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Biomedical subjects

M Kase

Publications and source records attributed to M Kase.

At least 19 recordsLinked to original sources

Ocular torsion produced by unilateral chemical inactivation of the interstitial nucleus of Cajal in chronically labyrinthectomized cats.

Unilateral lesions of the rostral midbrain involving the interstitial nucleus of Cajal (INC) have been known to produce ocular torsion in alert animals including humans, which has been assumed to be the result of an impaired otolith-ocular reflex. We examined the effects of chemical deactivation of the INC using a gamma-aminobutyric acid (GABA) agonist (muscimol) in cats that had received bilateral labyrinthectomy, and compared the results with those in normal cats. Ocular torsion with a magnitude similar to that observed in normal cats appeared in chronically labyrinthectomized cats after unilateral muscimol infusion into the INC, indicating that ocular torsion following unilateral INC deactivation can be produced by a mechanism independent of the otolith-ocular reflex.

Animals

[Pulmonary arteriovenous malformation with systemic blood supply].

A forty-eight year-old woman who had suffered from exertional dyspnea and cyanosis since her youth was found to have abnormal shadow in her right lower lung at the roentgenographic examination. Pulmonary angiography showed cavernous network between pulmonary artery and vein of the 8th, 9th, and 10th segments. Bronchial artery was dilated, supplying the cavernous lesion. From these findings this lesion was diagnosed as pulmonary arteriovenous malformation feeded by bronchial artery. Right lower lobectomy was performed. The effect of resection was confirmed by intraoperative arterial gas analysis before and after the excision. She has been doing well without any signs of recurrence for 3 years after the surgery.

Arteries

[A case of angina pectoris with cardiac arrest at treadmill stress test].

We reported a case of angina pectoris with cardiac arrest immediately after treadmill exercise test, and the effect of PTCA in the same case. A 69-year-old Japanese male had chest oppression on exertion. Initial treadmill test showed 2 mm ST-segment depression in leads V4-6. Two minutes after exercise, he had atrio-ventricular (A-V) block and cardiac arrest with episodes of fainting. He was resuscitated by chest thump. Coronary angiography showed 90% stenosis in the right coronary artery (RCA). PTCA for RCA was able to dilate the stenotic lesion. The second treadmill test after PTCA did not induce bradycardia nor A-V block. It was suggested that the RCA lesion may play a critical role.

Aged

Latencies of response of eye movement-related neurons in the region of the interstitial nucleus of Cajal to electrical stimulation of the vestibular nerve in alert cats.

Recent studies have shown that the interstitial nucleus of Cajal (INC) in the midbrain reticular formation is involved in the conversion of vertical semicircular canal signals into eye position during vertical vestibulo-ocular reflexes. Secondary vestibulo-ocular relay neurons related to the vertical canals, which constitute the majority of output neurons sending signals from the vestibular nuclei directly to the oculomotor nuclei, have been shown to project axon collaterals to the region within and near the INC. To understand how the INC is involved in the signal conversion, latencies of response of neurons in the INC region to electrical stimulation of the vestibular nerve were examined in alert cats. The responses of 96 cells whose activity was clearly modulated by sinusoidal pitch rotation (at 0.31 Hz) were analyzed. These included 41 cells whose activity was closely correlated with vertical eye movement (38 burst-tonic and 3 tonic neurons), and 55 other cells (called pitch cells as previously). Twenty nine of the 96 cells (30%) were activated at disynaptic latencies following single shock stimulation of the contralateral vestibular nerve. Disynaptically activated cells were significantly more frequent for pitch cells than for eye movement-related cells (25/55 = 45% vs 4/41 = 10%; p less than 0.001, Chi-square test). Conversely, cells that did not receive short-latency activation (less than 6 ms) were more frequent among eye movement-related cells than pitch cells (26/41 = 63% vs 13/55 = 24%; p less than 0.001, Chi-square test).(ABSTRACT TRUNCATED AT 250 WORDS)

Animals

The origin of high and regular discharge rates of eye-movement-related neurons in the region of the interstitial nucleus of Cajal.

Burst-tonic neurons in the region of the interstitial nucleus of Cajal (INC) that show a close correlation to vertical eye movement have been known to exhibit high and regular discharge rates, not only during fixation in alert animals, but also during sleep. Since they receive major input from vertical semicircular canals, we examined in this study whether or not the source of the high and regular discharge rates was the primary vestibular afferents. Infusion of lidocaine into the middle ear bilaterally resulted in a significant decrease of mean discharge rates and an increase in the coefficient of variation of the mean rates. However, burst-tonic neurons in cats that had received bilateral labyrinthectomy 6 weeks previously still exhibited high and regular discharge rates similar to those of normal cats. These results indicate that high and regular discharges of eye-position-related INC cells are maintained largely by input from primary vestibular afferents in normal cats. However, such characteristic discharges could also be maintained centrally in the brainstem without peripheral vestibular input in labyrinthectomized cats.

Analysis of Variance

Possible downward burster-driving neurons related to the anterior semicircular canal in the region of the interstitial nucleus of Cajal in alert cats.

It is well known that vestibular nystagmus evoked by head rotation occurs in the plane specific to that in which head rotation was applied in three-dimensional space. Although burster-driving neurons (BDN) have been demonstrated for a quick phase of horizontal nystagmus, it is not yet known where the counterpart for vertical nystagmus is located. We analyzed the activity of a class of neurons in the region within, and in the close vicinity of, the interstitial nucleus of Cajal (INC) in alert cats. Their activity gradually increased during an upward slow phase evoked by nose-down pitch. This increased activity was further followed by burst discharge shortly before and during the downward quick phase. Gradually increased activity was also evoked by contralateral roll. These results suggest that the gradually increased activity was evoked by activation of the contralateral anterior canal. Many of these cells were fired by electrical stimulation of the contralateral vestibular nerve with short latencies. These cells also showed burst discharge shortly before and during downward saccades induced by visual stimuli, and the number of spikes during bursts was correlated with saccade amplitudes. Although all had irregular resting discharges, eye-position-related activity was rarely obtained. The characteristic behavior of these cells is very similar, except for their on-directions, to the behavior of horizontal BDNs, suggesting that these INC cells are a candidate for downward BDNs related to the anterior canal.

Animals

Modulation of the receptive field center response of cat retinal ganglion cells by the shift response signal through amacrine cells.

The effect of a stationary and an oscillating grating situated greater than 30 degrees from the RFC on the receptive field center response was examined. The transient firing rate of the center response was suppressed by the oscillating grating for all types of cells. The stationary grating also suppressed the transient firing but the degree of suppression was significantly less than that with the oscillating grating. There was also a significant elevation of the sustained firing rate in Y-cells. The on-going discharges were elevated in all types of units except on-center X-cells when the grating was oscillated. An increase in the area of a grating annulus did not increase the degree of suppression of the center response. This lack of spatial summation of the shift response was related to the properties of the on-off transient amacrine cells.

Animals

Neuronal activity related to vertical eye movement in the region of the interstitial nucleus of Cajal in alert cats.

(1) Discharge characteristics of neurons in the region of the interstitial nucleus of Cajal (INC) were studied in alert cats during spontaneous or visually induced eye movement and sinusoidal vertical (pitch) rotation. Activity of a majority of cells (n = 68) was closely related to vertical eye position with or without bursting activity during on-direction saccades. They were called vertical burst-tonic (n = 62) and tonic (n = 6) neurons. Mean discharge rates for individual cells when the eye was near the primary position ranged from 35 to 133 (mean 75) spikes/s with a coefficient of variation (CV) ranging from 0.04 to 0.29 (mean 0.15). Average rate position curves were linear for the great majority of these cells with a mean slope of 3.9 +/- 1.2 SD spikes/s/deg. (2) The burst index was defined as the difference in discharge rate between maximal rate during an on-direction saccade and the tonic rate after the saccade. The values of mean burst index for individual cells ranged from 8 to 352 (mean 135) spikes/s. Tonic neurons had a burst index lower than 60 spikes/s and were distributed in the lower end of the continuous histogram, suggesting that burst-tonic and tonic neurons may be a continuous group with varying degrees of burst components. During off-direction saccades, a pause was not always observed, although discharge rate consistently decreased and pauses were seen when saccades were made further in the off-direction toward recruitment thresholds. Significant positive correlation was observed between average discharge rate during off- as well as on-direction saccades and tonic discharge rate after saccades for individual cells, which was not due to cats making saccades mainly from the primary position. (3) During pitch rotation at 0.11 Hz (+/- 10 deg), burst-tonic and tonic neurons had mean phase lag and gain of 128 (+/- 13 SD) deg and 4.2 (+/- 1.7 SD) spikes/s/deg/s2 relative to head acceleration. During pitch rotation of a wide frequency range (0.044-0.495 Hz), the values of phase lag were mostly constant (120-140 deg), while simultaneously recorded vertical VOR showed the mean phase lag of 178 deg. Vertical eye position sensitivity and pitch gain (re head position) showed significant positive correlation.(ABSTRACT TRUNCATED AT 400 WORDS)

Action Potentials

Visual inputs to the dorsocaudal fastigial nucleus of the cat cerebellum. An experimental study using single unit recordings and horseradish peroxidase labelling.

Visual afferents to the cat fastigial nucleus (FN) have been studied with single unit recordings and horseradish peroxidase techniques. A total of 158 cells responding to electrical stimulation of the optic chiasm (OCh) were extracellularly recorded from the dorsocaudal part of the FN. They were classified into three groups: type-1 cells (48%) which showed early suppression and late facilitation; type-2 cells (38%) which showed early facilitation and late suppression; type-3 cells (14%) which exhibited long lasting suppression with no signs of facilitation. Eight of 32 cells tested showed the same response patterns to photic stimulation as to electrical stimulation of the OCh. None of the cells responding to electrical and photic stimulation, however, were found in the rostral and ventral parts of the FN. Furthermore, 29 cells which responded to electrical stimulation of the OCh were tested for responses to moving pattern stimulation. Seven (4 type-2 cells and 3 type-3 cells) of the 29 cells showed clear modulation, reflecting the velocity component of a horizontally moving pattern. However, none of 13 type-1 cells tested exhibited apparent modulation in relation to movement of the pattern. In order to trace the possible pathways mediating visual signals to this part of the FN, the horseradish peroxidase (HRP) method was used. Injection of HRP into the caudal FN resulted in the labelling of many cells, predominantly in the medial (M) and the descending (D) vestibular nuclei and in lobules VI and VII of the cerebellar vermis. A series of experiments further indicated the presence of possible pathways propagating visual signals to the caudal FN. The main routes are: 1) via the nucleus of the optic tract (NOT)--the dorsal part of the medullary reticular formation--the M and the D vestibular nuclei--to the FN, and 2) via the superior colliculus--the pontine nuclei--vermal lobules VI and VII--to the FN. The different physiological response patterns of FN cells may indicate that several types of visual signals involved with visually guided movements impinge upon the dorsocaudal FN.

Animals

Adaptive changes of vertical vestibulo-ocular reflex induced by tenectomy of vertical recti muscles and neuronal behavior related to vertical eye movement in the region of the interstitial nucleus of Cajal in alert cats.

Experiments were performed in alert cats to examine adaptive changes of the vertical vestibulo-ocular reflex (VOR) induced by tenectomy of the vertical recti muscles of one eye and behavior of neurons in the region of the interstitial nucleus of Cajal (INC) during this adaptation. Continuous pitch rotations (0.11 Hz) of a constant amplitude (+/- 10 degrees) with only the operated eye uncovered produced a gradual and significant increase in VOR gain that started within 15 min, reaching a plateau within 1 h. When only the normal eye was allowed to view again, VOR gain quickly decreased to the control values within 10 min. Such reversible gain change was not observed when visual input was not allowed to the operated eye, indicating that these changes are adaptive ones to reduce visual-vestibular conflict. A total of 18 neurons were recorded from the INC region during the VOR adaptation. These include 9 eye-movement-related neurons (8 vertical burst-tonic neurons and 1 vertical tonic neuron) and 9 other neurons that did not show close correlation with eye movement but were activated by pitch rotations (tentatively called pitch cells). During adaptive gain increase of the vertical VOR, all the vertical burst-tonic and tonic neurons showed a significant gain increase, whereas a significant change in response gain was observed in only 1 of the 9 pitch cells, indicating that vertical burst-tonic neurons in the INC region are involved in the adaptive gain increase in the vertical VOR.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals

Development of central retinal vein occlusion in dural carotid-cavernous fistula.

We investigated a 46-year-old woman with central retinal vein occlusion complicating dural carotid-cavernous fistula, resulting in severe loss of visual acuity. Venous stasis retinopathy observed on the first examination progressed severely so that central retinal vein occlusion with retinal neovascularization developed 3 months later. A transvascular embolization discontinuing the feeders from the external carotid artery improved the retinal circulation and the visual acuity. These results indicate that the cause of the progression from venous stasis retinopathy to central retinal vein occlusion is the elevation of pressure in the cavernous sinus.

Arteriovenous Fistula

Long-lasting organic spasm of the near reflex.

A 57-year-old man was examined after head trauma and found to have long-lasting organic spasm of the near reflex lacking accommodative spasm. Convergence and miosis had been consistently observed for the follow-up period of one year and three months. Electrooculographical findings showed that there was no lateral rectus muscle palsy in either eye, and that his esotropia became intense in total darkness, compared with fixation on a visual target. Persistent convergence and miosis completely disappeared within 7 minutes after intravenous injections of benzodiazepine. Furthermore, he was able to make a normal near reflex when the spasm disappeared. The effect of benzodiazepine suggests that the disturbance of the GABAergic (gamma-aminobutyric acid) inhibitory system in the near reflex may be responsible for the occurrence of the spasm.

Benzodiazepines

Multisystem degeneration: drugs and square wave jerks.

We studied a 55-year-old woman with macrosquare wave jerks and macrosaccadic oscillations with a vertical component. The oscillations almost completely disappeared after administration of diazepam, clonazepam, thiamylal, or phenobarbital. A disorder of GABAergic tonic inhibitory system from the substantia nigra to superior colliculus probably plays an important the pathogenesis of these abnormal ocular movements. role in the pathogenesis of these abnormal ocular movements.

Clonazepam