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Biomedical subjects

T Dietl

Publications and source records attributed to T Dietl.

At least 37 records · Page 2Linked to original sources

[Exacerbation of tics by prednisolone].

Tics-disorders are hyperkinetic movement disorders which manifest in childhood or early adolescence and ameliorate in later adulthood. We report on two patients with a basically subclinical tic-disorder (age of 53 and 68 years). During the therapy of polymyalgia rheumatica and endocrine orbitopathy in Graves disease with prednisolone the tics exacerbated and were therefore diagnosed and treated for the first time. Possible causes for the exacerbation of the tics during the therapy with glucocorticosteroids are discussed in the context of the dopamine hypothesis of tics.

Aged↗

Topography and morphology of heart action-related EEG potentials.

Joint ECG and EEG measurements were performed in 22 healthy subjects under standardized laboratory conditions. Averaged EEG potentials were computed using the R-peaks in the ECG as reference events. Spatio-temporal potential patterns of heart action-related EEG activity were obtained from 26 scalp channels. A heart action-related positive potential was found, peaking over the parietal scalp regions. Its independence from the cardiac electrical field, the source of an EEG artifact that may be confounded with heart action-related brain potentials, is demonstrated. The potential reaches its maximum amplitude of about 0.5 microV at a latency of about 500 ms after the R-peak. Its topography, with peak amplitudes at the parietal electrode locations, is different from the topography of potentials observed in the few comparable experimental studies published so far. This suggests the presence of somatosensory-evoked components in heart action-related potentials and indicates that a renewed discussion of the underlying neuronal processes is necessary.

Adult↗

Changes in late auditory evoked potentials induced by growth hormone-releasing hormone (GHRH) but not somatostatin (SRIF) after peripheral administration in male controls.

To investigate possible influences of growth hormone-releasing hormone (GHRH) and somatostatin (SRIF) on auditory perceptional processes, 12 subjects received either placebo (sodium chloride 0.9%), GHRH (50 micrograms), or SRIF (100 micrograms) on different days. Late auditory evoked potentials (AEP) were computed and further analyzed by using the brain electric source analysis (BESA) method. Reduced late AEP latencies were observed following GHRH administration. In contrast, SRIF had no significant effects on the AEP. The changes in late auditory processing seen after administration of GHRH were most likely induced by a direct central nervous action.

Acoustic Stimulation↗

Long-term habituation of brain evoked potential responses and pituitary-adrenal secretion with repeated (placebo) testing.

To study whether changes in late auditory evoked potentials (AEPs) and/or in stress-sensitive hormones of the hypothalamic-pituitary-adrenal (HPA) system take place between a first and a second placebo experiment and if so, whether these changes are possibly related to each other, we conducted two identical placebo sessions (2 ml 0.9% saline) and one cortisol session (50 mg) with 10 subjects on three different days. Plasma cortisol concentrations were significantly higher at the beginning of the first placebo experiment than the second, with a concordant decrease of plasma adrenocorticotropin hormone (ACTH) concentrations. In the AEP domain, a consistently lower P2 amplitude was observed in the first session. Since the change in late auditory processing could not be demonstrated after exogenous administration of cortisol, a direct mediation through an elevation of plasma cortisol concentrations or indirect mediation through a decrease of plasma ACTH concentrations seems unlikely. We rather propose that other stress-sensitive mechanisms, such as CCK, might account for the novelty-induced P2 amplitude lowering.

Acoustic Stimulation↗