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Biomedical subjects

T Mergner

Publications and source records attributed to T Mergner.

At least 73 records · Page 4Linked to original sources
PubMed1989

Interaction between cervico-ocular and vestibulo-ocular reflexes in normal adults.

The interaction of the cervico-ocular reflex (COR) and the vestibulo-ocular reflex (VOR) was studied in 20 human Subjects (Ss) during application of synergistic and antagonistic combinations of neck and vestibular stimuli, and during two different psychophysical tasks related to the Ss' self-motion sensation. Slow and quick eye movement responses were analyzed separately. Neck stimulation produced by horizontal rotation of the trunk about the stationary head elicited slow COR eye movements of very low gain; COR direction was anticompensatory, unlike the compensatory one of the VOR. During either a synergistic combination of neck and labyrinthine stimuli (head rotation on stationary trunk) or an antagonistic combination (head-to-trunk rotation counter to head-in-space rotation), the resulting slow eye movements were slightly larger than those during labyrinthine stimulation alone (whole body rotation). This weak neck contribution could be described by a directionally non-specific enhancement of VOR gain and a linear summation of VOR and COR slow phases. These effects were essentially independent of whether the Ss estimated the magnitude of their head turning or trunk turning in space. If Ss were estimating their trunk turning, neck stimulation also evoked quick eye movements, but these were small and hardly affected the VOR quick phases during the combined stimulations. In contrast, if Ss estimated their head turning, neck stimulation evoked large quick phases, which interfered with the quick phases of the VOR; during the synergistic combination of head and neck stimuli. COR quick phases added to those of the VOR, thereby shifting the gaze in the direction of head rotation (reorientation of gaze). With the antagonistic combination they subtracted, so that the VOR slow phase could compensate the head rotation in space (stabilization of gaze). These findings suggest that (1) the slow phase of the COR has no functional significance in intact humans and (2) the quick phase of the COR plays a role for both stabilization and reorientation of gaze depending on the behavioural context.

Adult↗
PubMed1989

Human DC scalp potentials during vestibular and optokinetic stimulation: non-specific responses?

In normal subjects transient horizontal body rotation in the dark (vestibular stimulation) elicited a DC potential change with the maximum at Cz. The response appeared to covary with stimulus velocity, which is the most relevant stimulus parameter transferred by the horizontal semicircular canal system. A similar response was obtained during optokinetic stimulation. However, the following findings suggested that the responses are related to 'high' perceptual functions rather than representing a visuo-vestibular evoked cortical potential: (a) the visual response was found independent of whether the subjects perceived, as a task, self-motion in a stationary environment or 'object' motion about the stationary body; its amplitude depended on the subjects' subjective compliance to the task; (b) when presenting various combinations of optokinetic and vestibular stimuli, the response amplitude depended on the subjective and objective intersensory conflict in the combinations; (c) sinusoidal stimulation yielded a negative shift of the DC potential, but the potential was not modulated along with the waxing and waning of stimulus velocity or of the self-motion sensation evoked; (d) patients with loss of vestibular functions showed a similar Cz response during body rotation in the dark.

Cerebral Cortex↗
PubMed1987

[MR tomography in parenchymatous neurocysticercosis].

MRI-findings in a case of parenchymal neurocysticercosis are presented. The changes of the lesions as a response to chemotherapy were monitored by MRI and CT. Problems of sensitivity (MRI vs. CT) and MRI differential diagnoses are discussed.

Adult↗
PubMed1985

Canal-neck interaction in vestibular neurons of the cat's cerebral cortex.

Interaction of semicircular canal and neck proprioceptive inputs was studied in the cerebral cortex of awake, intact cats. Neuronal responses were recorded extracellularly in the anterior suprasylvian gyrus of the left hemisphere. Stimulations consisted of horizontal rotations in the dark applied as sinusoids or position ramps. There were three stimulus conditions: (1) Pure canal stimulation; rotation of whole body. (2) Pure neck stimulation; rotation of trunk about stationary head. (3) Canal-neck interaction; rotation of head about stationary trunk. We recorded 105 neurons with either Type I or Type II canal response. These showed often pronounced non-linearities such as a clear firing increase upon rotation in the "on-direction" and hardly any decrease in the opposite direction. The responses reflected mostly angular velocity, but angular position signals were also obtained. In 79 neurons, either Type I or Type II neck responses were obtained. They coded either angular velocity, velocity plus position, or position. Canal-neck convergence was found in 67 of 88 neurons tested. In the majority of neurons, interaction was "antagonistic" in the sense that the canal and neck responses tended to cancel each other during rotation of the head about the stationary trunk. These neurons could signal trunk rotation in space rather than head in space or head relative to trunk. Most of the remaining neurons showed a "synergistic" interaction such that the response upon head rotation was enhanced as compared to whole body or trunk rotation. These neurons might be involved in the dual task of monitoring head rotation in space and relative to trunk. Interaction was compatible with linear summation of canal and neck inputs in 70% of the neurons. In part of these, however, the assumption had to be made that the interaction had taken place already at some stage prior to the cortical neurons investigated. The response characteristics of cortical canal neurons are discussed in comparison to vestibular nuclear neurons. Furthermore, parallels are drawn between the observed canal-neck interactions in the cortical neurons and (i) interactions of canal and neck dependent postural reflexes in the decerebrate cat, and (ii) interactions of canal and neck induced turning sensations in man.

Animals↗
PubMed1983

The role of canal-neck interaction for the perception of horizontal trunk and head rotation.

The present report considers the conscious perception of passive horizontal rotations of the trunk, the head, or both, by human observers. It examines in particular how this perception depends on the interaction of canal and neck afferents. Three sets of sinusoidal stimulations (0.2 Hz) were applied to subjects (Ss): Rotations of (1) whole body (pure labyrinthine stimuli, lambda), of (2) only the trunk with the head stationary in space (pure neck stimuli, nu), and of (3) both head and trunk, each with an amplitude and a direction of its own, giving rise to various in-phase and counter phase combinations of lambda and nu.--The Ss were to estimate the magnitude of their turning sensations (psi). In doing so, they were to concentrate either on the rotation of their trunk in space (TS) or of their head in space (HS), or of the head relative to the trunk (HT). The TS and HS turning sensations induced by pure lambda-stimuli were essentially the same as to magnitude and direction. Pure nu-stimulation also led to TS and HS turning sensations. However, the former had the direction of the trunk-to-head (T delta S) deflection, the latter that of the head-to-trunk deflection. The nu-induced HS turning sensation represented an illusion, since the head remained stationary in space. When the lambda- and nu-stimuli were combined, the interaction could be described by a linear summation of their effects. The estimates of TS turning followed the equation psi HS approximately lambda-nu, thus well reflecting the actual TS rotation. The estimates of HS could be described by psi HS approximately lambda+k nu; the term k nu represents the "nu-illusion" contaminating the HS turning sensation. The estimates of HT turning were roughly proportional to nu alone and, therefore, close to the actual HT rotation. We conclude that humans may derive a rather faithful information about trunk rotation from the combined activation of canal and neck afferents, but that the sensation of passive head rotation is contaminated by an (illusionary) contribution from neck afferents. These additive and subtractive modes of interaction have parallels in postural reflexes as well as in neuronal responses that are known from cat.

Adolescent↗
PubMed1982

Neuronal responses to horizontal neck deflection in the group X region of the cat's medullary brainstem.

Neuronal responses to natural stimulation of neck proprioceptors were studied in the region of the small cell group x in the dorsolateral medullary brainstem of slightly anesthetized and paralyzed cats. Stimulation consisted of horizontal trunk rotations about C1 with the head fixed in space. Out of 74 neurons recorded, 92% showed an increase in discharge rate with ipsilateral neck stretch and a decrease with contralateral stretch (Type N I responses); 8% showed the reverse pattern (Type N II responses). In the primary head-to-trunk position, almost all neurons had tonic activity that probably stemmed from prestretched neck proprioceptors. Responses to sinusoidal stimulation and position trapezoids showed a static (position-sensitive) as well as a dynamic (essentially velocity-sensitive) component. The relative weight of the two components varied considerably among the neurons. It was not possible to distinguish discrete neuronal populations on the basis of the dynamic characteristics. There was no evidence of a convergent input from other receptor systems, such as the horizontal canal system. Several neurons responded to "muscle tapping" and showed an increase of the velocity component following systemic injection of succinylcholine. We take this as evidence that they may receive input from muscle spindle receptors.

Afferent Pathways↗
PubMed1982

Canal-neck interaction in vestibular nuclear neurons of the cat.

The convergence and interaction of horizontal semicircular canal and neck proprioceptive inputs were studied in neurons of the caudal two thirds of the vestibular nuclear complex. Extracellular neuron activity was recorded under muscle relaxation and slight anesthesia in chronically prepared cats. The following stimulations were applied: horizontal rotations of (a) the whole body (labyrinth stimulation), (b) the trunk vs. the stationary head (neck stimulation), and (c) the head vs. the stationary trunk (combined labyrinth and neck stimulation). Of 152 neurons investigated, 83 (55%) showed convergence of the two inputs. In about half of these neurons, the neck input was very weak and hardly affected the labyrinthine response during head rotation. Judged from the response pattern, several of these neurons presumably were related to vestibulo-oculomotor function (i.e., vestibular nystagmus). In the other half (i.e., 27% of all neurons), sensitivity of the two inputs was similar. Both labyrinthine and neck responses contained a dynamic ("velocity") component; neck responses of more than half of these neurons had, in addition, a static ("position") component. The dynamic components were either "antagonistic" or "synergistic" as to their convergence during head rotation. When applying this combined stimulation, the dynamic components summed linearly, yielding subtration in case of antagonistic convergence and addition in case of synergistic convergence. In contrast, the static components of the neck responses remained largely unchanged during head rotation. However, the static head-to-trunk deflection determined the tonic discharge level in such neurons and thus facilitated or disfacilitated the dynamic responses to superimposed labyrinth stimulation. We suggest that the two patterns of labyrinthine neck interaction observed in vestibular nuclear neurons, i.e., subtration and addition, may be involved in the postural control of the trunk and head, respectively. In contrast, interference of the neck input with vestibulo-oculomotor function appears to be almost negligible in the intact cat.

Animals↗
PubMed1981

Vestibulo-thalamic projection to the anterior suprasylvian cortex of the cat.

Suggestive evidence as to the site of a major thalamic relay of the vestibular projection to the anterior suprasylvian (ASS) cortex in the cat has been obtained using the retrograde axonal transport of horseradish peroxidase. The thalamo-cortical neurons are located in several patches surrounding the posterior margins of the ventro-basal complex (VB). This area also was found to receive vestibulo-thalamic projections. It comprises different nuclear groups known to carry somatic, acoustic, visual or combined information, which possibly have certain functions related to kinaesthesia and body orientation in common.

Afferent Pathways↗
PubMed1981

Discrimination between trunk and head rotation; a study comparing neuronal data from the cat with human psychophysics.

Kinesthetic information from labyrinthine and neck receptors is required for reflex control and conscious perception of posture and movement. This study considers (1) the neuronal responses to horizontal labyrinthine and neck stimulation and their interaction both in the anterior suprasylvian (AS) cortex and in the vestibular nuclei (VN) of cats, and (2) human turning sensation related to these stimuli. Convergence of labyrinthine (L) and neck (N) input of comparable sensitivity was found in 80% of the AS neurons and in only 27% of the VN neurons. At both sites, the on-direction of L-responses as well as N-responses was either to the ipsilateral or to the contralateral side (type I and type II responses, respectively). When combining the two stimuli during head rotation, the two inputs could be synergistic (same on-direction) or antagonistic (opposite on-directions). Their interaction consisted of either an additive or subtractive summation leading to enhanced or depressed interaction responses. These interaction patterns are compatible with the subtractive and additive mechanisms which have been proposed to be essential for the stabilisation of the trunk and of the head, respectively. The psychophysical experiments showed that human turning sensations depend on the part of the body to which they are referred. Subjects taking the trunk as reference, reported similar turning sensations during both labyrinthine and neck stimulation, and weak or no turning sensation during head rotation. This suggests an antagonistic interaction of the two inputs. In subjects taking the head as reference, neck stimulation induced an illusionary sensation of head turning. Its direction was such that it would be synergistic with the vestibularly induced sensation of head turning during isolated head rotation. Thus, there appear to exist parallels between the basic operations performed by neurons in cat and by human subjects during labyrinthine-neck interactions.

Animals↗
PubMed1981

Patterns of vestibular and neck responses and their interaction: a comparison between cat cortical neurons and human psychophysics.

The present study provides evidence that during whole-body rotation and during isolated rotation of either the head or the trunk, essentially the same processing of labyrinthine and neck afferent inputs takes place in neurons of the cat's ASS cortex and in humans who try to distinguish these stimulus conditions. This processing includes, among others (1) measurement of angular velocity and displacement during labyrinthine stimulation (whole-body rotation); (2) indication of trunk rotation as well as of an apparent head rotation in the opposite direction during neck stimulation (isolated trunk rotation); and (3) subtraction as well as addition of labyrinthine and neck afferent inputs during combined stimulation (isolated head rotation). Subtraction provides a basis for the discrimination between whole-body rotation and isolated head rotation; addition may optimize the indication of movement and position of the head in space.

Acceleration↗
PubMed1981

Tullio phenomenon with torsion of the eyes and subjective tilt of the visual surround.

A 44-year-old male patient had an acoustic trauma three years previously, after which he suffered from vertigo and tilting of the environment to the right when uttering the vowels u or e. At such times, a tonic eye torsion to the left, which lasted throughout the utterance, was observed under Frenzel's glasses along with head tilt to the left. The phenomenon could be elicited experimentally by right-ear stimulation with low-frequency noise (mean frequency, 125 Hz; 90 dB), as well as by constant pressure. The patient also reported observing the phenomenon with loud noises, nose blowing, obstruction of his right external meatus with the finger, and with altitude pressure changes in a car. This suggests that the phenomenon is elicited via the eardrum and the ossicular chain. Since lateral head tilt and counterrolling were tonic and without nystagmus, it is unlikely that one of the semicircular canals is involved as in usual Tullio cases. Rather, the otoliths may play a role in pathogenesis. Possible causative mechanisms are discussed along with the relevant literature.

Acoustic Stimulation↗
PubMed1980

Reduction of cerebrospinal fluid glutamic acid in Huntington's chorea and in schizophrenic patients.

Glutamic acid levels were investigated in the cerebrospinal fluid and blood serum of patients with schizophrenia, Huntington's chorea, and sciatic nerve compression by lumbar disc protrusion. In the serum the glutamic acid levels were equal in all three groups; in the cerebrospinal fluid (CSF) of schizophrenic and Hungtington's patients, however, the glutamic acid was decreased to almost half that of the lumbar disc group which served as control. Most of the patients were treated with neuroleptic drugs. However, since in one case (the daughter of a Huntington's patient) the CSF glutamic acid was decreased although this woman had had no neuroleptic treatment, it seems more likely that the glutamic acid decrease is due to the disease rather than to the neuroleptic treatment.

Adult↗
PubMed1979

High cervical neurinoma (C1/C2) diagnosed falsely as multiple sclerosis because of trigeminal neuralgia.

Remitting paresis of the left leg accompanied by left trigeminal neuralgia led to the diagnosis of multiple sclerosis in a 46-year-old woman. Over the following 6 years, an incomplete syndrome of the spinal cord developed along with bilateral trigeminal pain. Neuroradiological and neurosurgical exploration a neurinoma located ventrolaterally at C1/C2 on the left side. It is emphasized that since trigeminal fibres descend as far as the upper part of the C2 segment, trigeminal neuralgia should not be considered as an exclusively supraspinal symptom.

Cerebral Palsy↗