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Biomedical subjects

E J Barton

Publications and source records attributed to E J Barton.

5 recordsLinked to original sources

Neural control of saccadic eye movements.

Recent experiments report that localization of brief targets presented during an ongoing saccade is not accurate. Because interpretations of these findings challenge an important tenet of existing oculomotor models, we examine the methodological and logical bases of these conclusions. Also, we review recent research related to the roles of the frontal eye fields and cerebellum in the control of saccadic eye movements. Pathways by which neurons in the frontal eye fields control the initiation and metrics of saccades have been clarified by studying the functional properties of neurons in the frontal eye fields that project to oculomotor regions of the pons, and the discovery of a short-latency pathway that enables relatively direct control of saccade initiation. We review the puzzling literature on the role of vermal lobules VIc, VII and the fastigial nuclei in the control of saccadic eye movements and suggest a testable hypothesis about how the fastigial projection to inhibitory burst neurons could modify saccade metrics.

Animals

Video urodynamic studies and clinical outcome.

We have reviewed the clinical outcome in 64 patients having combined structural and functional lower urinary tract studies (video urodynamics). The results represent two years' experience of a unit encouraging referral only of those complex patients thought to need the combined study, rather than simple urodynamic measurements. The test's accuracy and its influence on management were not in question, and most patients (58%) were improved. The results suggest that the test is decisively useful in patients with obstruction, whether complicated by bladder instability or not. A poor stream or a neuropathic bladder were the important clinical pointers to this group. The great majority of patients suffering from stress incontinence were improved on review, whilst most of those with frequency and urgency of micturition were no better. The combined test may have given diagnostic confirmation here, but it did not bear importantly on outcome. Diagnostic certainty in these groups was therefore of doubtful, value, and dearly bought.

Adult

Pulmonary paraprotein production in Waldenström's macroglobulinaemia.

A case of Waldenström's macroglobulinaemia is presented where marrow examination was normal and production of the abnormal protein was centered on the lungs. Symptomatic and biochemical improvement was achieved with chlorambucil and prednisone. Lung manifestations in the disease are briefly reviewed.

Biopsy