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Mapping of tibial nerve evoked magnetic fields over the lower spine.

Using a low-noise 49-channel dc-SQUID system spinal somatosensory evoked fields (SEF) were recorded which were generated by compound action currents evoked upon posterior tibial nerve stimulation. The SEF mapping showed the action current propagation along the sciatic nerve, lumbosacral plexus and cauda equina in parallel to simultaneously recorded electrical potentials (SEP). For a reliable intraindividual side-to-side comparison of spinal SEFs the right and left tibial nerves were stimulated in alternating order; this procedure minimizes artifactual inter-nerve SEF map differences due to eventual patient-to-sensor displacements which might occur in serial measurements. These large-area lumbar SEF mappings open up several clinical perspectives for magnetoneurography, in particular with respect to the 3D-localization of proximal conduction blocks.

Adult↗

High-frequency (600 Hz) SEP activities originating in the subcortical and cortical human somatosensory system.

Digitally high-pass filtered median nerve SEP show an oscillatory burst of low-amplitude high-frequency (600 Hz) wavelets superimposed on the N20 component which itself is generated by excitatory postsynaptic potentials of area 3b pyramidal cells. Prior studies using magnetoencephalography (MEG) localized one wavelet generator close to the primary somatosensory hand cortex. Since MEG recordings are biased towards tangentially oriented and superficial generators, a dipole source analysis of 32-channel electric SEP recordings was employed here to test for the possibility of deep and/or radially oriented burst generators: in 10 normal subjects low noise (16,000 averages) median nerve SEP were evaluated using dipole source analysis before and after applying a digital 475 Hz high-pass filter. Two main oscillatory 600 Hz burst sources were modeled; (i) a deep burst source close to the thalamus, most active in a time window between the brain-stem P14 and the cortical N20 sources, detectable in 7 of 10 subjects; most probably, this activity originates from deep axon segments of thalamocortical fibers; and (ii) a subsequent burst source timed around the N20 and located in the vicinity of the primary somatosensory hand cortex in all subjects, which was already known from MEG data. This superficial oscillatory source may be dominated by repetitive activity conducted in the terminal segments of the thalamocortical projection fibers initiated by the thalamic burst generator.

Brain Stem↗

Rapid recovery (20 ms) of human 600 Hz electroencephalographic wavelets after double stimulation of sensory nerves.

Non-invasive scalp-recordings of human somatosensory evoked potentials (SEP) contain high-frequency (600 Hz) wavelet bursts, presumably generated by synchronized thalamocortical and/or intracortical population spikes. Here, double pulse stimulation (interval 20 ms) in 12 healthy subjects revealed significantly different burst recovery for mixed vs. sensory-only nerves. For median nerves the second burst response was decreased (11/11 subjects), possibly due to interfering reafferent (e.g. muscle spindle) input. In contrast, for sensory-only superficial radial nerves (containing less fibers than median nerves), weak bursts were detected in 6/11 subjects and were found fully recovered in 4/6 subjects. This potential for rapid burst recovery at 20 ms intervals renders contributions from neurons emitting bursts based on slowly recovering low-threshold calcium spikes unlikely and favors the generation of macroscopic SEP bursts by specialized cell populations, e.g. inhibitory interneurons and/or chattering cells the latter of which are capable to discharge rapidly repeating (50 Hz) high-frequency (600 Hz) bursts of fast sodium spikes.

Action Potentials↗

Hyperventilation-induced human cerebral magnetic fields non-invasively monitored by multichannel 'direct current' magnetoencephalography.

Self-paced hyperventilation (HV) induces slow cerebral magnetic field changes which were monitored and mapped continuously over 15 min using 49-channel DC-coupled ('direct current') magnetoencephalography (DC-MEG) based on a modulation technique. In nine/nine healthy subjects HV caused an increase (range: 1.1-6.2 pT) of the mean global DC-MEG field strength which slowly decayed after HV termination (mean time constant: 2 min). The complex HV-related field patterns were distinctly different from mainly dipolar somatosensory evoked field maps (N20m) in four/four subjects. Thus, current sources in the primary somatosensory cortex need not regularly dominate DC-field changes as had been previously considered. Rather, DC-MEG enabled the monitoring of a widely distributed HV-induced enhanced cortical excitability which may serve as model to study epileptic or post-anoxic cerebral hyperexcitability.

Adult↗

Non-invasive magnetoneurography for 3D-monitoring of human compound action current propagation in deep brachial plexus.

Compound action current (CAC) propagation along nerve fibers running deep in the human brachial plexus was 3D-visualized based on non-invasive 49-channel superconducting quantum interference device (SQUID) magnetoneurography. Spatio-temporal mappings over the upper thoracal quadrant of magnetic fields (<100 fT) evoked upon alternating median and ulnar nerve stimulation in seven healthy volunteers showed consistently smoothly propagating dipolar patterns for both the CAC depolarization and repolarization phases. Multipolar current source reconstructions (i) distinguished spatially CAC propagation pathways along either median or ulnar plexus fibers, allowed (ii) to calculate local conduction velocities ( approximately 56 m/s) and (iii) even to estimate the CAC extension along the nerve fibers (depolarization phase: approximately 11 cm). Thus, for deep proximal nerve segments magnetoneurography can provide a detailed tracing of neural activity which is a prerequisite to localize non-invasively focal nerve malfunctions.

Action Potentials↗

Somatosensory evoked fast optical intensity changes detected non-invasively in the adult human head.

This work is the first to report optical intensity changes (DeltaI/I approximately 0.05%) with a latency between 60 and 160ms after electrical median nerve stimulation at 5Hz detected non-invasively through the intact adult human skull in volunteers. The signal is localised and reproducible when measuring at the same position on successive examinations. Compared to previous reports of fast optical changes in the human adult by a single group (Psychophysiology, 32 (1995) 505) the here reported changes are much smaller. They are in line with results from a photon transport calculation on a head model employing data from exposed cortical tissue. The origin of the signal found here is still unclear, however, they might be the non-invasive equivalent to the scattering changes found in exposed cortical tissue studies (J. Neurophysiol., 78 (1997) 1707).

Adult↗

Functional dissociation of a subcortical and cortical component of high-frequency oscillations in human somatosensory evoked potentials by motor interference.

To identify the possibly divergent impact on early and late high-frequency oscillations (HFOs) in human somatosensory evoked potentials (SEPs), we have studied motor interference effects on the HFOs, and the relevance of such effects for the controversy concerning their origins. While the late HFO is thought to be generated in the somatosensory cortex, there is an ongoing discussion whether the early burst is of cortical or subcortical origin. Movements of the index finger were performed in parallel with median nerve SEP recordings. The intracortically generated N20-SEP and the late HFO were attenuated by the motor task, while the brainstem low-frequency P14-SEP and the early HFO remained unaffected. These differing effects are consistent with a generation of the early HFOs by cortical presynaptic activity in terminals of the thalamocortical projection, and confirm a postsynaptic intracortical origin of the late burst subcomponent.

Adult↗

Magnetometry of evoked fields from human peripheral nerve, brachial plexus and primary somatosensory cortex using a liquid nitrogen cooled superconducting quantum interference device.

Superconducting Quantum Interference Devices (SQUIDs) can be used to detect neuromagnetic fields evoked in the peripheral and central nervous system. Up to now, such measurements had to be based on SQUIDs with a low critical temperature (Tc) requiring liquid helium cooling. Recent improvements in high-Tc SQUID technology relying on liquid nitrogen cooling led to a significant reduction in the system's noise level. Hare, first high-Tc recordings of weak neuromagnetic fields are demonstrated. In particular, along the entire somatosensory afferent pathway including peripheral nerves, brachial plexus and primary somatosensory neocortex evoked neuromagnetic activities were detected using conventional recording parameters for bandwidth and number of averages. This opens up a wide perspective for cost-effective high-Tc magnetometry in clinical neuroscience.

Brachial Plexus↗

Somatotopic source arrangement of 600 Hz oscillatory magnetic fields at the human primary somatosensory hand cortex.

Based on low-noise superconducting quantum interference devices (SQUIDs) magnetoencephalography allows the non-invasive detection of low-amplitude high-frequency brain responses evoked about 20 ms after electric hand nerve stimulation. The main spectral energy of these brief oscillatory bursts (near 600 Hz) is in the range typical for rapidly repeated action potentials. Here, the magnetic fields of median and ulnar nerve evoked 600 Hz bursts are shown to exhibit a somatotopic arrangement at the primary somatosensory hand cortex closely resembling that of the concomitant postsynaptic primary cortical response (¿N20m'). Two possible burst generators are discussed: (1) repetitive spike volleys conducted along the terminal segments of somatotopically arranged thalamocortical axons, and (2) early intracortical spike activity in nerve-specific subterritories of the 3b hand area.

Brain Mapping↗

Differential recruitment of high frequency wavelets (600 Hz) and primary cortical response (N20) in human median nerve somatosensory evoked potentials.

Human median nerve somatosensory evoked potentials contain a burst of high-frequency (600 Hz) wavelets superimposed on the primary cortical response (N20). These presumably reflect highly-synchronized repetitive thalamic and/or intracortical population spike bursts and are diminished in non-REM sleep with N20 persisting. Here the burst/N20 relation in awake subjects was examined by using eight different intensities of electric median nerve stimuli. In all subjects the amplitude recruitment of both N20 and burst could be modeled adequately as a sigmoidal function of stimulus intensity. While 8/10 subjects showed a parallel recruitment, 2/10 subjects required significantly higher stimulation intensities for burst than for N20 recruitment. This dampened burst recruitment possibly reflects slight vigilance fluctuations in open-eyed awake subjects; a further increase of burst thresholds could explain the burst attenuation when entering shallow sleep.

Adult↗

Magnetometry of injury currents from human nerve and muscle specimens using superconducting quantum interferences devices.

Acute lesions of polarized membranes lead to slowly decaying ('near-DC') injury currents driven by the transmembrane resting potential gradient. Here we report the first recordings of injury-related near-DC magnetic fields from human nerve and muscle specimens in vitro using Superconducting Quantum Interference Devices (SQUIDs) operated in a conventional magnetically shielded room in a clinical environment. The specimen position was modulated sinusoidally beneath the sensor array by a non-magnetically fabricated scissors lift to improve the signal-to-noise ratio for near-DC fields. Depending on the specimen geometry the field patterns showed dipolar or quadrupolar aspects. The slow decay of human nerve and muscle injury currents was monitored for several hours from a distance of a few centimeters. Thus DC-magnetometry provides a sensitivity which might allow the remote detection of injury currents also in vivo.

Animals↗

Differential effects of overt, covert and replayed speech on vowel-evoked responses of the human auditory cortex.

Recent magnetoencephalographic studies showed that speaking dampens voice-evoked activity in the human auditory cortex. To further characterize this audio-vocal interaction, neuromagnetic responses to short tape-recorded probe vowels were measured while subjects were vocalizing long (8 s) 'background' vowels either aloud or silently, or while both probe and background vowels were replayed from tape. Auditory cortex responses peaking at 100 ms (M100) were delayed and dampened bilaterally relative to a background-free control during both overtly spoken and replayed long vowels, identifying auditory interference as the main cause for these modifications. During covert speech M100 peaked later for matching than non-matching probe/background vowels in the speech-dominant left hemisphere. Thus, voiceless 'inner' speaking is sufficient to modify utterance-specific processing in the human auditory cortex.

Adult↗

Non-invasive long-term recordings of cortical 'direct current' (DC-) activity in humans using magnetoencephalography.

Recently, biomagnetic fields below 0.1 Hz arising from nerve or muscle injury currents have been measured non-invasively using superconducting quantum interference devices (SQUIDs). Here we report first long-term recordings of cortical direct current (DC) fields in humans based on a horizontal modulation (0.4 Hz) of the body and, respectively, head position beneath the sensor array: near-DC fields with amplitudes between 90 and 540 fT were detected in 5/5 subjects over the auditory cortex throughout prolonged stimulation periods (here: 30 s) during which subjects were listening to concert music. These results prove the feasibility to record non-invasively low amplitude near-DC magnetic fields of the human brain and open the perspective for studies on DC-phenomena in stroke, such as anoxic depolarization or periinfarct depolarization, and in migraine patients.

Acoustic Stimulation↗

Magnetoneurographic 3D localization of conduction blocks in patients with unilateral S1 root compression.

OBJECTIVES: Tibial nerve somatosensory evoked magnetic fields (tSEFs) over the lower back reflect the propagation of compound action currents along fibers of plexus, nerve roots and cauda equina. One clinical perspective for this 'magnetoneurography' is the non-invasive 3D localization of focal slowing or blocks of conduction. Here, first tSEF mappings in 3 consecutive patients with acute unilateral S1 nerve root compression are reported. METHODS: Right and left tibial nerves were electrostimulated in alternation; tSEF responses were recorded using a multichannel SQUID-detector; additionally, spinal and cortical SEP, F-wave and H-reflex studies were performed. RESULTS: In all patients an intraindividual side-to-side comparison of spinal tSEF mappings was obtained: using a dipolar source model compound action currents could be visualized propagating along plexus, nerve roots and cauda equina on the non-affected side whereas on the affected side normally-propagating dipolar field patterns could be recorded only distal to the spinal transforaminal root entrance; this reflects focal slowing or block of conduction in nerve root fibers as indicated by the SEP, F-wave and H-reflex study results. CONCLUSIONS: With a registration time of 15 min a 3D localization of proximal slowing or block of conduction was successfully performed in patients suffering from acute nerve root lesions.

Cauda Equina↗

Dipole source localization and fMRI of simultaneously recorded data applied to somatosensory categorization.

In this study, the feasibility of dipole source localization (DSL) and coregistration with functional magnetic resonance imaging (fMRI) activation patterns on the basis of simultaneously acquired data is demonstrated. Brain activity was mapped during the performance of a somatosensory single reaction and a choice reaction task at high spatiotemporal resolution in six healthy subjects. The choice reaction task required a categorization of two different stimulus intensities, whereas for the single reaction task merely the perception of a tactile stimulus had to be confirmed by the subjects. An offline artifact correction algorithm was applied to 32-channel EEG data that were acquired between subsequent MRI scans. Using a multiple dipole approach, five distinct dipole sources were identified within areas of the somatosensory system. Coregistration of fMRI and DSL showed consistent spatial activation patterns with a mean distance of 9.2 +/- 6.8 mm between dipole sources and fMRI activation maxima. However, since the number of fMRI activation sites exceeded the number of cerebral dipole sources, it was not possible to assign a dipole source to each fMRI activation site. Dipole moment time courses were consistent with previously reported results of similar experiments. A comparison of brain activation patterns during the two tasks with both fMRI and DSL indicated an involvement of the contralateral secondary somatosensory cortex in somatosensory categorization.

Adult↗

Magnetoneurography of evoked compound action currents in human cervical nerve roots.

OBJECTIVE: A measurement protocol for magnetoneurography (MNG) is established which allows the non-invasive localization and tracing of evoked compound action currents propagating along cervical nerve roots in man. METHODS: Inside a magnetically shielded room either both median or both ulnar nerves of healthy subjects were conventionally electrostimulated in alternation. Evoked magnetic responses were recorded using a multichannel SQUID-detector with a planar measuring area centered over the neck. Simultaneously, electric surface potentials were recorded using cervical bipolar electrode montages. RESULTS: Upon median (ulnar) nerve stimulation somatosensory evoked magnetic fields up to 20 fT (10 fT) amplitude were detected propagating over the cervical transforaminal root entry zone, with corresponding electrical surface potentials of 1.5 microV (0.5 microV). Furthermore, the signal-to-noise ratio of the spatiotemporal magnetic field mappings in median nerve stimulation experiments allowed dipolar source reconstructions and tracing of the propagation of the compound action currents along nerve root fibers. CONCLUSION: Magnetoneurography allows tracing of the propagation of evoked compound action currents along cervical roots in healthy subjects with millisecond temporal and high spatial resolution. Thus, MNG offers a sensitivity appropriate to serve as a clinical diagnostic tool for localizing focal neuropathies of cervical nerve roots.

Electric Conductivity↗

Multiplicity in the high-frequency signals during the short-latency somatosensory evoked cortical activity in humans.

OBJECTIVE: Recent studies using electroencephalography or magnetoencephalography have shown that peripheral nerve stimulations produce short-latency high-frequency signals in the human somatosensory cortex. The present study tested whether they consist of more than one distinct type of signal. METHODS: Somatic evoked magnetic fields (SEFs) elicited by electrical stimulation of the median nerve were measured in 12 healthy volunteers. They were analyzed using a time-frequency analysis method based on Gabor filters and another based on autoregressive moving average, and also with bispectrum and bicoherence techniques and a new dispersion curve method. RESULTS: Signals in two separate high-frequency bands (200 and 600 Hz) were distinguished from the main signal in the low frequency (LF) range during the time period of N20m and P25m. The novel 200 Hz-band signal was seen reliably in those channels where the LF band signal was weak, so that the former was not masked by the latter. The 600 Hz signal consisted of two distinct components or parts (p1 and p2) in 10 out of 12 subjects, one peaking during ascending slope and the second during the descending slope of the N20m. The latency of the p1 was shorter than the latencies of the 200 Hz and LF signals according to the dispersion curve analysis. The inter-peak interval of p1 became shorter for later peaks in all 12 subjects. Bicoherence analysis revealed a significant phase coupling between the 200 and 600 Hz bands. CONCLUSIONS: There are three distinct types of signal during the time period of the short-latency cortical components of the SEF -- LF which gives rise to the commonly seen waveform of the SEF, the newly found 200 Hz signal and the 600 Hz signal which consists of two components. The possible origins of the high frequency signals are discussed in light of the new set of evidence found in the present study.

Adult↗

Tracing of proximal lumbosacral nerve conduction--a comparison of simultaneous magneto- and electroneurography.

OBJECTIVE: The reconstruction of nerve impulse conduction along proximal lumbosacral plexus and nerve roots is compared using simultaneous magneto- and electroneurography. METHODS: In 3 healthy subjects the left tibial nerve was electrostimulated at the ankle. Evoked magnetic fields and electric surface potentials were measured simultaneously over the lumbosacral spine using a multichannel SQUID-detector with a planar measuring area and 25 surface electrodes covering a comparable area centered around L4. Based on either magnetic field or electric potential maps the depolarization front of the evoked compound action currents (CAC) was spatio-temporally reconstructed using a simple equivalent current dipole model in a half-space volume conductor. RESULTS: The mean signal-to-noise ratio in the magnetic (electric) recordings was around 4 (8). Yet, the localization quality for the propagating CAC was lower for electric than magnetic recordings. The local nerve conduction velocity was around 47 m/s (calculated from magnetic data), but fluctuated unphysiologically for electric data. CONCLUSION: In comparison to electroneurography, an anatomically reasonable localization of evoked compound action currents propagating in lumbosacral roots can be obtained by magnetoneurography.

Adult↗