields are detected outside the human head with SQUID (Superconducting Quantum Interference Device) magnetometers. The active brain areas, producing the signal, are modelled by current dipoles, which are assumed to be situated in a spherically symmetric volume conductor. The locations of these "equivalent dipoles" can be found, in the optimal case, with a precision of a few millimeters. The new multichannel magnetometers allow measurements of spontaneous brain activity without EEG-triggered averaging. The 3-dimensional locations of superficial epileptogenic foci can be determined with respect to external landmarks on the skull and to known generator areas of evoked responses in the brain. Examples are given about MEG recordings of epileptic patients.

Electricity↗

Magnetic mu rhythm in man.

We report detection of magnetic mu rhythm in four subjects using a large-area seven-channel first-order superconducting quantum interference device gradiometer. The polarity of this activity was opposite at the upper and lower ends of the rolandic fissure, and during the sharp transients the field patterns could be satisfactorily explained by a current dipole model. The equivalent dipoles were located close to the sources of the early somatosensory evoked field component N20m, which suggests that the mu rhythm is generated mainly at the primary somatosensory hand projection area. The frequency spectrum of the mu had major peaks around 10 and 21 Hz in all subjects. The high-frequency activity was blocked by clenching of the fist, but not by opening of the eyes, in agreement with characteristics of the electric mu rhythm.

Adult↗

Interaural interaction in the human auditory cortex.

We studied the effect of binaural, contralateral and ipsilateral stimulation on middle- and long-latency auditory-evoked magnetic fields using trains of 40-Hz clicks. The stimuli evoked both a transient response (N100m) and a 40-Hz response, which presumably reflects coalescence of middle-latency responses. Binaural stimuli elicited significantly larger 40-Hz responses and sustained fields than contralateral stimuli. N100m amplitudes did not differ between binaural and contralateral stimulation; the dipole moments were even smaller to binaural than contralateral stimuli. Responses to the ipsilateral stimuli were always the smallest.

Acoustic Stimulation↗

Magnetoencephalographic evaluation of children and adolescents with intractable epilepsy.

Magnetoencephalographic (MEG) discharges were recorded with multichannel superconducting quantum interference device (SQUID) gradiometers in 13 young candidates for epilepsy surgery. The sources of epileptic activity were related to generators of somatosensory and auditory evoked cortical responses and projected on magnetic resonance imaging (MRI) scans. Seven subjects had restricted or regional MEG foci, located in the frontoopercular (1), sensorimotor (3), perisylvian (1), mesiotemporal (1), or temporooccipital cortex (1). The MEG foci in the 3 patients who underwent operation agreed with the intracranial findings. Findings in the other patients emphasize the need to collect further data to define the ultimate role of MEG in preoperative evaluation of epilepsy.

Adolescent↗