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Biomedical subjects

M Cenzato

Publications and source records attributed to M Cenzato.

7 recordsLinked to original sources
PubMed1988

Monitoring of brain function by means of evoked potentials in cerebral aneurysm surgery.

Deliberate arterial hypotension is currently used to operate upon cerebral aneurysms. However, it is not ascertained whether this practice is really safe for all patients, especially those presenting with preoperative vasospasm. 50 patients, requiring surgical treatment for cerebral aneurysm, have been submitted, during surgery, to the recording of Somatosensory Evoked Potentials (SEPs) on median nerve stimulation. This technique allows the functional evaluation of neural pathways mediating the somatosensory stimuli and of primary somatosensory cortex; it is known that a decrease of cerebral perfusion may affect the SEP waveforms in terms of reduced subcortical conduction velocity (i.e., increased central conduction time, CCT) and of reduced cortical response amplitude. These changes may be apparent before a permanent neurological damage is produced. Preoperative SEP recording demonstrated a prolonged CCT, possibly related to vasospasm, in 9 patients, a normal clinical evaluation notwithstanding (grade I and II). During intraoperative deliberate hypotension, a SEP change has always been produced. No postoperative damage has been observed, however, as long as the CCT did not exceed 9 msec for 10 minutes (maximum normal CCT value is 6.7 msec) and as the cortical response had been visible throughout the whole surgical procedure. The critical value of CCT has been reached at a mean arterial pressure (MAP) lower than 60 Torr in patients with a normal preoperative SEP recording; at the opposite, in patients presenting with a prolonged preoperative CCT, the value of 9 msec was arrived at with a MAP value that is generally accepted as safe for all patients (75 Torr).(ABSTRACT TRUNCATED AT 250 WORDS)

Anesthesia↗
PubMed1985

Changes in visual evoked potentials in children on chronic dialysis treatment.

Visual evoked potentials (VEP) were recorded in 20 children undergoing dialysis for chronic renal failure. VEP before treatment (72 h after last dialysis) were pathological in 17 patients (85%); responses obtained 3 h after treatment were abnormal in only 6 cases (30%). Furthermore, all patients improved after treatment, except two who were unchanged. However, VEP recorded immediately after dialysis were worse in 4 of 7 patients than before treatment, probably as an effect of the dysequilibrium syndrome; they improved spontaneously afterwards. The acute changes caused by dialysis seem to be more evident in children than in adults. No correlations have been found between blood chemistry indexes and VEP modifications. Finally, VEP have proved to be more sensitive than EEG in identifying a central nervous system (CNS) dysfunction in these uremic patients.

Adolescent↗
PubMed1985

Segmentation and coupling in complex movements.

In two experiments we explore the structure of complex sequences of drawing movements. We find that in these movements a single parameter--the velocity gain factor--relates the geometrical and kinematic aspects of the movement trajectory via a two-thirds power law. In Experiment 1 we investigate the relation between the velocity gain factor and the linear extent of the trajectory. In Experiment 2 we demonstrate that the gain factor provides a criterion for segmenting the movement into distinct units of motor action, and we investigate the effects of the speed of execution on this segmentation. A theoretical analysis shows that the results of both Experiments 1 and 2 can be given a unitary interpretation by assuming a coupling function of variable strength between segments. The general problem of representing motor programs is discussed within this theoretical framework.

Adult↗
PubMedDate not supplied

[Dental trauma: coronal fractures of permanent incisors. A new technique of bonding fragments].

The coronal fractures of the upper incisors for traumatic injuries represent the 8% of the total dental trauma. The use of new dentinal adhesive have permitted to obtain new interesting development in dental traumatology and dental esthetic, like the possibility of the utilisation of the dental fragment, of the incisor broken for a trauma. The new dentinal adhesive is the Gluma (Bayer). The Authors describe the technique, the times, some particulars and step by step all the method to obtain good final results. Finally are presented all the advantages compared to the traditional methods with the composites materials.

Adhesives↗
PubMedDate not supplied

Evaluation of brainstem function, using acoustic evoked potentials, in 26 patients harbouring a CSF shunt for non-tumoral aqueductal stenosis hydrocephalus.

26 patients harbouring a CSF shunt for non-tumoral aqueductal stenosis hydrocephalus underwent Brainstem Acoustic Evoked Potentials (BAEPs) recording, to evaluate brainstem function. Only 6 patients presented with normal responses both at standard and at sensitized tests. In the remaining 19 patients, BAEPs were abnormal, bilaterally in 10 cases, monolaterally in 9. Four out of the 6 normal responses belonged to the group recognized of congenital origin. As refers to ventricular size BAEPs were abnormal in 62% of patients with normal ventricle and in 92% of patients with enlarged ventricles. The most significant BAEPs abnormalities were found in patients with maximal ventricular dilation. It appears that BAEPs abnormalities are to the ascribed to both primary and secondary brainstem dysfunction: no reliable criterion to differentiate between these two possibilities is evident. In the individual patient, serial BAEPs recording may contribute to recognize the early phase of supratentorial hypertension due to shunt dysfunction.

Adolescent↗