Ruiz MF, Escobedo BDI, Cano OS, Siegmund R

Language: Spanish
References: 29
Page: 384-392
PDF size: 233.75 Kb.

ABSTRACT

Introduction. The study of the human temporary structure by means of the Rhythmmetrics, its relation to the clinical praxis on evaluating the behavior of the of sleep-alertness and activity-rest cycles in patients with West syndrome (WS), and the acoustic analysis of voice (crying and prevocalizations), constitute a novel focus in the functional evaluation of the nervous system of these patients. Material and Method. The activity-rest and sleep-alertness cycles were studied in two patients affected by the WS, using an actometer brand ZAK, German make. At the same time, the parents kept a diary with a periodicity of 20 minutes, specifying the schedule of foods, consumption of medicines, presence of crisis and data about the dream of the patients. After that, the actograms, which are the quantitative registration of the continuous motorboat activity, were obtained. The voice was registered (crying and prevocalizations) through a recorder AKAI PM-R55, and for the digitalization and the prosecution a microcomputer and the software PCVOX and BPVOZ were utilized. Results. Presence of a clear ultradian sleep-alertness activity was observed in one case. In the other case the patient was done showed a great hyperkinesia, with a circadian profile and a tendency to the change of dream phase. An increase of the fundamental frequency was observed in both cases, as well as alterations in other acoustic attributes related to the harmonic behavior, such as the tone, melody, presence of turmoils, among others.

REFERENCES

1. Ruiz Miyares F, Siegmund R, Wermke K, Dorado Gallego J, Escobedo Beceiro D. Síndrome de West: una aproximación cronobiológica. Rev Neurol 2000; 30(10): 925-8.

2. Olivé Badosa A. Síndrome de West. Rev Esp Pediat 1975; 31: 267-4.

3. Touitou Y, Haus E. Biological rhythms in clinical and laboratory medicine. Springer-Verlag, Berlin Heildelberg 1992; 1: 1-15.

4. Aschoff J. Circadian rhythms in man. Science 1965; 148: 1427.

5. Halberg F, Cornelissen G, Katinas G S. Glossary of chronobiology. Chronobiologia 1977; 4(Suppl): 1-189.

6. Siffre M, Reinberg A, Halberg F, Ghata J. L’isolement souterrain prolonge. Etude de deux sujets adultes sains avant, pendant et après cet isolement. Press Med 1996; 74: 915-9.

7. Rietveld WJ, Gross GA. The central neural regulation of circadian rhythms. NATO Adv Study Inst 1980; 3: 189-204.

8. Hansen JW, Hoffman HG, Ross GT. Monthly gonadotropin cycles in premenstrual girls (Abstr). Chronobiologia 1975; (Suppl 1) 2:1-20.

9. Schwartz WJ, Gross RA, Morton MT. The suprachiasmatic nuclei contain a tetrodoxin-resistant circadian pacemaker. Proc Natl Acad Sci USA, 1987; 84: 1694-8.

10. Kanabrocki EL, Sothern RB, Scheving LE, et al Reference values for circadian rhythms of 98 variables in clinically healthy men in the fifth decade of live. Chronobiol Int 1990; 7: 445-61.

11. Bunning E. The physiological clock: circadian rhythms and biological chronometry. New York: Academic; 1973.

12. Rietveld WJ, Touitou Y, Haus E (Eds.). The suprachiasmatic nucleus and other pacemakers. Biologic rhythms in clinical and laboratory medicine. Springer-Verlag; 1994, p. 55-64.

13. Donaldson JA, Stephen FK. Entrainment of circadian rhythms: retinofugal pathways and unilateral SCN lesions. Physiol Behav 1981; 32: 537-8.

14. Inouye SI, Kawamura H. Persistence of circadian rhythmicity in a mammal hypothalamic “island” containing the SCN. Proc Natl Acad Sci USA 1979; 76: 5962-6.

15. Lund R. Personality factors and desychronization of circadian rhythms. Psychosom Med 1974; 36: 224-8.

16. Arendt J, Aldhous M, Marks V. Alleviation of jet-lag by melatonin: Preliminary results of controlled double-blind trial. Br Med J 1986; 292: 1170.

17. Golub H, Corwin M. Infant cry: a clue to diagnosis. Pediatrics 1982; 2: 197-201.

18. Boliek CA, Hixon TJ, Watson PJ, Morgan WJ. Vocalization and breathing during the first year of life. J Voice 1996; 10: 1-22.

19. Wermke K., Mende W, Borschberg H, Ruppert R. Voice characteristics of pre-speech vocalizations of twins during the first year of life. In: Powell TW (Ed.). Pathologies of speech and language: contributions of clinical phonetics and linguistics. New Orleans: ICPLA; 1996, p. 1-8.

20. Kent RD. Anatomical and neuromuscular maturation of the speech mechanism: evidence from acoustics studies (Tutorial). Madison: University of Wisconsin; 357-63.

21. Quilis A. Fonética acústica de la lengua española. Biblioteca Románica Hispánica. Madrid: Editorial Gredos; 1981.

22. Sirviö P, Michelsson K. Sound-spectrographic cry analysis of normal and abnormal newborn infants. Anat Folia phoniat 1976; 28: 161-73.

23. Lebrun Y, Devreux F, Rousseau J, Darimont P. Tremulous speech a case report. Folia phoniat 1982; 34: 134-42.

24. Mende W, Herzel H, Wermke K. Bifurcations and chaos in newborn infant cries. Physics Letters. NH: Elsevier Science Publishers; 1990, 145 (8, 9): 418-24.

25. Enríquez EV, Berrojo MA. PCVOX. Manual del usuario. Versión 1.2. Madrid: ETSIT. Departamento de Ingeniería Electrónica. Universidad Politécnica de Madrid; 1992.

26. Lim S, Oppenheim, A. Advanced topics in signal processing. New York: Prentice Hall; 1986.

27. Cano S. Determinación del tono de voz mediante análisis de cepstrum. Estudios de Comunicación Social. La Habana: Editorial Academia; 1994, p. 106-12.

28. Cano S, Escobedo DI, Socarrás M. Las técnicas de corta duración en el procesamiento digital de la voz. Memorias del V Congreso Latinoamericano de Control Automático. La Habana: Informática ’92; 1992, p. 1-7.

29. Siegmund R, Schiefenhovel W, Titel M. Time patterns in infants activity-rest-and mother-child interactions in cross cultural comparison. Ethnomedical Perspectives on Early Childhood. In: Curare. Journal for Ethnomedicine Special 1996; 9: 293-9.