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Effect of Nucleus Basalis Magnocellularis Lesions on Memory and Hippocampal Brain-Derived Neurotrophic Factor, IL-1β, Glucose, and Corticosterone Levels in Adult Rats 大鼠延髓基底核损伤对记忆和海马神经营养因子、IL-1β、葡萄糖和皮质酮水平的影响
Pub Date : 2021-03-27 DOI: 10.34172/icnj.2021.15
Nasrin Hosseini, M. Radahmadi, H. Alaei, S. Nadjafi
Background: The nucleus basalis magnocellularis (NBM) sends projections to the hippocampus that are implicated in learning and memory formation. Despite ample evidence proposing that cognitive function impairment related to neurodegeneration, it may result from alteration of biochemical substances. We aimed to investigate the effects of NBM lesions on the hippocampal interleukin-1beta (IL-1β), brain-derived neurotrophic factor (BDNF), and corticosterone levels, as inflammation markers, and hallmarks of neurodegeneration, stress, and metabolic status. Methods: Thirty-six male Wistar rats were randomly put in control, sham, and NBM-lesioned groups. After inducing the lesion using an intra-NBM injection of 10 μg ibotenic acid (5 μg/μL, each side) in rats, memory was estimated using the passive avoidance test. Moreover, serum and hippocampal IL-1β levels, as well as the hippocampal corticosterone, BDNF, and glucose levels were measured after 42 days. Results: Findings indicated a significant impairment of retention at different intervals in the NBM-lesioned group. BDNF decreased whereas corticosterone, glucose, and IL-1β levels increased in the hippocampus. Also, the levels of serum IL-1β, hippocampal BDNF, corticosterone, and glucose had significant correlations with hippocampal IL-1β levels. Conclusion: The synchronous alterations of some hippocampal factors, including BDNF, corticosterone, IL-1β, and glucose, caused by NBM lesion suggest that their interaction might play a significant role in neurodegeneration and relevant learning and memory impairments.
背景:大细胞基底核(NBM)向海马发送与学习和记忆形成有关的投射。尽管有大量证据表明认知功能障碍与神经退行性变有关,但它可能是由生物化学物质的改变引起的。我们的目的是研究NBM病变对海马白介素-1β (IL-1β)、脑源性神经营养因子(BDNF)和皮质酮水平的影响,这些水平是炎症标志物,也是神经变性、应激和代谢状态的标志。方法:36只雄性Wistar大鼠随机分为对照组、假手术组和nbm损伤组。大鼠脑内注射10 μg伊博腾酸(5 μg/μL,每侧)诱导损伤后,采用被动回避试验评估记忆。此外,42天后测定血清和海马IL-1β水平,以及海马皮质酮、BDNF和葡萄糖水平。结果:nbm损伤组在不同时间间隔内保持力明显受损。海马区BDNF降低,皮质酮、葡萄糖和IL-1β水平升高。此外,血清IL-1β、海马BDNF、皮质酮和葡萄糖水平与海马IL-1β水平有显著相关性。结论:NBM病变引起的海马BDNF、皮质酮、IL-1β、葡萄糖等因子的同步改变提示它们的相互作用可能在神经退行性变及相关的学习记忆障碍中起重要作用。
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引用次数: 0
Executive Function Assessment in Patients With Idiopathic Generalized Epilepsy: Applyingthe Frontal Assessment Battery 应用正面评估组对特发性全身性癫痫患者执行功能的评估
Pub Date : 2021-03-27 DOI: 10.34172/icnj.2021.17
Marjan Asadollahi, Mahrooz Roozbeh, Amin Edalatkhah, Mehrdad Roozbeh, Nasim Mirzaei, M. Rostami, Leila Simani
Background: Executive dysfunction is seen in idiopathic generalized epilepsy (IGE). The Frontal Assessment Battery (FAB) is a short neuropsychological instrument designed in clinical settings to evaluate frontal lobe activity. We aimed to assess the clinical use of FAB in patients with IGE for to detect executive impairment. Method: In this study, 30 patients with IGE and 30 age- and sex-matched healthy controls were included. The presence and severity of executive dysfunction was investigated with FAB. Cognitive flexibility, decision making, working memory, and general intelligence level were examined using Wisconsin Card Sorting Task (WCST), Iowa Gambling Task (IGT), N-back, and Wechsler Adult Intelligence Scale, respectively. In patients with IGE, FAB results were related to their neuropsychological task performance. Results: The FAB score in patients with IGE was significantly lower compared to healthy participants. In motor programming tasks, patients with IGE performed substantially worse. However, no correlation was found between FAB and neuropsychological task and clinical characteristics. Conclusion: Executive dysfunction was present in patients with IGE and FAB may be used in these patients as an effective tool for evaluating frontal lobe function.
背景:执行功能障碍见于特发性全身性癫痫(IGE)。额叶评估电池(FAB)是一个短的神经心理学仪器设计在临床设置评估额叶活动。我们的目的是评估FAB在IGE患者中用于检测执行功能障碍的临床应用。方法:本研究纳入30例IGE患者和30例年龄、性别匹配的健康对照。用FAB检测执行功能障碍的存在和严重程度。采用威斯康辛卡片分类任务(WCST)、爱荷华赌博任务(IGT)、N-back和韦氏成人智力量表分别考察认知灵活性、决策能力、工作记忆和一般智力水平。在IGE患者中,FAB结果与其神经心理任务表现有关。结果:IGE患者的FAB评分明显低于健康人。在运动编程任务中,IGE患者的表现明显更差。然而,FAB与神经心理任务和临床特征没有相关性。结论:IGE患者存在执行功能障碍,FAB可作为评估患者额叶功能的有效工具。
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引用次数: 1
COVID-19; Neurological Findings in Five Pediatric Patients COVID-19;5例儿科患者的神经学表现
Pub Date : 2021-03-27 DOI: 10.34172/icnj.2021.20
J. Akhondian, Farrokh Seilanian Toosi, F. Ashrafzadeh, Narges Hashemi, Nazanin Saeedi Zand
Neurological involvement in COVID-19 infection is increasing all over the world. Neurological manifestations include headache, dizziness, stroke, seizure, encephalopathy, neuropathy, and skeletal muscle injury. While many patients with CNS involvement have normal neuroimaging, the others reveal significant abnormalities. In this article, we report four patients with neurological manifestations of the Covid-19 infection and its relevant abnormalities in brain magnetic resonance imaging.
新冠肺炎感染的神经系统参与在世界各地都在增加。神经系统表现包括头痛、头晕、中风、癫痫发作、脑病、神经病变和骨骼肌损伤。虽然许多中枢神经系统受累的患者神经影像学正常,但其他患者则显示出明显的异常。在这篇文章中,我们报告了四名新冠肺炎感染的神经系统表现及其相关的脑磁共振成像异常的患者。
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引用次数: 1
Effectiveness of Group Therapy Based on Acceptance and Commitment on the Severity of Fatigue and Depression With the Moderating role of Alexithymia in Patients With Multiple Sclerosis 基于接受和承诺的团体治疗对多发性硬化症患者疲劳和抑郁严重程度的有效性及Alexithymia的调节作用
Pub Date : 2020-12-30 DOI: 10.34172/ICNJ.2021.08
Tahereh Haji Seyed Javadi, M. Aghel Masjedi, Elnaz Hamzehloo, M. Chehraghi, L. Razavi, S. Rahmani, S. Nejati
Objective: Alexithymia is a symptom that most psychosomatic patients experience and can affect their performance, psychological state, and the severity of their physical symptoms. Therefore, the present study was conducted to determine the effectiveness of group therapy based on acceptance and commitment on the severity of fatigue and depression with the moderating role of alexithymia in MS patients in Tehran. Methodology: In this research, a semi-experimental design was used with pre-test, post-test, and three months of follow-up. Using convenience sampling, 40 patients with MS were randomly assigned to two experimental and control groups. Before and after the intervention and three months later in the follow-up phase, all of the subjects responded to fatigue severity, depression, and alexithymia questionnaires. The intervention consisted of 10 sessions of 90-minutes group therapy based on acceptance and commitment, which was provided only to the experimental group. Findings: Analysis of covariance indicated a significant difference between the mean scores of fatigue severity, depression, and alexithymia in the experimental and control groups in post-test and follow-up stages. Conclusion: The findings of this study indicated the effectiveness of group therapy based on acceptance and commitment on reducing the severity of fatigue and depression with the moderating role of alexithymia in MS patients.
目的:述情障碍是大多数心身患者所经历的一种症状,会影响他们的表现、心理状态和身体症状的严重程度。因此,本研究旨在确定基于对疲劳和抑郁严重程度的接受和承诺以及述情障碍在德黑兰MS患者中的调节作用的集体治疗的有效性。方法:本研究采用半实验设计,包括前测、后测和三个月的随访。采用方便抽样法,将40例MS患者随机分为两组:实验组和对照组。在干预前后以及三个月后的随访阶段,所有受试者都对疲劳严重程度、抑郁和述情障碍问卷做出了回应。干预包括10次90分钟的基于接受和承诺的小组治疗,仅向实验组提供。结果:协方差分析表明,在测试后和随访阶段,实验组和对照组的疲劳严重程度、抑郁和述情障碍的平均得分之间存在显著差异。结论:本研究结果表明,基于接受和承诺的团体治疗在减轻疲劳和抑郁的严重程度方面是有效的,并对多发性硬化症患者的述情障碍起到了调节作用。
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引用次数: 1
Neurocognitive Manifestations of SARS-CoV2: A Narrative Review of Mechanisms 严重急性呼吸系统综合征冠状病毒2型的神经认知表现:机制的叙述性综述
Pub Date : 2020-12-30 DOI: 10.34172/ICNJ.2021.02
Mahrooz Roozbeh, Mehrdad Roozbeh, H. Pakdaman, Seyed Ali Sobhanian, Amin Edalatkhah, S. Safari
Since the outbreak of COVID-19 that is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in 2020 throughout the world, a lot of aspects of people's lives are affected including their psychological status Follow-up assessment of survivors of this infection showed that they had multiple psychological disorders including depression, panic attacks, obsessive compulsive disorder, and post-traumatic stress disorder It is estimated that more than one-third of patients with COVID-19 experience neuropsychiatric symptoms, including headache, paresthesia, and disturbed consciousness Among patients affected by COVID-19, there are different mechanisms that can cause cognitive dysfunction COVID-19 can affect the central nervous system (CNS) directly by invasion and indirectly by inducing hypoxia, inflammation, and delirium The pandemic and fear of infection can also cause anxiety which impairs the cognition as well By assessing the patients' cognition and knowing the higher probable cause of cognitive impairment, we can form a better strategy to better treat the impairment Cognitive behavioral therapy can be effective in reducing the anxiety and cognitive rehabilitation therapy (CRT) can be used to lower the detrimental effects of cognitive impairment caused by COVID-19
自2020年由严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)引起的新冠肺炎在世界各地爆发以来,人们生活的许多方面都受到了影响,包括他们的心理状况。对这种感染幸存者的跟踪评估显示,他们患有多种心理障碍,包括抑郁症、恐慌症、,据估计,超过三分之一的新冠肺炎患者出现神经精神症状,包括头痛、感觉异常和意识障碍。在新冠肺炎患者中,有不同的机制可以导致认知功能障碍新冠肺炎可以通过侵袭直接影响中枢神经系统(CNS),也可以通过诱导缺氧、炎症和谵妄间接影响中枢神经系。大流行和对感染的恐惧也会导致焦虑,从而削弱认知。通过评估患者的认知并了解认知障碍的更高可能性原因,我们可以制定更好的策略来更好地治疗认知行为疗法可以有效地减少焦虑,认知康复疗法(CRT)可以用来降低新冠肺炎引起的认知障碍的有害影响
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引用次数: 1
Effectiveness of Attention Training based on Fletcher’s Program, Delacato’s Neuropsychological Treatment, and Computerized Cognitive Rehabilitation on Executive Functions in Children with Special Learning Disability 基于Fletcher计划、Delacato神经心理治疗和计算机认知康复的注意力训练对特殊学习障碍儿童执行功能的影响
Pub Date : 2020-12-30 DOI: 10.34172/ICNJ.2021.07
Marzieh Alsadat Khalili, Syedeh Olia Emadian, R. Hassanzadeh
Introduction: We aimed to compare and determine the effectiveness of three methods of attention training based on Fletcher's program, Delacato's neuropsychological treatment, and computerized cognitive rehabilitation, on executive functions of children with special learning disability. Methods: This was a four-group pretest-posttest design with a control group (three experimental groups and one control group) quasi-experimental study. The population included all students aged 7 to 12 years with learning disorders referred to the Learning Disorders Treatment Centers in Tehran during 2019. First, 40 students were selected from these centers by convenience sampling. This number was then randomly divided into four groups of attention training based on Fletcher's program, Delacato's neuropsychological treatment, computerized cognitive rehabilitation, and one group as a control group (N=10). Three methods of attention training based on Fletcher's program (12 sessions of 45 minutes), Delacato's neuropsychological method (12 sessions of 50 minutes), computerized cognitive rehabilitation (10 sessions of 30 minutes individually), were separately trained to the three experimental groups. Gerard and colleagues’ (2000) Behavioral Rating Inventory of Executive Functions (parent form) was used to collect data. Results: The results of the study revealed that the three methods were effective on executive functions in children with a special learning disability (P 0.05). Conclusion: Given that computers are available in almost all schools, such programs can be considered as part of the curriculum for students with learning disabilities. Accordingly, through Fletcher’s attention-based training method and computerized cognitive rehabilitation improved the performance of this group and prevented the creation of a defective process of failure in these students by improving their executive functions.
前言:我们旨在比较并确定基于Fletcher’s program的注意力训练、Delacato’s神经心理治疗和计算机认知康复三种方法对特殊学习障碍儿童执行功能的效果。方法:采用四组前测后测设计,并设对照组(3个实验组和1个对照组)准实验研究。研究人群包括2019年期间在德黑兰学习障碍治疗中心就诊的所有7至12岁的学习障碍学生。首先,采用方便抽样的方法,从这些中心抽取40名学生。然后将这些数字随机分为四组,分别进行基于Fletcher计划的注意力训练,Delacato的神经心理治疗,计算机化认知康复,还有一组作为对照组(N=10)。三种注意力训练方法分别基于Fletcher的方案(12次45分钟),Delacato的神经心理学方法(12次50分钟),计算机认知康复(10次30分钟)对三个实验组进行训练。采用Gerard等(2000)的执行功能行为评定量表(父母表)收集数据。结果:三种方法对特殊学习障碍儿童执行功能的改善效果显著(P < 0.05)。结论:考虑到几乎所有的学校都有电脑,这样的项目可以被认为是有学习障碍的学生课程的一部分。因此,通过Fletcher的基于注意的训练方法和计算机化的认知康复,提高了这组学生的表现,并通过改善他们的执行功能来防止这些学生产生失败的缺陷过程。
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引用次数: 3
Concerns About Mesenchymal Stem Cell Therapy 对间充质干细胞治疗的关注
Pub Date : 2020-12-30 DOI: 10.34172/ICNJ.2021.01
Mahsa Haseli, A. Esmaeili
Dear Editor, Multipotent mesenchymal stromal cells (MSCs), because of their potential for treating diseases, have gained considerable attention over the past 30 years for their immunosuppressive properties and tissue regeneration capabilities.1,2 This grew into an interest in the 1970s by Friedenstein and contemporaries after studying the bone m ar row.3 MSCs are an excellent candidate for cell therapy because of having intrinsic differentiation potentials into bone, cartilage and fat cells not found previously in other cells. They can also be isolated and expanded easily in vitro, and produce abundant useful growth factors and cytokines.2,4Mesenchymal stem cells have become the top used stem cell type for clinical application with encouraging results.5,6 Significant progress has been made in stem cell research in recent years. The main therapeutic effects of MSCs are now attributed to the stimulation of several innate repair processes in injured tissues in vivo by secreted factors as well as the immunomodulation response. Therefore, MSC therapy is expected to find clinical application in human diseases.6,7 However, there are some critical issues that need to be addressed before MSCs can be used for clinical therapy in humans which will help determine the efficiency of cells administered to the patients as a therapeutic approach, most important of which is immunosuppressive properties.8,9 MSCs can be affected by tumor support that may affect potential tumorigenesis after MSCs transplantation, including different donors and tissues, inconsistent protocols, varying dosages and differing transfusion patterns, and mechanisms that control the behavior of the MSCs at the target site.10,11 Because of their unique features, stem cells are undoubtedly a great hope for the treatment of many diseases. More research is developing on the potential long-term risks associated with MSC therapy. However, Additional studies would also be a major contribution to stem cell biology in general as well as their transplantation.
尊敬的编辑,多能干间充质基质细胞(MSC),由于其治疗疾病的潜力,在过去的30年里,由于其免疫抑制特性和组织再生能力而受到了相当大的关注。1,2在20世纪70年代,Friedenstein和同时代人在研究骨基质后,对其产生了兴趣。3 MSCs是细胞治疗的优秀候选者,因为它具有向骨的内在分化潜力,软骨和脂肪细胞以前在其他细胞中没有发现。它们也可以很容易地在体外分离和扩增,并产生大量有用的生长因子和细胞因子。2,4间充质干细胞已成为临床应用的首选干细胞类型,并取得了令人鼓舞的结果。5,6近年来干细胞研究取得了重大进展。MSCs的主要治疗作用现在归因于分泌因子刺激体内损伤组织中的几种先天修复过程以及免疫调节反应。因此,MSC治疗有望在人类疾病中获得临床应用。6,7然而,在MSC可用于人类临床治疗之前,有一些关键问题需要解决,这将有助于确定作为治疗方法给予患者的细胞的效率,其中最重要的是免疫抑制特性。8,9 MSCs可能受到肿瘤支持的影响,这些支持可能会影响MSCs移植后潜在的肿瘤发生,包括不同的供体和组织、不一致的方案、不同的剂量和不同的输注模式,以及控制MSCs在靶位点行为的机制。10,11由于其独特的特征,干细胞无疑是治疗许多疾病的巨大希望。关于MSC治疗的潜在长期风险,正在进行更多的研究。然而,额外的研究也将对干细胞生物学及其移植做出重大贡献。
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引用次数: 0
Effectiveness of Autologous Schwann Cell and Bone Marrow-Derived Mesenchymal Stem Cell Transplantation for Individuals With Spinal Cord Injury in Promoting Sensory Recovery 自体雪旺细胞和骨髓间充质干细胞移植促进脊髓损伤患者感觉恢复的效果
Pub Date : 2020-12-30 DOI: 10.34172/ICNJ.2021.03
M. Golmohammadi, Mohammadhosein Akhlaghpasand, S. Oraee-Yazdani, A. Zali
Background: In recent decades, improvement in sensory and motor function after spinal cord injury(SCI) is a major treatment goal. Stem cell therapy has become a promising treatment strategy in theregeneration of central nervous system injuries.Methods: We assessed the effectiveness of autologous Schwann cell (SC) and bone marrow-derivedmesenchymal stem cell (MSC) for individuals with SCI in promoting sensory recovery. Five patientswith a mean ± SD age of 38.80 ± 5.84 years were enrolled in the study. The follow-up course was12 months.Results: We found sensory changes in two patients assessed by the American Spinal InjuryAssociation’s (ASIA’s) impairment scale. Systemic complications were not observed during thecourse of the study.Conclusion: There were no adverse finding after cell transplantation. Also we observed improvementin sensory score in two patients. It seems that the use of this combination of cell therapy may beeffective; but large group studies with control group are required to clarify the effect of either cells.
背景:近几十年来,改善脊髓损伤(SCI)后的感觉和运动功能是一个主要的治疗目标。干细胞治疗已成为治疗中枢神经系统损伤再生的一种很有前途的治疗策略。方法:我们评估了自体雪旺细胞(SC)和骨髓源间充质干细胞(MSC)对脊髓损伤患者促进感觉恢复的有效性。5例患者入组,平均±SD年龄为38.80±5.84岁。随访12个月。结果:我们发现在美国脊髓损伤协会(ASIA)损伤量表评估的两名患者的感觉改变。在研究过程中未观察到全身性并发症。结论:细胞移植术后无不良反应。我们还观察到两名患者的感觉评分有所改善。似乎使用这种细胞疗法的组合可能是有效的;但需要对对照组进行大规模的研究,以阐明这两种细胞的作用。
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引用次数: 0
Motor Task Processing After Constraint-Induced Movement Therapy in Children With Cerebral Palsy: A Case Series 脑瘫儿童约束性运动治疗后的运动任务处理:一个案例系列
Pub Date : 2020-12-30 DOI: 10.34172/ICNJ.2021.09
Karen P. Y. Liu, M. Kuo, K. Ting
Constraint-induced movement therapy (CIMT) has shown positive results in children with hemiplegic cerebral palsy (CP). However, studies on neural basis of such functional gains are limited. This study reports the event-related potential (ERP) changes in two children with hemiplegic CP after receiving CIMT for three weeks. Both cases were nine years old, had a diagnosis of left hemiplegic CP, had normal intelligence, and were able to extend the wrist at least 20° and the metacarpophalangeal joint at least 10° from full flexion. Before and after the three-week intervention, the children participated in ERP sessions with a choice reaction task to capture the changes in neural mechanism after intervention. Both children exhibited improvement in reaction time (RT) in both hand tasks after the intervention. The improvement was larger in the affected hand than the unaffected hand. Improved accuracy rate (AC) and shortened P300 latencies in the affected hand were also demonstrated in both cases. Topographical maps showed that in centro-parietal regions, patterns shifted from central and left-lateralized to more central and right-lateralized. CMIT was a useful method in improving upper limb function in our cases.
约束诱导运动疗法(CIMT)在偏瘫性脑瘫(CP)儿童中显示出积极的效果。然而,对这种功能增益的神经基础的研究是有限的。本研究报告了两名偏瘫CP患儿在接受CIMT治疗三周后事件相关电位(ERP)的变化。两例患者均为9岁,诊断为左偏瘫CP,智力正常,腕关节至少可伸直20°,掌指关节至少可伸直10°。在干预前和干预后,儿童分别参加了带有选择反应任务的ERP会话,以捕捉干预后神经机制的变化。干预后,两名儿童在两项手部任务中的反应时间(RT)均有改善。受影响的那只手比未受影响的那只手改善得更大。在这两种情况下,准确率(AC)的提高和P300延迟的缩短也被证实。地形图显示,在中央顶叶区域,模式从中央和左偏侧转向更多的中央和右偏侧。在我们的病例中,CMIT是改善上肢功能的有效方法。
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引用次数: 0
A Rare Case of Type II Odontoid Fracture With Bilateral Vertebral Arteries Occlusion Without Neurological Deficits 罕见的II型齿状突骨折伴双侧椎动脉闭塞无神经功能缺损1例
Pub Date : 2020-12-30 DOI: 10.34172/ICNJ.2021.10
Morteza Sanei Taheri, H. Haghighatkhah, Arash Azhideh, Mehran Arab Ahmadi
Cervical spine fractures are common fractures due to spine trauma. Odontoid fracture is responsible for 20% of cervical spine fractures. Vertebral artery injuries (VAIs) had widely focused in this setting due to its occurrence with upper cervical fractures. In our case of study, a 42-year-old female presented in the hospital’s emergency department with a history of cervical spine injury without neurological deficits. In further investigations, cervical spine X-ray, magnetic resonance imaging (MRI), and angiography were done to evaluate the possible injuries to the bone, spinal cord, and vascular structures surrounding the spine that eventuated in the accidental diagnosis of bilateral vertebral artery occlusion. This case of the study demonstrated the importance of diagnostic investigations that can evaluate in an emergency department and bilateral vertebral artery occlusion without neurological symptoms due to collateral arteries establishment.
颈椎骨折是脊柱外伤引起的常见骨折。齿状突骨折是20%的颈椎骨折的原因。椎动脉损伤(VAIs)由于其发生于上颈椎骨折而被广泛关注。在我们的研究案例中,一名42岁女性在医院急诊科就诊,有颈椎损伤史,无神经功能障碍。在进一步的研究中,我们进行了颈椎x线、磁共振成像(MRI)和血管造影,以评估可能对脊柱周围的骨骼、脊髓和血管结构造成的损伤,最终意外诊断为双侧椎动脉闭塞。本研究的病例证明了诊断调查的重要性,可以在急诊科评估双侧椎动脉闭塞,没有侧支动脉建立引起的神经系统症状。
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引用次数: 0
期刊
International Clinical Neuroscience Journal
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