Biomedical subjects

M Dufek

Publications and source records attributed to M Dufek.

At least 19 recordsLinked to original sources

PubMed2006

A pilot study on systemic thrombolysis followed by low molecular weight heparin in ischemic stroke.

Low molecular weight heparin (LMWH) administered immediately after intravenous thrombolysis (IT) may reduce the risk of arterial re-occlusion. Its benefit, however, may not outweigh the risk of intracranial hemorrhage (ICH). We sought preliminary data regarding safety of this combined therapy in an open-label, non-randomized study. The patients received either a standard anticoagulation (AC) starting 24 h after IT (the standard AC group) or AC with 2850 IU of nadroparin, given every 12 h immediately after IT (the early AC group). Sixty patients received IT treatment: 25 in the standard AC group [mean age 66, median National Institutes of Health Stroke Scale (NIHSS) 13, 64% men] and 35 in the early AC group (mean age 68, median NIHSS 13, 69% men). Symptomatic ICH occurred in one patient (4%) in the standard AC group and three patients (8.6%) in the early AC group [odds ratio (OR) 1.8; 95%CI 0.2-12.8]. At 3 months, nine patients in the standard AC group (36%) and 16 patients in the early AC group (45.7%) achieved a modified Rankin scale 0 or 1 (OR 1.2; 95%CI 0.5-3.2). Our study suggests that treatment with LMWH could be associated with higher odds of ICH, although it may not necessarily lead to a worse outcome. This justifies larger clinical trials.

Aged↗

PubMed2001

Intracerebral event-related potentials to subthreshold target stimuli.

OBJECTIVES: Event-related potentials (ERPs) elicited by subthreshold visual stimuli were recorded directly from human frontal and temporal lobe structures to study unconscious perception. METHODS: Thirteen intractable epileptic patients undergoing depth electrode recordings prior to their surgical treatment participated in the study. An original method of modified visual oddball paradigm with supraliminal and subliminal stimuli was applied, and the averaged responses to both kinds of stimuli were subsequently compared. RESULTS: The results clearly prove that, at least from an electrophysiological viewpoint, the mechanism of unaware processing of visual stimuli in the human brain does not differ substantially from the aware processing. Finding the subliminal P3 waveform in a number of cortical structures (hippocampus and parahippocampal gyrus bilaterally, and left-sided mesiofrontal, orbitofrontal and lateral temporal cortex) indicates their involvement in unconscious processing, in spite of the fact that typical large-scale neurocognitive networks are not completely activated. The absence of activation consistently observed bilaterally in dorsolateral prefrontal cortices, in connection with right-sided cortical frontal lobe structures and right-sided lateral temporal neocortex in unconscious perception, supports the importance of these structures for the awareness of visual stimuli. The proof of the significantly faster unaware information processing represents another distinctive feature of implicit visual perception. CONCLUSIONS: Based on the presented findings and comparisons with the results of previous ERP, functional magnetic resonance imaging, positron emission tomography, and clinical neuropsychological studies, a crucial role of the large-scale neural system for conscious experience of perception is suggested, which is distributed extensively among the dorsal posterior association areas and the prefrontal cortex, with the dominant part being that of the right hemisphere.

Adult↗

PubMed1999

The role of frontal and temporal lobes in visual discrimination task--depth ERP studies.

Visual event-related potentials were simultaneously recorded from different anatomical structures within frontal and temporal lobes in 12 epileptic patients. A simple discrimination task was performed to complement previous studies on the localization of P3 generators in the human brain. The role of multiple cortical structures in the generation of both P3a and P3b components was confirmed. Activities contemporary to a visual P3b were recorded in the hippocampus, amygdala and temporal pole. Anterior cingulate and orbitofrontal cortices-generated activities more closely related in time to the surface P3a. Earlier events related to visual discrimination took place in more lateral sites of the frontal lobe, but their contribution to the scalp P3 remains uncertain. Subsequently, mutual temporal relations among single generators were analyzed. The results suggested a processing-level hierarchy within the neural network for directed attention with a key role played by the dorsolateral prefrontal cortex.

Adult↗

PubMed1998

Effect of subthreshold target stimuli on event-related potentials.

OBJECTIVES: Event-related potentials (ERPs) elicited by subthreshold visual stimuli were studied to assess the relationship between unconscious cognitive processing and the electrical activity of the brain. METHODS: A new method of modified visual oddball paradigm with supraliminal and subliminal stimuli was applied. Prior to the experiment, the individual 'subjective' threshold for the conscious discrimination between frequent and target stimuli was established for each subject. Supraliminal and subliminal, frequent and target visual stimuli were then alternatively presented in random order to each subject. RESULTS: Both the individual and the grand average ERPs revealed a typical response (P3) in the parietal region after supraliminally presented target stimuli. In subliminal conditions an analogous positive deflection in the central-parietal region was observed, which was elicited by the target stimulus, but not the frequent stimulus. Its latency could be clearly distinguished from the latency of the classical P3, the time difference between the two waveforms was approximately 100 ms. RESULTS: The results of this study revealed the impact of unconscious processing to target stimuli on the configuration of event-related responses.

Adult↗

PubMed1976