Biomedical subjects

E Balzamo

Publications and source records attributed to E Balzamo.

At least 19 recordsLinked to original sources

PubMed2004

Short-latency components of evoked potentials to median nerve stimulation recorded by intracerebral electrodes in the human pre- and postcentral areas.

OBJECTIVE: To study whether sensory afferents of the hand projected directly to the primary motor cortex (M1) as they have been well electrophysiologically described in monkeys but not in humans. METHODS: We recorded intracerebrally in the central areas (pre- and/or postcentral gyrus) somatosensory evoked potentials (SEPs) to median nerve stimulation in 5 (4 women, 1 man; age 14-37 years) epileptic patients during presurgical evaluation. RESULTS: The primary somatosensory cortex (S1) showed negative-positive components peaking at about 20 and 30 ms, respectively. By contrast, M1 disclosed SEPs of two types of waveforms depending on the portion of the precentral gyrus explored by the different contacts of the electrode. Here, we demonstrated, for the first time, in the medial portion of M1, shaped like an omega in the axial plane, corresponding to the motor hand area, the occurrence of a primary negative component as in S1, but of higher amplitude and peaking at about 4 ms later. In other respects, the lateral portion of M1 disclosed positive-negative components peaking at about 21 and 31 ms, respectively. CONCLUSIONS: These electrophysiological findings, based on accurate spatial and temporal resolution of intracerebral recordings, suggested that somatosensory inputs from the hand projected directly to M1 in its medial portion.

Adolescent↗

PubMed2001

[Epidural hematoma in a child with hemophilia: diagnostic difficulties].

UNLABELLED: Spinal epidural hematoma is an uncommon complication in hemophilia. CASE REPORTS: The cases of an extensive epidural hematoma in two boys with severe hemophilia are reported. CONCLUSION: Acute onset of severe neck pain or backache leads to the diagnosis of epidural hematoma in children with hemophilia, even in the absence of neurologic symptoms. Early diagnosis is important and relies on magnetic resonance imaging. Replacement therapy is mandatory and must be prescribed before neuroradiologic imaging. Generally, children have a good neurologic outcome.

Back Pain↗

PubMed1999

Activation of respiratory afferents by resistive loaded breathing modifies somatosensory evoked potentials to median nerve stimulation in humans.

The cortical projections of respiratory afferents (vagus and respiratory muscle nerves) are well documented in humans. It is also shown that their activation during loaded breathing modifies the perception of tactile sensation as well as the motor drive to skeletal muscles. The effects of expiratory or inspiratory loaded breathing on somatosensory evoked potentials (SEPs) elicited by median nerve stimulation were studied in eight healthy subjects. No significant changes occurred in latencies of N20, N30 and P40 throughout the expiratory loading period, except for a significant lengthening in P1 latency compared with unloaded breathing. However, inspiratory loading induced a significant increase in peak latency of N20, N30 and P40 components. We suggest that projections of inspiratory afferents from the diaphragm and the intercostal muscles, activated by inspiratory loading, could be responsible for the lengthened latency of median nerve SEP components. Thus, respiratory afferents very likely interact with pathways of the somatosensory system.

Adult↗

PubMed1998

Resistive loading reduces ventilatory response to strychnine in anesthetized rabbits.

Breathing through an inspiratory resistance induces a hypoventilation in mammals despite an increased diaphragmatic activity. We showed in previous works that an increase in GABA and endogenous opioid release in the central respiratory network could explain in part the inadequate increase in the inspiratory drive during inspiratory loading. In the present experiment, we speculated about an additional role of glycine, another inhibitory neurotransmitter. The ventilatory effects of the glycine antagonist strychnine were evaluated in two groups of anesthetized rabbits, breathing either through an inspiratory resistive load (IRL) or not (control group). In the control group, strychnine raised (+7%, P < 0.05) the minute ventilation, V, and the rate of increase in integrated diaphragmatic discharge (Edi peak/T peak: +29%, P < 0.01). In the IRL group, strychnine did not change V and produced a lesser increase in Edi peak/T peak (+9%, P < 0.05). In both groups, strychnine induced a tonic diaphragmatic discharge. These data show that there is a weak inhibition of inspiration by glycine during resistive loading, but the effect is modest compared with that observed during unloaded ventilation. Thus, it seems that IRL breathing reduces the efficacy and/or the release of this neurotransmitter in the central nervous system, in this experimental situation.

Airway Resistance↗

PubMed1998

Scoring of sleep and wakefulness by behavioral analysis from video recordings in rhesus monkeys: comparison with conventional EEG analysis.

Extensive work on sleep-wake cycles in non-human primates has been carried out using conventional EEG scoring. In this study, simultaneous somnopolygrams and video recordings at 1 frame/s were performed on 6 adult rhesus monkeys (Macaca mulatta) during a 24 h period. Wakefulness, NREM sleep and REM sleep were scored by analysis of animal behavior from video data, using characteristic criteria for each state of vigilance. Results were then compared with those of conventional EEG scoring. Values of the total amount for each state obtained by the two scoring methods during the light and the dark periods were significantly closely related (P < 0.001) with a high correlation coefficient for wakefulness (r1 = 0.99956), for NREM sleep (r1 = 0.99641) and for REM sleep (r1 = 0.98708). Moreover, the epoch by epoch analysis between both methods showed a high concordance with percent agreement values of 95.68% for wakefulness, 93.52% for NREM sleep and 94.02% for REM sleep. The number of REM sleep episodes was similarly defined. The patterns of successive sleep-wake cycles determined from both scorings were superimposable, as were the frequent state changes for the same time segments. The video method's main limitation was that the 4 stages of NREM sleep could not be differentiated. Reliability and advantages of sleep-wake scoring by behavioral analysis are discussed. These results suggest that the video methodology is relevant as a non-invasive technique complementary to conventional EEG analysis for sleep studies in rhesus monkeys.

Animals↗

PubMed1997

Influence of respiratory afferents upon the proprioceptive reflex of skeletal muscles in healthy humans.

Relationships between respiratory afferents and the motor drive to skeletal muscles are well documented in animals, but human data are scarce. Tonic vibratory response (TVR) elicited by mechanical tendon vibrations were explored in an arm (extensor digitorum, ED) and a leg (vastus lateralis, VL) muscle, in healthy subjects. Tendon vibrations were delivered during unloaded breathing and after 10 breathing cycles while the subject breathed through an inspiratory or expiratory resistive load in order to activate respiratory afferents. Inspiratory loaded breathing significantly enhanced TVR in ED and VL muscles whereas the effects of expiratory loading depended on the vibrated muscle (increased TVR in ED; decreased TVR in VL). These results suggest that inspiratory muscle afferents activated during inspiratory loading facilitate the gamma motor drive to arm and leg muscles whereas the activation of pulmonary vagal afferents during expiratory loading can exert a facilitating or suppressive influence on the gamma motor drive, depending on the limb muscle group.

Adult↗

PubMed1997

Evolution of sleep and wakefulness organization in Macaca mulatta during Spacelab flight simulation.

NASA and CNES agencies planned to perform neurophysiological studies aboard Spacelab using rhesus monkeys as human models. The present study was conducted to assess the influence of restraint and confinement conditions on the circadian sleep-wake rhythm before an actual flight. Three experimental 18-day flight simulations were performed on 6 adult Macaca mulatta, chair-restrained in a high-fidelity mock-up of the Spacelab compartment. Wakefulness, non-REM sleep and REM-sleep were determined by analysis of animal behavior from video recordings. As the experiment progressed significant changes were observed, characterized by a progressive increase of non-REM sleep of around one hour, mainly during the light period (7 am - 11 pm) at the expense of wakefulness. Duration and number of sleepiness episodes and phases of inactivity increased. A clear, new, pattern of sleep-wake cycles occurred, mainly in the last 3 days with a sharp rise in total non-REM sleep. The observed disturbances were determined to be a consequence of the confinement, the limited space and the reduced motor activity as well as of restraint. The evolution of sleep-wake cycles in 3 stages reflected the fact that the organism appeared to have adapted to the new situation. These results suggest that future studies of monkeys during orbital flight should take into account the effects of external factors such as the conditions of confinement and of restraint as well as the effects of microgravity.

Adaptation, Physiological↗

PubMed1996

Cardiorespiratory response to bicuculline during resistive loaded breathing in anesthetized rabbits.

We hypothesized that hypoventilation induced by resistive loaded breathing may result in part from an increase in gamma-aminobutyric acid (GABA) concentration in the central nervous system. Accordingly, ventilatory depression should be minimized by GABA receptor blockade. The effects of subseizure doses of the GABAA receptor antagonist bicuculline on the cardiorespiratory variables and cortical activities were evaluated in two groups of urethane anesthetized rabbits, breathing either through an inspiratory resistive load (IRL) or not. Bicuculline induced cardiorespiratory changes which consisted mainly of an augmented respiratory rate, through shortening of expiratory duration, and of bradycardia. Bicuculline effects did not significantly differ between both groups and were accompanied by high amplitude delta rhythmic cortical activities. These data show that GABAA receptors may exert a tonic depressive effect on the respiratory circuit and suggest that endogenous GABA release is not augmented by an acute increase in the work of breathing.

Airway Obstruction↗

PubMed1996

Resistive loaded breathing changes the motor drive to arm and leg muscles in man.

Breathing through inspiratory or expiratory resistive loads activates respiratory afferents. In healthy individuals, we explored the recruitment of motor units in arm (adductor pollicis, AP and biceps branchialis, BB) and leg (vastus lateralis, VL) muscle groups during voluntary contractions sustained at 80% of maximal force. Quantitative EMG analysis consisted of measurement of energies in high (EH) and low (EL) frequency bands. EH and EL changes were measured at constant time, i.e. 10 and 20 s after the onset of plateau contraction. The resistive load was added to the inspiratory or the expiratory circuit for 10-min periods. Its value was high but not enough to induce changes in blood gases and blood pressure. Compared to muscle contractions performed during non-loaded breathing periods, inspiratory loading did not affect BB and VL contractions, whereas it induced significant changes in AP contraction, characterized by enhanced variations in EL value measured at 10 s. Expiratory loading affected solely the VP contraction. Then, EH decreased at 10 and 20 s while it increased always when VP contractions were executed during non-loaded breathing. Expiratory loading elevated the functional residual capacity (FRC), but the load-induced changes in VL contraction persisted when subjects adjusted their FRC to the control level. These data suggest that respiratory afferents influence the skeleto-motor drive. Thus, viscero-somatic reflex may be present in patients with severe obstructive pulmonary disease.

Adult↗

PubMed1996

Mechanical ventilation increases substance P concentration in the vagus, sympathetic, and phrenic nerves.

Substance P (SP), a neurotransmitter localized to primary sensory neurons, is found in the vagus nerve, nodose ganglion, sympathetic chain, and phrenic nerve in various animal species. However, the changes in endogeneous SP concentration under various circumstances that involve the participation of cardiorespiratory afferent nerves are still unexplored. In the present study, attention was focused on the variations in SP content measured by radioimmunoassay (RIA) in respiratory afferent nerves (vagus nerve, cervical sympathetic chain, phrenic nerve) and respiratory muscles (diaphragm, intercostal muscles) during positive inspiratory pressure (PIP) breathing alone or PIP with an expiratory threshold load (ETL) in rabbits. SP was found in all sampled structures in spontaneously breathing control animals, prevailing in the nodose ganglion. Left-versus right-sided differences were noticed in nerves. As compared with that in control animals, the SP concentration was markedly higher in vagal and sympathetic nervous structures during PIP or PIP with ETL, and also in the phrenic nerve during ETL breathing. The SP content did not vary in respiratory muscles. These observations suggest that two very common circumstances of mechanical ventilation are associated with an increased SP concentration in nervous structures participating in the control of breathing.

Animals↗

PubMed1995

Increasing background inspiratory resistance changes somatosensory sensations in healthy man.

The central purpose of the study was to investigate if increasing background inspiratory resistance, a circumstance which activated afferents from the lungs and respiratory muscles, modified somatosensory and/or auditory sensations in healthy individuals. Estimation of mechanical stimulations applied on the middle finger (somatosensory sensation) and unilateral sound-pressure stimulations (auditory sensation) was based on the computation of Stevens' power function psi = k.phi n, where psi is the estimate and phi is either the somatosensory stimuli or sound-pressures. This was studied during eupnoeic unloaded ventilation then during a 10-min period of loaded breathing followed by a 10-min recovery period. Loaded breathing significantly lowered the estimate of somatosensory stimuli (decreased n coefficient). This effect persisted during the two first minutes of recovery period. By contrast, loaded breathing did not modify the perception of auditory stimulus. As somesthetic and respiratory afferents, but not auditory afferents, project on the same area in the sensory cortex we suggest the existence of central interactions which could explain observations of the difficulties to execute accurate tasks in patients suffering from obstructive lung disease independently from the alterations in their arterial blood gases.

Acoustic Stimulation↗

PubMed1995

Sleep-wake cycles in rhesus monkeys during Spacelab flight simulations.

Neurophysiological data has been obtained in orbital flight from various non-human Primates. Aboard Russian satellites during both Bion and Biocosmos missions, impairments in duration and organization of the states of vigilance were observed in rhesus monkeys during flight: increase in nocturnal awakening, decrease of Rapid Eye Movements-sleep (REM-sleep). It was assumed that weightlessness played a role in these changes. The former "Rhesus Project", a joint program between CNES and NASA, was devoted to physiological studies using the rhesus monkey as a human model aboard Spacelab, during 14 to 16 day orbital flights. In the first stage of this project, we investigated the effect of experimental conditions as well as specific restraint and confinement on the circadian sleep-wake rhythm in a group of rhesus monkeys. Prior to flight, our aim was to determine quantitatively and qualitatively sleep-wake cycles. These control data would thus be compared with inflight data in order to assess the influence of weightlessness.

Activity Cycles↗

PubMed1994

Effects of restraint and cabin environment on skin temperature, sleep-wake, feeding and drinking circadian rhythms in Macaca mulatta during spacelab flight simulation.

Exposure to a weightless environment such as in spaceflight, leads to a number of physiological responses to assure the survival of an organism in this new environment. However, the real effect of microgravity itself has not been clearly established yet. Considering the environmental and operational characteristics of a spaceflight, and as it has been shown in previous flights, the use of animals, and more particularly the non-human primates, takes on importance in understanding the mechanisms and factors involved in the adaptation to changes in gravitational loading. The SLS-3 flight of the American shuttle, scheduled for launch in early 1996, will be the first flight of the Rhesus project, a joint program of C.N.E.S. and N.A.S.A. which will carry out experiments in various physiological disciplines using the Rhesus monkey as a human surrogate. This 16 day orbital flight will be the longest flight accomplished by the shuttle to date. A number of feasibility studies have already been conducted on Macaca mulatta in order to simulate flight conditions to obtain ground data and to test the technical characteristics of the Rhesus Research Facility which have been described elsewhere. Microgravity might be the main factor inducing the physiological changes observed during spaceflights. However, these responses could also be influenced by other factors related to the spaceflight environment such as the life support systems of the spacecraft. Thus, the main purpose of the present study was to determine the impact of specific restraint and cabin environment on the circadian rhythms of body temperature, feeding, drinking, and sleep-waking in order to separate them from the real impact of microgravity.

Activity Cycles↗

PubMed1993

Comparative effects of ischemia and acute hypoxemia on muscle afferents from tibialis anterior in cats.

Comparative effects of ischemia and acute hypoxemia (PaO2 = 24 mm Hg) were studied in anesthetized cats on afferents from the tibialis anterior limb muscle. Metaboreceptors (groups III and IV fibers) and mechanoreceptors were identified by their activation by an intraarterial injection of lactic acid (LA) or high-frequency vibrations (HFV) applied to the extremity of the muscle tendon, respectively. Ischemia and hypoxemia exerted opposite influences on the two categories of muscle afferents: they depressed the response of mechanoreceptors to HFV, but markedly enhanced the spontaneous tonic activity of metaboreceptors. The effects of hypoxemia were delayed but slightly greater and lasted longer during the recovery period than those exerted by ischemia. The inhibitory action on mechanoreceptors exerted by a reduced oxygen supply to muscle is interpreted as a result from local acidosis. Indeed, under normoxic conditions, a LA bolus injection during the HFV test also reduced the firing rate of these receptors.

Action Potentials↗

PubMed1993

Alterations of body temperature, feeding, drinking, and sleep-wake circadian rhythms in Rhesus monkey during a 19 day Spacelab flight simulation.

Previous experiments performed with mammals during spaceflight suggest that microgravity may affect the circadian timekeeping system. However, this system could also be influenced by other factors related to the spaceflight environment, such as the animal compartment. The Rhesus project is a joint program of C.N.E.S. and N.A.S.A in which investigators in various disciplines of physiology will take advantage of flights of the Spacelab to study problems that interest them, using the Rhesus monkey as animal model. The technical characteristics of the Rhesus Research Facility in the Spacelab have been described elsewhere. In order to clarify the influence of the spaceflight environment, other than microgravity itself, on the circadian timekeeping system, we evaluated the characteristics of the circadian rhythms of body temperature, food and water intake, and sleep-wake cycles in Rhesus monkeys during the first 19-day flight simulation of this project.

Animals↗

PubMed1992

Fatigue-induced changes in diaphragmatic afferents and cortical activity in the cat.

The rationale for the present study was to test the hypothesis that changes in phrenic sensory activity during diaphragmatic fatigue may modify the transmission of phrenic afferent action potentials to the cortex and also the spontaneous EEG activity. This was performed in anesthetized cats. Diaphragmatic fatigue was produced by intermittent direct muscle stimulation for a 30 min period. Diaphragmatic metaboreceptors (tonically active afferents) and mechanoreceptors (phasic phrenic activity) were identified by their activation by intraarterial lactic acid injection or their discharge in phase with diaphragmatic contraction, respectively. Cortical phrenic evoked potentials (CPEPs) and spontaneous EEG activity were recorded from the left sensorimotor area. Diaphragmatic failure was shown from the 10th minute of stimulation. Then, the activity of tonic phrenic afferents increased markedly whereas, in parallel, the phasic discharge of mechanoreceptors decreased progressively. This was associated with progressive lengthening in onset and peak latencies of CPEPs. The main EEG changes (visual and fast Fourier transform analysis) were characterized by a transient increased energy in the delta frequency band during the first minutes of the fatigue run, followed by decreased energy in the theta frequency band after 11-25 min of stimulation. Denervation of the diaphragm suppressed the EEG changes during the fatigue run. The present observations suggest that the cortical integration of sensory information from the diaphragm may be altered during fatigue.

Afferent Pathways↗

PubMed1992

Changes in afferent and efferent phrenic activities with electrically induced diaphragmatic fatigue.

In anesthetized artificially ventilated cats, diaphragmatic fatigue was produced by direct muscle stimulation with trains of pulses for 30 min. Failure of contraction was assessed from decrease in the maximal relaxation rate of transdiaphragmatic pressure twitches. Motor activities (electromyogram and motor phrenic neurogram) were processed by fast-Fourier transform analysis, which provided the power spectrum density function (PSDF). The discharge frequency of diaphragmatic afferents was also measured. In control conditions (before fatigue), intra-arterial bolus injection of lactic acid enhanced tonically active diaphragmatic afferents, whereas it reduced the firing rate of afferent fibers activated in phase with diaphragmatic contraction or relaxation. The same sensory response pattern was observed with the development of diaphragmatic fatigue. Leftward shift in PSDFs of motor phrenic neurogram also occurred, but it preceded the failure of diaphragmatic contraction as well as the changes in the electromyogram's PSDF and afferent paths, which were closely associated with lengthening of both inspiratory and total breath durations. After section of the phrenic nerves, the motor phrenic response disappeared during the fatigue trial. This demonstrates the existence of complex reflex-induced changes in the ventilatory control during diaphragmatic fatigue. They seem to involve the participation of several types of phrenic afferents.

Action Potentials↗

PubMed1991

Quantitative EEG changes under various conditions of hyperventilation in the sensorimotor cortex of the anaesthetized cat.

The effects on the EEG rhythms recorded from the sensorimotor cortex (post-sigmoid gyrus) of anaesthetized cats were studied under 4 conditions of artificial mechanical hyperventilation (HV) before and after cervical bilateral vagotomy. In animals with intact vagus nerves, using visual examination, EEG changes were only observed within the 2nd min during HV produced by increased stroke volume (delta V) with associated hypocapnia. Quantitative EEG (qEEG) showed that, for the same increase in minute ventilation and the same degree of hypocapnia, delta V induced a greater and earlier relative decrease (2nd min) in the power density of delta, theta and alpha bands, than increased pump frequency (delta F). The delta F tests produced a fall only in the theta band and within the 3rd min. With constant paCO2, transient modifications occurred only with delta V and were limited to the first 30 sec. In bivagotomized cats, moderate EEG responses to delta V plus associated hypocapnia persisted partly in the alpha band. Finally, no changes appeared with delta V or delta F when the vagus nerves were cut and paCO2 was maintained constant. The present data suggest strongly that, in anaesthetized cats, peripheral vagal afferents from the respiratory system play a major role in the EEG changes caused by artificial hyperventilation.

Animals↗