An unusual case of loss of consciousness: when an epileptic brain let the heart slow down

The differential diagnosis of an episode of transient loss of consciousness can be sometimes very tricking, in particular when symptoms peculiar of syncope are mixed with focal neurological symptoms. We report the case of a 54-year-old woman who suddenly claimed, during a polygraphic recording (electroencephalography/electrocardiogram), a feeling of fear and tachycardia followed by loss of consciousness and then a tonic posturing of the left limbs. Polygraphic recording showed a critical electroencephalographic pattern starting from left temporo-zygomatic channels followed after few seconds by a sudden slowing of cortical background activity associated with an episode of asystole, as witnessed simultaneously by electrocardiogram. Muscular activity covered electroencephalographic activity of following minutes. This case provides an opportunity to highlight the existence of rare conditions such as ictal arrhythmias which should be considered in the differential diagnosis of episodes of transient loss of consciousness in particular when dysautonomic and neurological symptoms are intermingled. Autonomic symptoms (vomiting, tachycardia, cyanosis, bradycardia and asystole) may be also more frequent in idiopathic (more rarely symptomatic) epilepsies of childhood (Panayiotopoulos syndrome)

Nonconvulsive Seizures and Dementia: A Case Report

Nonconvulsive status epilepticus (NCSE) is a severe medical condition that shows increased incidence in the elderly and is frequently underdiagnosed because of its pleomorphic presentation. We report an NCSE in a 76-year-old woman affected by dementia with acute change of cognitive status and behavior. Intravenous diazepam solved clinical and electroencephalographic manifestations. Neuropsychological assessment after NCSE conclusion showed impairment of several fields that remained unchanged at 3-month followup. NCSE should be considered when sudden and transient cognitive fluctuations appear in the elderly. Epileptic events in dementia occur frequently and are often underrecognized; this could be a misleading factor when considering a quick progression of mnesic performances. Moreover, recent findings both in animal models and in humans demonstrated the deep link between epilepsy and dementia, also supporting the hypothesis that epileptiform activity could contribute to cognitive impairment

Daily rhythm of circulating fat soluble vitamin concentration (A, D, E and K) in the horse

BACKGROUND: Many physiological processes of mammalian species exhibit daily rhythmicity. An intrinsic relationship exists between fat soluble vitamins (A, D, E and K) and several body functions. Few investigations on the rhythmic pattern of vitamins in domestic animals have been carried out. The present study evaluated the circadian rhythmicity of fat soluble vitamins in the horse. METHODS: Blood samples from 5 Thoroughbred mares were collected at four-hour intervals over a 48-hour period (starting at 8:00 hours on day 1 and finishing at 4:00 on day 2) via an intravenous cannula inserted into the jugular vein. Fat soluble vitamin concentration in the serum (A, D, E and K) was measured by HPLC. One-way repeated measures analysis of variance (ANOVA) was used to determine significant differences. p values < 0.05 were considered statistically significant. RESULTS: ANOVA showed a highly significant effect of time in all the horses for the vitamins studied (p < 0.0001). The application of the periodic model and the statistical analysis of the "Cosinor" enabled us to define the periodic parameters and their acrophases (expressed in hours) during the 2 days of monitoring: all the studied vitamins showed diurnal acrophases with values between 15:16 and 18:08 hours. CONCLUSION: Fat soluble vitamins exhibit daily rhythmicity with diurnal peak. Further investigations could help optimize the use of these substances according to their circadian (or other) rhythms

Thirty-day rhythmicity in electrocardiographic and electrolytic parameters in the athletic horse

This paper describes circatrigintan progress of some electrocardiographic parameters and of the serum electrolytes in the jumper horse during a period of pre-competitive training performed in order to define the temporal organization of some parameters employed to evaluate the athletic performance of the horse. Five Sella Italiana horses, clinically healthy and specifically trained have been utilized for the study. All the subjects have undergone electrocardiographic recordings and blood sample takings by means of jugular venopuncture, at rest and always at the same hour, every five days for a period of one month. The following electrocardiographic parameters have been measured on individual ECG-recordings: P wave duration and amplitude, P-Q interval duration, QRS complex duration, R wave amplitude, T wave duration, S-T segment duration, Q-T interval duration, the longest and shortest R-R intervals; besides, mean R-R interval and D R-R, the highest, lowest and mean heart rate, have been calculated. The concentrations of magnesium, calcium, phosphorus and chlorine and of sodium and potassium have been determined on the blood samples, respectively by UV spectrophotometry and by flaming. The application of a statistic trigonometric model has permitted to point out the circatrigintan periodicity of the following electrocardiographic parameters: P wave duration, T wave duration, R wave amplitude, mean R-R interval and mean heart rate, and of the following serum electrolytes: sodium and magnesium. Based on these results, it is hypothesized that the cardiovascular system follows a “deterministic” progress with a “linear” variability systematically predictable within the temporal period considered

Central fatigue and nycthemeral change of serum tryptophan and serotonin in the athletic horse

BACKGROUND: The serotonergic system is associated with numerous brain functions, including the resetting of the mammalian circadian clock. The synthesis and metabolism of 5-HT in the brain increases in response to exercise and is correlated with high levels of blood-borne tryptophan (TRP). The present investigation was aimed at testing the existence of a daily rhythm of TRP and 5-HT in the blood of athletic horses. METHODS: Blood samples from 5 Thoroughbred mares were collected at 4-hour intervals for 48 hours (starting at 08:00 hours on day 1 and finishing at 4:00 on day 2) via an intravenous cannula inserted into the jugular vein. Tryptophan and serotonin concentrations were assessed by HPLC. Data analysis was conducted by one-way repeated measures analysis of variance (ANOVA) and by the single cosinor method. RESULTS: ANOVA showed a highly significant influence of time both on tryptophan and on serotonin, in all horses, on either day, with p values < 0.0001. Cosinor analysis identified the periodic parameters and their acrophases (expressed in hours) during the 2 days of monitoring. Both parameters studied showed evening acrophases. CONCLUSION: The results showed that serotonin and tryptophan blood levels undergo nycthemeral variation with typical evening acrophases. These results enhance the understanding of the athlete horse's chronoperformance and facilitate the establishment of training programs that take into account the nycthemeral pattern of aminoacids deeply involved in the onset of central fatigue

Glutamate-Mediated Primary Somatosensory Cortex Excitability Correlated with Circulating Copper and Ceruloplasmin

Objective. To verify whether markers of metal homeostasis are related to a magnetoencephalographic index representative of glutamate-mediated excitability of the primary somatosensory cortex. The index is identified as the source strength of the earliest component (M20) of the somatosensory magnetic fields (SEFs) evoked by right median nerve stimulation at wrist. Method. Thirty healthy right-handed subjects (51 ± 22 years) were enrolled in the study. A source reconstruction algorithm was applied to assess the amount of synchronously activated neurons subtending the M20 and the following SEF component (M30), which is generated by two independent contributions of gabaergic and glutamatergic transmission. Serum copper, ceruloplasmin, iron, transferrin, transferrin saturation, and zinc levels were measured. Results. Total copper and ceruloplasmin negatively correlated with the M20 source strength. Conclusion. This pilot study suggests that higher level of body copper reserve, as marked by ceruloplasmin variations, parallels lower cortical glutamatergic responsiveness

Anodal Transcranial Direct Current Stimulation Enhances Procedural Consolidation

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Editorial: Advances in brain imaging and stimulation methods for cognitive function investigation

The Research Topic “Advances in brain imaging and stimulation methods for cognitive function investigation” gathers basic research and clinical results of experimental brain imaging and stimulation techniques which are used to investigate mechanisms of cognitive function and dysfunction

Oksidativni stres u punokrvnjaka u tijeku službenih utrka na 1800 metara.

The aim of the present study was to find possible relationships between physical exercise and oxidative stress in thoroughbreds during official races. For this purpose six healthy and trained thoroughbreds were used. Blood samples were collected from all horses at rest, immediately after the race, and 30 and 180 min after the race. The following parameters were assessed on obtained serum using the spectrophotometer method: lactate dehydrogenase, creatine kinase, reactive oxygen species, thiol antioxidant barrier and antioxidant barrier. Obtained results showed the highly significant effect of exercise on some of the studied parameters: LDH, F(3,15) = 49.85, P<0.0001; ROMs, F(3,15) = 60.71, P<0.0001; Oxy-adsorbent, F(3,15) = 393.70, P<0.0001. No statistical significant differences were observed for CK and SHP. Our results appear to indicate that during official races thoroughbreds generate free radicals, but are unable to determine a significant lyses of skeletal muscle cellsCilj istraživanja bio je ustanoviti moguću povezanost između tjelesne vježbe i oksidativnog stresa u punokrvnjaka u tijeku službenih utrka. Istraživanje je provedeno na osam zdravih uvježbanih punokrvnjaka. Svima su uzeti uzorci krvi u tijeku odmora, netom nakon utrke te 30 i 180 minuta nakon toga. Spekrofotometrijom su određivani sljedeći pokazatelji u uzorcima seruma: laktat dehidrogenaza, kreatin kinaza, vrsta reaktivnog kisika, tiol-antioksidativna barijera i antioksidativna barijera. Rezultati su pokazali znatan učinak vježbe na neke istraživane pokazatelje: LDH, F (3,15) = 49,85, P<0,0001; ROMs, F (3,15) = 60,71, P<0,0001; oksiadsorbens, F (3,15) = 393,70, P<0,0001. Nisu ustanovljene statistički značajne razlike za kreatin-kinazu i tiolantioksidativnu barijeru. Rezultati pokazuju da se u punokrvnjaka u tijeku službenih utrka oslobađaju slobodni radikali, ali se ne nije mogla utvrditi značajna liza stanica kosturnoga mišićja