The spatial coincidence of somatosensory cerebral cortex (SI) and trigeminal projections to the cerebellar hemisphere has been previously demonstrated. In this paper we describe the temporal relationship between tactilely-evoked responses in SI and in the granule cell layer of the cerebellar hemisphere, in anesthetized rats. We simultaneously recorded field potentials in areas of common receptive fields of SI and of the cerebellar folium crus IIa after peripheral tactile stimulation of the corresponding facial area. Response of the cerebellar granule cell layer to a brief tactile stimulation consisted of two components at different latencies. We found a strong correlation between the latency of the SI response and that of the second (long-latency) cerebellar component following facial stimulation. No such relationship was found between the latency of the SI response and that of the first (short-latency) cerebellar component, originating from a direct trigeminocerebellar pathway. In addition, lidocaine pressure injection in SI, cortical ablation, and decerebration all significantly affected the second cerebellar peak but not the first. Further, when tactile stimuli were presented 75 ms apart, the response in SI failed, as did the second cerebellar peak, while the short-latency cerebellar response still occurred. We found a wide spatial distribution of the upper lip response beyond the upper lip area in crus IIa for the long-latency component of the cerebellar response. Our results demonstrate that SI is the primary contributor to the cerebellar long-latency response to peripheral tactile stimulation. These results are discussed in the context of Purkinje cell responses to tactile input.

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Plasticity following deafferentation has been repeatedly demonstrated in topographic sensory maps in the mammalian brain. In this paper we investigated the developmental plasticity of the fractured somatotopic map found in the tactile regions of the rat cerebellum. At various stages of postnatal development between postnatal days 1 and 30, we cauterized the infraorbital branch of the trigeminal nerve, which innervates the upper lip, furry buccal pad, and vibrissae that are represented within cerebellar folium crus IIa. The organization of the crus IIa map was then examined 2 to 3 months after denervation. We found that tactile receptive fields had reorganized throughout the denervated area but maintained a fractured somatotopy. Comparison of the reorganization in different animals showed that the denervated upper lip region was consistently and predominantly replaced by representation of the upper incisors. Analysis of evoked field potentials revealed an alteration, in denervated animals, of the response of the granule cell layer to brief tactile stimulation. This response in normal animals consists of two components at different latencies. Animals lesioned later in development were less likely to have the short latency component. This result suggests a difference in the developmental sensitivity of different cerebellum-related pathways to nerve lesions.

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All 23 adult Canadian implantable cardioverter defibrillator implantation centers were surveyed to identify centers that routinely capture anteroposterior or posteroanterior (AP) and lateral x-rays within 2 weeks of implant and at least AP x-rays at the time of fracture identification. Eight of those centers collected those x-rays routinely. All eligible centers agreed to participate in the study. Centers were © 2014 American Heart Association, Inc. Original ArticleBackground-Lead fracture is a limiting factor in high voltage lead durability. Fractures noted with the Medtronic Fidelis leads provide an opportunity to examine factors captured on implant chest x-ray that correlate with risk for lead conductor fracture. We evaluated contributory factors in a large population of fractures. Methods and Results-We conducted a retrospective case-control study at 8 Canadian centers that routinely capture anterior posterior and lateral chest x-rays within 2 weeks of implant. Cases were patients that experienced confirmed Medtronic Fidelis 6949 lead fracture based on standard definitions, matched one-to-one to controls for date of implant, sex, and age with normally functioning Fidelis leads from the same center. Select chart data and x-rays were collected for all patients. Radiographic measurements by ≥2 individuals per case/control were blinded to patient status. The data were analyzed using a time to failure multivariable Cox proportional hazards model with stratification for each matched pair. X-ray pairs from 111 fracture patients were compared with 111 controls (age 61.5±12.8 years, 75% male, 221 model 6949 leads). Six parameters included in the statistical analysis were significantly associated with risk of fracture, including slack/ tortuosity measures, pulse generator and superior vena cava coil location, and angle of lead exit from the pocket. Conclusions-Pocket, intravascular and intracardiac lead characteristics on x-ray correlate with risk of lead conductor fracture. These observations may be useful to direct implant technique to optimize lead durability. Validation in larger populations and other lead models may inform the application of these results. (Circ Arrhythm Electrophysiol.