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Regulatory miR-SNP rs4636297A > G in miR-126 is linked to increased risk of rigidity feature in patients with Parkinson's disease. miR-126 中的调节性 miR-SNP rs4636297A > G 与帕金森病患者出现僵直特征的风险增加有关。
IF 1.5 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2024-09-02 DOI: 10.1080/00207454.2024.2398571
Sheyda Pooshani, Abbas Azadmehr, Payam Saadat, Mahdi Sepidarkish, Abdolreza Daraei

Introduction: A growing body of strong evidence shows that the dysfunction of miRNAs plays key roles in the development and progression of Parkinson's disease (PD), however, little data has been reported on the association of their SNPs with PD susceptibility. In this study, we investigated the association of regulatory miR-SNP rs4636297A > G with a functional effect on the expression of miRNA-126, as a key dysregulated miRNA in the PD, with the susceptibility and clinical features of the PD.

Methods and materials: In current study, we included a population consisting of 120 patients with PD and 120 clinically healthy individuals, and their blood samples were taken. After extracting the DNAs, the genotyping of the miR-SNP rs4636297A > G was done through RFLP-PCR technique. Finally, the association of this SNP with the risk and clinical features of PD was determined.

Results: Although the results showed that the two groups did not differ significantly in terms of allelic and genotype frequencies, it was clinically found that individuals with genotypes carrying the minor allele G (AG and GG genotypes) of the miR-SNP rs4636297A > G had an increased risk of developing rigidity feature in the PD compared to its homozygous major AA genotype (GG genotype; OR = 5.14, p = 0.038 & GA genotype; OR = 4.32, p = 0.032).

Conclusion: We report for the first time a significant association of functional regulatory SNP rs4636297A > G in the miR-126 with the Parkinson's clinicopathology. Therefore, this miR-SNP can have a potential predictive biomarker capacity for rigidity in PD, although this hypothesis needs further investigation in the future.

导言:越来越多的有力证据表明,miRNAs的功能失调在帕金森病(PD)的发生和发展中起着关键作用,然而,有关其SNPs与PD易感性相关性的数据报道却很少。本研究探讨了对帕金森病关键调控 miRNA-126 表达有功能性影响的调控 miR-SNP rs4636297A > G 与帕金森病易感性和临床特征的关联:在本次研究中,我们纳入了120名PD患者和120名临床健康人,并采集了他们的血液样本。提取DNA后,通过RFLP-PCR技术对miR-SNP rs4636297A > G进行基因分型。最后,研究人员确定了该 SNP 与帕金森病的风险和临床特征之间的关系:尽管结果显示两组在等位基因和基因型频率方面没有显著差异,但临床发现,与同源的主要 AA 基因型(GG 基因型;OR = 5.14,p = 0.038;GA 基因型;OR = 4.32,p = 0.032)相比,携带 miR-SNP rs4636297A > G 小等位基因 G(AG 和 GG 基因型)的个体患帕金森病僵直特征的风险更高:我们首次报告了 miR-126 中的功能调控 SNP rs4636297A > G 与帕金森病临床病理的显著关联。因此,该 miR-SNP 可能具有预测帕金森病患者僵直的潜在生物标志物能力,但这一假设还需要进一步研究。
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引用次数: 0
Dual stimulation with iTBS-cTBS treatment in postpartum obsessive-compulsive disorder: a case report. iTBS-cTBS 双重刺激治疗产后强迫症:病例报告。
IF 1.5 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2024-08-31 DOI: 10.1080/00207454.2024.2396417
Yang Zhang, Xingbo Suo, Liangke Pan, Xinqi Wang, Wangwang Xu, Jingjing Xu, Jin Gao

Aim of the study: This study aimed to present a case of intermittent theta-burst stimulation (iTBS) and continuous theta-burst stimulation (cTBS) dual stimulation for the treatment of postpartum obsessive-compulsive disorder (OCD). The objective was to provide a referenceable therapy in cases where medication and psychotherapy treatment are not preferred or contraindicated. This case further emphasized the importance of non-invasive neuromodulation techniques in improving the condition of postpartum OCD patients.

Materials and methods: A 32-year-old female was diagnosed with OCD 2 months after delivery. The patient refused to take medication and psychotherapy due to concerns that it would interfere with the infant's breastfeeding. Subsequently, a 2-week combined iTBS and cTBS treatment was carried out. The patient's obsessive-compulsive symptoms, anxiety, and depression improved. There were no significant adverse effects during the treatment, and the treatment effect remained 2 weeks after the end of the treatment.

Conclusion: This clinical case provides evidence that the combined iTBS and cTBS treatment can potentially effectively alleviate obsessive-compulsive symptoms in the short term. Notably, this therapeutic approach may offer a promising solution for postpartum OCD patients, as it addresses practical concerns such as medication safety for breastfeeding mothers and the specific needs of this population. To further establish the efficacy of this combined therapy, future randomized controlled trials with large samples and long-term follow-up are warranted to validate its therapeutic potential.

研究目的本研究旨在介绍一例间歇θ-脉冲刺激(iTBS)和连续θ-脉冲刺激(cTBS)双重刺激治疗产后强迫症(OCD)的病例。目的是在药物治疗和心理治疗不可取或有禁忌的情况下提供一种可参考的疗法。该病例进一步强调了非侵入性神经调控技术在改善产后强迫症患者病情方面的重要性:一名 32 岁女性在产后 2 个月被诊断患有强迫症。由于担心会影响婴儿的母乳喂养,患者拒绝服药和接受心理治疗。随后,她接受了为期两周的 iTBS 和 cTBS 综合治疗。患者的强迫症状、焦虑和抑郁得到了改善。治疗期间无明显不良反应,治疗结束两周后疗效仍在:本临床病例证明,iTBS 和 cTBS 联合治疗可在短期内有效缓解强迫症状。值得注意的是,这种治疗方法为产后强迫症患者提供了一种很有前景的解决方案,因为它解决了哺乳期母亲用药安全等实际问题,并满足了这一人群的特殊需求。为了进一步确定这种综合疗法的疗效,今后有必要进行大样本和长期随访的随机对照试验,以验证其治疗潜力。
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引用次数: 0
Fluctuations in resting motor threshold during electroconvulsive and magnetic seizure therapy. 电休克和磁性癫痫发作治疗期间静息运动阈值的波动。
IF 1.5 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2024-09-10 DOI: 10.1080/00207454.2024.2401418
Chaojie Liu, Sha Liu, Xiaodong Hu, Zhenglong Guo, Yong Xu

Objectives: Magnetic seizure therapy (MST) is more benign than electroconvulsive therapy (ECT) in terms of cognitive impairment. However, whether these two 'artificial seizures' facilitate the central motor neural pathway and the motor cortical effects have not been investigated. The study aimed to compare the effects of ECT and MST on motor-evoked potential (MEP) in patients with mental disorders.

Methods: Forty-nine patients with mental disorders (major depressive disorder, bipolar disorder type II and schizophrenia [SCZ]) received 6 treatment sessions of vertex MST versus 6 bifrontal ECT treatments in a nonrandomized comparative clinical design. Data on the duration of motor seizures were collected for each treatment. MEP latency and the resting motor threshold (rMT) were measured at baseline and after every two treatments. Comparisons were performed between or within the groups.

Results: Seizure durations were significantly longer in the ECT group compared to the MST group across multiple sessions. Both MST and ECT demonstrated a significant reduction in rMT in the left and right hemispheres after the fourth (T3) and sixth treatments (T4) compared to baseline (T1). However, there were no significant changes in MEP latency within or between the groups throughout the treatment sessions. The only difference was that the rMT in the left cerebral hemisphere was significantly lower after T4 than after the second treatment (T2). There was no difference in rMT between the ECT and MST groups.

Conclusions: Both ECT and MST facilitate the central motor pathway, with a shared mechanism of increased motor cortex excitability.

目的:就认知障碍而言,磁性癫痫发作疗法(MST)比电休克疗法(ECT)更为良性。然而,这两种 "人工癫痫发作 "是否会促进中枢运动神经通路以及运动皮层效应尚未得到研究。本研究旨在比较 ECT 和 MST 对精神障碍患者运动诱发电位(MEP)的影响:方法:49 名精神障碍患者(重度抑郁障碍、双相情感障碍 II 型和精神分裂症)接受了 6 个疗程的顶点 MST 治疗和 6 个疗程的双额叶 ECT 治疗,这是非随机比较临床设计。每次治疗都收集了运动性癫痫发作持续时间的数据。在基线和每两次治疗后测量运动诱发电位(MEP)潜伏期和静息运动阈值(rMT)。在组间或组内进行比较:结果:在多个疗程中,ECT组的发作持续时间明显长于MST组。与基线(T1)相比,MST 和 ECT 在第四次(T3)和第六次(T4)治疗后,左右半球的 rMT 均显著减少。然而,在整个治疗过程中,组内或组间的 MEP 潜伏期均无明显变化。唯一不同的是,左侧大脑半球的 rMT 在 T4 治疗后明显低于第二次治疗(T2)。ECT组和MST组之间的rMT没有差异:结论:ECT和MST都能促进中枢运动通路,其共同机制是提高运动皮层的兴奋性。
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引用次数: 0
A review: oligodendrocytes in neuronal axonal conduction and methods for enhancing their performance. 综述:神经轴突传导中的少突胶质细胞以及提高其性能的方法。
IF 1.5 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2024-06-20 DOI: 10.1080/00207454.2024.2362200
Jino Affrald R, Shoba Narayan

Objectives: This review explores the vital role of oligodendrocytes in axon myelination and efficient neuronal transmission and the impact of dysfunction resulting from neurotransmitter deficiencies related disorders. Furthermore, the review also provides insight into the potential of bionanotechnology for addressing neurodegenerative diseases by targeting oligodendrocytes.

Methods: A review of literature in the field was conducted using Google scholar. Systematic searches were performed to identify relevant studies and reviews addressing the role of oligodendrocytes in neural function, the influence of neurotransmitters on oligodendrocyte differentiation, and the potential of nanotechnology-based strategies for targeted therapy of oligodendrocytes.

Results: This review indicates the mechanisms underlying oligodendrocyte differentiation and the influence of neurotransmitters on this process. The importance of action potentials and neurotransmission in neural function and the susceptibility of damaged nerve axons to ischemic or toxic damage is provided in detail. The potential of bionanotechnology for targeting neurodegenerative diseases using nanotechnology-based strategies, including polymeric, lipid-based, inorganic, organic, and biomimetic nanoparticles, suggests better management of neurodegenerative disorders.

Conclusion: While nanotechnology-based biomaterials show promise for targeted oligodendrocyte therapy in addressing neurodegenerative disorders linked to oligodendrocyte dysfunction, encapsulating neuroprotective agents within nanoparticles offers additional advantages. Nano-based delivery systems effectively protect drugs from degradation and prolong their therapeutic effects, holding promise in overcoming the blood-brain barrier by facilitating drug transport. However, a multifaceted approach is essential to enhance oligodendrocyte differentiation, promote myelin repair, and facilitate myelin dynamics with reduced toxicity. Further research is needed to elucidate the optimal therapeutic approaches and enhance patient outcomes.

目的:这篇综述探讨了少突胶质细胞在轴突髓鞘化和高效神经元传输中的重要作用,以及神经递质缺乏相关疾病导致的功能障碍的影响。此外,该综述还深入探讨了仿生技术通过靶向少突胶质细胞治疗神经退行性疾病的潜力:方法:使用谷歌学术对该领域的文献进行了综述。方法:使用谷歌学者对该领域的文献进行了综述,通过系统搜索确定了涉及少突胶质细胞在神经功能中的作用、神经递质对少突胶质细胞分化的影响以及基于纳米技术的少突胶质细胞靶向治疗策略的潜力的相关研究和综述:本综述指出了少突胶质细胞分化的内在机制以及神经递质对这一过程的影响。详细介绍了动作电位和神经递质在神经功能中的重要性,以及受损神经轴突易受缺血或毒性损伤的原因。利用基于纳米技术的策略(包括聚合物、脂质、无机、有机和仿生物纳米粒子),仿生技术在针对神经退行性疾病方面的潜力表明,神经退行性疾病的治疗效果会更好:基于纳米技术的生物材料有望用于少突胶质细胞靶向治疗,以解决与少突胶质细胞功能障碍有关的神经退行性疾病,而将神经保护剂封装在纳米颗粒中则具有更多优势。基于纳米的给药系统能有效保护药物不被降解,延长其治疗效果,并有望通过促进药物转运来克服血脑屏障。然而,要加强少突胶质细胞分化、促进髓鞘修复、促进髓鞘动态变化并降低毒性,必须采取多方面的方法。要阐明最佳治疗方法并提高患者疗效,还需要进一步的研究。
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引用次数: 0
Emotions and cognition; a promising crossroad for brain tumor diagnosis and prevention. 情绪与认知;脑肿瘤诊断与预防的希望之路。
IF 1.5 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2024-05-20 DOI: 10.1080/00207454.2024.2352783
Devon Welsch, Pablo Iturralde

Cognitive and behavioral neuroscience is essential for understanding brain tumors and their effects. Researchers have realized that an important step is to start looking for cognitive impairment at the time of diagnosis to see what deficits the brain tumor has left the patient with. Then cognitive assessment should be made after the tumor has been removed to see how it changes. The aim of this study was to assess the current research on tumor diagnosis and prevention through a filter of emotion and cognition; and then look at what future steps need to be taken. This review reports what research has already been done and what research still needs to be accomplished, including addressing the need for more data on cognitive impairment while the brain tumor is active, in the literature.

认知和行为神经科学对于了解脑肿瘤及其影响至关重要。研究人员已经意识到,重要的一步是在诊断时就开始寻找认知障碍,看看脑肿瘤给患者留下了哪些缺陷。然后在肿瘤切除后进行认知评估,以了解肿瘤的变化情况。本研究的目的是通过情感和认知过滤器评估当前有关肿瘤诊断和预防的研究;然后看看未来需要采取哪些措施。本综述报告了已经完成的研究和仍需完成的研究,包括文献中需要更多关于脑肿瘤活动时认知障碍的数据。
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引用次数: 0
Temporal trends and regional variations in mortality related to Guillain-Barré syndrome in the United States: a retrospective study from 1999 to 2020. 美国格林-巴利综合征死亡率的时间趋势和地区差异:1999年至2020年的回顾性研究。
IF 1.5 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2024-09-09 DOI: 10.1080/00207454.2024.2401422
Zain Ali Nadeem, Hamza Ashraf, Haider Ashfaq, Eeshal Fatima, Muhammad Omar Larik, Obaid Ur Rehman, Ali Ashraf, Aimen Nadeem

Aim: Guillain-Barré syndrome (GBS) is an autoimmune neurological disorder, with an estimated 6.4% increase in cases worldwide from 1990 to 2019. We aim to identify the GBS-related mortality trends in the US stratified by age, sex, race, and region.

Methods: We used data from the CDC-WONDER database to calculate crude (CMR) and age-adjusted mortality rates (AAMRs) per 1,000,000 people. We examined the temporal trends through annual percent change (APC) and the average annual percent change (AAPC) in rates using Joinpoint regression.

Results: From 1999 to 2020, a total of 10,097 GBS-related deaths occurred in the US. The AAMR decreased till 2014 (APC: -1.91) but increased back to initial levels by 2020 (APC: 3.77). AAMR was higher in males (1.7) than females (1.1), decreasing till 2015 for females and 2014 for males, but increasing thereafter only for females. Non-Hispanic (NH) American Indians or Alaska Natives displayed the highest AAMR (1.8) while NH Asians or Pacific Islanders displayed the lowest (0.6). AAMRs also varied by region (West: 1.5; South: 1.5; Midwest: 1.4; Northeast: 1.1). Rural regions exhibited a higher AAMR (1.7) than urban regions (1.3). Most deaths occurred in medical facilities (60.99%). The adults aged ≥85 years exhibited an alarmingly high CMR (14.0).

Conclusions: While the mortality rates for GBS initially declined till 2014, they climbed back up afterwards. Highest mortality was exhibited by males and NH American Indians or Alaska Natives, residents of rural regions, and adults ≥85 years. Equitable efforts are needed to reduce the burden on high-risk populations.

目的吉兰-巴雷综合征(Guillain-Barré syndrome,GBS)是一种自身免疫性神经系统疾病,据估计,从 1990 年到 2019 年,全球病例数增加了 6.4%。我们旨在确定美国与 GBS 相关的死亡率趋势,并按年龄、性别、种族和地区进行分层。方法我们使用 CDC-WONDER 数据库中的数据计算每 100 万人的粗死亡率(CMR)和年龄调整后死亡率(AAMR)。我们使用Joinpoint回归法,通过死亡率的年百分比变化(APC)和平均年百分比变化(AAPC)研究了时间趋势。结果从1999年到2020年,美国共发生了10097例与GBS相关的死亡。到 2014 年,AAMR 有所下降(APC:-1.91),但到 2020 年又回升到初始水平(APC:3.77)。男性的急性呼吸道感染死亡率(1.7)高于女性(1.1),女性的急性呼吸道感染死亡率在 2015 年前有所下降,男性的急性呼吸道感染死亡率在 2014 年前有所下降,但此后只有女性的急性呼吸道感染死亡率有所上升。非西班牙裔美国印第安人或阿拉斯加原住民的年平均死亡率最高(1.8),而非西班牙裔亚裔或太平洋岛民的年平均死亡率最低(0.6)。AAMR 也因地区而异(西部:1.5;南部:1.5;中西部:1.4;东北部:1.1)。农村地区的 AAMR(1.7)高于城市地区(1.3)。大多数死亡发生在医疗机构(60.99%)。结论虽然 GBS 死亡率在 2014 年之前有所下降,但之后又有所回升。男性、新罕布什尔美国印第安人或阿拉斯加原住民、农村地区居民和年龄≥85岁的成年人的死亡率最高。需要做出公平的努力来减轻高危人群的负担。
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引用次数: 0
Therapeutic intervention of vitamin B12 in mitigating chronic alcoholism induced alterations in adult zebrafish (Danio rerio): a holistic in vivo approach. 维生素 B12 在减轻成年斑马鱼(Danio rerio)慢性酒精中毒引起的变化中的治疗干预:体内综合疗法。
IF 1.5 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2024-09-08 DOI: 10.1080/00207454.2024.2398564
Manisha Nahar, Ravina Rai, Deepali Jat

Background: Chronic alcoholism refers to the unpleasant symptoms directly resulting from excessive drinking. Increased alcohol metabolites and an unbalanced oxidative state are likely to blame for the reported effects under these circumstances. According to preclinical and clinical research, vitamin B12 can act on several organ systems with demonstrated neuroprotective, antioxidant, and glutamate modulating properties.

Objective: This research sought to examine the ameliorative effects of vitamin B12 (VtB12) in persistent alcohol (AlOH) exposed adult zebrafish with the help of following parameters like the anxiety related behavior test, Oxidative stress, and antioxidant assays, histological and immunofluorescence analysis.

Methods: Zebrafish pretreated with 0.40% AlOH (v/v) for 120 min (+AlOH) or not (-AlOH), were exposed for 6 h to home tank water (-VtB12) or to 59 µg-VtB12/kg-fish food (+VtB12) to analyze anxiety behavior in the geotaxis (novel tank) test as well as the oxidative brain damage in the adult zebrafish.

Results: Adult zebrafish exposed to chronic AlOH showed a decrease in the distance travelled, average and mobility speed, and increased the average frozen time, the explored area, and total no. of the site explored in the trapezoid tank. AlOH exposure also resulted in oxidative damage, enhanced lipid peroxidation, advanced oxidative protein products, decreased enzymatic and non-enzymatic antioxidant activities, and enhanced reactive oxygen species generation. Additionally, VtB12 supplementation improved neurogenesis, evident in increased Nissl cell numbers and NeuN expression in the brain.

Conclusion: Chronic alcoholism may be effect on the brain cells as well as on the neuro-behavior of zebrafish. This research demonstrated that VtB12 shows promise as a neuroprotective agent against chronic alcoholism induced alterations in zebrafish's brain.

背景:慢性酒精中毒指的是过量饮酒直接导致的不愉快症状。在这种情况下,酒精代谢物的增加和不平衡的氧化状态很可能是造成这些症状的原因。根据临床前和临床研究,维生素 B12 可作用于多个器官系统,具有神经保护、抗氧化和谷氨酸调节特性:本研究试图通过焦虑相关行为测试、氧化应激和抗氧化剂检测、组织学和免疫荧光分析等参数,研究维生素 B12(VtB12)对暴露于持久性酒精(AlOH)的成年斑马鱼的改善作用:方法:用0.40% AlOH(v/v)预处理120分钟(+AlOH)或不预处理(-AlOH)的斑马鱼在家庭水箱水(-VtB12)或59µg-VtB12/kg鱼食(+VtB12)中暴露6小时,以分析成体斑马鱼在趋向性(新水箱)测试中的焦虑行为以及脑氧化损伤:结果:长期暴露于AlOH的成年斑马鱼在梯形水槽中的行进距离、平均速度和移动速度均有所下降,平均滞留时间、探索面积和探索地点总数有所增加。暴露于 AlOH 还会导致氧化损伤、脂质过氧化增强、高级氧化蛋白产物、酶和非酶抗氧化活性降低以及活性氧生成增强。此外,补充 VtB12 还能改善神经发生,这在大脑中 Nissl 细胞数量和 NeuN 表达的增加上表现得很明显:结论:慢性酒精中毒可能会影响斑马鱼的脑细胞和神经行为。这项研究表明,VtB12 可作为一种神经保护剂,防止慢性酒精中毒引起的斑马鱼脑部变化。
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引用次数: 0
Diagnostic value of high-resolution vessel wall imaging technique in intracranial arterial stenosis and occlusion: a comparative analysis with digital subtraction angiography. 高分辨率血管壁成像技术对颅内动脉狭窄和闭塞的诊断价值:与数字减影血管造影术的比较分析。
IF 1.5 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2024-07-12 DOI: 10.1080/00207454.2024.2377119
Zihui Wang, Yan Wang, Yingwei Chang, Tiemin Hu, Zhixin Cui

Objective: To analyze the diagnostic value of HR-VWI in intracranial arterial stenosis and occlusion and compare it with DSA.

Methods: A retrospective analysis of clinical data of 59 patients with intracranial arterial stenosis in our hospital was conducted to compare the diagnostic results of the two methods for different degrees of intracranial stenosis and various morphological plaques.

Results: The diagnosis of stenosis and occlusion by both methods showed no significant difference (p > 0.05). Comparison of plaque morphology detected by HR-VWI with pathological examination results showed no significant difference (p > 0.05); however, there was a significant difference between plaque morphology detected by DSA and pathological examination results (p < 0.05). Additionally, there was a significant difference between plaque morphology detected by HR-VWI and DSA (p < 0.05).

Conclusion: HR-VWI technique is comparable to DSA technique in diagnosing intracranial arterial stenosis and occlusion, but it is superior to DSA in plaque morphology diagnosis.

目的分析 HR-VWI 对颅内动脉狭窄和闭塞的诊断价值,并与 DSA 进行比较。方法: 对 59 例颅内动脉狭窄和闭塞患者的临床数据进行回顾性分析:对我院 59 例颅内动脉狭窄患者的临床资料进行回顾性分析,比较两种方法对不同程度颅内动脉狭窄和不同形态斑块的诊断结果。结果显示两种方法对狭窄和闭塞的诊断无显著差异(P>0.05)。HR-VWI 检测到的斑块形态与病理检查结果比较无显著差异(P>0.05);但 DSA 检测到的斑块形态与病理检查结果比较有显著差异(P 结论:HR-VWI 技术与病理检查结果比较,HR-VWI 技术与病理检查结果比较无显著差异(P>0.05):HR-VWI 技术在诊断颅内动脉狭窄和闭塞方面与 DSA 技术相当,但在斑块形态诊断方面优于 DSA。
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引用次数: 0
Opisthotonic posturing in Guillian-Barre syndrome. 吉利安-巴雷综合征的肌张力姿势。
IF 1.5 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2024-08-19 DOI: 10.1080/00207454.2024.2392120
Justin Thomas, Ruchika Tandon, Vinita Elizabeth Mani

Introduction: Here we report a child of Gullian Barre syndrome (GBS) with opisthotonic posturing and we subsequently detected Scrub typhus in him.

Case report: An 11-year-old boy presented with progressive motor quadriparesis with transient bladder retention, bilateral facial weakness, diminished gag reflex, absent reflexes and his nerve conduction studies suggested Acute Motor Axonal Neuropathy (AMAN) GBS. His power gradually started recovering after one week. However, he had opisthotonus and signs of meningeal irritation. The child's CSF examination was consistent with GBS. His bacterial, fungal, tubercular microscopy and cultures and viral markers were negative. IgM for Borrelia and Leptospira and HIV ELISA were negative. IgM for scrub typhus, however, came out to be positive. Hence, we gave him azithromycin and he recovered almost completely in 3 months.

Conclusions: To our knowledge there is no previous report of opisthotonic posturing in GBS patients. This could be due to radicular involvement in immune mediated etiology of GBS.

导言:我们在此报告了一名患有古利安巴雷综合征(GBS)并伴有张口肌张力障碍的儿童,随后我们在他体内发现了恙虫病:一名 11 岁男孩出现进行性运动性四肢瘫痪,伴有一过性膀胱潴留、双侧面部无力、吞咽反射减弱、反射消失,其神经传导检查提示为急性运动轴索神经病(AMAN)GBS。一周后,他的体力开始逐渐恢复。然而,他出现了肌张力不全和脑膜刺激征。患儿的脑脊液检查结果与 GBS 一致。细菌、真菌、结核菌显微镜检查和培养以及病毒标记均为阴性。波氏杆菌和钩端螺旋体的 IgM 以及 HIV ELISA 均为阴性。但恙虫病的 IgM 呈阳性。因此,我们给他服用了阿奇霉素,3 个月后他几乎完全康复:据我们所知,以前没有关于 GBS 患者出现张力性姿势的报道。这可能是由于免疫介导的 GBS 病因中的根状茎受累所致。
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引用次数: 0
Correction. 更正。
IF 1.5 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2024-11-13 DOI: 10.1080/00207454.2024.2410079
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引用次数: 0
期刊
International Journal of Neuroscience
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