Perception de la vitesse : les bases psychophysiques et neuronales

David Katz a fait l’observation que le mouvement entre la peau et l’objet est aussi important pour le sens du toucher que la lumière l’est pour la vision. Un stimulus tactile déplacé sur la peau active toutes les afférences cutanées. Les signaux résultants sont très complexes, covariant avec différents facteurs dont la vitesse, mais aussi la texture, la forme et la force. Cette thèse explore la capacité des humains à estimer la vitesse et la rugosité de surfaces en mouvements. Les bases neuronales de la vitesse tactile sont aussi étudiées en effectuant des enregistrements unitaires dans le cortex somatosensoriel primaire (S1) du singe éveillé. Dans la première expérience, nous avons montré que les sujets peuvent estimer la vitesse tactile (gamme de vitesses, 30 à 105 mm/s) de surfaces déplacées sous le doigt, et ceci sans indice de durée. Mais la structure des surfaces était essentielle (difficulté à estimer la vitesse d’une surface lisse). Les caractéristiques physiques des surfaces avaient une influence sur l’intensité subjective de la vitesse. La surface plus rugueuse (8 mm d’espacement entre les points en relief) semblait se déplacer 15% plus lentement que les surfaces moins rugueuses (de 2 et 3 mm d’espacement), pour les surfaces périodiques et non périodiques (rangées de points vs disposition aléatoire). L’effet de la texture sur la vitesse peut être réduit en un continuum monotonique quand les estimés sont normalisés avec l’espacement et présentés en fonction de la fréquence temporelle (vitesse/espacement). L'absence de changement des estimés de vitesse entre les surfaces périodiques et non périodiques suggère que les estimés de rugosité devraient aussi être indépendants de la disposition des points. Dans la deuxième expérience, et tel que prévu, une équivalence perceptuelle entre les deux séries de surfaces est obtenue quand les estimés de la rugosité sont exprimés en fonction de l'espacement moyen entre les points en relief, dans le sens de l'exploration. La troisième expérience consistait à rechercher des neurones du S1 qui pourraient expliquer l’intensité subjective de la vitesse tactile. L’hypothèse est que les neurones impliqués devraient être sensibles à la vitesse tactile (40 à 105 mm/s) et à l’espacement des points (2 à 8 mm) mais être indépendants de leur disposition (périodique vs non périodique). De plus, il est attendu que la fonction neurométrique (fréquence de décharge/espacement en fonction de la fréquence temporelle) montre une augmentation monotonique. Une grande proportion des cellules était sensible à la vitesse (76/119), et 82% d’entres elles étaient aussi sensibles à la texture. La sensibilité à la vitesse a été observée dans les trois aires du S1 (3b, 1 et 2). La grande majorité de cellules sensibles à la vitesse, 94%, avait une relation monotonique entre leur décharge et la fréquence temporelle, tel qu’attendu, et ce surtout dans les aires 1 et 2. Ces neurones pourraient donc expliquer la capacité des sujets à estimer la vitesse tactile de surfaces texturées.David Katz showed that movement between the skin and an object is as important for touch as light is to vision. Moving tactile stimuli activate all of the cutaneous afferents involved in discriminative touch. The resultant signals are complex, varying with multiple factors including speed and also texture, local shape, and force. This thesis explored the human ability to estimate the speed and roughness of moving tactile stimuli. The neuronal basis underlying tactile speed perception was investigated using single unit recordings from primary somatosensory cortex (S1) in awake monkeys. In the first psychophysical experiment, we showed that subjects (n=26) can scale tactile speed (range, 30-105 mm/s), and this, contrary to previous studies, in a situation in which the duration of each trial was constant across all speeds tested. Surface structure was, in contrast, essential since subjects had difficulty scaling the speed of a smooth surface. Moreover, the physical characteristics of the surfaces influenced tactile speed perception. The roughest surface (8 mm raised-dot spacing) seemed to move 15% slower than the smoother surfaces (2 and 3 mm spacing), and this independently of dot disposition (periodic: rectangular array of raised dots vs non periodic: random dots). The effects of surface texture on speed were reduced to a single continuum when the estimates were normalized by dot spacing and plotted as a function of temporal frequency (speed/dot spacing). The absence of any difference in speed scaling as a function of dot disposition (periodic vs non periodic) suggested that tactile roughness should also be independent of dot disposition. A second psychophysical experiment (n=15) confirmed our hypothesis, showing perceptual equivalence for the periodic and non periodic surfaces when these were matched for dot spacing in the direction of the scan. The third experiment investigated the neuronal mechanisms that underlie subjective tactile speed perception, by recording the responses of cutaneous neurones in the hand representation of S1 cortex to the displacement of textured surfaces under the finger tips of two awake rhesus monkeys. The hypothesis was that neurones implicated in tactile speed perception should be sensitive to tactile speed (similar range to that used in the human experiments) and dot spacing, but be independent of dot disposition (periodic vs non periodic). Furthermore, we predicted that the neurometric function (discharge frequency/dot spacing as a function of temporal frequency) would show a monotonic relation. A large proportion of S1 neurones were sensitive to speed (76/119); 82% of these were also sensitive to texture. Speed sensitivity was widely distributed across the three areas that comprise the cutaneous hand representation, areas 3b, 1, and 2. Of 94 neurons fully tested (periodic and nonperiodic surfaces), the large majority of speed-sensitive cells (60/64) showed a significant monotonic relation with temporal frequency for both surfaces when discharge frequency was normalized by dot spacing. The neurones with the strongest relation to temporal frequency were concentrated in caudal S1, areas 1 and 2, and likely contribute to the human ability to scale tactile speed

Intraneural stimulation elicits discrimination of textural features by artificial fingertip in intact and amputee humans.

Restoration of touch after hand amputation is a desirable feature of ideal prostheses. Here, we show that texture discrimination can be artificially provided in human subjects by implementing a neuromorphic real-time mechano-neuro-transduction (MNT), which emulates to some extent the firing dynamics of SA1 cutaneous afferents. The MNT process was used to modulate the temporal pattern of electrical spikes delivered to the human median nerve via percutaneous microstimulation in four intact subjects and via implanted intrafascicular stimulation in one transradial amputee. Both approaches allowed the subjects to reliably discriminate spatial coarseness of surfaces as confirmed also by a hybrid neural model of the median nerve. Moreover, MNT-evoked EEG activity showed physiologically plausible responses that were superimposable in time and topography to the ones elicited by a natural mechanical tactile stimulation. These findings can open up novel opportunities for sensory restoration in the next generation of neuro-prosthetic hands

Cutaneous squamous cell carcinoma arising in hidradenitis suppurativa: A case report

We present a case of a 64-year-old man who presented with a rapidly growing tumor in the left buttock and intergluteal cleft area, which was affected by hidradenitis suppurativa. The patient was on tumor necrosis factor-alpha inhibitors for hidradenitis suppurativa for 2 years prior to the development of the mass. Initial biopsy of the mass showed a well-differentiated squamous cell carcinoma with spindle cells and positive epithelial immunomarkers. Subsequent excisional biopsy of the tumor showed an infiltrating poorly differentiated squamous cell carcinoma composed of islands of atypical sarcomatoid spindle cells. Squamous cell carcinoma arising in hidradenitis suppurativa is a rare complication which may occur secondary to chronic inflammation and epidermal hyperproliferation in hidradenitis suppurativa–affected areas