A comparison between threshold criterion and amplitude criterion in transcranial motor evoked potentials during surgery for supratentorial lesions

OBJECTIVEThe aim of this study was to compare sensitivity and specificity between the novel threshold and amplitude criteria for motor evoked potentials (MEPs) monitoring after transcranial electrical stimulation (TES) during surgery for supratentorial lesions in the same patient cohort.METHODSOne hundred twenty-six patients were included. All procedures were performed under general anesthesia. Craniotomies did not expose motor cortex, so that direct mapping was less suitable. After TES, MEPs were recorded bilaterally from abductor pollicis brevis (APB), from orbicularis oris (OO), and/or from tibialis anterior (TA). The percentage increase in the threshold level was assessed and considered significant if it exceeded by more than 20% on the affected side the percentage increase on the unaffected side. Amplitude on the affected side was measured with a stimulus intensity of 150% of the threshold level set for each muscle.RESULTSEighteen of 126 patients showed a significant change in the threshold level as well as an amplitude reduction of more than 50% in MEPs recorded from APB, and 15 of the patients had postoperative deterioration of motor function of the arm (temporary in 8 cases and permanent in 7 [true-positive and false-negative results]). Recording from TA was performed in 66 patients; 4 developed postoperative deterioration of motor function of the leg (temporary in 3 cases and permanent in 1), and showed a significant change in the threshold level, and an amplitude reduction of more than 50% occurred in 1 patient. An amplitude reduction of more than 50% occurred in another 10 patients, without a significant change in the threshold level or postoperative deterioration. Recording from OO was performed in 61 patients; 3 developed postoperative deterioration of motor function of facial muscles (temporary in 2 cases and permanent in 1) and had a significant change in the threshold level, and 2 of the patients had an amplitude reduction of more than 50%. Another 6 patients had an amplitude reduction of more than 50% but no significant change in the threshold level or postoperative deterioration.Sensitivity of the threshold criterion was 100% when MEPs were recorded from APB, OO, or TA, and its specificity was 97%, 100%, and 100%, respectively. Sensitivity of the amplitude criterion was 100%, 67%, and 25%, with a specificity of 97%, 90%, and 84%, respectively.CONCLUSIONSThe threshold criterion was comparable to the amplitude criterion with a stimulus intensity set at 150% of the threshold level regarding sensitivity and specificity when recording MEPs from APB, and superior to it when recording from TA or OO.

Amplitude-Dependent Damping: Experimental Determination and Functional Interpretation for Metal–Plastic Composites

Composite materials offer a high freedom of design with regard to stiffness, strength and damping. In contrast to efficient anisotropic but linear material models, these composites often tend to react nonlinearly. Commonly, such nonlinear material damping models imply frequency and temperature dependency. In addition, some materials show a substantial amplitude sensitivity of the damping. Within this study, metal–plastic composites with highly dissipating shear sensitive cores have been used to experimentally determine the damping values with varying amplitudes. The results show a significance of this parameter already for small deflection within the geometrically linear range. The derived nonlinearity is further described by an exponential approach and parametrized by a regression analysis. Furthermore, the amplitude sensitivity is retraced to the contributions of the layered material by a detailed numerical analysis of the stress states. Therefrom, the mean strain energy density per material is derived as an amplitude criterion for the nonlinear damping model. The resulting model can be further applied to the finite element analysis to improve the determination of vibrations as well as structure borne sound of such acoustically improved materials.

Modification of saccadic gain by reinforcement

Control of saccadic gain is often viewed as a simple compensatory process in which gain is adjusted over many trials by the postsaccadic retinal error, thereby maintaining saccadic accuracy. Here, we propose that gain might also be changed by a reinforcement process not requiring a visual error. To test this hypothesis, we used experimental paradigms in which retinal error was removed by extinguishing the target at the start of each saccade and either an auditory tone or the vision of the target on the fovea was provided as reinforcement after those saccades that met an amplitude criterion. These reinforcement procedures caused a progressive change in saccade amplitude in nearly all subjects, although the rate of adaptation differed greatly among subjects. When we reversed the contingencies and reinforced those saccades landing closer to the original target location, saccade gain changed back toward normal gain in most subjects. When subjects had saccades adapted first by reinforcement and a week later by conventional intrasaccadic step adaptation, both paradigms yielded similar degrees of gain changes and similar transfer to new amplitudes and to new starting positions of the target step as well as comparable rates of recovery. We interpret these changes in saccadic gain in the absence of postsaccadic retinal error as showing that saccade adaptation is not controlled by a single error signal. More generally, our findings suggest that normal saccade adaptation might involve general learning mechanisms rather than only specialized mechanisms for motor calibration.

Diurnal control of rod function in the chicken

We studied rod function in the chicken by recording corneal electroretinograms (ERGs). The following experiments were performed to demonstrate rod function during daytime: (1) determining the dark-adaptation function; (2) measuring the spectral sensitivity by a a–b-wave amplitude criterion in response to monochromatic flickering light of different frequencies ranging from 6.5–40.8 Hz (duty cycle 1: I); (3) analyzing the response vs. log stimulus intensity (V–log I) function in order to reveal a possible two phase process; and (4) determining the spectral sensitivity function either in a non-dark adapted state or after dark adaptation of the animals for I and 24 h. None of these experiments demonstrated clear evidence of rod function during daytime. On the other hand, we found rods histologically by light- and electron microscopy. Therefore, we repeated our ERG recordings during the night (between midnight and 3:00 A.M.). Without previous dark adaptation, rod function could be seen immediately in the same experiments described above. The result shows that, in the chicken, rods are turned on endogenously during the night but are scarcely functional during the day.

Quantitative analysis of relative contribution of central and peripheral neurons to gill-withdrawal reflex in Aplysia californica

1. There is general agreement that the gill-withdrawal reflex elicited by weak tactile stimuli (less than 2 g to the siphon skin) is mediated almost entirely by the central nervous system (CNS) (13, 15, 18, 23). However, there was disagreement concerning the effects of moderate intensity (2--4 g) stimuli. Kupfermann et al. (18) found that the CNS mediates approximately 94% of the reflex elicited by moderate-intensity stimuli, whereas Peretz et al. (23) found that in this stimulus range, the amplitude of the reflex was, on average, unaltered when the CNS was removed. 2. To resolve this difference we first carried out pilot experiments in collaboration with B. Peretz, J. W. Jacklet, and K. Lukowiak using isolated mantle preparations, and then performed a systematic study using both the isolated mantle and intact animals. The main difference that seemed to account for the discrepancy in the results was the magnitude of the reflex response that was selected for study. Previous studies from this laboratory used a minimum-response criterion whereby only brisk and clearly observable responses of at least 35% maximum were examined. By contrast, Peretz et al. (23) examined all responses, even those that were extremely small. In addition, the two groups used different methods of stimulation so that stimulus intensities could not really be compared. 3. By comparing the effects of moderate-intensity stimuli in experiments with and without a response criterion in isolated mantle preparations, we found that when a minimal response-amplitude criterion is imposed the CNS mediates 90--95% of the gill-withdrawal reflex, whether it is elicited by the "tapper" stimulus used by Peretz et al. (23) or by the servo-controlled probe previously used in this laboratory. On the other hand, when no minimal response criterion is used and small responses are also examined, the response to the probe is still significantly reduced by 85% when the CNS is removed, whereas the reflex response to the tapper is more variable, sometimes increasing and other times decreasing with deganglionation. 4. We have also tested, in intact animals, the role of the CNS in mediating gill withdrawal. Water-jet stimuli were delivered to the siphon to elicit the reflex, as in previous behavioral studies. As was the case with probe stimulation in the isolated mantle preparation, in intact animals the CNS mediates 90% of the reflex evoked by moderate-intensity stimuli when a minimal response-amplitude criterion is imposed. 5. Our experiments indicate that, using response criteria and methods of stimulation, one can reliably study the reflex as predominantly mediated by the CNS.