PubMed HealthSearch

Biomedical subjects

M Kajola

Publications and source records attributed to M Kajola.

10 recordsLinked to original sources

Magnetoencephalographic localization of epileptic cortex--impact on surgical treatment.

A 24-channel, planar, superconducting quantum interference device gradiometer, sampling a fourth of the head surface over brain tissue, was used to determine the site of an epileptic focus in a 36-year-old woman with intractable complex partial epilepsy. The other presurgical findings appeared divergent: a large arachnoid cyst over the right parietal convexity, dissimilar interictal electroencephalographic patterns, and several neuropsychological dysfunctions. The equivalent current sources of magnetoencephalographic spikes were in the right posterior temporal region of the cortex, 4 cm apart from the cyst. Surgical exploration of the area pinpointed by magnetoencephalography revealed a pachygyric patch of cortex displaying focal discharges on the electrocorticogram. After resection, a dramatic reduction of seizures occurred. The good agreement between electrocorticography and magnetoencephalography warrants future investigation of multichannel magnetoencephalography as a potential alternative to invasive presurgical recordings.

Adult

Generator sites of spontaneous MEG activity during sleep.

We have recorded spontaneous magnetoencephalographic (MEG) activity during overnight natural sleep in 4 healthy adults with a 24-channel SQUID gradiometer, mainly over the sides of the head. All sleep stages were obtained. The MEG wave forms resembled the EEG phenomena recorded simultaneously from the scalp midline, but the electric and magnetic signals did not always coincide. The source locations of different signals were studied by using a current dipole model. The equivalent sources of magnetic transients, resembling and often coinciding with the electric vertex waves and K-complexes, as well as the transients during REM sleep, were concentrated within a volume of 4 x 4 x 3 cm3 in the inferior parietal lobe. For spindles and slow waves, no such focal generators were found.

Adult

Modified activity of the human auditory cortex during auditory hallucinations.

Previous reports have shown abnormalities in brain metabolism and evoked responses of schizophrenic patients with hallucinations. The authors recorded electric and magnetic auditory responses during transitory auditory hallucinations in two patients. Small but replicable response delays occurred during hallucinations. The results suggest that the effect of hallucinations on auditory cortex activity is similar to the effect of real sounds.

Acoustic Stimulation

Magnetoencephalographic 10-Hz rhythm from the human auditory cortex.

Spontaneous magnetoencephalographic activity was recorded with a 24-SQUID gradiometer over the lateral aspects of the head in 3 healthy adults. All subjects displayed 8-10 Hz rhythmic activity which was not affected by opening of the eyes but was occasionally dampened by auditory stimuli. The equivalent sources of the rhythm were in the supratemporal auditory cortex, and the activity may therefore represent 'idling' of the auditory cortex. Obviously each sensory projection cortex has its own local spontaneous rhythm.

Acoustic Stimulation

Landau-Kleffner syndrome: epileptic activity in the auditory cortex.

The Landau-Kleffner syndrome (LKS) is characterized by electroencephalographic spike discharges and verbal auditory agnosia in previously healthy children. We recorded magnetoencephalographic (MEG) spikes in a patient with LKS, and compared their sources with anatomical information from magnetic resonance imaging. All spikes originated close to the left auditory cortex. The evoked responses were contaminated by spikes in the left auditory area and suppressed in the right--the latter responses recovered when the spikes disappeared. We suggest that unilateral discharges at or near the auditory cortex disrupt auditory discrimination in the affected hemisphere, and lead to suppression of auditory information from the opposite hemisphere, thereby accounting for the two main criteria of LKS.

Aphasia

Localization of epileptic foci using a large-area magnetometer and functional brain anatomy.

We used a large-area, 7-channel, first-order superconducting quantum interference device (SQUID) gradiometer to preoperatively determine the sites of epileptic foci in 2 patients with intractable temporal lobe seizures. The equivalent dipoles for the epileptic spikes were located with respect to external landmarks of the skull and in relation to the generation sites of magnetic auditory evoked responses. It was also possible, for the first time, to determine the location of the equivalent source using simultaneously measured data from seven locations only. The sites of the equivalent dipoles, in the right temporal lobe, agreed with the electrocorticographic and depth electrode recordings made during the operation.

Adult

Magnetoencephalography in the study of epilepsy.

A brief review is given about the basic principles of magnetoencephalography (MEG), a noninvasive brain research method in which weak magnetic fields are detected outside the human head with SQUID (Superconducting Quantum Interference Device) magnetometers. The active brain areas, producing the signal, are modelled by current dipoles, which are assumed to be situated in a spherically symmetric volume conductor. The locations of these "equivalent dipoles" can be found, in the optimal case, with a precision of a few millimeters. The new multichannel magnetometers allow measurements of spontaneous brain activity without EEG-triggered averaging. The 3-dimensional locations of superficial epileptogenic foci can be determined with respect to external landmarks on the skull and to known generator areas of evoked responses in the brain. Examples are given about MEG recordings of epileptic patients.

Electricity

Magnetic mu rhythm in man.

We report detection of magnetic mu rhythm in four subjects using a large-area seven-channel first-order superconducting quantum interference device gradiometer. The polarity of this activity was opposite at the upper and lower ends of the rolandic fissure, and during the sharp transients the field patterns could be satisfactorily explained by a current dipole model. The equivalent dipoles were located close to the sources of the early somatosensory evoked field component N20m, which suggests that the mu rhythm is generated mainly at the primary somatosensory hand projection area. The frequency spectrum of the mu had major peaks around 10 and 21 Hz in all subjects. The high-frequency activity was blocked by clenching of the fist, but not by opening of the eyes, in agreement with characteristics of the electric mu rhythm.

Adult

Interaural interaction in the human auditory cortex.

We studied the effect of binaural, contralateral and ipsilateral stimulation on middle- and long-latency auditory-evoked magnetic fields using trains of 40-Hz clicks. The stimuli evoked both a transient response (N100m) and a 40-Hz response, which presumably reflects coalescence of middle-latency responses. Binaural stimuli elicited significantly larger 40-Hz responses and sustained fields than contralateral stimuli. N100m amplitudes did not differ between binaural and contralateral stimulation; the dipole moments were even smaller to binaural than contralateral stimuli. Responses to the ipsilateral stimuli were always the smallest.

Acoustic Stimulation