Biomedical subjects

T Probst

Publications and source records attributed to T Probst.

At least 19 recordsLinked to original sources

PubMed2004

Sonographic discrimination of corticobasal degeneration vs progressive supranuclear palsy.

OBJECTIVE: To study the use of brain parenchyma sonography (BPS) in discriminating between patients with corticobasal degeneration (CBD) and progressive supranuclear palsy (PSP). METHODS: Thirteen patients with PSP and eight with CBD were studied with BPS according to a standardized protocol. RESULTS: Seven (88%) of the eight CBD patients showed marked hyperechogenicity of the substantia nigra (SN) but none of eleven PSP patients (Mann-Whitney U test, p < 0.001). This finding indicated CBD with a positive predictive value of 100%. Marked dilatation of the third ventricle (width > 10 mm) was found in 10 (83%) of 12 PSP patients, but in none of the CBD patients (p < 0.005). BPS measurements of ventricle widths closely matched MRI measurements (Pearson correlation, r = 0.90, p < 0.001). The presence of at least one of the BPS findings 1) marked SN hyperechogenicity and 2) third-ventricle width < 10 mm indicated CBD with a sensitivity of 100%, a specificity of 83%, and a positive predictive value of 80%. Other BPS findings such as echogenicity of lentiform and caudate nuclei and widths of the frontal horns did not discriminate between CBD and PSP. One PSP patient could not be assessed because of insufficient acoustic temporal bone windows. CONCLUSIONS: Substantia nigra hyperechogenicity, reported earlier as characteristic brain parenchyma sonography finding in idiopathic Parkinson disease, is also typical for corticobasal degeneration.

Aged↗

PubMed2003

Brain parenchyma sonography discriminates Parkinson's disease and atypical parkinsonian syndromes.

OBJECTIVE: To study the use of brain parenchyma sonography (BPS) in discriminating between patients with idiopathic PD (IPD) and atypical parkinsonian syndromes (APS). METHODS: Twenty-five patients with APS, 9 with progressive supranuclear palsy (PSP) and 16 with multiple-system atrophy (MSA), and 25 age-matched patients with IPD were prospectively studied with BPS according to a standardized protocol. RESULTS: Twenty-four of the 25 (96%) IPD patients exhibited hyperechogenicity of the substantia nigra (SN) but only 2 of 23 (9%) APS patients (Mann-Whitney U test, p < 0.001). In those two APS patients, SN hyperechogenicity was moderate only, whereas the remaining 21 APS patients had normal SN echogenicity. The specificity of SN hyperechogenicity in detection of clinically diagnosed IPD patients was 96%, and the sensitivity was 91%. If SN hyperechogenicity was marked, APS could be excluded because of a positive predictive value of 100% for IPD. Nucleus lentiformis hyperechogenicity was found in 17 of 22 (77%) APS patients but in only 5 of 22 (23%) IPD patients (Mann-Whitney U test, p < 0.001). Nucleus caudatus and thalamus echogenicity and widths of the third ventricle and of the frontal horns of the lateral ventricles did not discriminate between IPD and APS. Two patients with PSP could not be assessed because of an insufficient bone window. CONCLUSIONS: BPS is a novel and noninvasive method to differentiate highly specifically between IPD and APS. Therefore, BPS might become a standard investigation in parkinsonian disorders.

Aged↗

PubMed2003

[Use of botulinum toxin the the treatment of muscle pain].

The analgesic effects of botulinum toxin (BTX) have been discussed controversially due to substantial placebo effects and flaws in the study designs used. Additionally, pathophysiological concepts of pain and the specific analgesic mechanisms of BTX remain largely unclear. Apart from pain reduction through the well-documented effects of BTX at the neuromuscular endplate, additional analgesic mechanisms, including other synaptic and local effects, have been suggested. Currently, BTX can be recommended for pain treatment in dystonia and spasticity. In myofascial pain syndromes, pain relief by BTX injections has been reported, but definite proof according to evidence-based medicinal criteria is still lacking. In fibromyalgia, there seems to be no analgesic effect. The role of BTX in pain therapy is likely to increase in the future.

Botulinum Toxins, Type A↗

PubMed2001

A new class of drugs for BNCT? Borylated derivatives of ferrocenium compounds in animal experiments.

A new class of drugs, borylated derivatives of ferrocenium compounds, which show a comparatively facile synthesis is investigated on their boron neutron capture accumulation. Investigations focused on the fast and effective testing of 12 ferrocene derivatives with tetracoordinated boron atoms, which should accumulate in rodent tumors. The macroscopic studies on time-dependent boron distributions and boron concentrations in mice were carried out by inductively coupled plasma-atomic emission spectrometry, inductively coupled plasma-mass spectrometry, and quantitative neutron capture radiography. The determination of boron concentrations after injection of 2b showed high boron contents in spleen, liver, kidneys, less in lung and muscle, and poor in integral blood, blood plasma, tumor, and brain. It is interesting to note that 2b penetrates the blood-brain barrier which may be advantageous in the treatment of astrocytomas and glioblastomas.

Animals↗

PubMed2001

Velocity not acceleration of self-motion mediates vestibular-visual interaction.

We investigated the influence of vestibular stimulation with different angular accelerations and velocities on the perception of visual motion direction. Constant accelerations resulting in different angular velocities and constant angular velocities obtained at different accelerations were combined in twenty healthy subjects. Random-dot kinematograms with coherently moving pixels and randomly moving pixels were used as visual stimuli during whole-body rotations. The smallest percentage of coherently moving pixels leading to a clear perception of motion direction was taken as the perception threshold. Perception thresholds significantly increased with increasing angular velocity. Increased acceleration, however, had no significant effect on the perception thresholds. We conclude that the achieved angular velocity, and not acceleration, is the predominant factor in the processing of vestibular-visual interaction.

Adult↗

PubMed2000

Fructose- and sorbitol-reduced diet improves mood and gastrointestinal disturbances in fructose malabsorbers.

BACKGROUND: Fructose malabsorption is characterized by the inability to absorb fructose efficiently. As a consequence fructose reaches the colon where it is broken down by bacteria to short fatty acids, CO2 and H2. Bloating, cramps, osmotic diarrhea and other symptoms of irritable bowel syndrome are the consequences and can be seen in about 50% of fructose malabsorbers. We have previously shown that fructose malabsorption is associated with early signs of mental depression and low serum tryptophan concentrations. It was therefore of interest whether a fructose-reduced diet could not only improve gastrointestinal complaints but also depressive signs seen in fructose malabsorbers. METHODS: Fifty-three adults (12 males, 41 females), who were identified as fructose malabsorbers according to their breath-H2 concentrations, filled out a Beck's depression inventory-questionnaire, and a questionnaire with arbitrary scales for measurement of meteorism, stool frequency and quality of life for a 4-week period before dietary intervention and 4 weeks after dietary change as for fructose- and sorbitol-reduced diet. RESULTS: Depression scores were reduced by 65.2% after 4 weeks of diet (P < 0.0001), and there was a significant reduction of meteorism (P < 0.0001) and stool frequency (P < 0.01). Improvement of signs of depression and of meteorism was more pronounced in females than in males. CONCLUSION: Fructose- and sorbitol-reduced diet in subjects with fructose malabsorption does not only reduce gastrointestinal symptoms but also improves mood and early signs of depression.

Adolescent↗

PubMed1999

New drugs for BNCT: an experimental approach.

New kinds of boron-containing drugs were developed and tested in several murine tumor models. The boron-containing ether lipid B-Et-11-OMe was injected in mammary carcinoma (AT17) and osteosarcoma (OTS-64) bearing mice. Furthermore boron-substituted ferrocenium derivatives were tested. Two were excessively toxic; the third could be investigated. Boron accumulation and time-dependent biodistribution were determined using alpha-particle sensitive films and inductively coupled plasma-atomic emission pectrometry (ICP-AES) and -mass spectrometry (ICP-MS) of tumors, organs and tissues. Additionally, a new method of boron detection by NMR is in preparation.

Animals↗

PubMed1999

Torsional eye movements are facilitated during perception of self-motion.

Visual motion in the roll plane elicits torsional optokinetic nystagmus (tOKN) with intermittent periods of illusory, contradirectional self-motion (circularvection, CV). The CV may also have a component of whole-body tilt if the axis of stimulus rotation is not aligned with the direction of gravity. We report how the characteristics of tOKN are affected by the presence of CV. Subjects had their eye movements recorded by VOG whilst viewing a full-field stimulus rotating at 30-60 degrees/s about their naso-occipital axis. They were tested in upright and supine posture and signalled the presence-absence of CV with a pushbutton. In both postures, during CV, tOKN slow-phase gain was found to be enhanced and average torsional eye position shifted in the direction opposite to stimulus rotation. When supine, slow-phase gain was greater than when upright both during the perception of object-motion and during CV. The effects may be explained in terms of a relegation of restraining vestibular input to the torsional oculomotor system during CV and illusory tilt.

Adult↗

PubMed1999

Visual motion direction evoked potentials are direction specifically influenced by concurrent vestibular stimulation.

We investigated the influence of vestibular stimulation on visual motion-direction perception using electrophysiological recordings. Visual motion-direction evoked potentials decreased in area during the rotation of subjects about their vertical z-axis, when visual and vestibular motion directions were incongruous (visual and vestibular stimulation in the same directions). Visual pattern onset evoked potentials, however, remained unaffected by vestibular stimulation. For rotations about the interaural y-axis, decreased area of visual-direction evoked potentials was found for both congruous and incongruous combinations of visual and vestibular stimulation. The results are in accordance with previous psychophysically obtained data and discussed in terms of postnatal development and neurophysiological optimization processes. An interaction model focused on reciprocal inhibition of the middle temporal visual (MT) area and the medial superior temporal (MST) area is presented.

Adult↗

PubMed1997

Electrophysiological evidence for direction-specific rotary evoked potentials in human subjects--a topographical study.

The spatio-temporal characteristics of rotary evoked potentials are unknown up to now. Transient motions with sinusoidal velocity profile (60 degrees , 47.12 degrees /s, 74.02 degrees /s2, duration 2 s) were alternately applied (rightward/leftward) to 12 healthy subjects. Fixation of a target-cross moving with them suppressed the vestibulo-ocular reflex. Quasi-DC-scalp potentials were recorded from a total of 21 equidistant (3 cm) locations (single sweep: 5 s, 0.016-100 Hz). Brain activity evoked by rotary stimulation is dominated by a late, long-lasting component within a mean peak latency of about 1800 ms after motion onset. Topographic distribution over both hemispheres specifically depends upon the direction of rotation and is mirror-symmetric with respect to the sagittal midline. The gradient of the potential field obtained shows its maximum along a lateral orientation corresponding to the temporo-parietal orientation of vestibular cortical projection areas.

Adult↗

PubMed1996

Perception of direction of visual motion. I. Influence of angular body acceleration and tilt.

We investigated, psychophysically, the influence of body rotation on visual motion direction thresholds for both upright sitting and tilted observers. Four angular accelerations (0, 20, 40 and 60 degrees/s2) were combined with 3 concurrent backward-tilt positions (0, 45 and 90 degrees). This led to combined stimulation of the semicircular canals and otoliths. Vestibular stimulation was combined with a visual motion stimulus. Random-dot kinematograms in which varying percentages of pixels coherently moving to the left were presented upon a background of otherwise randomly moving pixels (random walk). The smallest percentage of coherently moving pixels leading to a clear perception of motion direction represented as the perceptual threshold. Angular accelerations about the longitudinal body axis significantly increased motion-direction thresholds. Concurrent backward tilt did not influence thresholds. These results differ from those of studies in which translational linear acceleration was employed. Our results support the view that it is necessary to distinguish between linear acceleration caused by gravitational forces and that caused by additional linear accelerations about the x-, y-, and z-axes.

Acceleration↗

PubMed1996

Perception of direction of visual motion. II. Influence of linear body acceleration.

We investigated whether linear whole-body acceleration along the interaural y-axis influenced the concurrent perception of visual motion direction as has been shown for angular accelerations. A sled running on air bearings along a 7.5-m track was used to accelerate 18 subjects at two different linear accelerations. These young, healthy volunteers, aged 25.50 +/- 7.38 years, used a joystick to indicate whether or not they perceived visual motion to the left within a random-dot kinematogram continuously presented on a monitor moving with them. The percentage of coherently leftward moving pixels presented for a 640-ms period during acceleration was adjusted according to a Modified Binary Search (MOBS) procedure. Six conditions were tested, two acceleration levels of 1 and 2 m/s2 to both left and right with, at the higher acceleration, two different times of visual motion presentation. Conditions were sequenced by means of a 6 x 6 Latin square balanced for order and carry over. A MANOVA did not show any statistically significant effects either for the independent variables acceleration, velocity, and direction of motion of the sled or for their interactions. The results obtained are in clear contrast to those obtained under rotatory stimulation. We conclude that the otolithic contribution to vestibular-visual motion processing is negligible.

Acceleration↗

PubMed1996

Position and velocity responses from the otoliths and the canals: results from ESA's parabolic flights.

BACKGROUND: Transient (i.e., phasic) bell-shaped vestibularly evoked potentials (VESTEP's) were recorded from the human scalp during whole body rotation about the vertical z-axis using a multi-axis rotary chair (yaw-motion). For pitch-motions about the interaural y-axis, however, a sustained (i.e., tonic) VESTEP was recorded, presumably because of the additional otolithic stimulation. HYPOTHESIS: During microgravity, only phasic VESTEP's were recorded because pitch-motions stimulate only the vertical semicircular canals without otolithic contamination. METHODS: The motion profile applied simulated the form of a natural smooth head movement ("raised cosine"). It was designed to minimize all possible sources of mechanical, electrical, and physiological artifacts. With this motion profile, seated subjects were tilted 90 degrees nose-down or 90 degrees nose-up about their interaural y-axis ("pitch") thus stimulating the vertical semicircular canals and the otoliths. In addition, the raised cosine velocity profile was applied during the microgravity phases of a total of 90 parabolic flight maneuvers, thus stimulating the vertical canals without additional otolithic stimulation. RESULTS: A transient (phasic) bell-shaped VESTEP was found in the Earth-bound laboratory for backward-tilts corresponding to the velocity profile used. For nose-down tilts, however, a sustained (tonic) negativity was found which matched the applied position profile. In microgravity, only the transient bell-shaped responses could be recorded irrespective of tilt direction. CONCLUSION: These results are interpreted in terms of both a position response generated by pitch-down and a velocity response caused by pitch-up motions. This differentiation might prove to be a useful electrophysiological tool in oto-neurological diagnosis to distinguish between otolithic and canal disorders.

Adult↗

PubMed1995

Processing of visual motion direction in the fronto-parallel plane in the stationary or moving observer.

To examine the effect of concurrent self-motion on the perception of the direction of object-motion, random-dot kinematograms were employed in which the strength of the directional signal was manipulated by varying the percentage of coherently moving pixels. The subject's task was to indicate the motion direction of briefly presented displays while undergoing whole body rotations with angular accelerations of 0, 5, 15, or 45 degrees/s2. The perception of the direction of visual motion in the horizontal plane was impaired only when visual and vestibular motion directions were incongruous. The impairment increases with both increasing angular acceleration and decreasing percentage of coherently moving pixels. For object-motion in the vertical plane, an impairment was found for both congruous and incongruous combination of visual and vestibular stimulation, although not as pronounced for the latter (i.e., visual upward, vestibular downward stimulation, and vice versa). These results are discussed in terms of postnatal development and neurophysiological optimization processes resulting from intersensory 'updating' through every-day experience of object-motion during self-motion.

Acceleration↗

PubMed1995

Uptake and distribution of the boron-containing ether lipid B-Et-11-OMe in tumor-bearing mice.

Ether lipids in general are accumulated in tumor tissue with a favorable tumor/healthy tissue ratio. The uptake of the boron-containing analog rac-1-(9-o-carboranyl)nonyl-2-methyl-glycero-3-phosphocholine (B-Et-11-OMe) was studied in C3H mice bearing the murine mammary carcinoma AT17 and in BALB/c mice bearing an osteosarcoma. Boron concentrations of tumor, blood, liver and kidney were followed up to 48 h by inductively coupled plasma emission spectrometry and inductively coupled plasma mass spectrometry. Boron concentration in AT17 mamma carcinoma rose up to 2 mg/kg and the tumor/blood ratio rose to 0.5. The bulk was taken up by the liver. Osteosarcoma did not take up B-Et-11-OMe. This result constitutes a significant contrast to the behavior of published (non-boron-containing) analogs. It is interpreted in terms of critical micellar concentration (CMC). Whereas earlier work with ether lipids was done well below CMC, this study was undertaken above. Further studies will concentrate on syntheses of high CMC analogs.

Adenocarcinoma↗

PubMed1993

Identification of the visual motion area (area V5) in the human brain by dipole source analysis.

The retinal periphery of nine healthy subjects was stimulated with computer-generated random-dot kinematograms. These stimuli provided almost isolated visual motion information and minimal position cues. Pattern-reversal stimuli at the same location in the visual field were used for control. Stimulus-related electrical brain activity was recorded from 29 scalp electrodes. Total mean and individual data were analyzed with a spatiotemporal multiple dipole model. The scalp potentials showed a different spatial distribution for motion and pattern stimulation in the time range of 160-200 ms. In this epoch, the predominant motion-related source activity was localized in the region of the contralateral occipital-temporal-parietal border. A significant ipsilateral source activity was not found. The predominant source activity related to the pattern stimulus occurred in the same epoch. The corresponding equivalent dipole was localized more medially and deeper in the brain. The orientation of these major dipole activities was markedly different. These dipoles appeared to represent activity of distinct extrastriate areas, in contrast to earlier activity which was modelled by more posterior dipoles in the occipital lobe. The latter dipoles were at comparable contralateral locations and had similar peak activities around 100 ms, suggesting an origin in the striate cortex.

Adult↗

PubMed1993

MARDER--multi-axes rotation device for experimental research. A new concept for investigations of the vestibular, oculomotor, and visual systems of humans in three-dimensional space.

A hydraulically driven, digitally servo-controlled multi-axes rotary chair is described. This device generates motion profiles with the subjects head in the center of rotation mainly in order to adequately stimulate the semicircular canals which are sensitive sensors for angular accelerations. This newly developed apparatus allows for motion stimuli which are below the vestibular threshold up to accelerations of 12 rad/s2 (688 degrees/s2) and is thus suitable for a variety of experiments in the field of vestibular, oculomotor, and intersensory research in 3-dimensional space.

Acceleration↗

PubMed1990

Impairment of auditory processing by simultaneous vestibular stimulation: psychophysical and electrophysiological data.

The aim of the experiments reported here was to demonstrate auditory-vestibular interaction both on a psychophysical and on an electrophysiological basis in humans. These results correspond to those recently obtained during simultaneous visual and vestibular stimulation and illustrate experimentally the importance of auditory information processing in spatial orientation. Time to detect the motion of a sound source is significantly increased when simultaneous vestibular stimulation is induced by passive sinusoidal head oscillations. This effect increased with the peak acceleration of the vestibular stimulus (197, 790 and 1777 degrees/s2). Vestibular influence on general auditory information processing without the quality of (object-) motion could be electrophysiologically demonstrated by means of brainstem auditory evoked potentials. The amplitude of component V generated by the inferior colliculi or by neuronal structures located slightly lower in the auditory tract was significantly reduced during concurrent vestibular stimulation. This neuronal brainstem area is a predominant location of biconvergent vestibulo-auditory neurons mediating intersensory information processing at an early neuronal level.

Adolescent↗