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Single-cell analysis of gene expression in the substantia nigra pars compacta of a pesticide-induced mouse model of Parkinson’s disease 农药诱导的帕金森病小鼠模型黑质致密部基因表达的单细胞分析
IF 2.1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1101/2022.02.18.481079
Arshad H. Khan, Lydia K. Lee, Desmond J. Smith
Abstract Exposure to pesticides in humans increases the risk of Parkinson’s disease (PD), but the mechanisms remain poorly understood. To elucidate these pathways, we dosed C57BL/6J mice with a combination of the pesticides maneb and paraquat. Behavioral analysis revealed motor deficits consistent with PD. Single-cell RNA sequencing of substantia nigra pars compacta revealed both cell-type-specific genes and genes expressed differentially between pesticide and control, including Fam241b, Emx2os, Bivm, Gm1439, Prdm15, and Rai2. Neurons had the largest number of significant differentially expressed genes, but comparable numbers were found in astrocytes and less so in oligodendrocytes. In addition, network analysis revealed enrichment in functions related to the extracellular matrix. These findings emphasize the importance of support cells in pesticide-induced PD and refocus our attention away from neurons as the sole agent of this disorder.
人类暴露于农药会增加帕金森病(PD)的风险,但其机制尚不清楚。为了阐明这些途径,我们给C57BL/6J小鼠注射了农药马草和百草枯的组合。行为分析显示运动缺陷与PD一致。对黑质致密部单细胞RNA测序发现了细胞类型特异性基因和农药与对照差异表达基因,包括Fam241b、Emx2os、Bivm、Gm1439、Prdm15和Rai2。神经元中显著差异表达基因的数量最多,但星形胶质细胞中差异表达基因的数量相当,少突胶质细胞中差异表达基因的数量较少。此外,网络分析显示与细胞外基质相关的功能富集。这些发现强调了支持细胞在农药诱导PD中的重要性,并将我们的注意力从神经元作为这种疾病的唯一因素重新集中起来。
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引用次数: 1
Pre-ischemic exercise prevents inflammation and apoptosis by inhibiting MAPK pathway in ischemic stroke. 缺血前运动通过抑制MAPK通路预防缺血性卒中的炎症和细胞凋亡。
IF 2.1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1515/tnsci-2022-0268
Zhen-Kun Gao, Xin-Ya Shen, Yu Han, Yi-Sha Guo, Kai Li, Xia Bi

Introduction: Mitogen-activated protein kinase (MAPK) pathway is a major mechanism of acute brain damage in ischemic stroke. Pre-ischemic exercise is an effective method to reduce ischemic injury. However, the regulation by pre-ischemic exercise of MAPK pathway and associated mechanisms in animal models remains unclear.

Materials and methods: In this study, Male SD rats were randomly divided into sham group, middle cerebral artery occlusion (MCAO) group, and exercise plus MCAO (EX + MCAO) group for 21 days, and then was established by MCAO. Longa score was used to measure neurological deficits at 0, 1, 2, and 3 days after MCAO. Hematoxylin and eosin staining was used to observe the brain injury. The expression of MAPK pathway was quantified by western blot. The M1 microglia protein was quantified by western blot and immunofluorescence, and the level of inflammatory factor was measured by enzyme-linked immunosorbent assay. TUNEL staining and western blot were used to measure apoptosis.

Results: In the current study, we observed that pre-ischemic exercise effectively decreased infarct volume, neurological deficit score and brain injury in MCAO rats through suppressing the activation of p-JNK and p-ERK1/2. Further investigation revealed that pre-ischemic exercise decreased M1 microglia activation and the serum level of TNF-α and IL-1β. In addition, the increased number of TUNEL-positive cells and Bax/Bcl-2 ratio also were reversed by pre-ischemic exercise.

Conclusions: Pre-ischemic exercise can alleviate inflammatory response and apoptosis by inhibiting the MAPK pathway in MCAO rats.

丝裂原活化蛋白激酶(MAPK)通路是缺血性脑卒中急性脑损伤的一个重要机制。缺血前运动是减轻缺血性损伤的有效方法。然而,在动物模型中,缺血前运动对MAPK通路的调控及其相关机制尚不清楚。材料与方法:本研究将雄性SD大鼠随机分为假手术组、大脑中动脉闭塞(MCAO)组和运动+ MCAO (EX + MCAO)组,观察21 d,然后用MCAO建立。使用Longa评分测量MCAO后0、1、2和3天的神经功能缺损。采用苏木精、伊红染色观察脑损伤。western blot检测MAPK通路的表达。western blot和免疫荧光法测定M1小胶质细胞蛋白,酶联免疫吸附法测定炎症因子水平。TUNEL染色和western blot检测细胞凋亡。结果:在本研究中,我们发现缺血前运动可通过抑制p-JNK和p-ERK1/2的激活,有效降低MCAO大鼠的梗死面积、神经功能缺损评分和脑损伤。进一步研究发现,缺血前运动可降低M1小胶质细胞的活化和血清中TNF-α和IL-1β的水平。此外,缺血前运动也逆转了tunel阳性细胞数量和Bax/Bcl-2比值的增加。结论:缺血前运动可通过抑制MAPK通路减轻MCAO大鼠的炎症反应和细胞凋亡。
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引用次数: 0
Mild acute stress prevents the memory impairment induced by long-term isoflurane anesthesia. 轻度急性应激可预防长期异氟醚麻醉引起的记忆损伤。
IF 2.1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1515/tnsci-2022-0261
Tiantian Liu, Yutong Dai, Minhui Xu, Ying Chen, Tianjiao Xia, Xin Zhao

Objectives: Long-term isoflurane anesthesia exposure could result in postoperative cognitive dysfunction (POCD). Preoperative stress is also reported to be a risk factor of POCD. However, it is unknown whether acute stress could impair memory after long-term isoflurane anesthesia.

Methods: In this study, we categorized the mice with acute stress into mild (30 min restraint stress), moderate (60 min restraint stress), and severe (120 min restraint stress) stress groups and then we used Open-Field Test (OFT) to detect whether different scales of acute restraint stress successfully induced acute stress in mice. The memory performance of mice was measured using contextual and cued memory test, and the brain-derived neurotrophic factor protein levels of hippocampus was detected by Western blot.

Results: We verified that mild stress has pro-cognitive effect, but severe stress has amnestic effect. Moreover, we found that mild and moderate other than severe acute stress could partially attenuate the memory impairment induced by long-term isoflurane anesthesia.

Conclusion: Mild and moderate acute stress could partially attenuate the memory impairment induced by long-term isoflurane anesthesia.

目的:长期异氟醚麻醉可导致术后认知功能障碍(POCD)。术前压力也是POCD的一个危险因素。然而,急性应激是否会损害长期异氟醚麻醉后的记忆尚不清楚。方法:本研究将急性应激小鼠分为轻度(30 min约束应激)、中度(60 min约束应激)和重度(120 min约束应激)应激组,采用Open-Field Test (OFT)检测不同程度的急性约束应激是否成功诱导小鼠急性应激。采用情境记忆法和线索记忆法测定小鼠的记忆表现,采用Western blot法检测海马脑源性神经营养因子蛋白水平。结果:我们验证了轻度应激对认知有促进作用,而重度应激对遗忘有促进作用。此外,我们发现轻度和中度急性应激可部分减轻长期异氟醚麻醉引起的记忆障碍。结论:轻、中度急性应激可部分减轻长期异氟醚麻醉所致的记忆障碍。
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引用次数: 0
Longitudinal PET studies of mGluR5 in FXS using an FMR1 knockout mouse model 使用FMR1敲除小鼠模型对FXS中的mGluR5进行纵向PET研究
IF 2.1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1515/tnsci-2022-0217
S. Afshar, S. Lule, Gengyang Yuan, Xiying Qu, C. Pan, M. Whalen, A. Brownell, M. Mody
Abstract Fragile X syndrome (FXS) is a monogenic disorder characterized by intellectual disability and behavioral challenges. It is caused by aberrant methylation of the fragile X mental retardation 1 (FMR1) gene. Given the failure of clinical trials in FXS and growing evidence of a role of metabotropic glutamate subtype 5 receptors (mGluR5) in the pathophysiology of the disorder, we investigated mGluR5 function in FMR1 Knockout (FMR1-KO) mice and age- and sex-matched control mice using longitudinal positron emission tomography (PET) imaging to better understand the disorder. The studies were repeated at four time points to examine age- and disease-induced changes in mGluR5 availability using 3-fluoro-[18F]5-(2-pyridinylethynyl)benzonitrile ([18F]FPEB). We found that the binding potential (BP) of [18F]FPEB was significantly lower in the KO mice in mGluR5-implicated brain areas including striatum, cortex, hippocampus, thalamus, and olfactory bulb. The BP also changed with age, regardless of disorder status, increasing in early adulthood in male but not in female mice before decreasing later in both sexes. The difference in mGluR5 availability between the FMR1-KO and control mice and the change in BP in the KO mice as a function of age and sex illustrate the nature of the disorder and its progression, providing mechanistic insights for treatment design.
脆性X综合征(Fragile X syndrome, FXS)是一种以智力障碍和行为障碍为特征的单基因疾病。它是由脆性X智力迟钝1 (FMR1)基因的异常甲基化引起的。鉴于FXS的临床试验失败,以及越来越多的证据表明代谢性谷氨酸亚型5受体(mGluR5)在FMR1敲除(FMR1- ko)小鼠和年龄和性别匹配的对照小鼠中的作用,我们利用纵向正电子发射断层扫描(PET)成像研究了mGluR5在FMR1敲除(FMR1- ko)小鼠和对照组小鼠中的功能,以更好地了解FXS。在四个时间点重复研究,使用3-氟-[18F]5-(2-吡啶乙基)苯腈([18F]FPEB)检查年龄和疾病引起的mGluR5可用性变化。我们发现KO小鼠在与mglur5相关的大脑区域,包括纹状体、皮质、海马、丘脑和嗅球,[18F]FPEB的结合电位(BP)显著降低。血压也随着年龄的增长而变化,与疾病状态无关,雄性小鼠在成年早期升高,而雌性小鼠没有升高,随后雌雄小鼠均下降。FMR1-KO小鼠与对照小鼠之间mGluR5可用性的差异以及KO小鼠血压随年龄和性别的变化说明了疾病的性质及其进展,为治疗设计提供了机制见解。
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引用次数: 3
Factors influencing recovery of upper limb motor function during constraint-induced movement therapy for people with stroke. 脑卒中患者约束诱导运动治疗中影响上肢运动功能恢复的因素。
IF 2.1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1515/tnsci-2022-0260
Auwal Abdullahi, Bishir Sabo, Umaru Muhammad Badaru, Wim Saeys, Steven Truijen

Objective: The aim of this study is to determine the personal and clinical factors that can predict recovery of motor function in people with stroke.

Methods: Characteristics of the study participants such as age, sex, time since stroke and type of stroke, motor function, shoulder pain, amount and quality of use of the affected limb in the real world, wrist and elbow spasticity, handedness, central post-stroke pain and dose of massed practice were recorded. The data obtained were analyzed using descriptive statistics and multiple regression.

Results: A total of 144 patients with stroke with mean age, 58.71 ± 19.90 years participated in the study. The result showed that, the whole model significantly explained the total variance by 88.4%, F(14, 144) = 32.870, R 2 = 0. 0.781, p < 0.001. However, in the final model, only four independent variables in the order of degree of predictability, amount of use of the limb in the real world (Beta = 0.455, p = 0.003), intensity of practice during rehabilitation session (Beta = 0.321, p < 0.001), wrist spasticity (Beta = 0.148, p = 0.004) and side affected (Beta = 0.093, p = 0.033) significantly predicted recovery of motor function.

Conclusion: Encouraging the use of the limb in the real world may be more important than practice during rehabilitation session in the clinic or in the laboratory.

目的:本研究的目的是确定预测脑卒中患者运动功能恢复的个人和临床因素。方法:记录研究对象的年龄、性别、中风时间和中风类型、运动功能、肩部疼痛、实际使用患肢的数量和质量、手腕和肘部痉挛、惯用手、中风后中枢性疼痛和大量练习的剂量等特征。所得资料采用描述性统计和多元回归分析。结果:共144例脑卒中患者参与研究,平均年龄58.71±19.90岁。结果表明,整个模型显著解释了总方差的88.4%,F(14,144) = 32.870, r2 = 0。0.781, p < 0.001。然而,在最终的模型中,只有四个自变量按照可预测性的顺序,分别是肢体在现实世界中的使用量(Beta = 0.455, p = 0.003)、康复期间的练习强度(Beta = 0.321, p < 0.001)、手腕张力(Beta = 0.148, p = 0.004)和侧患(Beta = 0.093, p = 0.033)显著预测运动功能的恢复。结论:鼓励在现实世界中使用肢体可能比在诊所或实验室的康复过程中练习更重要。
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引用次数: 1
Fronto-parietal single-trial brain connectivity benefits successful memory recognition. 额顶叶单次大脑连接有利于成功的记忆识别。
IF 2.1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1515/tnsci-2022-0265
Soyeon Jun, Yihyun Joo, Youjin Sim, Chuyun Pyo, Keunsoo Ham
Abstract Successful recognition has been known to produce distinct patterns of neural activity. Many studies have used spectral power or event-related potentials of single recognition-specific regions as classification features. However, this does not accurately reflect the mechanisms behind recognition, in that recognition requires multiple brain regions to work together. Hence, classification accuracy of subsequent memory performance could be improved by using functional connectivity within memory-related brain networks instead of using local brain activity as classifiers. In this study, we examined electroencephalography (EEG) signals while performing a word recognition memory task. Recorded EEG signals were collected using a 32-channel cap. Connectivity measures related to the left hemispheric fronto-parietal connectivity (P3 and F3) were found to contribute to the accurate recognition of previously studied memory items. Classification of subsequent memory outcome using connectivity features revealed that the classifier with support vector machine achieved the highest classification accuracy of 86.79 ± 5.93% (mean ± standard deviation) by using theta (3–8 Hz) connectivity during successful recognition trials. The results strongly suggest that highly accurate classification of subsequent memory outcome can be achieved by using single-trial functional connectivity.
众所周知,成功的识别会产生不同的神经活动模式。许多研究使用单个识别特定区域的光谱功率或事件相关电位作为分类特征。然而,这并不能准确反映识别背后的机制,因为识别需要多个大脑区域共同工作。因此,使用与记忆相关的大脑网络的功能连接来代替局部大脑活动作为分类器,可以提高后续记忆表现的分类准确性。在这项研究中,我们在执行单词识别记忆任务时检测脑电图(EEG)信号。使用32通道帽收集记录的脑电图信号。发现与左半球额顶叶连接(P3和F3)相关的连通性测量有助于准确识别先前研究的记忆项目。使用连接特征对后续记忆结果进行分类表明,在成功的识别试验中,使用theta (3-8 Hz)连接的支持向量机分类器的分类准确率最高,为86.79±5.93%(均值±标准差)。结果强烈表明,使用单次功能连接可以实现对后续记忆结果的高度准确分类。
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引用次数: 0
Brain and gut microbiota disorders in the psychopathology of anorexia nervosa. 神经性厌食症精神病理中的脑和肠道微生物群紊乱。
IF 2.1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1515/tnsci-2022-0267
Mercedes Garcia-Gil, Maria Rachele Ceccarini, Fabrizio Stoppini, Samuela Cataldi, Claudia Mazzeschi, Elisa Delvecchio, Elisabetta Albi, Giulia Gizzi

Studies of pathophysiological mechanisms involved in eating disorders (EDs) have intensified over the past several years, revealing their unprecedented and unanticipated complexity. Results from many articles highlight critical aspects in each member of ED family. Notably, anorexia nervosa (AN) is a disorder due to undefined etiology, frequently associated with symptoms of depression, anxiety, obsessive-compulsiveness, accompanied by endocrine alterations, altered immune response, increased inflammation, and dysbiosis of the gut microbiota. Hence, an advanced knowledge of how and why a multisystem involvement exists is of paramount importance to understand the pathogenetic mechanisms of AN. In this review, we describe the change in the brain structure/function focusing on hypothalamic endocrine disorders and the disequilibrium of gut microbiota in AN that might be responsible for the psychopathological complication.

在过去的几年里,对饮食失调(EDs)的病理生理机制的研究不断加强,揭示了其前所未有的和意想不到的复杂性。许多文章的结果强调了ED家族每个成员的关键方面。值得注意的是,神经性厌食症(AN)是一种病因不明的疾病,通常与抑郁、焦虑、强迫症症状相关,并伴有内分泌改变、免疫反应改变、炎症增加和肠道微生物群生态失调。因此,了解如何以及为什么存在多系统参与的先进知识对于理解an的发病机制至关重要。在这篇综述中,我们描述了可能导致AN精神病理并发症的大脑结构/功能的变化,重点是下丘脑内分泌紊乱和肠道微生物群的不平衡。
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引用次数: 1
Molecular recognition of the interaction between ApoE and the TREM2 protein ApoE与TREM2蛋白相互作用的分子识别
IF 2.1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1515/tnsci-2022-0218
Z. Mai, Wenyan Wei, Haibing Yu, Yongze Chen, Yongxiang Wang, Yuanlin Ding
Abstract Alzheimer’s disease (AD) is the most common type of dementia. The ε4 allele of the apolipoprotein E (ApoE) gene is the strongest known genetic risk factor for late-onset AD. Triggering receptor expressed on myeloid cells 2 (TREM2) is another important risk factor affecting the AD process after ApoE. Emerging evidence has identified TREM2 as a putative receptor for ApoE, raising the possibility that interactions between ApoE and TREM2 modulate the pathogenesis of AD. In this study, we performed molecular docking and molecular dynamics (MD) analyses to characterize the ApoE–TREM2 interaction and further investigated the effect of the major TREM2 disease-associated mutation (R47H) on the affinity of TREM2 for ApoE. The results indicate that the binding energy between ApoE and TREM2 occurs in an isoform-dependent manner with the following potency rank order: ApoE4 > ApoE3 > ApoE2. In addition, the R47H mutant reduced the interaction between ApoE and TREM2 protein, which may be attributed to decreased hydrogen-bonding interactions, hydrophobic interactions, and electrostatic forces between ApoE and TREM2. Our study analyzed the molecular pattern of the interactions between ApoE and TREM2 and how the variants affect these interactions based on in silico modeling, and the results might help to elucidate the interaction mechanism between ApoE and TREM2. Additional experimental studies will be needed to verify and explore the current findings.
阿尔茨海默病(AD)是最常见的痴呆症类型。载脂蛋白E (ApoE)基因的ε4等位基因是已知的迟发性AD最强的遗传危险因素。髓样细胞触发受体表达2 (TREM2)是继ApoE之后影响AD进程的另一个重要危险因素。新出现的证据已经确定TREM2可能是ApoE的受体,这提高了ApoE和TREM2之间相互作用调节AD发病机制的可能性。在这项研究中,我们通过分子对接和分子动力学(MD)分析来表征ApoE - TREM2的相互作用,并进一步研究了TREM2主要疾病相关突变(R47H)对TREM2对ApoE亲和力的影响。结果表明,ApoE与TREM2之间的结合能呈同型依赖性,其效价顺序为:ApoE4 > ApoE3 > ApoE2。此外,R47H突变体减少了ApoE与TREM2蛋白之间的相互作用,这可能是由于ApoE与TREM2之间的氢键相互作用、疏水相互作用和静电力的减少。本研究基于计算机模拟分析了ApoE与TREM2相互作用的分子模式以及变异如何影响这些相互作用,结果可能有助于阐明ApoE与TREM2相互作用的机制。需要更多的实验研究来验证和探索目前的发现。
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引用次数: 3
A rare giant intracranial arachnoid cyst confused the diagnosis and treatment of Wilson disease 一个罕见的巨大颅内蛛网膜囊肿混淆了威尔逊氏病的诊断和治疗
IF 2.1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1515/tnsci-2022-0213
Z. Wenbin, Huang Yeqing, Liu Aiqun, Hong Mingfan, Wei Zhisheng
Abstract Background Hepatolenticular degeneration (HLD), also known as Wilson disease (WD), is a rare autosomal-recessive hereditary disease, which is often missed and misdiagnosed because of its various clinical manifestations. And WD is even more rare with giant subarachnoid cysts. In this report, we will provide a case of WD with an intracranial arachnoid cyst (IAC). Case description A 27-year-old woman was hospitalized in a traditional Chinese medicine hospital in Guangzhou with the first manifestation of a “slight involuntary tremor of her left upper limb”. There was no improvement after acupuncture treatment, and then she was transferred to another large general hospital in Guangzhou. MRI examination of the head showed “left frontal, parietal and temporal giant subarachnoid cyst” and the patient underwent “left frontotemporal arachnoid cyst celiac shunt operation.” After the operation, the patient’s left limb shaking remained unchanged. Subsequently, the patient was referred to another big hospital in Guangzhou, considered “Parkinson’s disease,” and given “Medopa, Antan” and other treatments. However, the patient’s limb shaking continued to increase and gradually developed to the extremities. At last, the patient was referred to our hospital, combined with the medical history, neurological signs, and auxiliary examination results, improve the examination of corneal K-F ring, blood ceruloplasmin, gene screening, and other tests; the diagnosis was confirmed as hepatolenticular degeneration. Conclusion After expelling copper and symptomatic treatment, the condition is improved.
肝豆状核变性(HLD)又称Wilson病(WD),是一种罕见的常染色体隐性遗传性疾病,因其临床表现多样,常被漏诊和误诊。伴有巨大蛛网膜下腔囊肿的WD更为罕见。在本报告中,我们将提供一例WD合并颅内蛛网膜囊肿(IAC)。病例描述一名27岁女子在广州一家中医院住院,首次表现为“左上肢轻微不自主震颤”。经针灸治疗无好转,转院至广州另一家大型综合医院。头部MRI检查示“左侧额、顶叶及颞叶巨大蛛网膜下腔囊肿”,行“左侧额颞叶蛛网膜囊肿腹腔分流术”。术后患者左肢体震颤无明显变化。随后,患者被转诊到广州另一家大医院,被认为是“帕金森氏症”,并接受了“美多帕、安坦”等治疗。但患者肢体抖动持续增加,并逐渐向四肢发展。最后将患者转诊至我院,结合病史、神经学体征及辅助检查结果,完善角膜K-F环、血铜蓝蛋白、基因筛查等检查;诊断为肝豆状核变性。结论经排铜及对症治疗后,病情得到改善。
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引用次数: 0
Ischemic stroke following STA–MCA double bypass STA-MCA双搭桥术后缺血性卒中
IF 2.1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1515/tnsci-2022-0211
Haijun Zhao, Xiaoguang Tong, Xu Wang, Maohua Ding, Kaiwen Zhang
Abstract Objectives The surgical technique of STA–MCA double bypass is used to improve blood flow supplied by the distal middle cerebral artery (MCA) to the cerebral territory. This retrospective study from a single center aimed to compare the outcomes following STA–MCA double bypass in 12 patients with recurrent ischemic stroke. Materials and methods We retrospectively analyzed the data from patients with internal carotid artery occlusion (ICAO) who had undergone STA–MCA double bypass in our center from January 2016 to December 2020. The surgical indications, evaluation of circle of Willis (CoW), changes in cerebral hemodynamic, surgical results, and follow-up results were analyzed. Results Post-operative perfusion-weighted imaging showed hemodynamic improvement in all 12 patients. Ten patients (83.33%) showed clinical improvement, and 2 patients (16.67%) had stable disease. No intracranial infections or acute ischemic events occurred. The post-operative National Institutes of Health Stroke Scale score and modified Barther scores were significantly improved after 180 days of follow-up. Twenty three (96%) anastomoses maintain patency of their bypass vessels, and none had recurrent cerebral infarction during a minimum of 36 months follow-up. Conclusion In this small study, in patients with recurrent ischemic stroke without other types of treatment, STA–MCA double bypass surgery was more effective in the subgroup of patients with ICAO and poor blood supply to the CoW and an area of cerebral hypoperfusion that exceeded the area supplied by the MCA.
摘要目的采用STA-MCA双旁路手术技术改善大脑中动脉远端向大脑区域供血。本回顾性研究旨在比较12例复发性缺血性卒中患者STA-MCA双旁路治疗的结果。材料与方法回顾性分析2016年1月至2020年12月在我中心行STA-MCA双旁路治疗的颈内动脉闭塞(ICAO)患者的资料。分析手术适应证、威利斯环(CoW)评估、脑血流动力学变化、手术结果及随访结果。结果12例患者术后灌注加权显像均显示血流动力学改善。临床好转10例(83.33%),病情稳定2例(16.67%)。无颅内感染或急性缺血事件发生。术后美国国立卫生研究院卒中量表评分和改良Barther评分在随访180天后均有显著提高。在至少36个月的随访中,23例(96%)吻合者保持其旁路血管通畅,没有一例复发性脑梗死。结论在这项小型研究中,在没有其他类型治疗的复发性缺血性脑卒中患者中,STA-MCA双搭桥手术对ICAO、CoW血供差、脑灌注不足面积超过MCA供血面积的患者亚组更有效。
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引用次数: 3
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Translational Neuroscience
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