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Unilateral Absence and Contralateral Communication Between Musculocutaneous and Median Nerve and Its Clinical Significance 单侧缺失及对侧肌皮神经与正中神经的连通性及其临床意义
Pub Date : 2023-02-28 DOI: 10.47363/jnrrr/2022(5)171
A. Bhingardeo, Mrudula Chandrupatla
Variations and Communications between the branches of different cords is not uncommon. Martin Gruber anastomosis, Berretini anastomosis and Cannieu and Riché anastomosis are few examples of such nerve communications. During routine anatomy dissection of axilla, in a 65 years old female cadaver, we found absence of musculocutaneous nerve in left upper limb. It was found that all the muscles of front of arm were supplied by median nerve on this side. When compared on the right side, there was one communication between musculocutaneous nerve and median nerve. This communicating branch was 75 mm long. All the muscles of anterior compartment of arm were supplied by MCN and the nerve continued afterwards as lateral cutaneous nerve of arm. The knowledge of such variations helps us in neurosurgeries like surgery for Neurofibromatosis. Orthopedic, general surgeons and neurosurgeons must consider the possibility of such variations in the surgery of arm and elbow. Surgeons who perform neurotization procedures of the musculocutaneous nerve to restore elbow flexion should be aware of these anatomical variations Cutting of such communicating branch can lead to altered mobility of limb.
不同声带分支之间的变异和交流并不罕见。Martin Gruber吻合术、Berretini吻合术和Cannieu - rich吻合术是这种神经通讯的少数例子。在对一具65岁女性尸体进行腋窝常规解剖时,我们发现左上肢肌皮神经缺失。我们发现,上臂前侧的所有肌肉都是由正中神经支配的。与右侧相比,肌皮神经和正中神经之间只有一条交通。这个相通的分支长75毫米。上肢前室的所有肌肉均由MCN支配,其神经延续为上肢外侧皮神经。对这些变异的了解有助于我们进行神经外科手术,比如神经纤维瘤病的手术。骨科、普通外科医生和神经外科医生必须考虑手臂和肘部手术中这种变化的可能性。实施肌肉皮神经化手术以恢复肘关节屈曲的外科医生应该意识到这些解剖变异,切断这种交流分支会导致肢体活动能力的改变。
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引用次数: 0
Gene Expression Changes in the Human Brain Upon Aging 随着年龄的增长,人类大脑中基因表达的变化
Pub Date : 2023-02-28 DOI: 10.47363/jnrrr/2022(5)169
Lilach Soreq
Aging is common to all living organisms including human. Very few studies so far focused on RNA expression changes in the human brain upon aging. In particular, I have analysed neuronal and glial cell type marker genes for differential expression based on exon microarray data from overall 1,234 postmortem individual brain samples (ages 16 to over 100) and 10 brain regions. I also quantified neurons and oligodendrocytes using high resolution imaging and machine learning analyses. My study yielded insights into cell type specific gene expression changes in aging in the human brain.
衰老是包括人类在内的所有生物的普遍现象。迄今为止,很少有研究关注衰老过程中人类大脑中RNA表达的变化。特别是,我分析了神经元和神经胶质细胞类型标记基因的差异表达基于外显子微阵列数据从总体1234个死后个体大脑样本(16岁至100岁以上)和10个大脑区域。我还使用高分辨率成像和机器学习分析来量化神经元和少突胶质细胞。我的研究对人类大脑衰老过程中细胞类型特异性基因表达的变化有了深入的了解。
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引用次数: 0
Ewing’s Sarcoma of the Craniovertebral Junction - A Rare Cause of Reversible Quadriplegia. A Case Report with a 10-year Review of Literature 颅椎交界处的尤文氏肉瘤——可逆性四肢瘫痪的罕见病因。一个病例报告和十年文献回顾
Pub Date : 2022-12-31 DOI: 10.47363/jnrrr/2022(4)167
S. Ganapathy, Adesh Jagadeesh
Ewing’s sarcoma is a rare cause of spinal compressive, myelopathy. Its presence in the craniovertebral junction is even rarer. The presence of both with reversable myelopathy after surgery makes this a truly rare and fortunate instance of prompt neurosurgical decompression coupled with judicious use of adjuvant therapy to affect the best possible results for the patient. We present our experience in this case mentioned later along with a 10-year review of literature regarding the incidence, distribution and presentation of cervical spinal Ewing’s sarcoma to further demonstrate the rare nature of this remarkable case report.
尤文氏肉瘤是一种罕见的脊髓压迫性脊髓病。它在颅椎交界处的出现更为罕见。手术后出现两种可逆性脊髓病,这是一个真正罕见的幸运的例子,及时的神经外科减压加上明智的辅助治疗,以影响患者的最佳结果。我们在此病例中提出我们的经验,并对颈椎尤文氏肉瘤的发病率、分布和表现进行了10年的文献回顾,以进一步证明这一罕见的病例报告。
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引用次数: 0
Perivascular or Virchow-Robin Spaces: A Microstructural Approach 血管周围或Virchow-Robin空间:显微结构方法
Pub Date : 2022-12-31 DOI: 10.47363/jnrrr/2022(4)165
Oscar Solis Salgado, A. B. Olivares
School of Medicine, Autonomous University of the State of Morelos, Cuernavaca, Morelos, Mexico
墨西哥莫雷洛斯州库埃纳瓦卡市莫雷洛斯州自治大学医学院
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引用次数: 0
Epileptic Manifestations, Pathophysiology and Imaging Characteristics of Non-Ketotic Hyperglycaemia: A Report of One Case with Irreversible Homonomous Hemianopia 非酮症高血糖的癫痫表现、病理生理及影像学特征:不可逆同型偏盲1例报告
Pub Date : 2022-12-31 DOI: 10.47363/jnrrr/2022(4)168
Diana Khedr, S. Alkhashan
Background: Focal seizures related to non-ketotic hyperglycemia (NKH) are rare in clinical practice. Plasma glucose levels are usually above 16.6 mmol/L and with normal or slightly elevated serum osmolality. The occurrence of focal seizures may be augmented by the absence of ketoacidosis. Electroencephalogram (EEG) during seizures usually confirms the diagnosis, however, the absence of epileptiform discharges does not rule out seizures. A non-ketotic hyperglycemiaassociated occipital lobe seizure can manifest itself as color flashes, blurry vision with periodic confusion, and usually resolves with insulin treatment and rehydration. Recently, seizures associated with nonketotic hyperglycemia have been found to be associated with subcortical T2 hypointensity on magnetic resonance imaging, especially in the occipital lobes. However, the mechanism remains unclear, although iron accumulation is suggested. Case Presentation: We present a case 41- year-old male patient who presented headache, left-sided visual disturbances in the form of seeing round, colored flickering lights with left homonymous hemianopia and occipital lobe seizures associated with nonketotic hyperglycemia found to have a blood glucose of 18 mmol/L with a normal anion gap of 10 and calculated serum osmolality of 303 mOsm/L. Magnetic resonance imaging (MRI) brain showed subcortical T2 and flair hypointensity due to iron accumulation .The patient’s visual disturbances and seizures responded to rehydration and insulin treatment. Conclusion: In conclusion, nonketotic hyperglycemia can be associated with occipital lobe seizures supporting the role of iron accumulation as a mechanism for subcortical T2 hypointensity in magnetic resonance imaging. Hyperglycemia should be taken into consideration when making an etiologic diagnosis of homonymous hemianopia.
背景:局灶性癫痫发作与非酮症高血糖症(NKH)在临床实践中是罕见的。血浆葡萄糖水平通常高于16.6 mmol/L,血清渗透压正常或轻微升高。由于没有酮症酸中毒,局灶性发作的发生可能会增加。癫痫发作期间的脑电图(EEG)通常证实诊断,然而,没有癫痫样放电不能排除癫痫发作。非酮症高血糖相关的枕叶癫痫发作可表现为颜色闪烁,视力模糊伴周期性混乱,通常通过胰岛素治疗和补液解决。最近,非酮症性高血糖相关的癫痫发作在磁共振成像上被发现与皮质下T2低信号有关,特别是在枕叶。然而,机制尚不清楚,尽管铁积累的建议。病例介绍:我们报告了一例41岁男性患者,其表现为头痛,左侧视觉障碍,左眼色光闪烁,伴有左半球偏视和枕叶癫痫发作,伴有非酮症性高血糖,发现血糖为18mmol /L,正常阴离子间隙为10,计算血清渗透压为303 mmol/L。磁共振成像(MRI)显示大脑皮层下T2和flair低信号,这是由于铁积累引起的。患者的视力障碍和癫痫发作对补液和胰岛素治疗有反应。结论:非酮症性高血糖可能与枕叶癫痫发作有关,支持铁积累作为磁共振成像皮层下T2低信号的机制。在进行同名性偏视的病因诊断时,应考虑到高血糖。
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引用次数: 0
Impotence and Lack of Sexual Desire, Their Relation to Patients with Diabetes 阳痿、性欲不足与糖尿病患者的关系
Pub Date : 2022-11-29 DOI: 10.47363/jnrrr/2022(4)166
I. Humaida
The main objective of this study was to investigate the prevalence of sexual disorders in diabetics, owing to diabetes constitutes a growing public health problem, leading to a variety of dysfunctions such as cardiovascular, psychological, and sexual dysfunctions, that is why Diabetes is a well-known cause of sexual disorders, with prevalence rates approaching 50% in both type 1 and type 2 diabetes, but the determinants of sex dysfunction in diabetic men as a result of the principal cardiovascular risk factors, such as hypertension, and also overweight obesity, in addition to metabolic syndrome, smoking, and sedentary lifestyles. Moreover, sexual disorders considered as important predictors of the development of major complaints in diabetic patients, on the other hand, the debate as to whether diabetes link with sexual dysfunction or not, is an issue of controversy, moreover, diabetic women suffer from the same neurovascular complications that contribute to the pathogenesis of SD in men, however, results of sexual functioning of diabetic women are less conclusive. Conclusion: extending beyond the specific effects on sexual dysfunction in men and women with diabetes, the adoption of these measures promotes a healthier life and increased well-being, which in turn, may help to reduce the burden of sexual dysfunction.
这项研究的主要目的是调查糖尿病患者中性功能障碍的流行情况,因为糖尿病构成了一个日益严重的公共卫生问题,导致各种功能障碍,如心血管、心理和性功能障碍,这就是为什么糖尿病是众所周知的性功能障碍的原因,1型和2型糖尿病的患病率接近50%。但糖尿病男性性功能障碍的决定因素是主要的心血管风险因素,如高血压,超重肥胖,以及代谢综合征,吸烟和久坐不动的生活方式。此外,性功能障碍被认为是糖尿病患者主要主诉发展的重要预测因素,另一方面,糖尿病是否与性功能障碍有关的争论是一个有争议的问题,而且,糖尿病女性患者与男性SD发病机制相同的神经血管并发症,但糖尿病女性患者性功能障碍的结果不太确定。结论:除了对男性和女性糖尿病患者性功能障碍的具体影响外,采取这些措施还可以促进更健康的生活,提高幸福感,从而有助于减轻性功能障碍的负担。
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引用次数: 0
Emphasizing the Main Factors Involved between the Green Zones Created Near the Natural Salted Lakes or Springs and the Treatment of Some Nervous System Disorders 强调在天然盐湖或温泉附近建立绿化带与某些神经系统疾病治疗之间的主要因素
Pub Date : 2022-10-31 DOI: 10.47363/jnrrr/2022(4)164
A. Ionescu, A. Casarica
In recent years, more and more data has become available about the benefits of green in and around towns and cities. Vegetation helps people to recover faster from illness; this reduces costs of healthcare and improves the patients’ quality of life. This aspect of introducing vegetation in and around hospitals is increasingly becoming a topic of focus in connection with the concept of a ‘healthy environment’. Since the creation of the first people’s parks, urban planners have been aware of the fact that vegetation enhances the quality of life for townspeople. Green areas are places where people can go for recreation and physical exercise or simply to find some peace and quiet. This benefits their health and reduces the stress levels of the average city dweller. A positive correlation exists between the amount of green in a person’s living environment and that person’s sense of safety. In highly urbanized locations, the design of green elements requires special attention. Our paper presents a multidisciplinary study of areas located near the old salt mines and their recovery by entering in the spa and leisure circuit. Specific components were monitored, like the salted waters quality in lakes and/or springs and in the selection of different plant species adapted to high salinity of the soil. According to studies conducted in Europe, the environment plays a crucial role in physical, mental and social development of the population. In recent years, the continuous degradation of environmental quality due to factors such as air pollution, noise, chemical compounds and disappearance of natural areas, in combination with lifestyle changes led to the emergence of a growing number of diseases such as different forms of diabetes, cardiovascular and nervous system disorders and cancer.
近年来,越来越多的数据显示,在城镇和城市内外,绿化的好处。植物帮助人们更快地从疾病中恢复;这降低了医疗保健成本,提高了患者的生活质量。在医院内部和周围引入植被的这一方面正日益成为与"健康环境"概念相关的焦点话题。自从第一批人民公园建立以来,城市规划者就意识到植被可以提高市民的生活质量。绿色区域是人们可以去娱乐和体育锻炼的地方,或者只是为了找到一些和平与宁静。这有利于他们的健康,并降低了普通城市居民的压力水平。一个人的生活环境中绿色的数量与这个人的安全感之间存在正相关关系。在高度城市化的地区,绿色元素的设计需要特别注意。我们的论文提出了一个多学科的研究,位于老盐矿附近的地区和他们的恢复进入温泉和休闲电路。监测了具体的组成部分,如湖泊和/或泉水的咸水质量,以及选择适应高盐度土壤的不同植物物种。根据在欧洲进行的研究,环境在人口的身体、心理和社会发展中起着至关重要的作用。近年来,由于空气污染、噪音、化合物和自然区域消失等因素导致环境质量不断恶化,再加上生活方式的改变,导致越来越多的疾病出现,如不同形式的糖尿病、心血管和神经系统疾病以及癌症。
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引用次数: 0
Temporality, Death in Pandemic and Gestalt Therapy 暂时性,流行病中的死亡和格式塔疗法
Pub Date : 2022-08-31 DOI: 10.47363/jnrrr/2022(4)162
Ornella Raymundo Villalva
Due to the impact of the pandemic, a development of existential crises is observed in the human being that makes him rethink his way of being and being in the world, all these changes, worldwide, have opened a contact with death and finitude of existence. Faced with this, fear of death, doubts about the meaning of life, the perception of restricted freedom are identified and places the human being in contact with his loneliness [1]. It mobilizes the foundations of everything that was taken for granted, everything that was held under control. However, it is known that sooner or later, the human being will find a way to adapt, to have creative adjustments to the new. Gecele and Francesetti stated that in these times (year 2020) many of the certainties, daily habits, routines and ways of living that were guaranteed are dissolving [2]. Both authors invite us to reflect on the “support”, opening questions such as what kind of support is necessary so as not to be dominated by fear? and comment on the dimension of individual insufficiency and the need of the other, as if in moments of in crisis, the person will need another with whom to bond and support himself, like a child who experiences strong pain and fear, looking for loving arms that can give him containment.
由于大流行的影响,人类观察到存在危机的发展,使他重新思考自己的存在方式和在世界上的存在方式,所有这些变化,在世界范围内,都开启了与死亡和存在的有限性的接触。面对这一点,对死亡的恐惧,对生命意义的怀疑,对自由受限的感知被识别出来,并使人类与他的孤独接触[1]。它调动了一切被认为是理所当然的东西,一切被控制的东西的基础。然而,众所周知,人类迟早会找到一种适应的方法,对新事物进行创造性的调整。Gecele和Francesetti指出,在这个时代(2020年),许多确定性、日常习惯、惯例和生活方式正在消失[2]。两位作者都邀请我们反思“支持”,并提出了一些问题,比如什么样的支持是必要的,这样才能不被恐惧所支配?并评论个人不足的维度和对他人的需求,就好像在危机时刻,这个人需要另一个人来联系和支持自己,就像一个经历强烈痛苦和恐惧的孩子,寻找爱的怀抱来包容他。
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引用次数: 0
Multicompartmental Giant Functional Pituitary Macroadenoma with Unexplained Refractory Dyselectrolytemias 多室巨大功能性垂体大腺瘤伴不明原因难治性电解质障碍
Pub Date : 2022-06-30 DOI: 10.47363/jnrrr/2022(4)159
Sashank Ayalasomayajula, G. Shingade, Yogesh Nene, S. Singha
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引用次数: 0
A Review of NeuroAiDTM II (MLC901) Development in Alzheimer’s Disease Treatment: Promises of A Multimodal Pathway NeuroAiDTM II (MLC901)在阿尔茨海默病治疗中的发展综述:一个多模式通路的承诺
Pub Date : 2022-06-30 DOI: 10.47363/jnrrr/2022(4)160
M. Dib, E. Ampil, Hoo Fan Kee, Y. Krespi, A. A. Mahdawi, S. Ogun, H. Pakdaman, K. Rejdak
Background: Alzheimer’s disease (AD) is a clinical and economic burden on society. Without new treatment, the impact of AD on society could triple by 2050. Aim: After a brief overview of treatments and challenges of new drug developments for AD, we reviewed the preclinical and clinical development program of NeuroAiD (MLC901, MLC601). Method: A literature search was conducted by using different web sources. The initial screening was based on keywords contained in the subtitles of each corresponding paragraphs of this article. We sorted the reviewed publications by relevance and publication date selecting 74 references out of the 319 initially shortlisted for review. Review: Since 1998, only symptomatic drugs were marketed. Intensive research has continued, aimed at delaying the onset of the disease and/or slowing its progression. However, the predictive value of delaying the onset of AD remains debated. Since 2003, aducanumab is the first new treatment approved and registered by US-FDA as an amyloid beta-directed antibody indicated for the treatment of Alzheimer’s disease under post-marketing conditions. Traditional medicines (TM) have shown interesting results, but many of TM clinical studies leave much to be desired from a methodological point of view. Among TM, NeuroAiD (MLC901/601), a botanical-derived combination, acts in a multimodal pathway combining neuroprotective and neuroregenerative properties. It has demonstrated sustained symptomatic benefits, slowing the disease progression in AD with a good safety profile. Discussion/Conclusions: The discovery of treatments preventing or slowing down the disease progression, are necessary to get reliable diagnostic tools to confirm AD diagnosis, and follow its evolution and long-term therapy. A growing consensus is emerging on the need for a multi-factorial approach to the treatment and the development of suitable AD drug combinations. Such an approach has been that of TM for a long time. This is the case for NeuroAiD, that it may be integrated safely either after symptomatic treatments have failed or on top of symptomatic treatments.
背景:阿尔茨海默病(AD)是一个临床和社会经济负担。如果没有新的治疗方法,到2050年,阿尔茨海默病对社会的影响可能会增加两倍。目的:在简要概述AD新药开发的治疗方法和挑战后,我们回顾了NeuroAiD (MLC901, MLC601)的临床前和临床开发计划。方法:利用不同的网络资源进行文献检索。最初的筛选是基于本文每个相应段落的字幕中包含的关键词。我们根据相关性和出版日期对被评审的出版物进行了排序,从最初入围的319篇文献中选择了74篇进行评审。回顾:自1998年以来,只有对症药物上市。深入的研究仍在继续,旨在延缓疾病的发病和/或减缓其进展。然而,延迟阿尔茨海默病发病的预测价值仍然存在争议。自2003年以来,aducanumab是美国fda批准和注册的首个新疗法,作为一种淀粉样蛋白定向抗体,在上市后条件下用于治疗阿尔茨海默病。传统药物(TM)已经显示出有趣的结果,但是从方法学的角度来看,许多TM临床研究还有很多需要改进的地方。在TM中,NeuroAiD (MLC901/601)是一种植物衍生的组合药物,通过多模式途径结合神经保护和神经再生特性发挥作用。它已经证明了持续的症状益处,减缓了阿尔茨海默病的疾病进展,并具有良好的安全性。讨论/结论:发现预防或减缓疾病进展的治疗方法,获得可靠的诊断工具以确认AD的诊断,并跟踪其演变和长期治疗是必要的。越来越多的共识正在形成,需要多因素的方法来治疗和开发合适的阿尔茨海默病药物组合。长期以来,这种方法就是TM的方法。这就是NeuroAiD的情况,它可以在对症治疗失败后或在对症治疗之上安全地整合。
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引用次数: 0
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Journal of Neurology Research Reviews & Reports
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