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Biomedical subjects

S Knecht

Publications and source records attributed to S Knecht.

68 records · Page 4Linked to original sources

Facilitation of somatosensory evoked potentials by exploratory finger movements.

Modification of somatosensory processing depending on the behavioral setting was studied. Active alternating movements of the fingers, passive tactile stimuli to the hand, and active exploration of objects were performed during recording of somatosensory evoked potentials (SEPs). SEPs were elicited by compound electrical median nerve stimulation and electrical stimulation at detection threshold of cutaneous median nerve fascicles identified by microneurography. Electrical stimulation was not time-locked to the studied condition. In comparison with SEPs at rest there was attenuation of early cortical potentials up to 25 ms post-trigger in all nonresting conditions. In stimulation of the compound median nerve as well as of isolated cutaneous fascicles of a hand actively exploring an object there was an additional increased negativity, peaking at 28 ms. This facilitory effect was independent of attentional focusing and was absent during exploration using the ipsilateral, non-electrically stimulated hand. In patients with parietal lesions the facilitatory effect was diminished on the affected side. Spline interpolated brain maps at this latency based on 32-channel recordings in healthy volunteers showed a shift of local contralateral positive maximum from frontal to parietal during exploration, indicating enhancement of a tangential dipole. It is suggested that in conditions involving close sensorimotor interaction such as exploratory hand movements there is preactivation of a cortical area which is located in the central sulcus and receives cutaneous somatosensory inputs.

Adult↗

Immunohistology of temporal arteritis: phenotyping of infiltrating cells and deposits of complement components.

Deposition of complement factors, immunoglobulins and infiltrating cells was evaluated by immunohistochemical staining in 30 temporal artery biopsy specimens from patients suffering from temporal arteritis and/or polymyalgia rheumatica and in controls. In the temporal arteritis group infiltrating cells, classic complement, alternative complement and lytic complex activation were detected. In specimens from patients suffering from only polymyalgia rheumatica there was unexpected evidence of classic complement and lytic complex activation. We conclude that immuno-histochemistry provides support for the concept of temporal arteritis and polymyalgia being based on the same pathological process.

Biopsy↗

Somatosensory evoked potentials (SEPs) elicited by magnetic nerve stimulation.

Magnetic stimulation of peripheral nerves at distal and proximal sites of the upper and lower extremities and at the midlumbar level were used to elicit cortical somatosensory evoked potentials. Evidence is provided that peripheral nerve trunks, rather than distal receptor afferents, are the anatomical structures stimulated by the electromagnetic fields. Magnetic stimulation of peripheral nerves is considered to be useful for an evaluation of the integrity of proximal nerves, nerve roots and central conduction along sensory pathways. In contrast to electrical nerve stimulation, magnetic stimulation is painless and can be applied to proximal nerves and plexus. By means of proximal nerve stimulation central sensory conduction can be tested even in patients with peripheral nerve lesions or polyneuropathy.

Adult↗

Latency of auditory evoked field deflection N100m ruled by pitch or spectrum?

The auditory evoked field (AEF) in response to pure tones of 250 and 1000 Hz and a complex tone with a periodicity of 4 ms (composed of the frequencies 1000, 1250, 1500, 1750, and 2000 Hz), corresponding to a pitch of 250 Hz, was recorded with a 37-channel neuromagnetometer system. The intensity was 60 dB sensation level (SL). Two different stimulus durations were examined in 12 subjects: 500 ms (long tones) and 100 ms (short tones). The stimulus onset asynchrony (SOA) was uniformly distributed between 3 and 4 s for the long tones and between 0.8 and 1.2 s for the short tones. Each subject was investigated four times, to assess the intraindividual variability. The mean latency of the AEF deflection N100m turned out to be similar for the long and the short tones: about 98 and 87 ms for the pure tones of 250 Hz and 1000 Hz, respectively, and 95 ms for the complex tone with a pitch of 250 Hz. However, a great interindividual variability was observed, exhibiting no consistent relationship between the N100m latencies for the three different tones, except that the response to the pure tone of 1000 Hz generally occurred earlier. In conclusion, this study does not support the proposal that the N100m latency represents a code for pitch, although a low pitch appears to be a factor favoring a longer N100m latency.

Adult↗