Interhemispheric asymmetries in the perception of unimanual and bimanual cutaneous stimuli. A study using transcranial magnetic stimulation.
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Previous studies have shown that transcranial magnetic stimulation (TMS) of the sensorimotor cortex can induce a suppression of cutaneous perception from the fingers of the contralateral hand. In this work, 17 normal subjects were submitted to focal TMS of frontal and parietal scalp sites of each hemisphere. TMS was delivered at two interstimulus intervals (20 and 40 ms) following a cutaneous electrical stimulation of the first, third and fifth digits of either hand or both hands near the subjective threshold of perception. The aim of our study was to investigate whether TMS could detect an asymmetrical hemispheric specialization in the sensory perception of unimanual and bimanual, ipsilateral and contralateral sensory stimuli. At each interpulse interval, the right parietal cortex was significantly more sensitive to TMS interference with stimulus detection for both contralateral and ipsilateral stimuli compared with the left parietal cortex. These effects were mainly evident during bimanual discrimination tasks. Our results are indicative of an interhemispheric difference in the detection of cutaneous sensation, showing right hemispheric prevalence in the perception of contralateral as well as of ipsilateral stimuli. They provide neurophysiological support in normal humans to the clinical evidence which indicates that right hemisphere lesions can indeed produce deficits in the perception of ipsilateral sensory stimuli. (+info)
Percutaneous penetration of local anesthetic bases: pharmacodynamic measurements.
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Local anesthetics do not penetrate readily through human skin if applied in their salt form; however, if applied in their base form various effects may be observed, such as a decrease in pricking pain and a change in burning, itch, and thermal sensations. These effects occur after skin penetration and may be attributed to the action of the anesthetics on nociceptors and thermoreceptors, i.e., on C and Adelta nerve fiber respectively. As there is little known about the time course of the pharmacodynamic response of cutaneously applied local anesthetic bases, this study was conducted to characterize various local anesthetics pharmacodynamically by measuring thermal thresholds over time with a thermal sensory analyzer. The results show that the investigated local anesthetics affect thermal thresholds to a different extent, with tetracaine and lidocaine being most efficient. From the response versus time profiles of all eight study subjects various response parameters were obtained: only the cold sensation parameters proved suitable for characterization of the local anesthetics, possibly because cold receptors are located in the epidermis and can easily be reached. Lag times of onset are short and the maximum anesthetic effect is reached within 2-3 h. Cold sensation parameters correlate linearly with the solubility of the local anesthetic bases in medium chain triglycerides and with the drug flux of 50% saturation, indicating that medium chain triglycerides may have similar properties with regard to the local anesthetics solubility as the stratum corneum lipids. (+info)
Thresholds for visible lesions in the primate eye produced by ultrashort near-infrared laser pulses.
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PURPOSE: To evaluate the effects of near-infrared (near-IR) ultrashort laser pulses on the retinas of rhesus monkey eyes and to perform threshold measurements for minimum visible lesions (MVLs) at pulse widths ranging from nanoseconds to femtoseconds. METHODS: Near-infrared single laser pulses were placed within the macular area of live rhesus monkey eyes for five different pulse widths (7 nsec; 80, 20, and 1 psec; and 150 fsec). One visible wavelength of 530 nm at 100 fsec was also included in the study. Visible lesion thresholds (MVL-ED50) were determined 1 hour and 24 hours after exposure. Fluorescein angiography thresholds (FAVL-ED50) were also determined using a probit analysis of the dosage. Thresholds were calculated as that dosage causing a 50% probability for damage, and the fiducial limits were calculated at the 95% confidence level. RESULTS: For all pulse widths, the 24-hour MVL-ED50 was lower than the 1-hour MVL-ED50, and they both decreased with decreasing pulse width. Thresholds at the 1-hour reading decreased from 28.7 microJ at 7 nsec to 1.8 microJ at 150 fsec, whereas thresholds at 24 hours decreased from 19.1 microJ at 7 nsec to 1.0 microJ at 150 fsec. The doubled 1060-nm wavelength of the 530-nm threshold decreased from 0.36 to 0.16 microJ after 24 hours. FAVL-ED50s were much higher than MVL-ED50s, showing that FA was not as sensitive in determining damage levels. CONCLUSIONS: Laser pulse widths less than 1 nsec in the near-IR are capable of producing visible lesions in rhesus monkey eyes with pulse energies between 5 and 1 microJ. Also, the near-IR thresholds for these pulse widths are much higher than for the visible wavelengths. As with visible wavelengths, FA is not as sensitive in determining threshold levels as is visually observing the retina through a fundus camera. (+info)
Development of VEP Vernier acuity and grating acuity in human infants.
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PURPOSE: To compare the developmental sequences of two basic measures of pattern vision, Vernier acuity and grating acuity, using steady state visual-evoked potentials (VEPs) and an analysis designed to isolate pattern-specific responses from those due to motion in the Vernier stimulus. METHODS: The authors recorded VEPs from 57 healthy full-term infants and 4 adults. The grating acuity stimulus was a sinusoidal grating, temporally modulated (appearance-disappearance) at a rate of 3 Hz, with spatial frequency decreasing in linear steps during each 10-second trial. The Vernier acuity stimulus was a vertical square-wave grating with portions of each bar temporally modulated to make offsets appear and disappear at a rate of 3 Hz. Vernier offset size changed in log steps from small to large offsets. The authors recorded each observer's electroencephalogram (EEG) during multiple presentations of each stimulus type, and the EEG was digitized and filtered to obtain the amplitude and phase of the response at the first two harmonics of the stimulus temporal frequency. Thresholds were estimated with an extrapolation technique that took into account the signal-to-noise ratio and phase of the response. RESULTS: VEP Vernier acuity and grating acuity develop at different rates, with grating acuity approaching adult levels earlier than Vernier acuity. The within-subject relationship between VEP Vernier acuity and grating acuity follows the same developmental trajectory established by previous psychophysical studies of humans and monkeys. CONCLUSIONS: This VEP technique provides a rapid estimate of Vernier acuity in infants. VEP Vernier acuity remains strikingly immature throughout the first year of life, similar to behavioral Vernier acuity. Because Vernier acuity is a sensitive measure of amblyopia, this VEP test may be useful in the future to identify amblyopia and to follow its treatment progress in pediatric patients. (+info)
Effects of nonuniform fiber sensitivity, innervation geometry, and noise on information relayed by a population of slowly adapting type I primary afferents from the fingerpad.
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The capacity of a population of primary afferent fibers to signal information about a sphere indenting the fingerpad is limited by factors such as the inhomogeneity of sensitivity among the afferents, the pattern and density of innervation, and the effects of noise (response variability). Using experimental data recorded from single slowly adapting type I afferents (SAIs), we simulated the response of the SAI population to such a stimulus. The human ability to discriminate stimulus curvature, location, and force has been quantified previously. We devised three neural measures, treating them as surrogates for the real neural measures underlying human performance, and explored how population parameters usually overlooked in neural coding studies affect such measures. Variation in sensitivity among SAIs is large; this distorts population response profiles markedly but has no significant impact on the neural measures. Two classes of noise were introduced, one dependent on and the other independent of the level of neural activity. Resolution of the model was compared with discrimination in humans. Correlation of noise among neurons had different effects for the different measures. An increase in correlation decreased resolution in the measure for force but improved resolution in the measure for position. Increasing innervation density (1) always increased resolution for position and (2) increased resolution for force if noise was uncorrelated but had diminishing effects as correlation increased. Correlation and innervation density had complex effects on the measure for curvature, depending on the class of noise. Nonuniformity in the pattern of innervation had negligible effects on resolution. (+info)
Primary nociceptive afferents mediate the blood flow dysfunction in non-glabrous (hairy) skin of type 2 diabetes: a new model for the pathogenesis of microvascular dysfunction.
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OBJECTIVE: To test the independent contributions of vascular endothelium, sympathetic activation and inhibition, vessel distensibility, and nociceptor-mediated vasodilation in both glabrous and hairy skin circulations. RESEARCH DESIGN AND METHODS: We measured blood flow using laser Doppler techniques in 10 people with type 2 diabetes and 10 age- and BMI-matched healthy control subjects at the pulp of the index finger (glabrous skin) and the dorsum of the hand (hairy skin). A 5-min ischemic block of the arm was used to test vascular endothelium. Warming of the probe site to 45 degrees C tested neurogenic vasodilation in hairy skin only. Vessel distensibility was tested by gravitational pressure. RESULTS: Basal blood flow and reactive hyperemia did not differ between groups at either skin site. The vasodilative response to local warming (P < 0.01) and limb lowering (P < 0.05) were significantly different between groups in hairy skin but not in glabrous skin in the absence of objective measured neuropathy. Nociceptor-mediated flow correlated significantly with the warm thermal threshold (r = -0.50, P < 0.05). Endothelial-mediated blood flow correlated with systolic blood pressure (r = -0.76, P < 0.01), LDL cholesterol (r = -0.62, P < 0.001), C-peptide (r = 0.65, P < 0.05), and triglycerides (r = 0.47, P < 0.05). CONCLUSIONS: These data suggest that neurogenic nociceptor-mediated vasodilation is impaired in subjects with type 2 diabetes when endothelial and sympathetic function are relatively intact. Heat-induced vasodilation may be a specific test of small heat-sensitive C-fiber peripheral neurons and may be an integral part of the metabolic syndrome. (+info)
The interaction of first- and second-order cues to orientation.
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The visual system is sensitive to orientation information defined both by first-order (luminance) and by second-order (texture) cues. We consider how these orientation cues are computed and how they affect one another. We measured the perceived orientation of the first and second-order components of Gabor patches (the carrier and envelope, respectively) and report a dependence of the perceived orientation of each on the orientation of the other, and on the spatial frequency of the carrier. Fixing the carrier orientation near that of the envelope interferes with envelope orientation judgements. This interference is reduced by adding a small (subthreshold) rotation to the carrier indicating that the site of interference is early. When the gross relative orientation of carrier and envelope is varied, the carrier appears systematically tilted towards the envelope. However, provided envelope and carrier are separated by more than approximately 10 degrees, the perceived envelope orientation appears tilted away from the carrier. The size of these effects increases with decreasing carrier spatial frequency, and with increasing exposure duration. When the envelope and carrier are both non parallel and non-perpendicular Fourier energy is distributed asymmetrically across orientation. We demonstrate that, for a channel-based orientation code, this asymmetry induces a shift in mean orientation that is sufficient to explain illusory tilting of carriers. The illusory tilting of the envelope, as a function of carrier orientation and spatial frequency, demonstrates that human ability to demodulate contrast information is far from ideal and cannot be explained by existing two-stage filter-rectify-filter models. We propose that illusory tilting of the envelope is due to selective connectivity between first- and second-stage filters whose purpose is to dissociate the type of image structure producing each class of cue. (+info)
The spectral sensitivity of the human short-wavelength sensitive cones derived from thresholds and color matches.
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We used two methods to estimate short-wave (S) cone spectral sensitivity. Firstly, we measured S-cone thresholds centrally and peripherally in five trichromats, and in three blue-cone monochromats, who lack functioning middle-wave (M) and long-wave (L) cones. Secondly, we analyzed standard color-matching data. Both methods yielded equivalent results, on the basis of which we propose new S-cone spectral sensitivity functions. At short and middle-wavelengths, our measurements are consistent with the color matching data of Stiles and Burch (1955, Optica Acta, 2, 168-181; 1959, Optica Acta, 6, 1-26), and other psychophysically measured functions, such as pi 3 (Stiles, 1953, Coloquio sobre problemas opticos de la vision, 1, 65-103). At longer wavelengths, S-cone sensitivity has previously been over-estimated. (+info)