Study of the afferent pathways from the rectum with a new distention control device.

Abstract:

:Quantitative studies of the afferent pathways from hollow viscera have been limited by the lack of an easily controlled, reproducible visceral stimulus. We adapted a slow distention device to allow for rapid distention to study the afferent pathways from the rectum. The device produced a pressure increase of 10 mm Hg in 42 msec and of 20 mm Hg in 60 msec. We recorded cerebral evoked potentials (EPs) after rectal balloon distention in 17 healthy subjects. Several averages of 25 to 50 rectal distentions at 0.17-Hz frequency were recorded. The responses consisted of multiple peaks within 200 msec after stimulation. The mean latency of the initial positive peak was 44 msec, suggesting that a myelinated pathway was stimulated with mechanical rectal distention. Our device produced reliable and repeatable EPs that were independent of balloon characteristics or rectal pressures. EP recording after rectal stimulation may become a useful technique for the physiologic investigation of disorders such as fecal incontinence, constipation, irritable bowel syndrome, and chronic intestinal pseudo-obstruction.

journal_name

Neurology

journal_title

Neurology

authors

Loening-Baucke V,Anderson RH,Yamada T,Zhu YX

doi

10.1212/wnl.45.8.1510

subject

Has Abstract

pub_date

1995-08-01 00:00:00

pages

1510-6

issue

8

eissn

0028-3878

issn

1526-632X

journal_volume

45

pub_type

杂志文章
  • Correlation between NF1 genotype and imaging phenotype on whole-body MRI: NF1 radiogenomics.

    abstract:OBJECTIVE:To investigate the genotype-phenotype correlation between neurofibromatosis 1 (NF1) germline mutations and imaging features of neurofibromas on whole-body MRI (WBMRI) by using radiomics image analysis techniques. MATERIALS AND METHODS:Twenty-nine patients with NF1 who had known germline mutations determined ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000009490

    authors: Liu Y,Jordan JT,Bredella MA,Erdin S,Walker JA,Vangel M,Harris GJ,Plotkin SR,Cai W

    更新日期:2020-06-16 00:00:00

  • Delivery of active hexosaminidase across the blood-brain barrier in rats.

    abstract::The ability to deliver enzymatically active human hexosaminidase A across the blood-brain barrier and into brain cells of the normal rat was examined. Following osmotic blood-brain barrier modification in the rat, intraarterially administered human hexosaminidase A and B were shown to cross the barrier and enter brain...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.8.1012

    authors: Neuwelt EA,Barranger JA,Pagel MA,Quirk JM,Brady RO,Frenkel EP

    更新日期:1984-08-01 00:00:00

  • Hypotensive akathisia: autonomic failure associated with leg fidgeting while sitting.

    abstract::The author describes a distinct clinical syndrome in six patients with autonomic failure who manifested habitual, voluntary, transiently suppressible, yet irresistible leg movements occurring only in the sitting position. Keeping the legs still brought on vague symptoms of fatigue, lightheadedness, or apprehension. Re...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.55.12.1923

    authors: Cheshire WP Jr

    更新日期:2000-12-26 00:00:00

  • Hemiparkinsonism as a late complication of hemiatrophy: a new syndrome.

    abstract::Four men with evidence of hemiatrophy resulting from early-life hemispheral injury developed unilateral hemiparkinsonism on the side of the hemiatrophy. The parkinsonism began in the fourth decade and has remained unilateral for 5 to 35 years. In all four patients, the parkinsonism was slowly progressive, but the clin...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.31.5.625

    authors: Klawans HL

    更新日期:1981-05-01 00:00:00

  • Head injury does not alter disease progression or neuropathologic outcomes in ALS.

    abstract:OBJECTIVES:To study the effects of head injury on disease progression and on neuropathologic outcomes in amyotrophic lateral sclerosis (ALS). METHODS:Patients with ALS were surveyed to obtain head injury history, and medical records were reviewed. Linear regression was performed to determine if head injury was a predi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000001522

    authors: Fournier CN,Gearing M,Upadhyayula SR,Klein M,Glass JD

    更新日期:2015-04-28 00:00:00

  • The role of surgical biopsy in the diagnosis of glioma in individuals with neurofibromatosis-1.

    abstract::Most gliomas in neurofibromatosis type 1 (NF1) are pilocytic astrocytomas (PAs) of the optic pathway occurring in young children. However, some individuals develop gliomas that lack the typical NF1-associated clinical features or radiographic appearance. We identified 17 atypical presentations from a review of 100 pat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000240076.31298.47

    authors: Leonard JR,Perry A,Rubin JB,King AA,Chicoine MR,Gutmann DH

    更新日期:2006-10-24 00:00:00

  • Ten steps in characterizing and diagnosing patients with peripheral neuropathy.

    abstract::Cost-effective approaches for arriving at correct diagnoses should be used. Herein, we compare three approaches for the differential diagnosis of a common neurologic syndrome, peripheral neuropathy. In the "shotgun" approach, a standard battery of hematologic, biochemical, serologic, antibody, enzyme, molecular geneti...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.47.1.10

    authors: Dyck PJ,Dyck PJ,Grant IA,Fealey RD

    更新日期:1996-07-01 00:00:00

  • Prognosis with stroke in Europe: A collaborative study of population-based cohorts. Neurologic Diseases in the Elderly Research Group.

    abstract::The authors pooled four population-based European studies to determine the risk for institutionalization and death after stroke. Risk for institutionalization was assessed in 13,095 subjects. Survival was calculated for prevalent stroke in 7929 individuals and incident stroke in 8550 individuals. The adjusted risk of ...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Schmidt R,Breteler MM,Inzitari D,Fratiglioni L,Hofman A,Launer LJ

    更新日期:2000-01-01 00:00:00

  • Deep gray matter involvement in neurobrucellosis.

    abstract::A 27-year-old man, recent visitor to the Middle East, presented with 6-week history of fever (up to 102°F) followed by altered behavior and left hemiparesis. CSF was acellular with raised protein (138 mg/dL). CSF bacterial culture was sterile; adenosine deaminase normal (3 U/L); cryptococcal antigen, Venereal Disease ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31827deb63

    authors: Rajan R,Khurana D,Kesav P

    更新日期:2013-01-15 00:00:00

  • The value of stroke prevention and treatment.

    abstract::An emerging issue in stroke prevention and stroke treatment is that therapies shown to be effective in clinical trials are not being used or are being used suboptimally. One of many explanations relates to cost, ranging from concerns about inappropriate use of societal resources to more immediate concerns of organizat...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.51.3_suppl_3.s31

    authors: Matchar DB

    更新日期:1998-09-01 00:00:00

  • A prospective study of quality of life in ALS patients treated with noninvasive ventilation.

    abstract::Noninvasive positive pressure ventilation prolongs survival in ALS but its effect on quality of life is unknown. The authors prospectively studied quality of life using the SF-36 questionnaire in a cohort of 16 ventilated patients with ALS. Noninvasive positive pressure ventilation improved scores in the "Vitality" do...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.1.153

    authors: Lyall RA,Donaldson N,Fleming T,Wood C,Newsom-Davis I,Polkey MI,Leigh PN,Moxham J

    更新日期:2001-07-10 00:00:00

  • Nonsteroidal anti-inflammatory drugs are associated with increased neuritic plaques.

    abstract:OBJECTIVES:Observational and experimental studies suggest that nonsteroidal anti-inflammatory drugs (NSAIDs) may protect against Alzheimer disease (AD); however, clinical trials and other observational studies, including the Adult Changes in Thought (ACT) study, show no protection or promotion of AD. The objective of t...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181f52db1

    authors: Sonnen JA,Larson EB,Walker RL,Haneuse S,Crane PK,Gray SL,Breitner JC,Montine TJ

    更新日期:2010-09-28 00:00:00

  • Lymphocytic meningoradiculitis in the United States.

    abstract::Lymphocytic meningoradiculitis (Bannwarth's syndrome) is a radicular neuralgia associated with a chronic lymphocytic pleocytosis in cerebrospinal fluid and frequently with unilateral or bilateral peripheral facial weakness. Most reported cases have occurred during the summer among adults living in central Europe. Lymp...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.33.11.1476

    authors: Donaldson JO,Lewis RA

    更新日期:1983-11-01 00:00:00

  • A rating scale for Gilles de la Tourette's syndrome: description, reliability, and validity data.

    abstract::We developed a rating scale for tic disorders that uses only objective criteria and accommodates the variety of tic manifestations. Using short videotaped recordings with the examiner out of the taping room, we measured five tic variables: number of body areas affected, frequency of motor tics and vocalizations, and s...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.9.1542

    authors: Goetz CG,Tanner CM,Wilson RS,Shannon KM

    更新日期:1987-09-01 00:00:00

  • Brainstem auditory evoked potential monitoring: when is change in wave V significant?

    abstract:BACKGROUND:The probability of hearing loss during cerebellopontine angle (CPA) surgery can be reduced by using brainstem auditory evoked potential (BAEP) intraoperative monitoring (IOM). A wave V latency prolongation of 1.0 milliseconds or amplitude decrement of greater than 50% is arbitrarily considered the point when...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000184481.75412.2b

    authors: James ML,Husain AM

    更新日期:2005-11-22 00:00:00

  • Sex differences in Alzheimer risk: Brain imaging of endocrine vs chronologic aging.

    abstract:OBJECTIVE:This observational multimodality brain imaging study investigates emergence of endophenotypes of late-onset Alzheimer disease (AD) risk during endocrine transition states in a cohort of clinically and cognitively normal women and age-matched men. METHODS:Forty-two 40- to 60-year-old cognitively normal women ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000004425

    authors: Mosconi L,Berti V,Quinn C,McHugh P,Petrongolo G,Varsavsky I,Osorio RS,Pupi A,Vallabhajosula S,Isaacson RS,de Leon MJ,Brinton RD

    更新日期:2017-09-26 00:00:00

  • Gender differences in the incidence of AD and vascular dementia: The EURODEM Studies. EURODEM Incidence Research Group.

    abstract:OBJECTIVE:To study the difference in risk for dementing diseases between men and women. BACKGROUND:Previous studies suggest women have a higher risk for dementia than men. However, these studies include small sample sizes, particularly in the older age groups, when the incidence of dementia is highest. METHODS:Pooled...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.9.1992

    authors: Andersen K,Launer LJ,Dewey ME,Letenneur L,Ott A,Copeland JR,Dartigues JF,Kragh-Sorensen P,Baldereschi M,Brayne C,Lobo A,Martinez-Lage JM,Stijnen T,Hofman A

    更新日期:1999-12-10 00:00:00

  • MS, MRI, and the 2010 McDonald criteria: a Canadian expert commentary.

    abstract::Since the first development of diagnostic criteria for multiple sclerosis (MS), there have been regular revisions of disease definitions and diagnostic thresholds aimed at improving specificity while maintaining sensitivity. The central requirements for diagnosis of MS are dissemination in space (DIS) and disseminatio...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318277d144

    authors: Selchen D,Bhan V,Blevins G,Devonshire V,Duquette P,Grand'Maison F,Kremenchutzky M,Lapierre Y,Li D,von Riedemann SJ,Freedman M

    更新日期:2012-12-04 00:00:00

  • Registry studies of long-term multiple sclerosis outcomes: description of key registries.

    abstract:BACKGROUND:Multiple sclerosis (MS) registries can provide valuable insights into the natural history of MS. Key observational findings of the registries include MS patient disability progression rate, predictors of increased disability, and changes in lifespan. MS registries have been established in Canada, the United ...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/WNL.0b013e3182050225

    authors: Hurwitz BJ

    更新日期:2011-01-04 00:00:00

  • Long-term acetyl-L-carnitine treatment in Alzheimer's disease.

    abstract::In a double-blind, placebo-controlled, parallel-group, randomized clinical trial, we studied the efficacy of long-term (1-year) oral treatment with acetyl-L-carnitine in 130 patients with a clinical diagnosis of Alzheimer's disease. We employed 14 outcome measures to assess functional and cognitive impairment. After 1...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.41.11.1726

    authors: Spagnoli A,Lucca U,Menasce G,Bandera L,Cizza G,Forloni G,Tettamanti M,Frattura L,Tiraboschi P,Comelli M

    更新日期:1991-11-01 00:00:00

  • Reduced apolipoprotein epsilon 4 allele frequency in the oldest old Alzheimer's patients and cognitively normal individuals.

    abstract::Recent genetic studies show that the apolipoprotein E epsilon 4 allele (ApoE-epsilon 4) is a risk factor for Alzheimer's disease (AD). If ApoE-epsilon 4 individuals develop AD as they get older, we would expect a decrease in ApoE-epsilon 4 allele frequency with increasing age. We found a marked decline in ApoE-epsilon...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.44.8.1513

    authors: Rebeck GW,Perls TT,West HL,Sodhi P,Lipsitz LA,Hyman BT

    更新日期:1994-08-01 00:00:00

  • Magnetic resonance imaging of thoracic epidural venous dilation in Hirayama disease.

    abstract::Hirayama disease is a nonprogressive, asymmetric amyotrophy of the hands and forearms, possibly caused by compression of the lower cervical cord on neck flexion. The authors used phase-contrast MR angiography to study a patient with this disorder and observed abnormal spinal epidural venous dilation on neck flexion. I...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000120665.81001.40

    authors: Baba Y,Nakajima M,Utsunomiya H,Tsuboi Y,Fujiki F,Kusuhara T,Yamada T

    更新日期:2004-04-27 00:00:00

  • Altered lysosomal proteins in neural-derived plasma exosomes in preclinical Alzheimer disease.

    abstract:OBJECTIVE:Diverse autolysosomal proteins were quantified in neurally derived blood exosomes from patients with Alzheimer disease (AD) and controls to investigate disordered neuronal autophagy. METHODS:Blood exosomes obtained once from patients with AD (n = 26) or frontotemporal dementia (n = 16), other patients with A...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000001702

    authors: Goetzl EJ,Boxer A,Schwartz JB,Abner EL,Petersen RC,Miller BL,Kapogiannis D

    更新日期:2015-07-07 00:00:00

  • A double-blind placebo-controlled clinical trial of subcutaneous recombinant human ciliary neurotrophic factor (rHCNTF) in amyotrophic lateral sclerosis. ALS CNTF Treatment Study Group.

    abstract::Ciliary neurotrophic factor (CNTF) is a neuroactive cytokine found in Schwann cells, which appears to be released in response to nerve injury. The ALS CNTF Treatment Study (ACTS) clinical trial was a phase II-III randomized, placebo-controlled, double-blind study designed to evaluate the safety, tolerability, and effi...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1212/wnl.46.5.1244

    authors:

    更新日期:1996-05-01 00:00:00

  • Long-term survival and neurologic status after resuscitation from out-of-hospital cardiac arrest.

    abstract::Thirty-eight survivors from among 117 patients hospitalized after out-of-hospital cardiac arrest were evaluated approximately 3 1/2 years later. Twenty patients were living; 18 had died. Fifty-three percent had resumed independent social activities, but only 32% had returned to work. Eight of 14 patients tested were n...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.30.12.1298

    authors: Earnest MP,Yarnell PR,Merrill SL,Knapp GL

    更新日期:1980-12-01 00:00:00

  • Lateralizing signs in intractable partial epilepsy: blinded multiple-observer analysis.

    abstract::We evaluated the accuracy and interobserver variability of selected ictal and postictal behavioral changes. Three observers, blinded to clinical history, EEG, and side of surgical resection, analyzed videotapes of 166 seizures in 38 patients, looking for lateralizing signs. Twenty-seven patients with temporal lobe res...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.12.2519

    authors: Chee MW,Kotagal P,Van Ness PC,Gragg L,Murphy D,Lüders HO

    更新日期:1993-12-01 00:00:00

  • Improvement in multiple sclerosis during prolonged induced hypothermia.

    abstract::Moderate hypothermia (33 degrees C) was induced for 7 and 3 days, respectively, in two patients with multiple sclerosis. In both patients, striking improvement of clinical signs persisted throughout the period of cooling, indicating the potential for sustained reversal of the neurologic deficit. Hypothermia may aid ma...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.27.3.302

    authors: Symington GR,Mackay IR,Currie TT

    更新日期:1977-03-01 00:00:00

  • Alteration of calcium transport in Duchenne erythrocytes.

    abstract::Erythrocyte calcium transport as a function of free [Ca++] was examined using inside-out vesicles from eight pairs of patients with Duchenne dystrophy and age- and sex-matched controls. The Km for Ca++ of the transport protein and the Vmax were higher in the Duchenne vesicles in seven of the eight pairs. The mean Km a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.30.11.1236

    authors: Mollman JE,Cardenas JC,Pleasure DE

    更新日期:1980-11-01 00:00:00

  • Mortality among patients with idiopathic intracranial hypertension enrolled in the IH Registry.

    abstract:OBJECTIVE:To determine (1) if mortality among patients with idiopathic intracranial hypertension (IIH) enrolled in the Intracranial Hypertension Registry (IHR) is different from that of the general population of the United States and (2) what the leading underlying causes of death are among this cohort. METHODS:Mortal...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000009312

    authors: Hermes SM,Miller NR,Waslo CS,Benes SC,Tanne E

    更新日期:2020-08-18 00:00:00

  • Association between waking EEG slowing and REM sleep behavior disorder in PD without dementia.

    abstract:OBJECTIVE:To compare nondemented patients with Parkinson's disease (PD) with and without REM sleep behavior disorder (RBD) to healthy controls on quantitative EEG characteristics for both wakefulness and REM sleep. METHODS:Fifteen patients with PD (7 patients with polysomnographic-confirmed RBD [PD-RBD] and 8 patients...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000106460.34682.e9

    authors: Gagnon JF,Fantini ML,Bédard MA,Petit D,Carrier J,Rompré S,Décary A,Panisset M,Montplaisir J

    更新日期:2004-02-10 00:00:00