Taipei Medical University

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
KUWABARA Satoshi
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------>journal_name=Muscle & nerve
------>paper_name=Axonal hyperpolarization associated with acute hypokalemia: multiple excitability measurements as indicators of the membrane potential of human axons
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------>fullAbstract=Multiple nerve excitability measurements have been proposed for clinical testing of nerve function, and an important determinant of excitability is membrane potential. We report a patient with acquired hypokalemic paralysis in whom multiple excitability indices (stimulus-response curve, strength-duration properties, threshold electrotonus, recovery cycle) were measured during and after an acute hypokalemic attack (serum K(+) level, 2.1 mEq/L and 4.5 mEq/L, respectively). During hypokalemia, there was a shift of the stimulus-response curve to the right, a decrease in strength-duration time constant, a "fanning-out" of responses during threshold electrotonus, a reduction in relative refractory period, and an increase in superexcitability; all of these indicate axonal hyperpolarization, presumably due to the K(+) equilibrium potential being more negative. These indices returned to normal 20 h later, associated with normalization of the serum K(+) level. These results demonstrate that the changes associated with hypokalemic paralysis are not confined to muscle and that axons undergo hyperpolarization in vivo. Multiple excitability measurements can be used as a tool to identify changes in membrane potential of human axons.
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------>authors2=KANAI Kazuaki
------>authors3=SUNG Jia-Ying
------>authors4=OGAWARA Kazue
------>authors5=HATTORI Takamichi
------>authors6=BURKE David, BOSTOCK Hugh
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------>authors=KUWABARA Satoshi
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------>updateTitle=Axonal hyperpolarization associated with acute hypokalemia: multiple excitability measurements as indicators of the membrane potential of human axons.
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------>publish_year=2002
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A B C D E F G H I J K L M N O P Q R S T U V W X Y Z