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B Nashold

Publications and source records attributed to B Nashold.

8 recordsLinked to original sources
PubMed2000

Seizure outcome after temporal lobectomy for temporal lobe epilepsy: a Kaplan-Meier survival analysis.

OBJECTIVE: To determine seizure outcome and its predictors in patients with medically refractory temporal lobe epilepsy (TLE) after temporal lobectomy (TL). BACKGROUND: TL is the most common surgical procedure performed in adolescents and adults for the treatment of medically refractory TLE. Seizure outcome has been reported extensively during the first few postoperative years, but little is known beyond that time. METHODS: The authors analyzed seizure outcome in 79 patients who underwent TL for epilepsy at the Duke University Medical Center from 1962 through 1984. Patients with less than 2 years of follow-up and degenerative disorders were excluded. Predictors of seizure outcome were analyzed using Kaplan-Meier survival analyses. RESULTS: The mean follow-up was 14 years (range, 2.1 to 33.6 years). Using Engel's classification, 65% of patients were class I, 15% were class II, 11% were class III, and 9% were class IV. At least one postoperative seizure occurred in 55% of subjects. The majority of recurrences (86%) took place within 2 years of surgery. Later recurrences tended not to lead to medical intractability. Higher monthly preoperative seizure frequency was associated with poor seizure outcome. A seizure-free state at 2 years was found to be a better predictor of long-term outcome than the 6-, 12-, and 18-month landmarks. CONCLUSIONS: TL provides sustained, long-term benefit in patients with medically refractory TLE. Seizure-free status at 2 years from the time of surgery is predictive of long-term remission.

Adult↗
PubMed1988

Involuntary movements of the lower extremity following dorsal root entry zone lesions in a man treated for phantom limb pain.

A patient developed continuous patterned involuntary movements of abduction-adduction, flexion-extension of his right lower extremity following surgical placement of spinal dorsal root entry zone lesions for the treatment of phantom limb pain. The stereotype movements were monitored by video and electromyographic recording of quadriceps femoris and hamstring muscles. Administration of para-chlorophenylbutyric acid (baclofen) dramatically stopped the involuntary movements and electromyographic silence ensued. Voluntary muscle movements were preserved. The theoretical implications of this unique movement disorder and central patterning of motor activity within the spinal cord are discussed.

Baclofen↗
PubMed1979

Videotaping epileptic attacks during stereoelectroencephalography.

Relating the onset of clinical attacks as recorded on a videotape to surface and depth electrographic events improves our ability to define the local or diffuse origin of seizures. In two patients with complex partial seizures, all 14 attacks appeared 3 to 6 seconds after focal discharges began in the amygdala or hippocampus. This meant that the spread of focal electroencephalographic (EEG) paroxysms caused the eventual clinical seizure. In two other patients with 392 generalized seizures and secondary bilateral synchronous paroxysms, a significant number of clinical attacks preceded the first depth or surface electrographic event. This suggested that the attacks originated from brain regions remote from the recording electrodes.

Adult↗
PubMed1977

[Chronic hyperesthesia in rats caused by lesions in the dorsal roots of the branchial plexus].

Traumatic avulsions of the brachial plexus in Man is followed by development of hyperesthesia which is known to be reistant to pharmacological medication. We have been able to reproduce this syndrome in the Rat and have used this disturbed animal as a model. This model will give us the possibility of studying nervous mechanisms responsible for these abnormal pains and to look for effective treatments.

Animals↗
PubMed1977

Thalamic and mid-brain responses to dental pulp afferent messages in awake cats.

1. Central projections of messages evoked by dental pulp stimulation have been searched for in awake cats and recorded at unitary level. A head-top frame screwed to the skull served to fix the animal in the stereotaxic instrument precisely and in the usual orientation. 2. Three types of responses could be distinguished, each with characteristic thalamic localization: --one was of the specific type: it occurred at short latency, followed rapid rates of stimulation, and was localized in VPM and SG; --a second type had longer latency, did not follow rapid rates of stimulation, was frequently bilateral, and was localized in VPM, CM-Pf and Posterior Group; --the third type was a complex response, exhibiting inhibitory and excitatory phases; extremely labile, it disappeared during wakefulness; it was found in LP and CM-Pf. 3. The responses elicited by dental pulp stimulation and recorded in the periaqueductal grey matter mostly originated from face muscle messages provoked by the jaw opening reflex. 4. The possible contributions to pain perception made by each of the different thalamic responses is discussed, as well as the adequacy of dental pulp stimulation for producing a purely nociceptive signal.

Action Potentials↗