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1.
Mol Ecol ; 27(4): 1025-1035, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29334412

RESUMO

The major histocompatibility complex (MHC) has repeatedly been found to influence mate choice of vertebrates, with MHC-dissimilar mates typically being preferred over MHC-similar mates. We used horses (Equus caballus) to test whether MHC matching also affects male investment into ejaculates after short exposure to a female. Semen characteristics varied much among stallions. Controlling for this variance with a full-factorial within-subject experimental design, we found that a short exposure to an MHC-dissimilar mare enhanced male plasma testosterone and led to ejaculates with elevated sperm numbers as compared to exposure to an MHC-similar mare. Sperm velocity seemed not affected by the treatment. Overall genetic similarity between stallions and mares (determined from polymorphic microsatellites on 20 different chromosomes) played no significant role here. The MHC type of the teaser mare also affected characteristics of cold-stored sperm after 24 and 48 hr. As expected from ejaculate economics, sperm viability was elevated after exposure to an MHC-dissimilar mare. However, oxidative stress and the percentage of sperm with a high DNA fragmentation were mostly increased after exposure to an MHC-dissimilar mare, depending also on whether the teaser mare was in oestrous or not. We conclude that males can quickly adjust ejaculate quality relative to a female's MHC, and that this male reaction to the social environment can also affect important characteristics of cold-stored semen.


Assuntos
Teste de Histocompatibilidade , Cavalos/genética , Complexo Principal de Histocompatibilidade/genética , Sêmen/metabolismo , Animais , Feminino , Masculino , Modelos Biológicos
2.
Proc Biol Sci ; 284(1868)2017 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-29212724

RESUMO

Genes of the major histocompatibility complex (MHC) have been shown to influence social signalling and mate preferences in many species, including humans. First observations suggest that MHC signalling may also affect female fertility. To test this hypothesis, we exposed 191 female horses (Equus caballus) to either an MHC-similar or an MHC-dissimilar stimulus male around the time of ovulation and conception. A within-subject experimental design controlled for non-MHC-linked male characteristics, and instrumental insemination with semen of other males (n = 106) controlled for potential confounding effects of semen or embryo characteristics. We found that females were more likely to become pregnant if exposed to an MHC-dissimilar than to an MHC-similar male, while overall genetic distance to the stimulus males (based on microsatellite markers on 20 chromosomes) had no effect. Our results demonstrate that early pregnancy failures can be due to maternal life-history decisions (cryptic female choice) influenced by MHC-linked social signalling.


Assuntos
Fertilidade , Cavalos/fisiologia , Complexo Principal de Histocompatibilidade , Animais , Feminino , Preferência de Acasalamento Animal , Reprodução
3.
Proc Biol Sci ; 282(1807): 20150407, 2015 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-25904670

RESUMO

Odours of vertebrates often contain information about the major histocompatibility complex (MHC), and are used in kin recognition, mate choice or female investment in pregnancy. It is, however, still unclear whether MHC-linked signals can also affect male reproductive strategies. We used horses (Equus caballus) to study this question under experimental conditions. Twelve stallions were individually exposed either to an unfamiliar MHC-similar mare and then to an unfamiliar MHC-dissimilar mare, or vice versa. Each exposure lasted over a period of four weeks. Peripheral blood testosterone levels were determined weekly. Three ejaculates each were collected in the week after exposure to both mares (i.e. in the ninth week) to determine mean sperm number and sperm velocity. We found high testosterone levels when stallions were kept close to MHC-dissimilar mares and significantly lower ones when kept close to MHC-similar mares. Mean sperm number per ejaculate (but not sperm velocity) was positively correlated to mean testosterone levels and also affected by the order of presentation of mares: sperm numbers were higher if MHC-dissimilar mares were presented last than if MHC-similar mares were presented last. We conclude that MHC-linked signals influence testosterone secretion and semen characteristics, two indicators of male reproductive strategies.


Assuntos
Cavalos/fisiologia , Complexo Principal de Histocompatibilidade/fisiologia , Contagem de Espermatozoides/veterinária , Testosterona/sangue , Animais , Feminino , Cavalos/imunologia , Masculino , Odorantes , Olfato/fisiologia , Motilidade dos Espermatozoides
4.
J Fish Biol ; 83(2): 404-11, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23902314

RESUMO

On the basis of the experiments carried out over various years, it was concluded that (1) grayling Thymallus thymallus and brown trout Salmo trutta are resistant to temperature-induced sex reversal at ecologically relevant temperatures, (2) environmental sex reversal is unlikely to cause the persistent sex ratio distortion observed in at least one of the study populations and (3) sex-specific tolerance of temperature-related stress may be the cause of distorted sex ratios in populations of T. thymallus or S. trutta.


Assuntos
Salmonidae/fisiologia , Processos de Determinação Sexual , Razão de Masculinidade , Temperatura , Truta/fisiologia , Animais , Feminino , Masculino , Comportamento Sexual Animal
5.
Ecology ; 91(5): 1251-6, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-20503857

RESUMO

There is mounting evidence that organic or inorganic enrichment of aquatic environments increases the risk of infectious diseases, with disease agents ranging from helminth parasites to fungal, bacterial, and viral pathogens. The causal link between microbial resource availability and disease risk is thought to be complex and, in the case of so-called "opportunistic pathogens," to involve additional stressors that weaken host resistance (e.g., temperature shifts or oxygen deficiencies). In contrast to this perception, our experiment shows that the link between resource levels and infection of fish embryos can be very direct: increased resource availability can transform benign microbial communities into virulent ones. We find that embryos can be harmed before further stresses (e.g., oxygen depletion) weaken them, and treatment with antibiotics and fungicides cancels the detrimental effects. The changed characteristics of symbiotic microbial communities could simply reflect density-dependent relationships or be due to a transition in life-history strategy. Our findings demonstrate that simple microhabitat changes can be sufficient to turn "opportunistic" into virulent pathogens.


Assuntos
Doenças dos Peixes/microbiologia , Salmonidae , Animais , Antibacterianos/farmacologia , Bactérias/patogenicidade , Meios de Cultura/química , Feminino , Interações Hospedeiro-Patógeno , Masculino , Virulência , Água/química
6.
Sci Rep ; 10(1): 1056, 2020 01 23.
Artigo em Inglês | MEDLINE | ID: mdl-31974438

RESUMO

The major histocompatibility complex (MHC) influences sexual selection in various vertebrates. Recently, MHC-linked social signaling was also shown to influence female fertility in horses (Equus caballus) diagnosed 17 days after fertilization. However, it remained unclear at which stage the pregnancy was terminated. Here we test if MHC-linked cryptic female choice in horses happens during the first days of pregnancy, i.e., until shortly after embryonic entrance into the uterus and before fixation in the endometrium. We exposed estrous mares to one of several unrelated stallions, instrumentally inseminated them with semen of another stallion, and flushed the uterus 8 days later to test for the presence of embryos. In total 68 embryos could be collected from 97 experimental trials. This success rate of 70.1% was significantly different from the mean pregnancy rate of 45.7% observed 17 days after fertilization using the same experimental protocol but without embryo flushing. Embryo recovery rate was not significantly dependent on whether the mares had been socially exposed to an MHC-dissimilar or an MHC-similar stallion. These observations suggest that MHC-linked maternal strategies affect embryo survival mainly (or only) during the time of fixation in the uterus.


Assuntos
Cavalos/genética , Complexo Principal de Histocompatibilidade , Herança Materna , Oviductos/imunologia , Animais , Embrião de Mamíferos/imunologia , Feminino , Cavalos/embriologia , Cavalos/imunologia , Masculino , Gravidez
7.
Science ; 288(5467): 850-2, 2000 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-10797005

RESUMO

The "tragedy of the commons," that is, the selfish exploitation of resources in the public domain, is a reason for many of our everyday social conflicts. However, humans are often more helpful to others than evolutionary theory would predict, unless indirect reciprocity takes place and is based on image scoring (which reflects the way an individual is viewed by a group), as recently shown by game theorists. We tested this idea under conditions that control for confounding factors. Donations were more frequent to receivers who had been generous to others in earlier interactions. This shows that image scoring promotes cooperative behavior in situations where direct reciprocity is unlikely.


Assuntos
Altruísmo , Comportamento Cooperativo , Comportamento Social , Percepção Social , Jogos Experimentais , Humanos
8.
Sci Rep ; 7: 44339, 2017 03 13.
Artigo em Inglês | MEDLINE | ID: mdl-28287188

RESUMO

The theory of ejaculate economics was mainly built around different sperm competition scenarios but also predicts that investments into ejaculates depend on female fecundity. Previous tests of this prediction focused on invertebrates and lower vertebrate, and on species with high female reproductive potential. It remains unclear whether the prediction also holds for polygynous mammals with low female reproductive potential (due to low litter size and long inter-birth intervals). We used horses (Equus caballus) to experimentally test whether semen characteristics are adjusted to the oestrous cycle of the mare a stallion is exposed to during few moments before ejaculation. We analysed 122 weekly semen samples collected from 16 stallions during exposure to either an oestrous or a dioestrous mare. Semen volume and the rate of motile sperm were higher when stallions were exposed to an oestrous than to a diestrous mare, while total sperm counts and sperm velocity remained unchanged. Sperm collected after exposure to an oestrous mare also showed reduced oxidative degeneration of cell membranes over a period of 48 hours. We conclude that stallions invest more into their seminal fluids when the chance of fertilization is elevated, and that this adjustment of ejaculate quality can happen very quickly.


Assuntos
Ejaculação/fisiologia , Estro/fisiologia , Análise do Sêmen/métodos , Sêmen/fisiologia , Motilidade dos Espermatozoides/fisiologia , Animais , Feminino , Cavalos , Masculino , Sêmen/citologia , Análise do Sêmen/veterinária , Comportamento Sexual Animal , Contagem de Espermatozoides/veterinária
9.
Theriogenology ; 89: 318-323.e1, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27842717

RESUMO

Genes of the major histocompatibility complex (MHC) have been shown to influence communication in many vertebrates, possibly with context-specific MHC-correlated reactions. Here we test for MHC-linked female preferences in the polygynous horse (Equus caballus) by repeatedly exposing 19 mares to a group of seven sexually experienced stallions. Each mare was tested four times during two consecutive reproductive cycles, twice during estrus and twice during diestrus. Male plasma testosterone concentrations were determined from weekly blood samples, and equine leukocyte antigen (ELA) class I and II alleles were determined serologically at the end of the experiments. Perception of male attractiveness was strongly dependent on estrous cycle: mean preference scores did not correlate for mares in diestrus and estrus and varied more during estrus than during diestrus. We found elevated female interests for MHC-dissimilar stallions, but only during diestrus, not during estrus. Female preferences were not significantly predicted by mean male testosterone plasma concentrations. However, testosterone concentrations changed during the 11 weeks of the experiment. By the end of the experiment, average testosterone concentration was significantly correlated to the average number of MHC alleles the stallions shared with the mares. We conclude that the MHC affects female preferences for stallions, but non-MHC linked male characteristics can overshadow effects of the MHC during estrus.


Assuntos
Cavalos/genética , Complexo Principal de Histocompatibilidade/genética , Preferência de Acasalamento Animal , Animais , Ciclo Estral , Feminino , Masculino , Testosterona/sangue
10.
Theriogenology ; 86(9): 2222-2229, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27587272

RESUMO

Oxytocin is a hormone that may not only influence reproductive mechanisms in mammals but also their social behavior, including pair bonding. We therefore tested if the concentrations of oxytocin and other hormones reveal mate preferences of 13 mares in estrus. Each mare was first exposed to two stallions (haphazardly selected out of seven) and her behavior recorded. The mare was then returned to her box (i.e., no contact to stallions during that time). Approximately 4.5 hours later, venous blood samples were collected every minute during 30 minutes preceding exposure to one of the two previously used stallions, 6 minutes during exposure, and 30 minutes after exposure back in the mare's box. The procedure was repeated in the consecutive estrus cycle, with the difference that the mare was each exposed to the other of the two stallions during oxytocin measurements. In 20 of the 26 trials, oxytocin concentrations were significantly elevated during exposure to the stallion, without significant associations to cortisol and estradiol concentrations. We found no significant association between oxytocin secretion and preferences in the previous choice situation. While estradiol concentration showed a high repeatability over the two cycles, we found considerable intraindividual differences in oxytocin and cortisol plasma concentration among the two cycles. Partially, the variation in oxytocin concentrations could be linked to the time of ovulation, with lower oxytocin plasma concentrations in mares which ovulated later than expected. In conclusion, when teasing under experimental conditions, we found high interindividual and intraindividual variation among mares in the increase of oxytocin plasma concentrations, depending on the timing of ovulation. However, oxytocin levels seemed to be no predictor of mare preference.


Assuntos
Estro/fisiologia , Cavalos/fisiologia , Ocitocina/metabolismo , Comportamento Sexual Animal/fisiologia , Animais , Estradiol/sangue , Feminino , Cavalos/sangue , Hidrocortisona/sangue , Masculino
11.
Proc Biol Sci ; 264(1387): 1471-9, 1997 Oct 22.
Artigo em Inglês | MEDLINE | ID: mdl-9364787

RESUMO

The major histocompatibility complex (MHC) is an immunologically important group of genes that appears to be under natural as well as sexual selection. Several hypotheses suggest that certain MHC-allele combinations (usually heterozygous ones) are superior under selective pressure by pathogens. This could influence mate choice in a way that preferences function to create MHC-heterozygous offspring, or that they function to create specific allele combinations that are beneficial under the current environmental conditions through their complementary or epistatic effects. To test these hypotheses, we asked 121 men and women to score the odours of six T-shirts, worn by two women and four men. Their scorings of pleasantness correlated negatively with the degree of MHC similarity between smeller and T-shirt-wearer in men and women who were not using the contraceptive pill (but not in Pill-users). Depending on the T-shirt-wearer, the amount of variance in the scorings of odour pleasantness that was explained by the degree of MHC similarity (r2) varied between nearly 0 and 23%. There was no apparent effect of gender in this correlation: the highest r2 was actually reached with one of the male odours sniffed by male smellers. Men and women who were reminded of their own mate/ex-mate when sniffing a T-shirt had significantly fewer MHC-alleles in common with this T-shirt-wearer than expected by chance. This suggests that the MHC or linked genes influence human mate choice. We found no significant effect when we tested for an influence of the MHC on odour preferences after the degree of similarity between T-shirt-wearer and smeller was statistically controlled for. This suggests that in our study populations the MHC influences body odour preferences mainly, if not exclusively, by the degree of similarity or dissimilarity. The observed preferences would increase heterozygosity in the progeny. They do not seem to aim for more specific MHC combinations.


Assuntos
Complexo Principal de Histocompatibilidade , Odorantes , Adulto , Alelos , Feminino , Ligação Genética , Heterozigoto , Humanos , Masculino , Caracteres Sexuais , Comportamento Sexual , Olfato
12.
Proc Biol Sci ; 260(1359): 245-9, 1995 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-7630893

RESUMO

One substantial benefit of sexual reproduction could be that it allows animals (including humans) to react rapidly to a continuously changing environmental selection pressure such as coevolving parasites. This counteraction would be most efficient if the females were able to provide their progeny with certain allele combinations for loci which may be crucial in the parasite-host arms race, for example the MHC (major histocompatibility complex). Here we show that the MHC influences both body odours and body odour preferences in humans, and that the women's preferences depend on their hormonal status. Female and male students were typed for their HLA-A, -B and -DR. Each male student wore a T-shirt for two consecutive nights. The next day, each female student was asked to rate the odours of six T-shirts. They scored male body odours as more pleasant when they differed from the men in their MHC than when they were more similar. This difference in odour assessment was reversed when the women rating the odours were taking oral contraceptives. Furthermore, the odours of MHC-dissimilar men remind the test women more often of their own actual or former mates than do the odours of MHC-similar men. This suggests that the MHC or linked genes influence human mate choice today.


Assuntos
Comportamento de Escolha , Complexo Principal de Histocompatibilidade , Comportamento Sexual , Adulto , Anticoncepcionais Orais , Feminino , Antígenos HLA-A/sangue , Antígenos HLA-B/sangue , Antígenos HLA-DR/sangue , Teste de Histocompatibilidade , Humanos , Masculino , Memória , Odorantes
13.
Proc Biol Sci ; 265(1397): 711-6, 1998 Apr 22.
Artigo em Inglês | MEDLINE | ID: mdl-9608731

RESUMO

In a previous series of in vitro fertilization experiments with mice we found non-random combination of major histocompatibility complex (MHC) haplotypes in the very early embryos. Our results suggested that two selection mechanisms were operating: (i) the eggs selected specific sperm; and (ii) the second meiotic division in the eggs was influenced by the type of sperm that entered the egg. Furthermore, the proportion of MHC-heterozygous embryos varied over time, suggesting that non-random fertilization was dependent on an external factor that changed over time. As a higher frequency of heterozygous individuals correlated with an uncontrolled epidemic by MHV (mouse hepatitis virus), we suggested that MHV-infection might have influenced the outcome of fertilization. Here, we present an experiment that tests this hypothesis. We infected randomly chosen mice with MHV and sham-infected control mice five days before pairing. We recovered the two-cell embryos from the oviduct, cultured them until the blastocyst stage, and determined the genotype of each resulting blastocyst by polymerase chain reaction. We found the pattern that we expected from our previous experiments: virus-infected mice produced more MHC-heterozygous embryos than sham-infected ones. This suggests that parents are able to promote specific combinations of MHC-haplotypes during fertilization according to the presence or absence of a viral infection.


Assuntos
Hepatite Viral Animal/genética , Hepatite Viral Animal/imunologia , Complexo Principal de Histocompatibilidade/genética , Vírus da Hepatite Murina/imunologia , Animais , Feminino , Complexo Principal de Histocompatibilidade/imunologia , Masculino , Camundongos , Comportamento Sexual Animal
14.
J Evol Biol ; 14(1): 55-67, 2001 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-29280579

RESUMO

Most models of sex allocation distinguish between sequential and simultaneous hermaphrodites, although an intermediate sexual pattern, size-dependent sex allocation, is widespread in plants. Here we investigated sex allocation in a simultaneous hermaphrodite animal, the tapeworm Schistocephalus solidus, in which adult size is highly variable. Sex allocation was determined using stereological techniques, which allow measuring somatic and reproductive tissues in a common currency, namely volume. We investigated the relationships between individual volume and allocation to different reproductive tissues using an allometric model. One measure of female allocation, yolk gland volume, increased more than proportionally with individual volume. This is in contrast to the measure of male allocation, testis volume, which showed a strong tendency to increase less than proportionally with individual volume. Together these patterns led to sex allocation being strongly related to individual volume, with large individuals being more biased towards female allocation. We discuss these findings in the light of current ideas about size-dependent sex allocation in, primarily, plants and try to extend them to simultaneous hermaphrodite animals.

15.
Neurosci Lett ; 308(3): 141-4, 2001 Aug 10.
Artigo em Inglês | MEDLINE | ID: mdl-11479008

RESUMO

Right handed healthy volunteers underwent functional magnetic resonance imaging (fMRI) examinations on a 1.5 Tesla MRI-scanner (Gyroscan ACS NT; Philips, Best, NL). Blood oxygen level dependent (BOLD) images were obtained using a three dimensional multi-shot echo planar imaging sequence employing a shifted echo technique (Principles of echo shifting with a train of observations). Finger tapping of the right hand was used as a task for motor stimulation. A total of 86 subjects was included into statistical analysis. Absolute and relative signal differences and cluster sizes of activation for the left motor cortex were obtained. In addition, Z-score, pooled Z-score and cross correlation activation maps were calculated and matched with high resolution anatomic images. A significant decrease with age could be detected for absolute and relative signal intensity differences for the whole group and for the male subgroup. Correlation analysis for the female subgroup also bore negative albeit non-significant correlation coefficients. An age-related decline of BOLD-contrast can be assumed to explain signal decrease. This age-related effect should be considered in clinical fMRI applications.


Assuntos
Envelhecimento/fisiologia , Imageamento por Ressonância Magnética/normas , Atividade Motora/fisiologia , Neurônios Motores/fisiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Dedos/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Análise de Regressão , Caracteres Sexuais
16.
Pharmacotherapy ; 21(7): 861-6, 2001 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11444583

RESUMO

Lipodystrophy syndrome (LDS), a fat-wasting condition commonly reported in adults infected with human immunodeficiency virus (HIV), has been linked to the use of antiretroviral agents. Recently, LDS was observed in children infected with HIV Little is known about the pathophysiology of this condition, although it is believed that LDS has many causes and modes of presentation. Even less is known about what long-term effects LDS will have on HIV-infected patients. Three patients who developed LDS were observed in a pediatric HIV clinic. Due to the lack of knowledge about the condition's natural course and the benefits versus risks of treatment, they were not treated specifically for LDS. Their lipid profiles, however, continue to be monitored closely twice/year.


Assuntos
Infecções por HIV , Lipodistrofia , Terapia Antirretroviral de Alta Atividade/efeitos adversos , Criança , Pré-Escolar , Colesterol/sangue , Feminino , Infecções por HIV/sangue , Infecções por HIV/complicações , Infecções por HIV/tratamento farmacológico , Humanos , Lipodistrofia/sangue , Lipodistrofia/complicações , Masculino , Síndrome , Triglicerídeos/sangue
17.
J Neurosurg ; 95(6): 974-8, 2001 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11765842

RESUMO

OBJECT: A comparison of two electrophysiological methods used to assess facial nerve function intraoperatively was conducted in 33 patients with tumors of the cerebellopontine angle. METHODS: All 33 patients had presented with normal facial nerve function preoperatively. After general anesthesia had been induced by a mixture of midazolam and fentanyl, continual online EMG recordings from the orbicularis oculi and oris muscles were alternated with nasal muscle F-wave recordings. Facial nerve outcomes, assessed using a modified House-Brackmann scale, varied among good (48%), moderate (18%), and poor (33%). Analysis of electromyographic (EMG) data resulted in a significant correlation between the finding of only transient manipulation-evoked activity and a good outcome, whereas in cases in which there was poor outcome, an increase in the amplitude or duration of ongoing activity was detected. A permanent loss of nasal muscle F waves specifically appeared to indicate a severe dysfunction of the facial nerve that was linked to a poor outcome. All patients with latency and/or amplitude changes or even a transient loss of the F wave achieved good or moderate facial nerve outcomes. A transient loss of the F wave, however, was detected significantly more frequently in patients with moderate outcomes. None of these patients exhibited normal facial function (House-Brackmann Grade I) postoperatively. CONCLUSIONS: Online EMG monitoring can provide some information on imminent or even present damage to the facial nerve intraoperatively. The diagnostic sensitivity, specificity, and positive predictive values of a permanent F-wave loss, however, are much higher than those of EMG monitoring. Additionally, this loss of the F wave is supposed to be transient if the surgical procedure is stopped until the F wave recovers. Therefore, F-wave monitoring serves to alert the surgeon that the facial nerve is about to receive a lesion.


Assuntos
Músculos Faciais/inervação , Músculos Faciais/fisiologia , Nervo Facial/fisiologia , Monitorização Intraoperatória/métodos , Neuroma Acústico/cirurgia , Eletromiografia , Ependimoma/cirurgia , Cisto Epidérmico/cirurgia , Humanos , Neoplasias Meníngeas/cirurgia , Meningioma/cirurgia , Resultado do Tratamento
18.
Hear Res ; 158(1-2): 160-4, 2001 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11506948

RESUMO

The purpose of this study is to visualize brainstem auditory pathways by functional magnetic resonance imaging (fMRI). Eighteen healthy volunteers (age 28 to 42 years) with normal hearing function underwent fMRI examination on a 1.5 Tesla imaging system (Philips, Best, The Netherlands) with periodic click stimulation. Blood oxygen level dependent images were obtained using a three-dimensional EPI sequence with shifted echo technique (principles of echo shifting with a train of observations). Control scans without click stimulation were obtained in the identical setting. Cross correlation activation maps were calculated using a postprocessing tool (Philips). They were matched with anatomic slices of identical orientation and thickness. Five of 18 subjects were excluded because of motion artifacts. In 4/13 significant activation was observed at the root entry zone of the ipsilateral acoustic nerve corresponding to the cochlear nuclei. In 11/13 subjects, significant activation was found in the same slice contralaterally close to the floor of the 4th ventricle, corresponding to the expected region of the superior olivary nucleus. Activation of the rostral parts of the auditory pathway (inferior colliculus, medial geniculate body) was not found. In the absence of the stimulus no activation occurred in these structures. It was concluded that activation of the brainstem auditory pathways by click stimuli can be visualized by fMRI.


Assuntos
Vias Auditivas/fisiologia , Imageamento por Ressonância Magnética , Ponte/fisiologia , Estimulação Acústica , Adulto , Núcleo Coclear/fisiologia , Feminino , Humanos , Masculino , Núcleo Olivar/fisiologia
19.
Neurophysiol Clin ; 31(6): 406-11, 2001 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11810990

RESUMO

OBJECTIVES: The significance of brainstem auditory evoked potential (BAEP) wave VI for the outcome of comatose patients was assessed and compared to the prognostic impact of median nerve evoked somatosensory potential (MSEP) recording. PATIENTS AND METHODS: One hundred sixteen patients in a comatose state due to traumatic brain injury (n = 57) and to intracerebral hemorrhage or tumours (n = 59) were investigated prospectively. Outcome was assessed 3 months after the onset of coma using Glasgow Outcome Score (GOS). Standard BAEP and MSEP recordings were obtained within 24 h after coma onset. The frequency of findings was correlated with outcome by means of non-parametric statistical analysis. Additionally, 27 healthy volunteers were studied to confirm the constant presence of wave VI in normal BAEP. RESULTS: In healthy controls, wave VI was present in 53/54 ears stimulated. Outcome correlation analysis revealed a significantly (p < 0.01) higher frequency of abnormal wave VI in patients with unfavourable outcome (GOS 1-3) irrespective of the underlying pathology. Similarly, abnormal MSEP findings were significantly more frequent in this outcome group. Diagnostic sensitivity for an unfavourable outcome was low for both parameters, whereas specificity and positive predictive value of abnormal wave VI as well as of abnormal MSEP were equally high. CONCLUSION: Abnormal BAEP wave VI bears prognostic information in comatose patients.


Assuntos
Coma/fisiopatologia , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Lesões Encefálicas/fisiopatologia , Hemorragia Cerebral/fisiopatologia , Criança , Feminino , Lateralidade Funcional , Escala de Coma de Glasgow , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Valores de Referência
20.
Acta Neurochir Suppl ; 79: 21-3, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-11974978

RESUMO

OBJECTIVES: To evaluate the changes of vegetative parameters and behavioural assessment in comatose patients after severe brain injury during the Multimodal-Early-Onset-Stimulation (MEOS) in early rehabilitation. MATERIAL AND METHODS: We studied 16 predominantly male (3:1) patients, age mean 43.6 (16-77) years. Mean coma duration was 22.2 (8-41) days, therapy duration (MEOS) 9.8 (1-30) days. The initial GCS was 6.6 (3-9), KRS 5.3 (0-15). Including criteria for therapy: Severe head trauma, coma for at least 48 hours (GCS < 8), vegetative stability, normal intracranial pressure, abandon of mechanical ventilation, sedation and severe infections. MEOS was finished in achieving GCS > 9, follow-up investigations were made after 2 years. RESULTS: We identified significant changes in two vegetative parameters (heart/respiratory frequencies), even in deep coma (GCS 3-4). Most significant changes were caused by tactile and acoustic stimulation. Standardized behavioural assessment turned out to be particularly advisable in cases of medium coma (GCS 5-7). Stimulation of tactile and acoustic senses resulted mainly in mimical, head and eye movements. Follow-up was possible in 14 patients: One remained in a vegetative state (GOS 2), two exhibited severe neurologic/neuropsychologic deficits, depending on care (GOS 3), six substained major functional deficits (GOS 4), at though they were able to perform the tasks of daily life on their own, three patients reached GOS 5. Two returned to their former jobs. DISCUSSION AND CONCLUSION: The present results indicate that stimulation therapy should be based on a close observation of patterns of behaviour, and, at least in deep coma stages, involve the registration of vegetative parameters. It may be sensitive to identify parameters predicting a favourable or unfavourable outcome. Preliminary data seem to support the hypothesis that the absence of any response to external stimuli is indicative of an unfavourable outcome.


Assuntos
Lesões Encefálicas/complicações , Coma/etiologia , Coma/reabilitação , Estimulação Acústica , Atividades Cotidianas , Adolescente , Adulto , Idoso , Comportamento , Coma/fisiopatologia , Coma/psicologia , Movimentos Oculares , Feminino , Escala de Coma de Glasgow , Escala de Resultado de Glasgow , Cabeça/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Movimento , Estado Vegetativo Persistente/fisiopatologia , Estado Vegetativo Persistente/psicologia , Estado Vegetativo Persistente/reabilitação , Estimulação Física , Reabilitação/métodos , Tato
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