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Biomedical subjects

P Rudge

Publications and source records attributed to P Rudge.

At least 145 records · Page 8Linked to original sources
PubMed1980

Double-blind, controlled trial of immunosuppression in treatment of multiple sclerosis.

30 multiple sclerosis patients in a double-blind, controlled trial were given immunosuppressive treatment consisting of antilymphocyte globulin, prednisolone, and azathioprine, or placebo. After 15 months of treatment the immunosuppressed group had a reduction in the number of relapses and some retardation of the clinical course of the disease (p < 0.06). The beneficial effect was seen only in females.

Antilymphocyte Serum↗
PubMed1980

Treatment of periodic alternating nystagmus.

Two patients with longstanding acquired periodic alternating nystagmus (PAN) were treated with baclofen, 30 mg/day. Baclofen abolished the PAN and relieved oscillopsia in both patients but was ineffective in another patient with congenital PAN.

Adult↗
PubMed1980

The use of the auditory evoked potential in the diagnosis of multiple sclerosis.

Auditory evoked potentials, both early and middle components, were recorded from 227 patients with a variety of conditions including multiple sclerosis, brain stem vascular disease, intracranial tumours and Arnold-Chiari malformation. Abnormalities were found in a substantial proportion of patients with definite multiple sclerosis and a smaller proportion of those in the less definite clinical categories of this condition. There was a high correlation between clinical evidence of brain stem involvement and an abnormal auditory evoked potential in multiple sclerosis. Abnormalities were also found in a few patients presenting with an isolated episode of central nervous system dysfunction involving the brain stem. The auditory evoked potential was abnormal in other patients with known diagnoses including half of those with Arnold-Chiari malformation. Tumours involving the brain stem caused abnormalities of the brain stem evoked potentials in some cases and more frequently distortion of the middle components. The specificity of these auditory evoked potential abnormalities to multiple slcerosis is discussed.

Brain Diseases↗
PubMed1980

On the role of sensitised T-lymphocytes in the pathogenesis of multiple sclerosis.

Peripheral blood lymphocytes from 24 out of 26 patients with clinically well-defined multiple sclerosis in remission showed sensitisation to multiple sclerosis brain extracts as assayed by enhancement of the early erythrocyte rosette test. Such an increase in the number of early rosettes was not found when the lymphocytes of multiple sclerosis patients were exposed to extracts of control brains. In contrast the sensitised cells were found in the circulation in only two of 11 patients with multiple sclerosis in acute relapse. The percentage of circulating T-lymphocytes which formed early rosettes was lower in the group of patients suffering a relapse than in patients in remission. A longitudinal study of one patient who was tested before, during and after a relapse revealed the disappearance from the blood of the sensitised T-cells during the relapse and their subsequent reappearance after recovery. Of 36 patients with other neurological diseases, two responded solely to multiple sclerosis brain, two responded to both multiple sclerosis and control brain, and three responded only to control brain. No healthy controls showed sensitisation to any brain extract.

Adult↗
PubMed1979

Oligoclonal immunoglobulins and plasma cells in spinal fluid of patients with multiple sclerosis.

A new modification of polyacrylamide gel electrophoresis (PAGE) was applied to cerebrospinal fluid proteins from patients with multiple sclerosis (MS). The same spinal fluids were also examined by a cytological technique. Over 90% of patients with clinically definite or early probable or latent MS showed abnormal PAGE patterns in the form of oligoclonal gammaglobulin bands. Reactive (atypical, large) lymphocytes or typical plasma cells were found in some patients. In all such cases an oligoclonal pattern was present. The findings of oligoclonal bands provides valuable supporting evidence for the diagnosis of MS in the less definite clinical categories.

Electrophoresis, Polyacrylamide Gel↗
PubMed1978

Proteolytic enzyme activity of blood leukocytes and cerebrospinal fluid in multiple sclerosis.

Upon stimulation by immune complexes, the polymorphonuclear (PMN) blood secretes lysosomal hydrolases, including neutral proteinase, which is concentrated in the PMN cell. Neutral and acid proteinase activity were increased and decreased, respectively, in the circulating white cells of patients with multiple sclerosis during an exacerbation of the disease, but there was no correlation with serum immune complex levels. Neutral proteolytic activity in the cellular fraction of the cerebrospinal fluid was also found to be elevated in acute multiple sclerosis, as monitored by digestion of myelin basic protein.

Antigen-Antibody Complex↗
PubMed1978

The stability of the auditory evoked potentials in normal man and patients with multiple sclerosis.

Sequential records of the early and middle components of the auditory evoked potential in response to a click stimulus have been obtained over a period of 2.5 years in normal subjects and in patients with multiple sclerosis. The latencies of all the components were highly consistent in the control subjects and in the patients who were clinically stable throughout the period of study. In constrast, in some of the patients who had clinical relapses during the study there was variation in the latency and amplitude of some of the components. The significance of this variation is discussed and the poor correlation between the sites of the new lesions as determined clinically and the auditory evoked potential variability is emphasised.

Acoustic Stimulation↗
PubMed1977

Abnormalities of the auditory evoked potentials in patients with multiple sclerosis.

Fifteen components of the auditory evoked potential can be recorded within 300 ms of a click stimulus and these can be classified by latency in early (0-8 ms), middle (8-60 ms) and late (greater than 60 ms) components. Follwing a click stimulus of high intensity these components have been studied in 45 normal subjects and in 88 patients with definite multiple sclerosis. Component V, thought to arise from brain-stem structures, was the most consistently abnormal in patients and there was a correlation between the abnormalities and clinical evidence of a brain-stem lesion. Thus in 79 per cent of patients with definite evidence of a brain-stem lesion and in 51 per cent of those without clinical signs related to the brain-stem, component V was abnormal. Abnormalities were also detected for components Pa, Nb and P1 of the middle components, and in 12 per cent of these the early components were normal. The late components were normal in all but 3 patients. Evidence is presented to show that pairs of click stimuli, 5 ms apart, presented at a fast stimulus rate, stress the auditory system in normal subjects. Using this technique abnormalities of component V in patients became more marked and the proportion of abnormalities detected was increased. The contribution of the reflex muscle responses to the click to the middle components of the auditory evoked potential has also been studied. It is concluded that components Pa, Nb and P1 are independent of these reflexes.

Adult↗
PubMed1977

Gaze failure, drifting eye movements, and centripetal nystagmus in cerebellar disease.

Three abnormalities of eye movement in man are described which are indicative of cerebellar system disorder, namely, centripetally beating nystagmus, failure to maintain lateral gaze either in darkness or with eye closure, and slow drifting movements of the eyes in the absence of fixation. Similar eye movement signs follow cerebellectomy in the primate and the cat. These abnormalities of eye movement, together with other signs of cerebellar disease, such as rebound alternating, and gaze paretic nystagmus, are explained by the hypothesis that the cerebellum helps to maintain lateral gaze and that brain stem mechanisms which monitor gaze position generate compensatory biases in the absence of normal cerebellar function.

Adult↗
PubMed1976

Axonal velocities of motor units in the hand and foot muscles of the baboon.

The axonal velocities of single motor units in the small hand and foot muscles of the baboon were studied by means of a collision technique which produced selective blocking of most of the fast-conducting fibres. In the abductor pollicis brevis muscle velocities ranged from 43 to 82 m/sec, and in the abductor digiti minimi muscle from 40 to 78 m/sec. In the extensor digitorum brevis muscle the range was 40-70 m/sec. When velocities were plotted as percentages of the maximal obtained in the same experiment, the range was similar in the 3 muscles studied. Most motor units had velocities greater than 65% of maximal but, in a few, velocities were between 55% and 65% of maximal. The possible relevance of these findings to human motor nerves is discussed.

Animals↗
PubMed1976

Analysis of a case of periodic alternating nystagmus.

A patient is described in whom there was periodic deviation of the eyes in darkness associated with alternating nystagmus. An exactly similar situation occurs in normal man subjected to a pendular stimulus. It is proposed that in this patient there was alternating activity of the vestibular nuclei on either side of the brain-stem as a result of a removal of cerebellar inhibition, and that this caused periodic shifts in the null region of Daroff and Dell'Osso.

Adolescent↗
PubMed1975

Auditory evoked responses in multiple sclerosis.

The early components of the auditory evoked responses (waves I-V) have been studied in 30 patients with multiple sclerosis. There were abnormalities in 22 patients. All patients with an internuclear ophthalmoplegia and half those with no detectable brainstem abnormality had abnormal responses, although none was clinically deaf.

Adolescent↗
PubMed1975

Leucocyte proteinase activity and acute multiple sclerosis.

Increased leucocyte neutral proteinase activity is associated with an attack of multiple sclerosis. Raised neutral proteinase is found in other diseases with rapid destruction of neural tissues. Increased enzyme activity may be responsible for removing antigenic protein from the blood.

Humans↗
PubMed1975

The cerebral pathways of optokinetic nystagmus: a neuro-anatomical study.

Abnormalities of optokinetic nystagmus are described in a patient with pathologically proven bilateral infarcts in the middle cerebral artery territories. There were no other central nervous system lesions. These abnormalities of eye movement are interpreted as indicating an inhibitory effect of the frontal eye fields upon the occipital lobes.

Adult↗
PubMed1974

A case of Noonan's syndrome and hypoparathyroidism presenting with epilepsy.

A patient of 29 years is described with Noonan's syndrome and idiopathic hypoparathyroidism, who presented with epilepsy and myoclonus. Correction of the hypocalcaemia resulted in improvement of his myoclonus and psychiatric abnormalities. The embryological significance of the association is discussed.

Adult↗
PubMed1974

Testing the gate-control theory of pain in man.

According to the gate-control theory of pain, the electrical stimulation of large nerve fibres should stop the pain induced when only C fibres are active. This kind of pain was induced by pressure, repeated pinprick, cold and heat in the ischaemic limb. The peripheral nerves were electrically stimulated in the same way as is done by patients treating their chronic pain by electrical stimulation. There was no change in the quantity nor the quality of the C fibre pain. In other experiments, electrical stimulation of the peripheral nerves induced no change in pain threshold to a heat stimulus when only C fibres were conducting, nor when the whole spectrum of fibres were conducting. Although many experiments have been reported that are consistent with the gate-control theory, the experiments reported here, and others mentioned, are inconsistent with the theory.

Electric Stimulation↗