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Biomedical subjects

R W Porter

Publications and source records attributed to R W Porter.

At least 127 records · Page 7Linked to original sources

Xanthogranulomas of the third ventricle.

Two patients with xanthogranuloma of the 3rd ventricle are described. In each instance the tumor obstructed the interventricular foramina and caused dilatation of the lateral ventricles and signs of increased intracranial pressure; computerized tomography demonstrated the dense, nonenhancing lesion in the anterior 3rd ventricle. The pathogenesis of these rare tumors is discussed. These cases affirm the need to consider xanthogranuloma in the differential diagnosis of anterior 3rd ventricle tumors in adults.

Brain Diseases↗

Measurement of the spinal canal by diagnostic ultrasound.

A method is described of measuring the lumbar spinal canal by pulsed echo ultrasound. It is simple, safe and has a high degree of accuracy. The lumbar canal has been measured in over 800 subjects including 100 mining recruits and fifty nurses between the ages of fifteen and eighteen years. Ultrasound can demonstrate the degree and extent of bony stenosis. It may have value in preventive medicine, identifying the subject at risk.

Adolescent↗

The spinal canal in symptomatic lumbar disc lesions.

The oblique sagittal diameter of the lumbar spinal canal was measured by diagnostic ultrasound in seventy-three patients with symptomatic disc lesions, and compared with measurements from 200 asymptomatic subjects. Results suggest that the available space in the spinal canal is highly significant in the symptomatology of disc lesions, and in the patient's response to treatment.

Adolescent↗

Driving of slow oscillations in the human somatosensory system.

Potentials evoked by brief electrical pulses applied to the median nerve, were recorded from the frontal, central and vertex regions of human subjects. Averaging and spectral analysis showed that the responses contained time-locked components ranging in frequency from 0.75 to 4 c/sec and extending over periods as long as 3500 msec after the stimulus. There was no significant difference between evoked potentials induced by stimuli which were accompanied by a twitch in the muscles innervated by the median nerve and evoked potentials induced by stimuli which caused no muscular response. Stimulation by pulses separated by random intervals caused an increase in the amplitude of the late components over a broad frequency spectrum while periodic stimulation caused an increase in amplitude in much narrower ranges. When the frequency of stimulation was progressively increased from 0.25 to 5 pulses/sec it was found that the late oscillations could be "driven" at specific frequencies which caused an increase in the amplitudes of specific frequency components, harmonically related to each other and to the frequency of the stimulus. In a few instances in which a series of 125 individual evoked potentials was studied, it was found that the average computed from the last 50 potentials contained late components of considerably lower amplitudes than the average computed from the first 50 potentials. The administration of barbiturates caused a selective decrease in the amplitude of the late components and a redistribution of energy in the frequency spectrum. The essential characteristics of these late components: their wide distribution over the frontal, central and vertex regions, their occurrence over long periods after the stimulus, the decrease in their amplitude with repeated stimulation, indicating the possibility of "habituation", and their enhancement at specific frequencies of stimulation, suggest that they may be related to the activities of the nonspecific systems of the brain.

Adult↗

Alterations in the H-reflex in the paraplegic induced by bladder distention.

This study has evaluated the changes in the characteristics of the H-reflex induced by distention of the urinary bladder in patients with complete lesions of the spinal cord. These findings were compared to induced changes in the systolic blood pressure and some degree of correlation was noted. It is well recognised that distention of the urinary bladder can exert a significant influence on the state of both somatic and autonomic reflex activity in spinal man. Although the mode of action of this stimulus has not been fully delineated, it is of some clinical importance since it may intensify muscular spasticity and autonomic hyperreflexia. This study was undertaken to further explore this relationship utilising the H-wave as a measure of segmental reflex activity. When appropriate, the effect of bladder distention on arterial blood pressure was also measured and an attempt made to correlate these observations with the H-wave findings.

Adult↗

Somatosensory evoked responses and slow potential oscillations in human scalp recordings.

Average evoked responses obtained from the frontal, parietal and vertex regions, by electrical stimulation of the median nerve or common peroneal nerve, indicate the presence of time locked components which occur as late as 500 to 3500 msec after the stimulus. Spectral analysis shows that these components are distributed mostly in the 1.5 to 2 and 3.6 to 4 Hz frequently bands, and their presence in the evoked response may be due to the driving, by the stimuli of oscillations of similar frequencies which can be seen in the spontaneous activity recorded from the same region.

Adult↗