[Esophageal alkaline reflux].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to O Mameli.
Explore the source record for details and available documents.
Simultaneous recordings of electrical and mechanical activities at different levels of the oesophagus were performed in normal men before and after physostigmine and metoclopramide injections. Various parameters of the basal oesophageal peristalsis were significantly modified following drug treatment. In particular, physostigmine injections induced a shortening of electromechanical coupling time and a reduction of the propagation velocities of the electrical and mechanical oesophageal events. Metoclopramide shortened the electromechanical coupling time but increased the electrical and mechanical propagation velocities along the oesophagus.
Evoked potentials and responses of single hypoglossal neurons were recorded in response to electrical stimulation of the labyrinth. In addition, the spontaneous electrical activity of hypoglossal neurons was significantly modified in response to ipsi- and contralateral static tilt of the whole animal and thermic stimulation of the labyrinth. The experiment showed that the labyrinth modulates the electrical activity of hypoglossal neurons with phasic inputs in response to ampullar stimulation and with tonic inputs in response to macular stimulation. The vestibular phasic influence of hypoglossal neurons represents the most adequate functional pattern to obtain a quick, short lasting response of the tongue muscles instantly modifiable with every abrupt head displacement. On the contrary, the vestibular tonic influence of hypoglossal neurons represents the most adequate functional pattern to obtain not only adjustment but also maintenance of the muscular lingual response to static displacement of the head.
The influence of flunarizine on vestibular compensation was investigated in hemilabyrinthectomized guinea pigs. The results showed that the vestibular deficits from hemilabyrinthectomy disappeared more rapidly in the treated animals than in the controls. To elucidate the mechanism by which the drug could affect the compensatory process, further studies on the spontaneous and evoked activity of vestibular nuclei were performed in normal, labyrinthectomized and labyrinthectomized-cerebellectomized animals. These electrophysiological data implied that flunarizine improved the vestibular compensation by inhibiting the receptor and nuclear activities of the intact labyrinth. The drug excited the cerebellar cortex, which modulated the activity of the vestibular nuclei of both sides, restoring the balance disrupted by hemilabyrinthectomy.
Althesin antiparoxysmal effect was comparatively studied with diazepam and thiopental sodium on penicillin induced cortical epileptic focus and on mesencephalic reticular unitary activity triggered by cortical spikes. Althesin was shown to abolish both cortical and subcortical epileptic activity, while diazepam was able to suppress the paroxysmal unitary activity evoked from the cortical spikes at the level of the reticular mesencephalic formation, but was ineffective on focal paroxysm. Thiopental sodium exhibited behaviour similar to Althesin, but its action was weak and short lasting at both levels. A comparative study showed that Althesin had, at cortical and subcortical level, a more drastic and longer antiparoxysmal effect than the other two drugs tested. Althesin would seem to exert a potent antiepileptic effect through a double action: i) it suppresses abnormal activity at cortical focus level ii) it depresses the multineural mechanism involved in the seizure spread at subcortical level.
Flunarizine administration (5 mg/Kg/os) in normal, labyrinthectomized and labyrinthectomized-cerebellectomized guinea pigs induced a depressant effect on spontaneous and evoked vestibular activities. Maximum effect was observed 90-120 min after drug administration and partial recovery at 180 min. Three different processes were involved: reduction of vestibular receptor excitability; direct inhibition of vestibular cells; inhibition of vestibular cells through strong activation of the cerebello-vestibular circuitry.
This paper describes preliminary work on the role of the vestibular system in the hypoglossal neurons modulation. Natural stimulation of the otolith organ showed that hypoglossal motoneurons are responsive to gravity stimulation. The spontaneous firing rate of single cells, antidromically identified, was significantly modified during ipsi- or contralateral static tilting of the whole animal. Several response patterns were observed. These results infer that vestibular macular receptors may modulate hypoglossal nucleus activity in response to static head displacement.
Our results showed that hypoglossal neurons localized in the mediocaudal part of the XIIth nucleus modulate their firing in relation to somatosensory information travelling along the forelimb nerves. Large evoked potentials and responses of single hypoglossal units were recorded during electrical stimulation of the common radial nerve of both sides. A spinohypoglossal pathway has not been described before, but our results indicate this possibility. The latencies of the hypoglossal responses to somatosensory stimulation suggest that somatic afferent volleys may stop at the reticular level and contact the XIIth nucleus through a spinoreticulohypoglossal pathway. Previous work showed that visual and vestibular input contact the same mediocaudal region of the hypoglossal nucleus. Thus it is possible that the postural arrangement of the tongue is subject to a complex control depending on the vestibular, visual, and somatosensory system.
This paper describes preliminary observations on vestibular ampullar involvement in the control mechanism of the hypoglossal nucleus activity. Thermic stimulation of the labyrinth, performed by irrigating the external auditory meatus with cold water (20 degrees C), significantly modified the spontaneous electrical activity of hypoglossal neurons localized in the medio-caudal part of the nucleus. Tonic spontaneous discharge of the units following labyrinthine stimulation was modified into a phasic activity and bursts with multi-unit recruitment appeared. This modified activity was observed during 5-6 minutes after the onset of ear irrigation. Similar response patterns, but with shorter duration, were recorded following contralateral stimulation of the labyrinth. These results show that hypoglossal neurons are triggered by the vestibular system following dynamic conditions in response to every spatial head displacement.
Vestibular decompensation induced by spinal cord transection in left labyrinthectomized guinea pigs provoked asymmetrical excitability of the inferior olivary nuclei. In the right nucleus, spinal deafferentation induced a significantly increased response to electrical stimulation of the contralateral radial nerve and decreased response to ipsilateral radial nerve stimulation. In the left nucleus, opposite results were obtained. Increased responses were recorded in the I.O. neurons during electrical stimulation of the radial nerve ipsilateral to a previous hemilabyrinthectomy, and reduced responses during the electrical stimulation of the radial nerve of the opposite side. Since the inferior olive impinges on the vestibular nuclei both directly and indirectly through the cerebellar loop, it is possible that the inferior olive is involved in the spinal compensation of the vestibular deficits resulting from the hemilabyrinthectomy.
Photic stimulation of the retina elicits in the mediocaudal part of the XIIth nucleus the appearance of pronounced field potentials and responses of single hypoglossal units. The latency of the evoked potentials, characterized by a complex sequence of positive-negative waves, was 32.75 +/- 2.5 ms for the initial component p1, 42.25 +/- 3.30 ms for n1, 49.75 +/- 3.09 ms for p2, and 67 +/- 3.94 ms for n2. The hypoglossal neurons, antidromically identified by electrical stimulation of the XIIth nerve, responded with several combinations of excitation-inhibition at various latencies. Nineteen percent of the units responded to both retinae and 10% only to one retina, mainly to the contralateral one. As the mediocaudal part of the hypoglossal nucleus receives vestibular information, it can be concluded that the hypoglossal units adjust their firing in relation to head position and also by using visual information.
Explore the source record for details and available documents.
Repeated oral flunarizine administration (5 mg/Kg) in hemilabyrinthectomized guinea pigs induced increased and accelerated vestibular compensation. The disappearance of nystagmus and reduction of head deviation occurred more rapidly than in the control. These effects were irreversible and not dose-dependent. The possible mechanism of the drug action is discussed.
The effect of long-term nontoxic treatment with phenytoin on the cerebellar Purkinje cell activity as determined by simultaneous monitoring of plasma and cerebellar levels of the drug has been studied in rats for the first time. The electrophysiological observations allowed the analysis of the spontaneous firing rate of the Purkinje cells and of the cerebellar field potentials generated by electrical stimulation of the ipsilateral radial nerve. The responses of single Purkinje cells to radial nerve stimulation were studied by constructing poststimulus time histograms and cumulative frequency distributions. The chronic treatment with phenytoin, which did not induce motor impairment or cerebellar symptoms, modified the firing rate of the Purkinje cells and the two modalities of Purkinje cell activation. In fact, phenytoin decreased significantly the spontaneous activity of the Purkinje cells and modified the strength of the mossy and climbing afferents.
The action of phenytoin (PHT) on both the spontaneous and evoked activity of lateral reticular nucleus (LRN) neurons in rats was studied. An inhibition appeared at 90 min after drug administration, with a maximum peak at 135 min, followed by an excitation at 220 min. This biphasic action depended on plasma-tissue concentrations: At low concentrations, PHT exerted an inhibitory effect that became excitation at relatively high doses (7.5 micrograms/ml and 10.36 micrograms/g in plasma and brain, respectively). It was concluded that PHT modified cerebellar cortical activity not only by exerting a direct control on the Purkinje cells and an indirect modulation through the climbing fibers, but also through the mossy afferents originating from the LRN.
Transposition of lengthened omentum to the brain surface, transplantation of an omental graft, or superficial temporal artery--middle cerebral artery anastomosis were performed in dogs prior to transcranial occlusion of the ipsilateral middle cerebral artery at its origin, including the bifurcation of the internal carotid artery. Both omentum and by-pass were able to reduce the changes in cerebral blood flow, somatosensory evoked responses, cerebral water and electrolyte content, consequent to the ischaemic insult. In the experimental conditions adopted in this study, the effect of omental transposition in maintaining high levels of flow throughout the entire occluded hemisphere was more marked compared to that resulting from the other methods, while the onset of ischaemic cerebral oedema was affected approximately at the same degree by all procedures. The results point to the role of the transposed omentum in providing an effective collateral circulation to the ischaemic brain.
Transient anoxia obtained in curarized rats by momentary stopping of the artificial respiration (80 sec duration) induced a failure of the cerebral electrical activity. This effect was characterized by cessation of the spontaneous unitary discharge of cortical neurons and reduction of amplitude of somatosensory evoked potentials. Pretreatment with flunarizine (10 mg/kg/os) or suloctidil (50 mg/kg/os) induced a distinct improvement of the resistance to anoxia and of the recovery of the cerebral electrical activity.
The effect of section of the spinal cord upon the cerebral nystagmogenic area was investigated in rabbits. Cervical transection was found to result in an increase of excitability of such area, which is demonstrated by lowering of the threshold for cerebral eye nystagmus, whereas dorsal spinal transection does not affect the cerebral nystagmogenic area. Moreover, it was found that stimulation of the proximal stump of the spinal cord, at level of the dorsal quadrants, depresses the excitability of the cerebral nystagmogenic area, while ventral quadrants stimulation has a facilitating effect on the CNA. Modification of the excitability of the cerebral nystagmogenic area was also studied recording NPPs (Non-Primary Potentials) and unitary responses to photic stimulation prior to and after cervical transection as well as following dorsal and ventral quadrants stimulation. The Authors suggest that since the nystagmogenic area is located in the perivisual fields it receives visual and sensitive afferent impulses from the upper part of the body and it, in turn, projects onto the oculomotor nuclei, so that it could be considered as an integrator center for extrinsic musculature of the eye.