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G M Manzano

Publications and source records attributed to G M Manzano.

At least 19 recordsLinked to original sources

A comparison between different parameters in F-wave studies.

Ulnar nerve F-waves were studied in 23 healthy volunteers and 27 diabetic patients. Latencies and chronodispersion were analyzed in each group. In the diabetic group all the parameters were normal in 14 patients (52%) and in 13 (48%) at least one parameter was altered. In these patients the most frequently altered parameter was the maximum latency (92%), followed by mean latency (85%), minimum latency (54%) and chronodispersion (54%). These findings suggest that maximum and mean latencies are better parameters to be analyzed in ulnar F-wave studies than minimum latency.

Adolescent↗

[A review of technical and physiological aspects of F-wave studies and analysis of the data obtained in a group of diabetic patients].

We reviewed some physiological aspects of the F-wave studies, mainly related to the motoneurone sizes involved in the generation of this potentials and the number of stimuli necessary to analyze the F-wave parameters. F-wave latencies and F-wave conduction velocities obtained in a group of normal volunteers and in a group of diabetic patients are analyzed.

Adolescent↗

Quantitative analysis of EEG background activity in patients with rolandic spikes.

OBJECTIVE: The aim was to compare the background activity, through quantitative EEG analysis, of patients with rolandic spikes and normal age-matched controls. MATERIAL AND METHODS: Twenty-one channel EEG of 23 children with rolandic spikes and 39 normal children, with ages ranging from 7 to 12 years, were submitted to quantitative analysis (FFT) of discharge-free epochs. Patients and controls were divided in groups according to age (7-9 and 10-12 years old). Delta, theta, alpha and beta frequency ranges were compared between groups for all electrode positions. RESULTS: Comparing normals, the 7-9 years old group showed power reduction in the alpha and beta ranges. Comparing patients and normal age-matched groups, the patients showed power increase, at all frequency ranges in the 7-9 years old group and at delta and theta frequency ranges in the 10-12 years old group. CONCLUSIONS: Our findings agree with recent evidences that these children may differ from normal (besides the eventual occurrence of seizures); but they also suggest that these differences can be related to immaturity and not necessarily related to the epileptiform discharge.

Brain↗

A double-dissociation of behavioural and event-related potential effects of two benzodiazepines with similar potencies.

This study was designed to explore the role of benzodiazepine affinity to benzodiazepine binding site on acute psychomotor, subjective and memory effects, as well as auditory Event Related Potential (ERP) latencies, in healthy volunteers. Two benzodiazepines with similar affinity to benzodiazepine binding sites, or potency, were compared: the atypical compound lorazepam (2.0 mg), which has been reported to impair priming, and a standard benzodiazepine, flunitrazepam (0.6 mg, 0.8 mg, 1.0 mg). The study followed a placebo-controlled, double-blind, parallel-group design. Sixty subjects completed a test battery before treatment and at theoretical peak plasma concentration of drugs. Lorazepam and 1.0 mg of flunitrazepam led to comparable alterations on psychomotor, subjective and auditory episodic memory measures. A double-dissociation was found for lorazepam and the equipotent dose of flunitrazepam (1.0 mg): lorazepam was more deleterious than flunitrazepam in time taken to identify fragmented shapes. Lorazepam also impaired direct and indirect stem-completion in comparison to placebo, but this effect was abolished when time to identify shapes was used as a covariate. By contrast, 1.0 mg of flunitrazepam prolonged auditory ERP latencies to a greater extent than lorazepam. High affinity to the benzodiazepine binding sites does not seem to explain the consistent lorazepam-induced impairment of indirect stem-completion. Differences in impairment profile between the benzodiazepines employed may relate to the modality (visual or not) of the tasks used.

Adolescent↗

F-waves and conduction velocities range.

A controversial aspect in F-wave studies is if these potentials are generated preferentially by large motoneuron or by motoneuron of all sizes. The purpose of this work is to compare the maximum and minimum conduction velocities of the fibers that generate the M-wave with the maximum and minimum conduction velocities of the F-waves elicited by ulnar nerve stimulation. There were no significant differences between maximum velocities. However, minimum F-wave velocity was significantly higher than minimum conduction velocity, suggesting that the F-waves registered were preferentially generated by the fastest conducting axons.

Adult↗

Sample size and the study of F waves.

Ulnar nerve F waves were studied in 23 healthy volunteers and 27 diabetic patients. Latencies and chronodispersion were analyzed in each group for different sample sizes. Significant differences were not detected with the different sample sizes for mean latencies, with samples above 16 stimuli or 10 waves for minimum and maximum latencies and above 20 stimuli or 16 waves for chronodispersion. These findings suggest that these limits may be adequate for group comparison. However, for the analysis of individual patients, the evidence suggests that larger samples are required for the determination of the minimum and maximum latencies and chronodispersion.

Adolescent↗

Median nerve SEP after a high medullary lesion. Preserved N18 and absent P14 components. Case report.

Median nerve SEPs recorded from a patient with a high medullary lesion are described. The lesion involved the anteromedial and anterolateral right upper third of the medulla, as documented by MRI. Forty one days after the lesion, left median nerve SEP showed preserved N18 and absent P14 and N20 components; stimulation of the right median nerve evoked normal responses. These findings agree with the proposition that low medullary levels are involved in the generation of the N18 component of the median nerve SEP.

Adult↗

The N18 component of the median nerve SEP is not reduced by vibration.

OBJECTIVE: To study the interference of mechanical vibration of the palm of the hand on the median nerve short-latency SEP components. METHODS: Electrically-elicited short-latency median nerve SEP were obtained before and during mechanical vibration (120 Hz) of the palm in two groups of normal individuals (6 in group I and 9 in group II). The amplitude of the different components was compared between the two conditions through non-parametric statistical tests. RESULTS: A significant reduction in the amplitude of the N9, P13/14 and N20 components was detected, however no overall significant changes were detected for the N18 component. CONCLUSIONS: Vibration interference reduced all studied components except the N18, these findings are interpreted as supporting evidence for the proposed association between the N18 component and the inhibitory activities elicited in the dorsal column nuclei.

Adult↗

Short latency median nerve somatosensory evoked potential (SEP): increase in stimulation frequency from 3 to 30 Hz.

Somatosensory evoked potentials were obtained by electrical stimulation of the median nerve in 10 normal subjects at 3 and 30 Hz. At the higher rate of stimulation, a reduction was observed in amplitudes and prolongation of latencies of the N9, N/P13 and N20 components as well as increase of the interpeak latency N9-N/P13. A significant increase between the onsets of the N11 and N20 components was also seen; however, no significant increase of the N/P13-N20 interpeak latency was observed. Analysis suggested that an important reason for this last finding was related to the fact that in some cases different fast frequency components (FFC) determined the N20 peak in the different situations. It was further observed that, in those cases in which at least 3 peaks in the fast frequency components were detected (7/10), a significantly different increase in latency between the first and the third peaks was noted. A possible thalamo-cortical generation of the FFC is discussed.

Adolescent↗

[Evoked potentials by median nerve stimulation: comparison of central conduction time defined by different measure points].

After stimulation of the right median nerve in 20 normal adult volunteers interpeak latency N13-N20 and the difference in onset latency of the components N11-N20 are compared. A fractionation of the last measure was made at the onset of the P13-14 complex. The results concur with the ones in the literature, and it has been observed that all points measured could be obtained without significant difference on the C6-FZ and P3-FZ montages.

Adult↗

[Related observations for the use of mounting between neck posterior and scalp in evoked potentials by median nerve stimulation].

Somatosensory evoked potentials after stimulation of the median nerve were obtained in a group of normal individuals. The components obtained between 12 and 22 ms were analysed with cephalic and non-cephalic references. It is shown that the P13-14 complex is the major contributor for the amplitude of the N13 component recorded with electrodes between the posterior neck and the scalp. It has not been possible to detect differences in amplitude or latencies for the components N18 and P22 recorded between FZ-non cephalic and C6-FZ. Implications of these findings to clinical interpretations of the responses are discussed.

Adult↗

Functional microsurgical partial callosotomy in patients with secondary generalized epilepsies. I. Disruption of bilateral synchrony of spike and wave discharges.

Fourteen patients with secondary generalized epilepsy suffering from multiform seizures (MS) not amenable to medication were submitted to partial section of the corpus callosum. In all patients, there was a partial disruption of the previous generalized bilateral synchronous epileptiform discharges (GBSD). The electroencephalographic findings after callosal section are discussed with respect to their implications in furthering our understanding of the mechanisms subserving the organization of GBSD.

Adolescent↗

Functional microsurgical partial callosotomy in patients with secondary generalized epilepsies. II. Mesial surface electrocorticography.

Eight patients with secondary generalized epilepsy not alleviated by medical treatment underwent partial callosotomy. During the surgical procedure, they had mesial surface ECoG recordings taken from both frontal and parietal lobes, using large flat multilead platinum electrodes, and simultaneously recordings from a number of scalp positions, using needle electrodes. In all cases studied, this approach demonstrated one or, more commonly, several focal areas of epileptiform activity discharging independently over the mesial aspects of one or both hemispheres. The findings were correlated with the pre- and postoperative EEG patterns, in the light of current concepts of generalized epilepsies.

Adolescent↗

Anterior zygomatic electrodes: a special electrode for the study of temporal lobe epilepsy.

The position of a surface electrode over the anterior zygomatic arch is described. Epileptiform activity recorded at this position is compared with that recorded by sphenoidal electrodes in 21 cases of temporal lobe epilepsy. In 100% of the cases abnormalities were detected with both electrodes, although in 11% of the cases the findings could not be definitely described as epileptiform in the anterior zygomatic electrodes.

Adolescent↗

Proximal receptors and the mechanical stimulation of the fingers: a somatosensory evoked potential study.

OBJECTIVE: To characterize scalp responses to mechanical stimulation of the fingers and evaluate the contribution of different receptors. DESIGN AND METHODS: Somatosensory evoked responses to mechanical stimulation of the right third finger were recorded from a P3-P4 montage (n = 15) and from a F3-P4 montage (n = 9) as well as after electrical stimulation (n = 9). Responses after mechanical stimulation of the distal region of the finger, with the hand at different positions, were also recorded (n = 8). Complementary experiments in a small number of individuals included EMG and accelerometer recordings as well as anaesthesia of the finger. RESULTS: Scalp responses characterized by an initial sequence of waves, here called NI-PI-NII, were recorded from the P3-P4 montage. Mean peak latencies were 20, 23 and 26 ms, respectively; electrical stimulation of the same region evoked an initial negativity (mean peak latency 23 ms). EMG recordings suggested the involvement of different receptors in response to electrical and mechanical stimulation. Accelerometer recordings showed the spread of a sizable mechanical wave at the forearm. Anaesthesia did not change the responses to mechanical stimulation. CONCLUSIONS: Relatively small mechanical stimuli applied at distal phalanxes may activate proximal receptors which generate scalp recorded responses that may completely occlude the contribution of the distal receptors.

Acceleration↗