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R Hari

Publications and source records attributed to R Hari.

227 records · Page 13Linked to original sources

Evoked responses of human auditory cortex may be enhanced by preceding stimuli.

We report enhancement of the 100 msec deflection N100m of the auditory evoked magnetic field in paired-stimulus paradigms. Noise bursts of 50 msec duration were delivered in pairs to the left ear at interpair intervals of 1.2-1.4 sec. Stimulus onset asynchrony (SOA) within the pair was either 70, 150, 230, 300, 370 or 500 msec, all intervals being presented randomly within the same block. Magnetic responses were recorded over the right hemisphere with a 7-channel first-order SQUID gradiometer. The mean amplitude of N100m to the second stimulus was maximal at an SOA of about 150 msec, decreasing at longer SOAs to an amplitude about equal to that of the N100m evoked by the first stimulus. Similar enhancement effects were elicited by noise bursts, square-wave tones and sinusoidal tones, by pauses in a continuous noise, and when the two stimuli of a pair were led to different ears.

Auditory Cortex↗

Spatial resolution of neuromagnetic records: theoretical calculations in a spherical model.

Spatial resolution of magnetoencephalography (MEG) was studied by computer simulations using a spherical conductor model for the head. The accuracy obtainable in the absolute location of a dipole was found by calculating the confidence limits for source location in 3 dimensions. The accuracy in determining the relative locations of two sources was estimated by calculating the smallest shift in source location that could be detected with statistical significance. The results were used to illustrate the dependence of spatial resolution on several factors including noise, source depth, source strength, flux transformer configuration and the choice of the measurement locations. Under optimal conditions, separations of a couple of millimeters in superficial non-simultaneous sources can be detected, whereas for deeper sources the resolution is worse.

Electroencephalography↗

Early deflections of cerebral magnetic responses to median nerve stimulation.

We have recorded early components of somatosensory evoked magnetic fields with a sensitive 7-channel first-order gradiometer using a wide recording passband (0.05-2000 Hz) and high sampling frequency (8000 Hz). The left median nerve was stimulated at the wrist and responses were recorded over the right hemisphere. The responses typically consisted of a N20m peaking at 18-20 msec, a small P22m peaking at 21-23 msec and a P27m peaking at 29-31 msec. The topography of N20m could be explained by a tangential current dipole in the posterior wall of the central sulcus (probably in area 3b). The equivalent dipoles of P27m were located on average 10 mm antero-medially to the sources of N20m. This suggests that P27m may get a contribution from the anterior wall of the central sulcus. An increase of stimulus repetition rate from 2 to 5 Hz decreased the amplitude of P27m more than that of N20m, which implies that these two deflections are generated by different neural networks.

Adult↗

Cerebral magnetic fields to lingual stimulation.

We recorded cerebral magnetic fields to electric stimulation of the tongue in 7 healthy adults. The two main deflections of the response peaked around 55 msec (P55m) and 140 msec (N140m). During both of them the magnetic field pattern, determined with a 7- or 24-channel SQUID magnetometer, suggested a dipolar current source. The topography of P55m can be explained by a tangential dipole at the first somatosensory cortex (SI) in the posterior wall of the central sulcus. The equivalent source of N140m is, on average, about 1 cm lateral to the source of P55m. The reported method allows non-invasive determination of the cortical tongue representation area.

Adult↗

Diagnosis of herpes simplex virus-1 keratitis: comparison of Giemsa stain, immunofluorescence assay and polymerase chain reaction.

PURPOSE: To evaluate three different diagnostic tests against the gold standard of viral isolation, in the diagnosis of HSV-1 keratitis. METHODS: Corneal scrapings from 170 patients with clinically suspected HSV keratitis were tested by; 1) Giemsa staining procedure for the presence of multinucleated giant cells and lymphocytes, 2) immunofluorescence assay for HSV-1 antigen, 3) polymerase chain reaction (PCR) for HSV-1 DNA and 4) virus isolation by shell vial culture in SIRC (Rabbit corneal epithelial cell line). The results of the former three tests were compared among 14 cases that were culture positive and 156 cases that were culture negative for HSV-1. RESULTS: The sensitivity of PCR was 100%, while IFA and Giemsa had sensitivities of 85.7% and 57.1% respectively. The specificity of PCR, IFA and Giemsa were found to be 67.9%, 85.3% and 85.9% respectively. CONCLUSIONS: In the present study, a combination of PCR and immunofluorescence assay appears to be the most suitable choice of tests for diagnosis of HSV-1 keratitis, while detection of MNGC by Giemsa staining procedure may give us a presumptive diagnosis of suspected viral infection.

Azure Stains↗

Deviant auditory stimuli activate human left and right auditory cortex differently.

Infrequent "deviant' auditory stimuli embedded in a homogeneous sequence of "standard' sounds evoke a neuromagnetic mismatch field (MMF), which is assumed to reflect automatic change detection in the brain. We investigated whether MMFs would reveal hemispheric differences in cortical auditory processing. Seven healthy adults were studied with a whole-scalp neuromagnetometer. The sound sequence, delivered to one ear at time, contained three infrequent deviants (differing from standards in duration, frequency, or interstimulus interval) intermixed with standard tones. MMFs peaked 9-34 msec earlier in the right than in the left hemisphere, irrespective of the stimulated ear. Whereas deviants activated only one MMF source in the left hemisphere, two temporally overlapping but spatially separate sources, one in the temporal lobe and another in the inferior parietal cortex, were necessary to explain the right-hemisphere MMFs. We suggest that the bilateral MMF components originating in the supratemporal cortex are feature specific whereas the right-hemisphere parietal component reflects more global auditory change detection. The results imply hemispheric differences in sound processing and suggest stronger involvement of the right than the left hemisphere in change detection.

Acoustic Stimulation↗

Activation of the human occipital and parietal cortex by pattern and luminance stimuli: neuromagnetic measurements.

We compared cortical reactivity to pattern and luminance stimuli by recording evoked responses and spontaneous brain rhythms from 10 subjects with a whole-scalp neuromagnetometer. Hemifield patterns (black-and-white checkerboards) elicited strong contralateral transient activation of the occipital V1/V2 cortex, maximum at 65-75 ms, followed by sustained activation during the 2 s stimulus. Responses to hemifield luminance stimuli also had an occipital component, but they were dominated by activation of the medial parieto-occipital sulcus (POS) 60-70 ms later. The POS region was equally well activated by foveal and extrafoveal stimuli. The occipital responses to hemifield luminance stimuli differed from those to pattern stimuli in two main aspects: the sustained activation was significantly weaker, and the responses were almost symmetrical, indicating a surprisingly bilateral occipital activation. These effects were similar with foveal and extrafoveal stimuli. The spontaneous 10 Hz alpha rhythm, originating predominantly in the POS region, was suppressed after both stimulus onsets and offsets, more strongly for luminance than pattern stimuli. Activation of the occipital cortex dominated after pattern stimuli, whereas the effect of luminance stimulation was stronger in the parieto-occipital region. The distinct signal distributions in the occipital and POS regions suggest that the two types of stimuli activate the magno- and parvocellular pathways to a varying degree. These findings are also in line with a stronger attention-catching value of the luminance than pattern stimuli.

Alpha Rhythm↗

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↗

Influence of human immunodeficiency virus status on the clinical history of herpes simplex keratitis.

Human immunodeficiency virus (HIV) infection is associated with a wide spectrum of systemic and ocular infectious diseases. Little is known about its association with herpes simplex keratitis (HSK) in this geographical region (South India). A retrospective study was undertaken to analyze this association in a cohort of 30 virologically proven recurrent HSK cases. Laboratory methods included herpes simplex virus (HSV) isolation, HSV antigen detection and tear secretory IgA or HSV DNA detection while commercial ELISA kits detected HIV infection. The rationale behind the HIV screening was to assess the role of HIV with increased HSK recurrences. Confirmed HIV seropositivity was 16.7% in recurrent HSK cases as against 3.3% in the matched first-episode HSK cases (p < 0.05, Fisher's exact test). Our observations on the features of herpetic keratitis in HIV-proven patients, though based on a small number of cases, raise the question whether the immunological abnormalities associated with HIV/AIDS may affect the clinical course of HSK.

AIDS-Related Opportunistic Infections↗

Cortical activity evoked by a multichannel cochlear prosthesis.

We have recorded electric potentials and neuromagnetic fields evoked by electric stimulation of the auditory nerve in a totally deaf patient with an implanted multichannel prosthesis. The evoked electric responses were a vertex-negative deflection at about 70 ms after stimulus onset and a vertex-positive deflection at about 180 ms. Evoked magnetic responses coinciding with the vertex potential were found in the right hemisphere, ipsilateral to the stimulated ear. The equivalent source of these responses corresponds to activation of the right auditory cortex. In the left hemisphere, the magnetic responses were considerably smaller and less reliable. These results suggest an abnormality of the central auditory pathways in this patient. In the future, neuromagnetic recordings might be used preoperatively to forecast the effectiveness of the possible implantation.

Auditory Cortex↗

[Physical basis of the generation of neuromagnetic fields].

Electrical processes at the neuronal level are considered, which cause the neuromagnetic fields. Those fields presently measured are due to the synchronous activity of about 10(5) neurons. Short magnetic signals can be caused by afferent and efferent strains of action potentials, the longer ones being due to the synaptic activity at the ends of apical dendrites in the fissural cortex.

Axons↗