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In 1964-1965, Hans Helmut Kornhuber and Luder Deecke achieved a
scientific breakthrough with the discovery of the
Bereitschaftspotential (BP), or readiness potential. In The Will
and its Brain, Kornhuber and Deecke present evidence that proves we
can record activity from the human brain occurring prior to our
volitional movements or actions. Such preparatory activity is
generated by specific brain regions, particularly by the
supplementary motor area (SMA) of the frontal lobe, which lies on
the inner surface of the brain between the hemispheres. The primary
(precentral) motor cortex (MI) later becomes activated in preparing
for action. Consequently, the authors discriminate between two
components of the preparatory activity of the
Bereitschaftspotential: an early SMA-generated BP1 and a late
MI-derived BP2. Between BP1 and BP2, the intentional activity runs
over the so-called motor loop via the basal ganglia. Kornhuber and
Deecke discuss these and other brain processing systems while
focusing on the concept of free will. They claim that we, indeed,
have free will. It may not be absolutely free, but free in terms of
degrees. We can take efforts to increase our degrees of freedom
through self-improvement, but we can also lose degrees of freedom
through self-mismanagement.
In 1964 1965, Hans Helmut Kornhuber and Luder Deecke achieved a
scientific breakthrough with the discovery of the
Bereitschaftspotential (BP), or readiness potential. In The Will
and its Brain, Kornhuber and Deecke present evidence that proves we
can record activity from the human brain occurring prior to our
volitional movements or actions. Such preparatory activity is
generated by specific brain regions, particularly by the
supplementary motor area (SMA) of the frontal lobe, which lies on
the inner surface of the brain between the hemispheres. The primary
(precentral) motor cortex (MI) later becomes activated in preparing
for action. Consequently, the authors discriminate between two
components of the preparatory activity of the
Bereitschaftspotential: an early SMA-generated BP1 and a late
MI-derived BP2. Between BP1 and BP2, the intentional activity runs
over the so-called motor loop via the basal ganglia. Kornhuber and
Deecke discuss these and other brain processing systems while
focusing on the concept of free will. They claim that we, indeed,
have free will. It may not be absolutely free, but free in terms of
degrees. We can take efforts to increase our degrees of freedom
through self-improvement, but we can also lose degrees of freedom
through self-mismanagement.
A rich source of information about human voluntary movement in
health and disease can be found in this book. The most esteemed
researchers in their respective fields bring you up-to-date
articles. Their collected work combines fundamental research in the
life sciences with clinical neuroscience in a unique overview. The
interdisciplinary aspects of motor physiology uncover a wealth of
information for researchers from neighboring disciplines. For
example, oculomotor research, vestibular research, equilibrium,
sensory research and cognition, evolution, synaptic and elementary
processes and the neurological sciences can be discovered.
The papers compiled in this supplementum are a selection of the
best con th tributions presented at the 19 Central-European
Neurological Symposium (CNS 19) held on June 29 - July 1, 1989 in
Vienna. The main topic of this conference was degenerative and
age-associated neurological diseases. In recent decades life
expectancy has dramatically increased, at least in the
industrialized countries. This has led to extreme distortions of
the so-called population pyramids that no longer look like such but
begin to almost resemble cylinders. As a consequence of this
"overaging" of the population, diseases that are associated with
age have become much more common than before. It was thus more than
reasonable to devote a congress of the CNS series to these
important neurological diseases. The following fields of interest
are covered: Age-associated memory impairment (AAMI), Alzheimer's
and other dementias, Parkinson's disease and other movement
disorders, stroke and others. Concerning the de men tias, some
papers deal with diagnosis employing neuro-imaging methods such as
MRI, CT, PET and SPECT, others using electrophysiological methods.
An important aspect in the early preclinical diagnosis of dementia
is the inclusion of neuropsychological tests to enhance the chance
of effec tive early treatment. Also drugs that are now under
clinical investigation are discussed and preliminary results are
presented."
Das Buch behandelt die neuesten Methoden und Ergebnisse der
Darstellung von Hirnfunktionen und ihren krankheitsbedingten
StArungen sowie die MAglichkeit, Struktur und Funktion einzelner
Hirnstrukturen in Beziehung zu setzen. Die Ergebnisse haben
BeitrAge zum VerstAndnis der Pathophysiologie motorischer und
kognitiver Funktionen des Gehirns geliefert und besitzen
wesentliche Bedeutung in der prAchirurgischen Epilepsiediagnostik,
welche eine genaue Analyse topographischer Beziehungen von Fokus,
LAsionen und funktionell wichtigen Hirnregionen erfordert. Die
neuen Methoden bieten die MAglichkeit, die funktionelle
Reorganisation der Hirnrinde nach Verletzungen zu analysieren. Die
Methodik zur Untersuchung der Hirnfunktionen und ihren
krankheitsbedingten StArungen ist breit gefAchert und reicht von
Methoden der Elektrophysiologie (Elektroencephalographie und
Magnetoencephalographie) A1/4ber Methoden der regionalen
Hirndurchblutung (PET und SPECT) bis hin zur funktionellen
Magnetresonanztomographie.
Dieses Buch gibt eine einfache EinfA1/4hrung in die Anfertigung und
Befundung von akustisch evozierten Potentialen (AEP), wie sie
routinemAAig in der Neurologie zu diagnostischen Zwecken eingesetzt
werden. Die Anleitung zu dieser Methode ist didaktisch einfach
gehalten und doch umfassend. Sie gibt dem Leser die notwendigen
technischen und elektrophysiologischen Grundkenntnisse mit auf den
Weg. Ein umstAndliches Suchen in umfangreichen, zumeist
wissenschaftlich gehaltenen FachbA1/4chern nach den Wegen des
praktischen Vorgehens entfAllt. Aufbauend auf ein einfaches
medizinisches Grundwissen werden die MAglichkeiten und Grenzen der
Methode aufgezeigt. Anhand vieler Fallbeispiele wird der Leser
schlieAlich in die kritische WA1/4rdigung der Befunde
eingefA1/4hrt.
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