Search PubMed⌕ Search

Biomedical subjects

S Peioglou-Harmoussi

Publications and source records attributed to S Peioglou-Harmoussi.

6 recordsLinked to original sources

Differential emotional precipitation of migraine and tension-type headache attacks.

The frequency of precipitation of headache attacks by individual emotional states as well as the awareness of vulnerability to particular emotional precipitants were investigated in 90 consecutive patients with tension-type headache and 50 consecutive migraine subjects at an Outpatient Headache Clinic. There was differential emotional precipitation in tension-type headache and migraine, with patients with tension-type headache reacting more selectively to negative emotional arousal (anger, anxiety) and reporting a graded frequency of attack precipitation by individual emotional states. Migraine subjects reported a more uniform distribution of attacks among different emotional precipitants. The two groups also showed a differential awareness of vulnerability to individual emotional precipitants. A cognitive process screening the emotional precipitants of tension-type headache and migraine attacks is proposed, based on different cognitive schemata functioning either over-effectively or defectively. The significance of cognitive mediation of the precipitation of attacks is further emphasized for a comprehensive management of both tension-type headache and migraine.

Adult↗

F-response frequency in motor neuron disease and cervical spondylosis.

During a train of 200 stimuli, F-response frequency, frequency of identical responses, and F-response shape were studied in the ulnar nerve of 17 patients with motor neuron disease (MND) and 16 patients with cervical spondylosis (CS). In MND patients, F-response frequency varied between 5% and 96% with a median of 39% which was significantly lower than controls (p less than 0.001), and showed a significant rank correlation with the M-response amplitude (r = 0.62, p less than 0.004). Identical responses occurred more frequently than in controls (median 30.8%, p less than 0.001). F-response frequency was normal in CS patients (median 76.3%, range 35% to 97%), but the frequency of identical responses (median 6.3%) was higher than normal (p less than 0.01). Reduced F-response frequency in MND was thought to reflect loss of lower motor neurons, while the presence of spasticity was probably the major factor underlying the increased frequency of identical responses in both disorders. F-response shape tended to be simpler in MND and rather more complex in CS patients than controls.

Adult↗

F-responses in syringomyelia.

Motor and sensory nerve conduction and various F-response parameters have been examined in the median and ulnar nerves bilaterally in 22 patients with syringomyelia. Excluding those nerves with isolated peripheral lesions, motor and sensory conduction was normal in the distal nerve segments, except for one subject in whom severe wasting of the muscles was associated with slowed motor velocities. Minimum and/or maximum F-response latencies were increased in one or more nerves in 16 of the 22 cases, which was attributed to disturbed function of anterior horn cells and the intraspinal segment of the motor fibres, or mild subclinical nerve trauma. There was a tendency for F-response amplitude and duration to be increased, probably reflecting the combined effects of spasticity and enlargement of motor units due to reinnervation.

Adult↗

F-response behaviour in a control population.

Various parameters of the F-response including minimal and maximal latency, chronodispersion, amplitude (absolute and F%M) and duration have been determined for a sample of 20 responses in the median and ulnar nerves bilaterally in normal healthy subjects of both sexes aged between 12 to 81 years. Side to side comparisons revealed no significant differences in any of the parameters except for slightly longer minimum F latencies in the right median nerve. Strong correlations were found between minimal and maximal F latencies and height, while much weaker relationships were found between these parameters and age. There was a slight but significant relationship between F%M and age, but no age or sex related changes were noted for any of the remaining F-response parameters.

Adolescent↗

F-responses: a study of frequency, shape and amplitude characteristics in healthy control subjects.

Characteristics of the surface recorded F-response, including frequency, occurrence of identical responses, shape and amplitude have been investigated in the ulnar nerve of control subjects. During a train of 200 stimuli, F-response frequency varied between 50% and 93% in different subjects with a mean of 79%. The vast majority of responses (96.6%) occurred only once; of those responses which repeated, 89.5% occurred between 2-5 times, 9% between 6-10 times and only 1.5% 11 or more times. F-response shape was variable, the majority containing two or more negative peaks. F-response amplitudes tended to be a relatively small proportion of the compound M-response, with median F%M values ranging from 0.8% to 4%. The data suggest that a large proportion of surface recorded F-responses following supramaximal stimulation are composed of recurrent discharges derived from more than one motor unit.

Adult↗

F-waves in evaluating uremic polyneuropathy: a long-term study after the application of continuous ambulatory peritoneal dialysis.

Electrophysiological parameters were studied in 8 patients with end-stage chronic renal failure (CRF). The patients had complete evaluations of the state of CRF, clinical neurological examinations and EMG studies, performed before starting continuous ambulatory peritoneal dialysis (CAPD) as well as 10 days, 2 months and 6 months after initiation of CAPD treatment. All the conventional electrophysiological parameters studied (motor and sensory conduction velocities, terminal latencies, muscle and nerve action potentials) had a tendency to shift towards normal values, the effect being more pronounced in the upper limbs. F-wave maximum and minimum latencies improved quickly in the upper limbs, but very slowly, if at all, in the lower limbs. F-wave frequency became normal in 82% of the median and ulnar nerves, in 75% of the tibial nerves and remained unchanged in the peroneal nerves. F-wave identically, as represented by the "test of multiplicity", showed a general improvement in all nerves, including the peroneal. Studies of F-wave parameters, in addition to improving the diagnostic results, provide a more sensitive method, whereby the effects of CAPD can be examined quantitatively.

Adult↗