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Jorge Bosch

Publications and source records attributed to Jorge Bosch.

3 recordsLinked to original sources

Assessing acute middle cerebral artery ischemic stroke by quantitative electric tomography.

This paper focuses on the application of quantitative electric tomography (qEEGT) to map changes in EEG generators for detection of early signs of ischemia in patients with acute middle cerebral artery stroke. Thirty-two patients were studied with the diagnosis of acute ischemic stroke of the left middle cerebral artery territory, within the first 24 hours of their clinical evolution. Variable Resolution Electrical Tomography was used for estimating EEG source generators. High resolution source Z-spectra and 3- dimensional images of Z values for all the sources at each frequency were obtained for all cases. To estimate statistically significant increments and decrements of brain electric activity within the frequency spectra, the t-Student vs. Zero test was performed. A significant increment of delta activity was observed on the affected vascular territory, and a more extensive increment of theta activity was detected. A significant alpha decrement was found in the parieto-occipital region of the affected cerebral hemisphere (left), and in the medial and posterior region of the right hemisphere. These findings suggest that qEEGT Z delta images are probably related to the main ischemic core within the affected arterial territory; penumbra, diaschisis, edema, might explain those observed theta and alpha abnormalities. It was concluded that qEEGT is useful for the detection of early signs of ischemia in acute ischemic stroke.

Acute Disease↗

N400 during lexical decision tasks: a current source localization study.

OBJECTIVE: Our primary aim in the present study was to establish the anatomic and psychophysiological correlates of automatic and controlled semantic priming. METHODS: Current sources were calculated on N400 component data from a previous study on lexical decision tasks [Clin Neurophysiol 1999;110:813] using the variable resolution electromagnetic tomography method (VARETA). In this study, two experiments were carried out, one using directly related pairs and the other one using mediated related pairs. Each experiment consisted of 3 tasks that required different levels of contribution from controlled processes. RESULTS: Average source localization images showed the brain structures involved in lexical decision tasks. The automatic component of the N400 effect was related to activation of occipitotemporal and parahippocampal gyri and anterior temporal lobes bilaterally. The expectancy strategy was related to activation of the right posterior temporal and right frontal areas. The postlexical strategy was associated with activation of right frontal, anterior cingulate and bilateral superior parietal areas. CONCLUSIONS: The findings indicated that the current sources of the N400 varied according to the relative contributions of automatic and controlled mechanisms. Moreover, the sources of the N400 effect depended on the type of strategy used.

Adult↗

Sources of abnormal EEG activity in spontaneous intracerebral hemorrhage.

UNLABELLED: This report describes the results obtained with EEG source analysis in the frequency domain (FD-VARETA), in 14 patients with brain hemorrhages; 6 hemorrhages were located in the putaminal region, 1 was mesencephalic and 7 were lobar cerebral hemorrhages. Our goal was to evaluate FD-VARETA accuracy for the localization of fast growth expansive brain lesions. FD-VARETA produces brain electromagnetic tomography images of EEG sources in every frequency. The location of the most abnormal or the maximum Z value across all frequencies was compared with the location of spontaneous hemorrhages in computed tomographies (CT). In all patients the main source was within delta or theta bands. The spatial extent of the sources, in the brain atlas, at these frequency values was almost the same as the volume of hematoma in CT. Putaminal lesions produced larger regions of cortical deafferentation than lobar hematomas, with higher abnormal Z values. FD-VARETA was more accurate in locating the lesions than traditional maps of absolute and relative power in delta, theta, alpha and beta bands. CONCLUSION: FD-VARETA is a valuable procedure for the functional evaluation of brain hemorrhages.

Adolescent↗