Suppression of sigma spindle electroencephalographic activity as a measure of transient arousal after spontaneous and occlusion-evoked sighs and startles.

Abstract:

:Defective arousal mechanisms are viewed as contributory to sleep hypopnea disorders and sudden infant death syndrome. Sighs (i.e. augmented breaths) as well as startles have not traditionally been viewed as arousal-related phenomena in infants. We hypothesized that, if sighs and startles are the initial event in a sequential arousal process, then they might be associated with specific EEG activity changes, because activation of the arousal-related ascending reticular activating system can suppress thalamus-generated sigma spindle oscillations. We studied spontaneous sighs and startles and those elicited by briefly occluding the infants face mask airway in 12 normal infants (age 10-19 wk) during non-rapid eye movement sleep. We recorded EEG (C3-P3), ECG, O2 saturation, diaphragmatic electromyography, limb electromyography, and video of the infant. The startle intensity was scored on a scale of 0 to 3 based on video recorded movements. Sleep spindle periodicity was analyzed by using a threshold over a compressed spectral band array. Spontaneous sighs and sleep startles were immediately followed by an interspindle interval prolongation from (mean +/- SEM) 8.0 +/- 0.16 s (control period) to 17.9 +/- 1.45 s after spontaneous sighs, to 23.8 +/- 1.26 s after spontaneous sighs accompanied by startles and to 26.5 +/- 1.45 s after occlusion-related sighs and startles. Furthermore, the intensity of occlusion-evoked startles was positively correlated with the interspindle interval prolongation (p < 0.01). We conclude that spontaneous as well as evoked sighs and startles are immediately followed by a transient sleep spindle suppression. This phenomenon indicates a close linkage between sighs, startles, and reticular formation-related arousal mechanisms.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Wulbrand H,McNamara F,Thach BT

doi

10.1203/00006450-199811000-00021

subject

Has Abstract

pub_date

1998-11-01 00:00:00

pages

767-73

issue

5

eissn

0031-3998

issn

1530-0447

journal_volume

44

pub_type

杂志文章
  • Positive renal response to intravenous acetazolamide in patients with carbonic anhydrase II deficiency.

    abstract::Carbonic anhydrase II (CA II) is the only soluble isozyme of CA which is known to be expressed in kidney. We recently identified a deficiency of this enzyme as the basis for the autosomal recessive syndrome of osteopetrosis with renal tubular acidosis and cerebral calcification. In order to explore the physiological i...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198510000-00017

    authors: Sly WS,Whyte MP,Krupin T,Sundaram V

    更新日期:1985-10-01 00:00:00

  • Developmental expression of vasoactive and growth factors in human lung. Role in pulmonary vascular resistance adaptation at birth.

    abstract::The factors that mediate the postnatal fall in pulmonary vascular resistance, which is crucial for normal gas exchange, are not fully understood. The endothelium has been implicated in this phenomenon, through the release of vasorelaxant factors such as nitric oxide (NO). Human pulmonary expression of endothelial NO s...

    journal_title:Pediatric research

    pub_type: 杂志文章,评审

    doi:10.1203/01.PDR.0000159575.58834.8D

    authors: Lévy M,Maurey C,Dinh-Xuan AT,Vouhé P,Israël-Biet D

    更新日期:2005-05-01 00:00:00

  • A statistical comparison of reproducibility in current pediatric two-dimensional echocardiographic nomograms.

    abstract:BACKGROUND:The aim of this study is to compare new pediatric nomograms for clinical parameters from 2D echocardiography. METHODS:2D pediatric echocardiographic parameters from four recent nomograms were used for statistical analysis. To assess the accuracy of the predictive models from each study, namely multivariate,...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-020-0900-z

    authors: Cantinotti M,Scalese M,Giordano R,Assanta N,Marchese P,Franchi E,Viacava C,Koestenberger M,Jani V,Kutty S

    更新日期:2020-04-24 00:00:00

  • Transient partial hGH deficiency in prepubertal children with delay of growth.

    abstract:UNLABELLED:The hGH response to an ornithin or an insulin test was measured in 105 children from 11-18 yr old with delay of growth more than 2 SD. Besides 74 subjects with normal values and 7 with complete lack of response, 24 subjects exhibited a partial rise of GH. Most of the latter had decreasing growth rate and no ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-197904000-00002

    authors: Gourmelen M,Pham-Huu-Trung MT,Girard F

    更新日期:1979-04-01 00:00:00

  • Oral carrageenan induces antigen-dependent oral tolerance: prevention of anaphylaxis and induction of lymphocyte anergy in a murine model of food allergy.

    abstract::Immunosuppressive effects of carrageenan, a high-molecular-weight polysaccharide, on antibody and T cell responses have been previously demonstrated. However, its effect on anaphylaxis is unknown. Our objectives were to test carrageenan-mediated oral tolerance induction in young mice subsequently sensitized to a commo...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-200103000-00018

    authors: Frossard CP,Hauser C,Eigenmann PA

    更新日期:2001-03-01 00:00:00

  • Analysis of lymphocyte proliferative response subpopulations in very low birth weight infants and during the first 8 weeks of life.

    abstract::Cell-mediated immunity is not well characterized in very low birth weight infants, and abnormalities may represent a significant vulnerability to infection. This report describes 165 serial studies in 58 infants between 700 and 1300 g birth weight during the first 8 wk of life. Two ml of blood were drawn at 2-wk inter...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198805000-00003

    authors: Bussel JB,Cunningham-Rundles S,LaGamma EF,Shellabarger M

    更新日期:1988-05-01 00:00:00

  • Oxygen desaturations in the early neonatal period predict development of bronchopulmonary dysplasia.

    abstract:BACKGROUND:Bradycardia and oxygen desaturation episodes are common among preterm very low birth weight (VLBW) infants in the Neonatal Intensive Care Unit (NICU), and their association with adverse outcomes such as bronchopulmonary dysplasia (BPD) is unclear. METHODS:For 502 VLBW infants we quantified bradycardias (HR ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-018-0223-5

    authors: Fairchild KD,Nagraj VP,Sullivan BA,Moorman JR,Lake DE

    更新日期:2019-06-01 00:00:00

  • Proliferative response of different human osteoblast-like cell models to proinflammatory cytokines.

    abstract::Children with inflammatory bowel disease are known to be at risk of osteopenia. The cause of this osteopenia is likely to be multifactorial, but the inflammatory process with its characteristic overproduction of cytokines has been implicated. To investigate this possible contribution of the disease activity to the dev...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-200008000-00008

    authors: Harbour ME,Gregory JW,Jenkins HR,Evans BA

    更新日期:2000-08-01 00:00:00

  • A micromethod for the analysis of cryoglobulins via laser nephelometry: evaluation and comparison to C1q binding activity in autoimmune diseases in pediatrics.

    abstract::Quantitative determinations of cryoglobulins (IgG, IgA, IgM, and C3) were performed by a laser nephelometry microtechnique on 250 serum samples from a group of pediatric patients suspected of having immune complex-mediated disorders. Approximately 50% of these samples were cryoglobulin positive. Patients with cryoglob...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198007000-00003

    authors: Yang LC,Norman ME,Doughty RA

    更新日期:1980-07-01 00:00:00

  • Skin blood flow as a predictor of intraventricular hemorrhage in very-low-birth-weight infants.

    abstract:BACKGROUND:Cardiovascular instability immediately after birth is associated with intraventricular hemorrhage (IVH) in very-low-birth-weight (VLBW) infants. For circulatory management, evaluation of organ blood flow is important. In this study, the relationship between peripheral perfusion within 48 h after birth and IV...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2013.215

    authors: Ishiguro A,Suzuki K,Sekine T,Sudo Y,Kawasaki H,Itoh K,Kanai M,Kato I,Sobajima H,Tamura M

    更新日期:2014-02-01 00:00:00

  • MR imaging correlates of white-matter pathology in a preterm baboon model.

    abstract:INTRODUCTION:Cerebral white-matter (WM) abnormalities on magnetic resonance imaging (MRI) correlate with neurodevelopmental disability in infants born prematurely. RESULTS:Quantitative histological measures of WM and ventricular volumes correlated with qualitative MRI scores of WM volume loss and ventriculomegaly. Dif...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2011.33

    authors: Griffith JL,Shimony JS,Cousins SA,Rees SE,McCurnin DC,Inder TE,Neil JJ

    更新日期:2012-02-01 00:00:00

  • The somatostatin analogue octreotide inhibits neuroblastoma growth in vivo.

    abstract::Neuroblastoma, a neural crest-derived childhood tumor of the sympathetic nervous system, may in some cases differentiate to a benign ganglioneuroma or regress due to apoptosis. However, the majority of neuroblastomas are diagnosed as metastatic tumors with a poor prognosis despite intensive multimodal therapy. The neu...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199909000-00014

    authors: Borgström P,Hassan M,Wassberg E,Refai E,Jonsson C,Larsson SA,Jacobsson H,Kogner P

    更新日期:1999-09-01 00:00:00

  • Application of high-resolution array comparative genomic hybridization in children with unknown syndromic microcephaly.

    abstract::BackroundMicrocephaly can either be isolated or it may coexist with other neurological entities and/or multiple congenital anomalies, known as syndromic microcephaly. Although many syndromic cases can be classified based on the characteristic phenotype, some others remain uncertain and require further investigation. T...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2017.65

    authors: Tsoutsou E,Tzetis M,Giannikou K,Braoudaki M,Mitrakos A,Amenta S,Selenti N,Kanavakis E,Zafeiriou D,Kitsiou-Tzeli S,Fryssira H

    更新日期:2017-08-01 00:00:00

  • General immune dampening is associated with disturbed metabolism at diagnosis of type 1 diabetes.

    abstract:BACKGROUND:Type 1 diabetes (T1D) is a serious diagnosis with the prospect of grave short- and long-term complications and even death if poorly managed. An attempt has been made to describe how clinical and immunological deviations might influence each other close to the diagnosis of T1D. METHODS:Sixty-nine newly diagn...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2013.167

    authors: Rydén A,Ludvigsson J,Fredrikson M,Faresjö M

    更新日期:2014-01-01 00:00:00

  • Glycolytic metabolism of neonatal mononuclear cells.

    abstract::The mononuclear cells of newborn infants compared to those of normal adults contain diminished activity of pyruvate kinase (PK) (14.9 +/- 1.2 vs. 22.3 +/- 1.3 mumol/10(10) cells/min) and phosphoglycerate kinase (PGK) (195 +/- 10 vs. 415 +/- 19). These deficiencies are accentuated in the cells of premature infants (4.9...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-197710000-00008

    authors: Das M,Klein W,Feig SA

    更新日期:1977-10-01 00:00:00

  • Angiotensin II type 1 receptor A1166C polymorphism and prophylactic indomethacin treatment induced ductus arteriosus closure in very low birth weight neonates.

    abstract::Altered pulmonary vascular resistance might be a factor for delayed closure of the ductus arteriosus (DA) in preterm infants. Angiotensin II plays a central role in the elevation of pulmonary vascular resistance. Angiotensin II exerts its vasoconstrictor effect on the angiotensin II type 1 receptor (AT1R). Homozygous ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/01.PDR.0000088016.67117.39

    authors: Treszl A,Szabo M,Dunai G,Nobilis A,Kocsis I,Machay T,Tulassay T,Vasarhelyi B

    更新日期:2003-11-01 00:00:00

  • Impairment of rat postnatal lung alveolar development by glucocorticoids: involvement of the p21CIP1 and p27KIP1 cyclin-dependent kinase inhibitors.

    abstract::It has been shown that glucocorticoids accelerate lung development by limiting alveolar formation resulting from a premature maturation of the alveolar septa. Based on these data, the aim of the present work was to analyze the influence of dexamethasone on cell cycle control mechanisms during postnatal lung developmen...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-200202000-00008

    authors: Corroyer S,Schittny JC,Djonov V,Burri PH,Clement A

    更新日期:2002-02-01 00:00:00

  • Prostanoid biosynthesis by blood monocytes of children with hyperprostaglandin E syndrome.

    abstract::Hyperprostaglandin E syndrome (HPS), the prenatal variant of Bartter's syndrome, is characterized by a marked and selective stimulation of prostaglandin E (PGE2) synthesis. In the study group HPS patients showed increased urinary levels of PGE2, an index of renal, and of 11 alpha-hydroxy-9,15-dioxo-2,3,4,5,20-pentanor...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199708000-00019

    authors: Nüsing RM,Schaub TP,Klein T,Schweer H,Seyberth HW

    更新日期:1997-08-01 00:00:00

  • Genetic variations in hypoxia response genes influence hypertrophic cardiomyopathy phenotype.

    abstract:BACKGROUND:Risk factors for diastolic dysfunction in hypertrophic cardiomyopathy (HCM) are poorly understood. We investigated the association of variants in hypoxia-response genes with phenotype severity in pediatric HCM. METHODS:A total of 80 unrelated patients <21 y and 14 related members from eight families with HC...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2012.126

    authors: Alkon J,Friedberg MK,Manlhiot C,Manickaraj AK,Kinnear C,McCrindle BW,Benson LN,Addonizio LJ,Colan SD,Mital S

    更新日期:2012-12-01 00:00:00

  • Multiple mechanisms of lung surfactant inhibition.

    abstract::We studied the mechanisms by which C16:0 lysophosphatidylcholine (LPC) and albumin inhibit the surface activity of calf lung surfactant extract (CLSE) by using a pulsating bubble apparatus with a specialized hypophase exchange system, plus adsorption and Wilhelmy balance measurements. In the absence of inhibitors, CLS...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199907000-00015

    authors: Holm BA,Wang Z,Notter RH

    更新日期:1999-07-01 00:00:00

  • The effect of prolonged modification of cerebral temperature on outcome after hypoxic-ischemic brain injury in the infant rat.

    abstract::Hypoxic-ischemic injuries can evolve over several days, and recent studies suggest that further neuronal death may occur 6 to 72 h later. Because cerebral temperature is an important determinant of outcome during the primary injury, we investigated the effect of temperature, on outcome, during the later phases of inju...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199604000-00005

    authors: Sirimanne ES,Blumberg RM,Bossano D,Gunning M,Edwards AD,Gluckman PD,Williams CE

    更新日期:1996-04-01 00:00:00

  • Energy balance and nitrogen balance in growing low birthweight infants fed human milk or formula.

    abstract::Energy and nitrogen balances were measured in growing low birthweight infants fed either mother's expressed breast milk or a 20 kcal per ounce formula to determine whether or not there were differences between the two dietary groups in (1) the partition of energy among excretion, expenditure, and storage and (2) the r...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198311000-00011

    authors: Whyte RK,Haslam R,Vlainic C,Shannon S,Samulski K,Campbell D,Bayley HS,Sinclair JC

    更新日期:1983-11-01 00:00:00

  • Growth velocity and plasma amino acids in the newborn.

    abstract::Plasma amino acid levels in newborn babies are often measured as part of a screening for inherited metabolic disease, or less commonly as part of a nutritional assessment. We have examined certain factors which affect the levels as measured in low birth weight babies during the first 3 wk of life. As in other studies,...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198505000-00008

    authors: Scott PH,Berger HM,Wharton BA

    更新日期:1985-05-01 00:00:00

  • Relationship between PCO2 and unfavorable outcome in infants with moderate-to-severe hypoxic ischemic encephalopathy.

    abstract:BACKGROUND:Abnormal PCO2 is common in infants with hypoxic ischemic encephalopathy (HIE). The objective was to determine whether hypocapnia was independently associated with unfavorable outcome (death or severe neurodevelopmental disability at 18 mo) in infants with moderate-to-severe HIE. METHODS:This was a post hoc ...

    journal_title:Pediatric research

    pub_type: 杂志文章,随机对照试验

    doi:10.1038/pr.2016.62

    authors: Lingappan K,Kaiser JR,Srinivasan C,Gunn AJ

    更新日期:2016-08-01 00:00:00

  • Structural changes in the tracheae of preterm lambs induced by ventilation.

    abstract::Compliant immature airways sustain significant deformation following positive pressure ventilation. To evaluate the structural changes induced by in vivo positive pressure ventilation, tracheae of preterm lambs (107-116 d gestational age) were studied histologically. Nonventilated (group I: n = 7) and ventilated (grou...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198911000-00014

    authors: Deoras KS,Wolfson MR,Bhutani VK,Shaffer TH

    更新日期:1989-11-01 00:00:00

  • Cartilage of I-cell disease.

    abstract::Biochemical analysis and morphologic observation of the iliac crest cartilage from 8-year-old girl with I-cell disease were performed. Instead of hypertrophic change of chondrocytes in the zone of cartilage-bone junction, there were small atrophic cells having many inclusion bodies accumulated with lamellar materials....

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198104000-00008

    authors: Nogami H,Oohira A,Suzuki F,Tsuda K

    更新日期:1981-04-01 00:00:00

  • Elevation of plasma lathosterol, as an indicator of increased cholesterol synthesis, in preterm (23-32 weeks gestation) infants given Intralipid.

    abstract::Hypercholesterolemia is common in preterm infants administered 10% Intralipid perhaps because of excess phospholipid in plasma causing efflux of cholesterol from tissues. The purpose of this study was to determine if cholesterol synthesis (as measured by plasma lathosterol) is increased in preterm infants (23-32 wk ge...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199202000-00020

    authors: Hamilton JJ,Phang M,Innis SM

    更新日期:1992-02-01 00:00:00

  • Knee jerk responses in infants at high risk for cerebral palsy: an observational EMG study.

    abstract:BACKGROUND:Following our clinical observation of tonic responses in response to the knee jerk in infants at very high risk for cerebral palsy (VHR infants), we systematically studied tonic responses, clonus, and reflex irradiation. We questioned (i) whether these responses occurred more often in VHR infants than in typ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2016.99

    authors: Hamer EG,Dijkstra LJ,Hooijsma SJ,Zijdewind I,Hadders-Algra M

    更新日期:2016-09-01 00:00:00

  • Oral beta-hydroxybutyrate supplementation in two patients with hyperinsulinemic hypoglycemia: monitoring of beta-hydroxybutyrate levels in blood and cerebrospinal fluid, and in the brain by in vivo magnetic resonance spectroscopy.

    abstract::In persistent hyperinsulinemic hypoglycemia of infancy, ketone body concentrations are abnormally low at times of hypoglycemia, depriving the brain of its most important alternative fuel. The neuroprotective effect of endogenous ketone bodies is evidenced by animal and human studies, but knowledge about exogenous supp...

    journal_title:Pediatric research

    pub_type: 临床试验,杂志文章

    doi:10.1203/00006450-200208000-00025

    authors: Plecko B,Stoeckler-Ipsiroglu S,Schober E,Harrer G,Mlynarik V,Gruber S,Moser E,Moeslinger D,Silgoner H,Ipsiroglu O

    更新日期:2002-08-01 00:00:00

  • Mucus-stimulating activity in the sera of patients with cystic fibrosis: demonstration and preliminary fractionation.

    abstract::The ciliated, mucus-secreting urn cell complex (UCC) is found swimming in the coelomic cavity of the marine invertebrate Sipunculus nudus. This cell complex, which can be maintained in suspension cultures, responds to various stimuli by hypersecreting mucus in the form of a cohesive mucus "tail." This tail can be meas...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198011000-00022

    authors: Kurlandsky LE,Berninger RW,Talamo RC

    更新日期:1980-11-01 00:00:00