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D Von Cramon

Publications and source records attributed to D Von Cramon.

4 recordsLinked to original sources

Evoked dipole source potentials of the human auditory cortex.

A new description of evoked potential activity in terms of 'dipole source potentials' is presented, based on the physical laws relating intracranial electrical activity and scalp potentials. Recorded at a sufficiently distant electrode, the electrical activity of a spatially restricted region can be approximated uniquely by a time varying dipole vector field with stationary equivalent dipole location. Each of its 3 projections on a 3-dimensional coordinate system presents an accordingly defined 'dipole source component.' Magnitudes of these components are functions of time, named 'dipole source potentials.' The 2-dimensional coronal scalp distribution of middle and late AEPs, obtained in 15 normal subjects, could best be decomposed into tangential and radial dipole source components, originating from the auditory structures in both temporal lobes. Initial tangential activity (N19t-P30t) appeared to arise in primary auditory cortex, and initial radial activity (N27r-P39r) in secondary auditory cortex, in view of the similarity with intracranial records (Celesia 1976). Unilateral lesions of the acoustic radiation abolished ipsilateral MAEP dipole source potentials. Lesions involving AI/II and AAI also abolished the LAEP source potentials in the damaged hemisphere. The normal dipole source potentials in the intact hemisphere fully explained scalp distributions in these patients. In cases with assumed interruption of primary cortical input, presence of late dipole source potentials, which were delayed by 20-30 msec, probably reflected cortical activation via commissural fibres.

Adult

Two bilateral sources of the late AEP as identified by a spatio-temporal dipole model.

A new spatio-temporal dipole model is presented, which enables prediction and analysis of scalp potential wave forms due to spatio-temporal overlap of multiple generators. Each generator is thought to represent a local neural subset, the electric activity of which can be modelled by an equivalent dipole with stationary location and orientation closely related to the spatial organization of the neural subset. The temporal course of dipole magnitude is assumed to depict the external far field due to the compound discharge processes of the generator. Simulations of uni- and bilateral dipoles within the temporal lobe, oriented vertically and horizontally, demonstrate how spatio-temporal overlap mag bring about the 'vertex response' of the late AEP and the wave form changes observed over temporal sites. Analyses of late AEPs reported for a coronal chain of electrodes by Peronnet et al. (1974) and Vaughan et al. (1980) revealed that the wave forms in the 60-250 msec range could be perfectly matched at all electrodes by model wave forms due to 2 bilateral sources within the temporal lobe. Their locations, orientations and their latency difference of about 30 msec suggest consistently that the sequential activation of primary and secondary auditory cortices is the predominant source to the late AEPs.

Brain Mapping

The Munich Coma Scle (MCS).

The level of coma can be measured by the assessment of changes of behaviour after different intensities of stimulation. Two additive scales (Guttman scales) for susceptibility to stimulation and reactivity were developed, constituting the Munich Coma Scale (MCS). The findings of previous investigations were repeated in a new sample of 67 comatose patients. Implications of the additivity of reactivity are discussed and related to the concept of 'behavioural arousal' advanced in the recent literature.

Adult