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At least 271 records · Page 15Linked to original sources
PubMed2000

Dysphagia in treated nasopharyngeal cancer.

OBJECTIVES: To investigate the prevalence of long-term dysphagia in patients treated for nasopharyngeal carcinoma (NPC) by radiotherapy. Study Design Questionnaire-based assessment, clinical examination, and videofluoroscopic assessment of 50 patients, ages 26 to 75 years (average, 49 years), treated for NPC 12 to 119 months (average, 56 months) previously with no evidence of disease recurrence. METHODS: Administered questionnaire assessment of patients eating and swallowing. Clinical examination by a single experienced clinician. Videofluoroscopy was used to record swallowing of solid, paste, and liquid bolus. Pharyngeal transit time (PTT) was recorded, and the video recordings were assessed by two experienced observers for abnormalities. RESULTS: Fifty patients completed the questionnaire and were examined. Seventy-six percent reported dysphagia, 97% had xerostomia, and 78% had no gag reflex. Forty-nine patients underwent videofluoroscopy. Abnormal pharyngeal contraction was observed on videofluoroscopy in 93% of the subjects. Silent aspiration was observed in 22% of the patients. PTT was prolonged from a normal of 1 second to 1.9 seconds for solid, 1.7 seconds for paste, and 1.3 seconds for liquid consistencies. CONCLUSIONS: Subjective and objective swallowing abnormalities are common after radiotherapy for NPC. The implications of this finding and possible causes are discussed.

Adult↗
PubMed2003

Measurement of tongue movement during vowels production with computer-assisted B-mode and M-mode ultrasonography.

OBJECTIVES: We sought to apply B- + M-mode ultrasonography in combination with the cushion-scanning technique (CST) in quantitative analysis of tongue movement during vowel articulation. STUDY DESIGN AND SETTING: Twenty normal persons (10 women and 10 men) were enrolled in this study. Each individual was asked to enunciate 5 vowels:/e/, /i/, /aI/, /o/, and /ju/. A noninvasive diagnostic technique, computer-assisted B-mode plus M-mode ultrasonography, was used in combination with the CST to assess their tongue movement. The sonographic signals were recorded on a video recorder and then transferred to a personal computer via a frame grabber for digital assessment. RESULTS: M-mode images show an amplitude-time diagram, whereas B-mode images reveal midsagittal tongue configuration. The ranges of tongue movement in midsagittal plane in male speakers during production of the vowels /e/, /i/, /aI/, /o/, and /ju/ were 8.29 +/- 1.76, 4.00 +/- 0.78, 13.82 +/- 2.86, 14.05 +/- 1.63, and 6.72 +/- 1.66 mm, respectively; for female speakers, the averages were 7.19 +/- 0.92, 3.36 +/- 1.31, 12.74 +/- 2.16, 12.86 +/- 2.18, and 7.11 +/- 2.09 mm, respectively. CONCLUSIONS: The computer-assisted B-mode plus M-mode ultrasonography in combination with the CST provides a standardized and quantifiable ultrasonographic examination for the clinical investigation of tongue movement during vowel articulation. In our study group, there was no difference in the thickness of tongue or the range of tongue movement in midsagittal plane during articulation of the selected vowels between males and females. Further exploration can be extended in the field of speech research by this valuable tool.

Adult↗
PubMed2004

Ictal stuttering: a sign suggestive of psychogenic nonepileptic seizures.

OBJECTIVE: To determine if ictal stuttering (IS) is more common among patients with psychogenic nonepileptic seizures (PNES) than patients with epileptic seizures (ES). METHODS: The authors prospectively reviewed the medical records, EEG-video recordings, and Minnesota Multiphasic Personality Inventory-2 (MMPI-2) scores of consecutive adults of normal intelligence diagnosed with either PNES or ES. RESULTS: A total of 230 (117 PNES and 113 ES) patients were studied. PNES patients were older (p = 0.029), more likely to be female (p < 0.001), and had a shorter duration of seizure disorder (p < 0.001) than ES cases. Ten (8.5%) PNES subjects and no ES cases demonstrated IS. The proportion of patients with IS in these two groups was significantly different (p = 0.004). PNES patients with IS were of similar age as but had an even shorter (p = 0.010) duration of seizure disorder (mean = 3.0 years) than those without IS. Scores on the hypochondriasis, depression (D), and hysteria scales of the MMPI-2 were significantly higher among PNES subjects than in ES patients (p < or = 0.002). However, seven PNES patients with IS had a lower mean score on the D scale than did 98 PNES cases without stuttering (p = 0.005). This produced a more sharply defined "conversion V" appearance on the MMPI-2 graph in the stutterers. CONCLUSIONS: Ictal stuttering was present in 8.5% of 117 consecutive patients with psychogenic nonepileptic seizures, but was not observed in a consecutive series of 113 adults with epileptic seizures. Patients with psychogenic nonepileptic seizures with ictal stuttering had a shorter duration of seizure disorder and a more prominent conversion profile on the Minnesota Multiphasic Personality Inventory than either patients with psychogenic nonepileptic seizures without stuttering or subjects with epileptic seizures.

Adult↗
PubMed1998

Diagnostic accuracy of computer-assisted sperm motion analysis.

One retrospective and two prospective studies were conducted among 218 couples treated with in-vitro fertilization (IVF) to establish the reproducibility and diagnostic accuracy of computer-assisted sperm analysis (CASA) with swim-up spermatozoa for the prediction of the fertilization rate of oocytes in vitro. Based on the results of a preliminary retrospective analysis in 49 patients, the 'curvilinear velocity' (VCL) was chosen as the most distinctive motion parameter of sperm function and the median was used to represent the entire sperm population. The number of inseminated motile spermatozoa was then adjusted to median VCL during two subsequent prospective studies with clinical IVF. Whereas in the first prospective study (90 couples) the threshold values of VCL with regard to the number of spermatozoa inseminated were based on the results of the preliminary retrospective study (49 couples), in the second prospective study (79 couples) the settings were based on the results of the first prospective study. The reproducibility of CASA was tested by analysing the motion characteristics of spermatozoa at different intervals after termination of swim-up, by repeated analysis of the same video-recording of the incubated spermatozoa by different observers, and by the repeated video-recording of the freshly prepared sperm samples and analysis of both video-recordings by the same observer. Under these conditions the frequency of disagreement between two measurements varied between 2.0 and 8.2%. In both prospective studies the sensitivity of CASA for the prediction of fertilization was high (74.0%), whereas the specificity was low (40.0%). In contrast to successful fertilization, unsuccessful fertilization of oocytes in vitro could not be predicted reliably with CASA. However, the pregnancy rate per cycle among patients with predicted low fertilization rates was significantly lower (5.3%) than in couples with high predicted fertilization rates (24.3%, P < 0.001). Therefore, CASA of washed spermatozoa may still help to identify couples who would benefit more from intracytoplasmic sperm injection (ICSI) than from IVF. A definite threshold level could not be identified for any of the motion parameters to distinguish the motion characteristics of fertilizing and non-fertilizing spermatozoa. Using various algorithms for hyperactivated motility, the percentage of hyperactivated spermatozoa was significantly higher among the successfully fertilizing patients than among the nonfertilizing group. However, the absolute number of hyperactivated spermatozoa added to the oocytes was higher in non-fertilizing couples. Therefore, the lack of fertilization in some patients may be caused by a generalized defect in sperm function rather than by insufficient hyperactivation.

Adult↗
PubMed1996

Visualizing the pediatric airway: three-dimensional modeling of endoscopic images.

Three-dimensional reconstruction of medical images has emerged as an important visualization tool for studying complex anatomy. These tools have found important applications in neurology and plastic surgery using computed tomography (CT) and magnetic resonance imaging (MRI) data. However, CT and MRI do not sufficiently delineate lesions of the pediatric airway. Inspection through the rod lens telescope remains the standard diagnostic method. A video recording of an endoscopic procedure is essentially a sequence of two-dimensional images captured as the telescope traverses the airway lumen. Using digitized endoscopic video recordings and computer graphics reconstruction techniques, we have developed a preliminary three-dimensional modeling system for the pediatric airway. A series of normal and abnormal telescopic airway examinations were video recorded. Serial sections were obtained by digitizing the video images at uniform intervals as the scope traversed the airway lumen between the vocal folds and the carina. The digitized images were calibrated and used to reconstruct the airway lumen in three dimensions. Classifying airway abnormalities according to the minimal cross-sectional area or with descriptive terms can be subjective and dependent on the endoscopist's observational skills. We hope that this preliminary work will lead to more precise and understandable methods for representing complex airway lesions.

Child↗
PubMed2006

Comparison of active motor items in infants born preterm and infants born full term.

PURPOSE: The study was designed to compare active motor items at term age of infants born very preterm, very low birth weight (VPT-VLBW) and without impairments with infants born full-term (FT) and healthy and to evaluate a method of assessment using video recordings and computer software. METHOD: Video recordings of head lag and head righting on pull to sit, head control in sitting, and hip flexion in prone were obtained at term age for 29 infants born VPT-VLBW and 22 infants born FT. Motor items were analyzed using digitizing computer software. RESULTS: Infants born VPT-VLBW had less head lag on pull to sit than infants born FT, p = 0.005. No other differences were found for the remaining motor items. The method of assessment demonstrated high intrarater reliability (intraclass coefficient correlation (3,1) = 0.77-0.997). CONCLUSIONS: Infants born VPT-VLBW who are at "low risk" performed at term age similarly to healthy infants born FT on four active motor items. The reliability of the measurement method supports the method's further development.

Child Development↗
PubMed2006

Long-term video-EEG recordings following transient unilateral middle cerebral and common carotid artery occlusion in Long-Evans rats.

The mechanisms of injured brain that establish poststroke seizures and epilepsy are not well understood, largely because animal modeling of these phenomena has had limited development. We studied the electrobehavioral properties of 2.5-month-old male Long-Evans rats by video-electroencephalogram (EEG) recordings during the 6 months following sham operation or lesioning by transient unilateral middle cerebral artery (MCA) and common carotid artery (CCA) occlusion (MCA/CCAO). The main findings of this study were: (1) control animals demonstrated interictal focal or restricted bilateral 7-8 Hz spike-wave discharges (SWDs) lasting 1-2 s without behavioral change and ictal generalized 7-8 Hz SWDs (absence seizures), which were prolonged, frequent, and associated with motor arrest of the animal; (2) lesioned animals demonstrated cortical infarction associated with interictal SWDs similar to controls, except that focal discharges were more numerous relative to bilateral discharges, and ictal SWDs, which were of shorter duration and less frequent than those of controls; (3) lesioned animals demonstrated decreased hemispheric and regional spectral power at approximately 7 and 15 Hz compared with controls, directly related to the reduced occurrence of ictal SWDs; and (4) lesioning did not independently generate either focal or generalized epileptic seizures. These studies demonstrate distinct electrobehavioral properties of Long-Evans rats lesioned by MCA/CCAO as juveniles and monitored by video-EEG recordings during young adulthood but fail to provide evidence of poststroke seizures or epilepsy.

Animals↗
PubMed2005

Computerized motion analysis of videotaped neonatal seizures of epileptic origin.

PURPOSE: The main objective of this research is the development of automated video processing and analysis procedures aimed at the recognition and characterization of the types of neonatal seizures. The long-term goal of this research is the integration of these computational procedures into the development of a stand-alone automated system that could be used as a supplement in the neonatal intensive care unit (NICU) to provide 24-h per day noninvasive monitoring of infants at risk for seizures. METHODS: We developed and evaluated a variety of computational tools and procedures that may be used to carry out the three essential tasks involved in the development of a seizure recognition and characterization system: the extraction of quantitative motion information from video recordings of neonatal seizures in the form of motion-strength and motor-activity signals, the selection of quantitative features that convey some unique behavioral characteristics of neonatal seizures, and the training of artificial neural networks to distinguish neonatal seizures from random infant behaviors and to differentiate between myoclonic and focal clonic seizures. RESULTS: The methods were tested on a set of 240 video recordings of 43 patients exhibiting myoclonic seizures (80 cases), focal clonic seizures (80 cases), and random infant movements (80 cases). The outcome of the experiments verified that optical- flow methods are promising computational tools for quantifying neonatal seizures from video recordings in the form of motion-strength signals. The experimental results also verified that the robust motion trackers developed in this study outperformed considerably the motion trackers based on predictive block matching in terms of both reliability and accuracy. The quantitative features selected from motion-strength and motor-activity signals constitute a satisfactory representation of neonatal seizures and random infant movements and seem to be complementary. Such features lead to trained neural networks that exhibit performance levels exceeding the initial goals of this study, the sensitivity goal being >or=80% and the specificity goal being >or=90%. CONCLUSIONS: The outcome of this experimental study provides strong evidence that it is feasible to develop an automated system for the recognition and characterization of the types of neonatal seizures based on video recordings. This will be accomplished by enhancing the accuracy and improving the reliability of the computational tools and methods developed during the course of the study outlined here.

Brain↗
PubMedDate not supplied

[Value of the ictal video EEG recording in the presurgical evaluation of temporal lobe epilepsy. Semiology and EEG patterns].

INTRODUCTION: The surgical treatment of epilepsy has gained increased acceptance in the last decade, especially for temporal lobe seizures. Its success is based upon a strict selection of the candidates, which combines clinical, neurophysiological, neuropsychological and neuroimaging criteria. DEVELOPMENT: The video-EEG recording of the seizures still plays an important role in this selection process, as it provides enough amount of interictal activity, demonstrates the existence of different seizure types and enables to perform an adequate electroclinical correlation. It also helps recognizing patients with concomitant non-epileptic events. The widespread use of ictal video-EEG has allowed the validation of several clinical signs, such as the dystonic posturing of the limb or the postictal speech disturbance among others, as being quite useful in the process of localization and lateralization. In fact, with the proper analysis of the ictal behavior it is possible to achieve confident lateralizing information in the majority of patients with temporal lobe epilepsy. CONCLUSIONS: This knowledge, gathered through the analysis of the semiology is complementary to that obtained with the simultaneous recording of the EEG. When a meaningful electroclinical correlation is possible, and it is also concordant with the data provided by the MRI and neuropsychological testing, a surgical procedure can be warranted without the use of intracranial electrodes.

Electroencephalography↗
PubMed2001

A new technique for simultaneously recording EMG and movements in experimental animals.

In this protocol a new system is presented for recording EMG signals from leg and trunk muscles along with video-recording of leg and trunk movements. The system comprises a front-end amplifier consisting of a reference amplifier, a differential amplifier with a filter combination and an analog to digital converter (ADC). A fiber optic transmitter connects the front end amplifier via a fiber cable to a receiver board placed in a personal computer (PC). A dedicated software programme (POLY) was written to process the physiological signals on the PC. The physiological recordings can be synchronized to video-recordings and the principles of this technique are given. The system allows to record artifact-free physiological signals and also to link activation patterns in muscles with kinematic aspects of movements.

Animals↗
PubMed2000

Methods to evaluate functional nerve recovery in adult rats: walking track analysis, video analysis and the withdrawal reflex.

The aim of this study was to compare different methods for the evaluation of functional nerve recovery. Three groups of adult male Wistar rats were studied. In group A, a 12-mm gap between nerve ends was bridged by an autologous nerve graft; in rats of group B we performed a crush lesion of the sciatic nerve and group C consisted of non-operated control rats. The withdrawal reflex, elicited by an electric stimulus, was used to evaluate the recovery of sensory nerve function. To investigate motor nerve recovery we analyzed the walking pattern. Three different methods were used to obtain data for footprint analysis: photographic paper with thickened film developer on the paws, normal white paper with finger paint, and video recordings. The footprints were used to calculate the sciatic function index (SFI). From the video recordings, we also analyzed stepcycles. The withdrawal reflex is a convenient and reproducible test for the evaluation of global sensory nerve recovery. Recording walking movements on video and the analysis of footplacing is a perfect although time-consuming method for the evaluation of functional aspects of motor nerve recovery.

Animals↗
PubMed2001

Identification and analysis of unsatisfactory psychosocial work situations: a participatory approach employing video-computer interaction.

A method for psychosocial evaluation of potentially stressful or unsatisfactory situations in manual work was developed. It focuses on subjective responses regarding specific situations and is based on interactive worker assessment when viewing video recordings of oneself. The worker is first video-recorded during work. The video is then displayed on the computer terminal, and the filmed worker clicks on virtual controls on the screen whenever an unsatisfactory psychosocial situation appears; a window of questions regarding psychological demands, mental strain and job control is then opened. A library with pictorial information and comments on the selected situations is formed in the computer. The evaluation system, called PSIDAR, was applied in two case studies, one of manual materials handling in an automotive workshop and one of a group of workers producing and testing instrument panels. The findings indicate that PSIDAR can provide data that are useful in a participatory ergonomic process of change.

Computers↗
PubMed1994

Voice output reader for displays on video cassette recorders and other domestic products.

The increasing use of electronic displays in domestic products can pose great problems for blind people wishing to use microwave ovens, video cassette recorders, hi-fi systems, etc. One method of trying to solve these problems is to provide a handheld "display reader" that can translate the alphanumeric and symbolic information presented on the display into speech. A prototype system has been developed and evaluated. User requirements for this device and the problems of the image sensor, the image processing method, and the user interaction with the system are also discussed.

Blindness↗
PubMed1994

Long-term video-EEG monitoring revisited. The value of interictal and ictal video-EEG recording, a follow-up study.

Between October 1990 and November 1992, 100 patients were monitored at the University of Gent Epilepsy Monitoring Unit. Sixty-three patients were referred for refractory epilepsy, 38 of whom were entered in the epilepsy surgery protocol. Thirty-seven patients were evaluated for the diagnosis of attacks of uncertain origin. Average duration of monitoring was 3.5 days (2-15 days). Prolonged interictal EEG was recorded in all patients. Ictal EEG was obtained in 63 patients; the average number of recorded episodes was 3 (1-15). Pre-monitoring tentative seizure diagnosis was available in 81 patients, 59 of whom had clinical attacks. Premonitoring diagnosis was confirmed in 31 patients and revised in 28 patients. As a result of the monitoring session, anticonvulsant medication was started in 10 patients, changed in 47, stopped in 5 and left unchanged in 23 patients. Twelve patients underwent surgery. Average follow-up after monitoring was 17 months (4-30 months). Four patients were lost to follow-up; 2 patients died of an underlying disease. In the nonsurgical group (85 patients), 60 patients became seizure-free or experienced significant reduction in seizure frequency. Outcome was unrelated to the availability of ictal recording. While prolonged interictal EEG monitoring is mandatory in the successful management of patients with refractory epilepsy, ictal video-EEG monitoring is very helpful but not indispensable, except in patients enrolled for epilepsy surgery or suspected of having pseudoseizures.

Adolescent↗
PubMed1993

[Posture in preterm infants is not a good indicator of brain damage].

The development of posture during the prenatal period was studied longitudinally in 12 matched pairs of low-risk and high-risk preterm infants. The gestational age of the infants in both groups ranged from 28 to 36 weeks. The two members of each pair had the same gestational age at birth and the video recordings were performed at the same postmenstrual age. They were filmed more than three times during the prenatal period, each video recording lasting 1 h. Time of occurrence and duration of each posture were analyzed from replay of the video recordings. No age-specific preference posture described in the literature was found from birth until the term age between two groups. There was no age-related tendency in duration and frequency of postures between two groups. There was a clear-cut dominant head position to the right side from 31 weeks onward. Asymmetrical tonic neck postures (ATN) were very inconsistently present before the term age. And there was no significant difference in the occurrence of ATN postures between two groups. We could not find any specific abnormal postures in the high-risk group. Our study suggested that posture in preterm infants is not a good indicator of brain damage in the prenatal period.

Brain Injuries↗
PubMedDate not supplied

The pediatric non-epileptic seizure.

In order to observe the pattern of behaviour, the underlying stressors and possible association with psychosocial factors in Pediatric Non-Epileptic Seizure (NES); 22 children with unusual feature of poor control of their symptoms were studied. Detailed historical account, examination including psychiatric evaluation, EEG and CT Scan in all and video recording with provocative procedures were done wherever feasible. Ten males (45.5%) and 12 females (55.5%) were in the age range from 5 through 18 years. Ten children (45.5%) had uncontrolled symptoms while 12 (55.5%) had unusual symptoms. History and eye witness account was accurate in 15 (68.1%). Separate video recording could be done in 6 (27.3%) while induction with provocative procedures was possible in 7 (31.8%) older children. Pointers to NES were: stress induced events 13 (59.4%), persistence of symptom despite adequate treatment 10 (45%), lack of physical injury 20 (90.0%), symptoms when some one was around 12 (54.5%), lack of postictal phenomenon 12 (54.5%), lack of incontinence 22 (100%), positive gains 6 (27.0%) and gradual onset and offset 12 (54.5%). Nine children (40.0%) had coexisting epilepsy and NES. The present study addresses the need of awareness, provocative procedure, video recording of the event and individualised management of NES in our circumstances where video EEG facility is not available.

Adolescent↗