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Biomedical subjects

R J Ellingson

Publications and source records attributed to R J Ellingson.

At least 19 recordsLinked to original sources
PubMed1991

Epileptiform electroencephalographic abnormalities in liver transplant recipients.

We retrospectively studied patients who had undergone orthotopic liver transplantation and who also had electroencephalography to determine whether epileptiform changes were associated with a poor neurological outcome. Study groups were 36 patients who died after transplantation (141 electroencephalograms) and underwent neuropathological examination, 11 who died (18 electroencephalograms) but did not have autopsy, and a third group of 34 (62 electroencephalograms) who remained alive. Epileptiform activity was seen in electroencephalograms of 14 of the patients who died (11 from the autopsy group) and in 2 of those who remained alive. All had multiple epileptiform abnormalities and clinical or subclinical seizures. The incidence of epileptiform activity after orthotopic liver transplantation was fivefold higher in the nonsurvivors. Serious cerebral structural changes were found in 10 of the 11 patients who underwent autopsy. Epileptiform activity in the electroencephalograms of patients who had undergone orthotopic liver transplantation indicates a poor prognosis. It should alert the clinician to investigate further for potentially treatable causes.

Adolescent↗
PubMed1991

Recovery of cognition from persistent vegetative state in a child with normal somatosensory evoked potentials.

The absence of bilateral early cortical SEPs in a PVS due to nontraumatic coma is usually associated with failure to recover cognition or awareness, although rarely patients with bilaterally absent cortical SEPs in posttraumatic PVS may regain cognition. On the other hand, normal cortical SEPs in nontraumatic coma may be related to favorable outcomes as shown in this patient and other reports. Our patient is unique in that he had had serial normal SEPs, was in a PVS for 7 1/2 months, and recovered cognition, but not without cost in terms of damage to intellectual capability. Further long-term clinical follow-up studies to correlate clinical outcome with serial SEP data may be indicated.

Child, Preschool↗
PubMed1990

Auditory and visual event-related perturbations in the 40 Hz auditory steady-state response.

The effects of salient auditory and visual 'foreground' stimuli on responses to 'background' probe stimuli were investigated. The foreground stimuli were given at long and aperiodic intervals and required a discriminative judgment. Simultaneously, evoked potentials were obtained in response to background probe auditory stimuli presented in a continuous train at about 40/sec. The 40 Hz steady-state rhythm (SSR) evoked under such conditions was extracted using digital averaging and filtering techniques and examined continuously for evidence of change in latency or amplitude during the period surrounding the foreground stimulus. Within the first 200-300 msec after the onset of an acoustic foreground stimulus the latencies of individual peaks in the rhythm were momentarily reduced by a mean of 5.5 msec. A shift in the 40 Hz rhythm was also seen following visual foreground stimuli, although the shift was about one-third that following acoustic stimuli. A latency shift of comparable magnitude was not produced by deliberate manipulation of intensity or signal-to-noise ratio of the stimuli used to evoke the rhythm. The latency shift response is discussed in terms of a transient period of sensory facilitation during orienting or alerting associated with the foreground stimuli.

Acoustic Stimulation↗
PubMed1990

Event-related perturbations in an electrophysiological measure of auditory sensitivity: effects of probability, intensity and repeated sessions.

It is often held that novel or salient stimuli are followed by a brief period of orienting or alerting during which sensory processes are facilitated. Evidence for such a period of facilitation was sought in a paradigm in which evoked responses to weak auditory probe stimuli were examined when given in the presence of salient foreground stimuli, which were varied in probability and intensity, and which were given in two replicate sessions. The background probe stimuli consisted of a continuous train of auditory pip stimuli delivered at a rate of 40 pips per second. Under such conditions of repetitive stimulation a steady-state rhythm (SSR), which is believed to reflect summated early and middle latency evoked responses, is established in the EEG at a corresponding frequency of 40 Hz. The 40 Hz SSR was extracted using a digital averaging and filtering technique and examined continuously for changes in amplitude and latency. The rhythm showed a brief episode during which the latencies of response were decreased. The reduction in latency was greatest at 186 ms after the foreground stimulus, at which time the latencies of individual peaks in the rhythm were reduced by about 3.5 ms. The magnitude of the latency reduction response was larger for intense and for rare stimuli, and showed long-term decrement during the second session. Event-related potential and heart rate responses to the foreground stimulus were also affected by probability, intensity and session, but not in the same pattern. It was hypothesized that the latency shift in the 40 Hz SSR reflects a brief period of sensitization during alerting or orienting responses.

Acoustic Stimulation↗
PubMed1989

Event-related perturbations in an electrophysiological measure of auditory function: a measure of sensitivity during orienting?

The effects of salient foreground stimuli in evoked potentials to weak background probe stimuli were examined in situations requiring passive observation or discriminative judgments of foreground tone stimuli. The background probe stimuli consisted of a continual train of weak acoustic stimuli presented at a rate of about 40 stimuli per second. Under such conditions, a 40-Hz steady-state rhythm (SSR) is established, which has been proposed to consist of the algebraic summation of individual middle-latency components evoked by stimuli in the train. The 40-Hz SSR was averaged over trials and extracted from the composite event-related potential signal using narrow-band digital filtering, for continuous examination of latency and amplitude during the course of the period immediately preceding and following the foreground stimulus. The foreground stimulus was followed by a brief period (peaking at about 200 ms) during which the latency of response to the background probe stimuli was reduced. The extent of this latency reduction was in proportion to the magnitude of the simultaneous slow-wave ERP responses and, to a lesser extent, heart rate responses. It is proposed that the results may reflect a transient period of sensitization during orienting, at a presumably early level in the auditory system, and that the method thus offers a means for determining the extent and temporal course of such effects.

Adult↗
PubMed1986

Development of visual evoked potentials and photic driving responses in normal full term, low risk premature, and Trisomy-21 infants during the first year of life.

Stroboscopic visual evoked potentials (SVEPs) and photic driving responses were recorded during the first week of life post term and at 4, 13, 26 and 52 weeks in normal full term, low risk premature, and Trisomy-21 infants. The age effect on SVEP P2 peak latency was significant (P less than 0.001). P2 latency for the Trisomy-21 group was significantly prolonged at 1 week of age only. Voltages and interhemispheric symmetry were highly variable, with no significant age or group effects. There is considerable variability in photic driving effects, even within sessions. Maximal driving frequencies are difficult to determine; they may be near 15 Hz at term. The age effect on optimal driving frequency (3-4 Hz at week 1 increasing to 5 Hz at 12 months) was significant (P less than 0.001). The between-groups effect was not significant. The results are discussed in terms of (1) our own previous results, (2) previous results reported in the literature, and (3) significance in clinical applications.

Brain↗
PubMed1985

EEG during masturbation and ejaculation.

The occurrence of a distinctive EEG pattern specifically related to sexual arousal and orgasm would provide a reliable and convenient means of identifying such events in the laboratory and would also provide clues to cerebral structures involved in the processes. EEG-polygraph recordings were obtained under rigorously controlled conditions in four normal male subjects during masturbation and ejaculation. The EEG data were subjected to both impressionistic and quantitative analyses. They showed no remarkable changes during the sequence of relevant physiological responses. The sole effect was a slight depression of alpha activity, a well-known nonspecific effect associated with changes in attention and arousal. Examination of the literature shows little agreement among reported results of studies of EEG changes during orgasm. It is likely that at least some reported changes were artifactual. It is concluded that the case for the existence of EEG changes specifically related to sexual arousal and orgasm remains unproven.

Adult↗
PubMed1984

Efficacy of sleep deprivation as an activation procedure in epilepsy patients.

The primary purpose of this article is to determine whether sleep deprivation (SD) of 24 h or longer has been demonstrated to be an effective procedure for eliciting epileptiform and/or seizure patterns in the EEG in epilepsy patients as compared with those of nonepileptics. The relevant literature is reviewed, first chronologically and then critically. Methodological problems are discussed. Although no absolutely definitive study has been done, the preponderance of evidence supports the conclusion that SD is effective in activating the EEGs of epileptics. Recommendations concerning the application of SD are offered.

Adolescent↗
PubMed1982

Respiratory pauses and apnea during daytime sleep in normal infants during the first year of life: longitudinal observations.

Respiratory pauses (3-10 sec in duration), apnea (less than 10 sex in duration), and periodic respiration observed in thoracic respirograms were measured in 226 polysomnograms obtained on 17 normal infants during the first year of life. All subjects had one or more respiratory pauses in a majority of recordings; 35% had respiratory pauses in all recordings; 75% of respiratory pauses were associated with body movement. There is marked intersubject and even intrasubject variability in respiratory pause rates. The range of mean respiratory pause rates among subjects was 2.0 - 14.4/h, and for single recordings was 0.0 - 43.6/h. Their occurrence was directly related to the occurrence of periodic respiration. Rates were higher during REM and indeterminate sleep than during slow wave sleep. There was no significant trend toward increase or decrease in respiratory pause rate during the first year post term. Apnea occurred in only one of the 226 recordings (0.4%). Periodic respiration occurred in 8 of 17 subjects (47%), and in 25 of 226 recordings (11%). Its occurrence was unrelated to sleep stage. The following conclusions are considered valid on the basis of the data presented and reports in the literature: (1) Rates of respiratory interruption are higher before than after 40 weeks conceptional age. (2) There is considerable intersubject variability in rates of respiratory interruptions. (3) Respiratory pauses are common during sleep in normal human infants. (4) Respiratory pauses occur more frequently with movements than in their absence. (5) Respiratory pause rates are higher during REM sleep than during slow wave sleep. (6) Apneas of greater than 10-15 sec duration do occur in normal infants, but are rare. From the clinical viewpoint, respiratory pauses (less than 15 sec) of the central type, regardless of abundance, and periodic respiration cannot by themselves be used as evidence that a baby is at risk of anything. The occurrence of apneas (greater than 15 sec duration), especially if any are of the obstructive or mixed types (and perhaps respiratory pauses of the obstructive and mixed types), and/or if associated with bradycardia or decrease in oxygen saturation, indicate sleep apnea syndrome and suggest risk of sudden infant death.

Circadian Rhythm↗
PubMed1982

Development of sleep spindle bursts during the first year of life.

Sleep spindles, as defined in the international electroencephalography (EEG) glossary, are distinguished from spindle bursts seen in the EEGs of premature infants. Classical sleep spindles do not occur in prematures. They first appear clearly in the EEG during slow wave sleep from the 4th week postterm (44 weeks conceptional age) and are normally present in all infants' EEGs by 9 weeks postterm. During the first year of life they may be of high voltage relative to their appearance in older children and adults and are commonly characterized by variable degrees of interhemispheric asymmetry and asynchrony. Individual differences are great. Some features of clinical significance are discussed.

Cerebral Cortex↗