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Biomedical subjects

G Spidalieri

Publications and source records attributed to G Spidalieri.

At least 19 recordsLinked to original sources
PubMed2001

Gravitational cues contribute to accurate localisation of mentally represented cutaneous targets.

The purpose of this research was to ascertain whether gravitational cues contribute to localisation ability of mentally represented cutaneous targets. Eight right-handed male subjects were asked to use each hand to point accurately toward four points in the anterior trunk midline solely on the basis of the mental representation of their position along the trunk while standing upright and while lying supine. It was found that subjects were more accurate when performing in the upright posture. However, statistical analysis of the mean constant transverse errors of pointing showed that neither posture nor target factors had any significant effect on pointing accuracy. On the contrary, analysis of the mean constant longitudinal errors showed that both the posture and target factors were significant. Subjects pointed caudally to the target locations and made the largest errors, which were on the order of centimeters, when performing in the horizontal posture. These findings indicate that gravitational cues are critical in accurately localising mentally represented cutaneous targets.

Adult↗
PubMed1999

The head midline as a reliable reference frame for encoding head-on-body orientation.

Twelve right-handed male subjects were asked to use each hand to point accurately toward the center of their forehead, determining the correct position according to their mental representation, while the head was either aligned with the trunk or tilted 30 degrees to the right or left. Analysis of end-positions of pointing revealed that the right hand exhibited a slight leftward bias with respect to the putative head midline passing through the center of the glabella and the center of the fissure between the two upper central incisors, regardless of the head-on-body orientation, whereas the left hand proved very accurate when the head was aligned with the trunk but, when the head was tilted either way, it deviated to the opposite side. These results lead to the conclusion that the head midline appears to act as a reliable reference frame for encoding head-on-body orientation when pointing is carried out by the dominant hand.

Adult↗
PubMed1999

[Tension-free hernioplasty. Our experience].

BACKGROUND: In recent years the "tension-free" techniques have been progressively replacing conventional hernioplasty by Bassini and Shouldice. Personal experience in the application of various techniques using a prosthesis to make the back wall of the inguinal canal stronger is described. METHODS: From January 1995 to February 1996, 119 non-selected patients were examined; they were operated by Trabucco's (100 cases), Lichtenstein's (16 cases), Gilbert's (13 cases) and Rives's (1 case) techniques, using polypropylene prostheses. Patients were followed for ten months (range 4-18) after surgery with Day-hospital checks at 1 month, 4 months, 1 year and 18 months. RESULTS: Mortality was not observed. Morbility presented in 12 cases: 2 suppurating wounds, 3 seromas, 2 hematomas, 2 temporary neuralgias of the genito-femoral nerve and 2 scrotal edemas. There was a recurrence (0.8%). CONCLUSIONS: The cases presented confirm the validity of the "tension-free" techniques, both for reduced incidence of complications and recurrences, and for a better compliance of the patient, compared with conventional techniques.

Adolescent↗
PubMed1998

[Unprotected left main angioplasty: a case report].

Left main angioplasty is considered a very high-risk procedure and consequently, surgical treatment remains the first choice for left main critical disease. Recently, the advent of new devices such as directional atherectomy, rotablator atherectomy and stent implantation have modified this point of view. In fact, in selected groups of patients for whom CABG is not suitable, left main percutaneous angioplasty can be performed with stent implantation, yielding good final results with a residual stenosis less than 20-30% and a long-term survival comparable to surgery. In conclusion, in some selected cases left main angioplasty, also if unprotected, can be performed safely with satisfactory results.

Aged↗
PubMed1997

Bilateral coupling in learned blinking: effects of lesion aimed at callosal disconnection of the cat motor cortex.

The effects of selective transection of the rostralmost portion of the corpus callosum, which contains fibers interconnecting the motor cortices of the two hemispheres, on interocular temporal coupling in the initiation of learned symmetrical blinking were examined in 5 cats trained to blink in response to a 500-ms tone paired with 100-ms airpuffs randomly delivered to either eye (alternate airpuff; 3 animals) or simultaneously directed to both eyes (bilateral airpuff; 2 animals) 400 ms after tone onset. Lesioning had no effect on ability to respond, but did cause a significant increase in the mean conditioned response (CR) latencies of both eyes in all subjects. In the intact cats, a statistically significant difference between the mean CR latencies of the two eyes (hereafter called side superiority) was found in three animals, two of which exhibited superiority of the left eye. After lesioning, it was found that the right eye proved superior to the left eye in four subjects. Both before and after lesioning, side superiority was not due to the ability of one eye to give CRs consistently shorter than those of the other eye, but it crucially depended on the higher proportion of trials in which the superior eye led. A linear correlation between CR latencies of the right and left eye was found in all animals both before and after lesioning. It is suggested that subsequent to lesioning aimed at callosal disconnection of the motor cortex, the effects on initiation of learned symmetrical blinking are the consequences of withdrawal of both bilaterally balanced modulatory influences to both eyes and lateralized modulatory influences to the left eye.

Animals↗
PubMed1997

Bilateral coupling in learned blinking: side superiority, synchrony and temporal coordination in normal cats.

In order to study interocular temporal coupling in the initiation of learned symmetrical blinking, experiments were carried out on cats trained to blink in response to a 500-ms tone paired with 100-ms airpuffs randomly delivered to either eye (alternate airpuff; 6 animals) or simultaneously directed to both eyes (bilateral airpuff; 4 animals) 400 ms after tone onset. In spite of the fact that differences in conditioned response (CR) latencies of the right and left eye varied in a wide range between positive and negative values in all subjects, a statistically significant difference between the mean CR latencies of the two eyes (further called side superiority) was found in 6 animals, of which 4 were trained by alternate airpuff and 2 by bilateral airpuff. Superiority of the right eye was found in 3 animals and the opposite was observed in the other 3. Analysis of the differences between CR latencies of the two eyes showed that side superiority was not due to the ability of one eye to give CRs consistently shorter than those of the other eye, but it crucially depended on the higher proportion of trials in which the superior eye led. The ability to give simultaneous CRs by the two eyes was found inversely related to the mean CR latency per session and subject. Regression analysis showed that power equations best described these relationships. In all animals, the frequency distribution of simultaneous CRs paralleled the frequency distribution of all CRs. In spite of a considerable trial-by-trial variability in the temporal relationships between CR latencies of the two eyes, clear-cut linear correlations were found by plotting the mean CR latencies of the right and left eye per both session and subject. The results reviewed in this paper are best accounted for by suggesting that blink onset of the two eyes is independently controlled by two distinct command signals and is modulated by bilaterally-balanced and lateralized influences.

Air Pressure↗
PubMed1997

Psychophysical properties of the trunk midline.

This study was carry out to obtain direct evidence that the body midline actually is perceived and to assess some psychophysical properties of this line. Twelve normal, right-handed male subjects were asked to make accurate pointing movements toward the midline of the anterior trunk on the basis of their mental representation of this line. Each hand was used to point while the head was either aligned with the trunk or tilted 30 degrees to the right or left. Analysis of end-positions of pointing on trunk images acquired by an image analysis system indicated that the trunk midline indeed is perceived as a straight line. Three putative trunk midlines were taken into consideration on the basis of anatomic landmarks, and it was found that the mental representation of the trunk midline came nearest to the line orthogonal to the intermammary line crossing its midpoint. The performing hand and the position of the head relative to the trunk both had an effect on the mental representation of the trunk midline. These findings suggest that somatosensory signals from the trunk, as well as proprioceptive input from the neck, contribute to the elaboration of the subject's mental representation of the trunk midline.

Adult↗
PubMed1996

Evidence for a facilitatory role of callosal afferents to the cat motor cortex in the initiation of conditioned bilateral movements.

The effects of selective transection of the rostralmost portion of the corpus callosum, which contains fibres interconnecting the motor cortices of the two hemispheres, on frequency of occurrence and latency of conditioned responses (CRs) in both eyes were examined in seven cats trained to blink in response to a 500-ms tone. A 100-ms air-puff delivered to one eye only (ipsilateral eye) 400 ms after tone onset was used as an unconditioned stimulus. Both before and after callosal lesion, bilateral CRs were the most frequent response pattern. Following callosal lesion, a statistically significant reduction in the percentage of CRs in at least one eye was observed in only two cats. In all seven animals, both before and after callosal lesion, the mean CR latencies of the ipsilateral eye were significantly shorter than those of the contralateral eye. Callosal lesion caused a significant increase in the mean CR latencies of both eyes in all subjects. These results provide evidence that the two hemispheres influence each other in controlling conditioned bilateral blinking by reciprocally exchanging facilitatory signals contributing to initiation of CRs in both eyes.

Acoustic Stimulation↗
PubMed1994

[Gastric leiomyosarcoma. Three clinical cases in emergency].

The authors describe three cases of gastric leiomyosarcoma that required surgical treatment in emergency. Myogenic gastric tumors are extremely rare (1-3% of primitive gastric neoplasias) and little is known about their biological evolution, even if they seem to have scarce power of spreading and of local invasion. Echoendoscopy appears to be the best screening method for the evaluation of staging and DT (doubling time). In the authors' opinion, when neoplasms have a diameter less than 5 cm, subtotal or total gastrectomies don't offer better results in the follow-up than simple minimal excision of the gastric tumor.

Aged↗
PubMed1994

[Acute abdomen caused by eosinophilic gastritis].

The authors describe a case of acute abdomen operated in emergency for obstruction in a patient with eosinophilic gastritis. This is very unusual pathology characterized by eosinophilic infiltration of the gastric antral wall combined with peripheric eosinophilia. This particular case was operated for a small bowel obstruction but in those rare cases, when we can reach a diagnosis with endoscopic biopsy, a prudential attitude becomes inevitable as this pathology is very responsive to medical treatment with corticosteroids.

Abdomen, Acute↗
PubMed1990

Low threshold unilateral and bilateral facial movements evoked by motor cortex stimulation in cats.

Organizational features of the ipsilateral representation in the cat face motor cortex were investigated by using the technique of intracortical microstimulation (less than 30 microA). In 4 intact animals, 61 efferent zones controlling facial muscles were identified. They were devoted to contralateral muscles (contralateral efferent zones; n = 35), ipsilateral muscles (ipsilateral efferent zones; n = 8) or symmetrical muscles of both sides (bilateral efferent zones; n = 18). Contralateral efferent zones were found within both the rostral part of the coronal gyrus and the lateral bank of the presylvian sulcus, whereas ipsilateral and bilateral efferent zones were exclusively localized to the rostromedial region of the face motor cortex. Movement thresholds proved to be lowest at the contralateral efferent zones and highest at the ipsilateral efferent zones, with intermediate values at the bilateral efferent zones. Latencies of suprathreshold EMG responses evoked from contralateral and ipsilateral efferent zones were the shortest and the longest, respectively; intermediate values were found upon stimulation of sites from bilateral efferent zones. The efferent zones identified in 3 lesioned animals (two cats with contralateral motor cortex ablation and one cat with transection of the rostral two thirds of the corpus callosum) were contralateral (n = 14), bilateral (n = 13), and ipsilateral (n = 9). Mean thresholds of effective sites from bilateral and ipsilateral efferent zones in lesioned preparations were not significantly higher than those in intact animals. This would thus suggest that extracallosal pathways may account for ipsilateral responses.

Animals↗
PubMed1989

The functional development of input-output relationships in the rostral portion of the corpus callosum in the kitten.

Microstimulation of the rostral portion of the corpus callosum (CC) was carried out on 21 awake kittens ranging in age from 45 to 105 days to determine the age at which motor responses first appeared and that at which they assumed functional adult-like properties. Motor responses to microstimulation first appeared over an interval ranging from 78-86 days postnatally. As in adults, they consisted of discrete, well-localized contractions of shoulder, whisker, and eyelid muscles according to the stimulated sites. In the first days after their appearance, motor responses differed markedly from those in adults because: (a) they exhibited higher thresholds; (b) they did not faithfully follow pulse trains delivered at 10 s intervals; (c) they had variable and longer latencies. Thereafter, motor responses gradually became stable, faithfully followed suprathreshold stimulation delivered at 0.1/s frequency, and acquired lower thresholds and shorter latencies, until they exhibited adult-like properties at 93-100 days of age. Single-unit recordings were obtained from 138 fibres isolated in the same callosal region submitted to microstimulation in order to study the response properties of the callosal fibres to somatic stimuli in immature animals. On the basis of their reactivity to peripheral stimulation, fibres were classified into three main types: (1) unreactive units (58 fibres), which could not be driven by somatic stimuli. (2) Adult-like units (55 fibres), which were readily driven by somatic stimuli and were endowed with fixed and small receptive fields (RFs) indistinguishable from those of adults. (3) Immature units (25 fibres), which were unsteadily driven by somatic stimuli applied over large areas at the periphery. Neither the RFs nor the adequate stimuli could be reliably determined. This type of units was not found in the adult cat (Spidalieri et al. 1985). The proportion of unreactive units was the highest before the appearance of motor responses and gradually decreased, approaching the adult level after attaining adult-like motor responses. Conversely, the proportion of adult-like units was lowest before the appearance of motor responses and gradually increased, approaching the adult level after motor responses had acquired adult-like properties.

Action Potentials↗
PubMed1989

[Functional properties of efferent zones of the motor cortex which project to ipsilateral and contralateral face muscles].

In both intact (4 animals) and lesioned (2 preparations with contralateral motor cortex ablation and 1 animal with transection of the rostral two thirds of the corpus callosum) cats, three different types of efferent zones were identified in the face motor cortex by the technique of microstimulation: contralateral, ipsilateral and bilateral efferent zones. The three types of efferent zones had different organizational features such as location, thresholds of effective sites and latencies of motor responses. Mean thresholds of effective sites from ipsilateral and bilateral efferent zones in lesioned animals were not significantly higher than those in intact preparations. In both intact and lesioned animals, neurons endowed with contralateral, bilateral and ipsilateral receptive fields were isolated from the three types of efferent zones.

Animals↗
PubMed1986

Motor responses mediated by orthodromic and antidromic activation of the rostral portion of the cat corpus callosum.

The effects of microstimulation of the rostral portion of the corpus callosum (CC) were examined in seven chronic cats submitted to either unilateral motor cortex ablation (5 preparations) or transection of the rostral two thirds of the CC (2 preparations) in order to identify the routes (ortho- or antidromic) followed by callosal impulses to provoke the motor effects. As in intact animals, motor responses in lesioned preparations consisted of very localized contractions of shoulder, whisker, or eyelid muscles, according to the stimulated sites. Unlike intact animals in which motor responses upon CC microstimulation were bilateral and symmetrical (Spidalieri and Guandalini 1983), in lesioned preparations they appeared contralaterally to the emitting hemisphere, i.e., they were contralateral to the stimulated callosal stump (split-brain preparations) and ipsilateral to the side of the cortical lesion (preparations with unilateral motor cortex ablation), regardless of the current intensity applied (up to a maximum of 50 microA). The unilateral motor responses occurred by the first day after lesion and persisted for the duration of the experiments which lasted to a month or more. Since orthograde degeneration of callosal fibres deprived of their somata has been shown by previous anatomical studies to be complete within 11 days after lesion, these results indicate that selective antidromic activation of callosal fibres is capable of eliciting motor responses. Thresholds for the motor effects in lesioned preparations proved to be from 1.3 to 3.9 (mean, = 2.4 +/- 0.7 SD) times higher than those found before motor cortex ablation. By 18 days after lesion a decrease of threshold currents for the motor responses was observed ranging from 6 to 37% (mean, = 24.2 +/- 13.6 SD), depending on the stimulated sites, relative to values previously found. The shortest train duration and the lowest frequency for minimum threshold were longer (40 vs. 30 ms) and higher (400 vs. 300 Hz), respectively in lesioned preparations than in intact controls. Moreover, a decrease in train duration or frequency provoked larger threshold increases in lesioned preparations than those observed in intact animals. As a whole, these results suggest that in intact animals the motor effects are also mediated by orthodromic callosal volleys.

Animals↗