Therapeutic strategies for pseudoaneurysm following blunt liver and spleen injuries: A multicenter cohort study in the pediatric population.

Background: Little guidance exists for the treatment of pseudoaneurysm (PA) following pediatric blunt liver and/or spleen injuries (BLSIs). We aimed to describe the incidence of delayed PA development and the subsequent clinical course of PA in pediatric BLSIs.

Methods: This multicenter retrospective cohort study from Japan included pediatric patients (16 years and younger) who sustained BLSIs from 2008 to 2019.

[A case of Parkinson's disease following restless genial sensation].

A 62-year-old woman experienced uncomfortable genial sensation in 2010. Her uncomfortable sensation was exacerbated during rest at night and improved by walking. She exhibited short-stepped gait with postural disturbance and was diagnosed as suffering from Parkinson's disease (PD) in 2013.

[The medial temporal area and parietal lobe are involved in epileptic polyopia and palinopsia: A case report].

This report presents the case of an 83-year-old female with a tumor in the right temporal lobe. She experienced various epileptic visual auras including visual perseveration. Visual perseveration is classified into polyopia and palinopsia.

[A case of optic neuritis associated with lymphocytic hypophysitis revealed by pattern-reversal VEP].

Lymphocytic hypophysitis (LYH) is a rare neuroendocrine disorder characterized by autoimmune inflammation of the pituitary gland. Visual disturbance is one of the most common and serious symptoms of LYH. Most of the visual symptoms in LYH are secondary to compression of the optic chiasm and some reports have described direct inflammatory involvement of the optic pathways.

Task-specific signal transmission from prefrontal cortex in visual selective attention.

Our voluntary behaviors are thought to be controlled by top-down signals from the prefrontal cortex that modulate neural processing in the posterior cortices according to the behavioral goal. However, we have insufficient evidence for the causal effect of the top-down signals. We applied a single-pulse transcranial magnetic stimulation over the human prefrontal cortex and measured the strength of the top-down signals as an increase in the efficiency of neural impulse transmission.

Subregions of human parietal cortex selectively encoding object orientation.

Computation of object orientation could be an independent process from those of other object features, but currently neither the location of human brain areas selectively coding orientation information nor an optimum experimental paradigm have yet been established. In this study, functional magnetic resonance imaging was used to investigate brain activation in the parietal cortices related to object orientation. Using an Arabic digit whose spatial attributes were carefully manipulated, we found parietal areas exclusively sensitive to object orientation, but not to general spatial attention.

Functional MRI in human motor control studies and clinical applications.

Functional magnetic resonance imaging (fMRI) has been a useful tool for the noninvasive mapping of brain function associated with various motor and cognitive tasks. Because fMRI is based on the blood oxygenation level dependent (BOLD) effect, it does not directly record neural activity. With the fMRI technique, distinguishing BOLD signals created by cortical projection neurons from those created by intracortical neurons appears to be difficult.

Activation of the precuneus is related to reduced reaction time in serial reaction time tasks.

Multiple brain areas are activated during serial reaction time (RT) tasks (SRTTs), but the part of the brain that facilitates reductions in RT remains unclear. The present study attempted to determine the brain region contributing most to improved RTs during explicit SRTTs. Subjects comprised 18 healthy volunteers who were instructed to press one of four buttons corresponding to visual stimuli as quickly as possible and with minimal errors during functional MRI.

Implicit and explicit processing of kanji and kana words and non-words studied with fMRI.

Using functional magnetic resonance imaging (fMRI), we investigated the implicit language processing of kanji and kana words (i.e., hiragana transcriptions of normally written kanji words) and non-words.

Short-term high-frequency transcutaneous electrical nerve stimulation decreases human motor cortex excitability.

Several previous studies have shown that periods of changed sensory input can have after effects on the excitability of the corticospinal system. Here we test whether the parameters of peripheral stimulation conventionally used to treat pain with transcutaneous electrical nerve stimulation (TENS: 90 Hz) also have modulatory effects on the motor system. We measured the amplitude of motor evoked potentials (MEPs) elicited by the focal transcranial magnetic stimulation in the right abductor pollicis brevis and first dorsal interosseous muscles before and after 30 min TENS over the right thenar eminence.

The role of the human supplementary motor area in reactive motor operation.

The role of the supplementary motor area (SMA) in reactive motor operation was investigated with functional magnetic resonance imaging in 13 normal subjects. A visual cue was presented at a regular (1 Hz) or irregular (mean, 1 Hz) rate, and the subject pressed a button with the right index finger in a predictive or reactive manner. Brain regions associated with reactive movement were detected by comparing reactive with predictive movement tasks, and those with irregular movement by comparing irregular and regular cueing tasks.

Cortical motor areas in plantar response: an event-related functional magnetic resonance imaging study in normal subjects.

The role of the cerebral cortices in normal plantar response was investigated with event-related functional magnetic resonance imaging (fMRI) at 3 Tesla in 12 right-handed normal subjects. During fMRI acquisition, the lateral (LS) and medial (MS) side of the left sole was mechanically stimulated every 16 s to evoke the plantar response under monitoring of the surface electromyogram. LS activated the contralateral supplementary motor area (SMA) more intensively than MS.

Transcranial magnetic stimulation (TMS) of the sensorimotor cortex and medial frontal cortex modifies human pain perception.

Objective: Although recent neuroimaging studies have shown that painful stimuli can produce activity in multiple cortical areas, the question remains as to the role of each area in particular aspects of human pain perception. To solve this problem we used transcranial magnetic stimulation (TMS) as an 'interference approach' tool to test the consequence on pain perception of disrupting activity in several areas of cortex known to be activated by painful input.

Methods: Weak CO(2) laser stimuli at an intensity around the threshold for pain were given to the dorsum of the left hand in 9 normal subjects.

A functional magnetic resonance imaging study of internal modulation of an external visual cue for motor execution.

The strategy to perform a task differs according to how a cue is interpreted. In order to investigate the basic mechanisms of temporal regulation in the higher motor areas, the interaction between two different types of internal modulations of an external visual cue was evaluated using functional magnetic resonance imaging (fMRI). An opposing finger movement task guided by dot prompting was employed.

Discrimination of Exner's area and the frontal eye field in humans--functional magnetic resonance imaging during language and saccade tasks.

In the left frontal lobe, Exner's area (EXA), which is responsible for writing and reading, is located close to the frontal eye field (FEF), which is responsible for eye movements. To discriminate EXA from FEF anatomically and functionally, functional magnetic resonance imaging was conducted in 12 healthy volunteers. The saccadic eye movement experiment activated a region defined as the FEF, whereas three language experiments that included translation between grapheme and phoneme activated another region defined as EXA.

Functional properties of brain areas associated with motor execution and imagery.

Imagining motor acts is a cognitive task that engages parts of the executive motor system. While motor imagery has been intensively studied using neuroimaging techniques, most studies lack behavioral observations. Here, we used functional MRI to compare the functional neuroanatomy of motor execution and imagery using a task that objectively assesses imagery performance.

Neural correlates of cross-modal binding.

Little is known about how the brain binds together signals from multiple sensory modalities to produce unified percepts of objects and events in the external world. Using event-related functional magnetic resonance imaging (fMRI) in humans, we measured transient brain responses to auditory/visual binding, as evidenced by a sound-induced change in visual motion perception. Identical auditory and visual stimuli were presented in all trials, but in some trials they were perceived to be bound together and in others they were perceived as unbound unimodal events.

Generators of movement-related cortical potentials: fMRI-constrained EEG dipole source analysis.

To clarify the precise location and timing of the mo tor cortical activation in voluntary movement, dipole source analysis integrating multiple constraints wa conducted for the movement-related cortical potentia (MRCP). Six healthy subjects performed single self paced extensions of the right index finger at about 15-intervals during EEG and event-related fMRI acquisi tions. EEG was recorded from 58 scalp electrodes, and fMRI of the entire brain was obtained every 2.

Movement rate effect on activation and functional coupling of motor cortical areas.

We investigated changes in the activation and functional coupling of bilateral primary sensorimotor (SM1) and supplementary motor (SMA) areas with different movement rates in eight normal volunteers. An auditory-cued repetitive right-thumb movement was performed at rates of 0.5, 0.

Second somatosensory area (SII) plays a significant role in selective somatosensory attention.

In order to explore human cortical areas involved in active attention toward a somatosensory modality, somatosensory evoked cortical magnetic fields were recorded in ten healthy adults with a 122-channel whole-head magnetometer while the subjects performed the selective attention task. Two kinds of stimulus modality, somatosensory and auditory, were presented independently in the same session. For the somatosensory modality, a randomized sequence of strong (P=0.