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Meet the editor: Iván Pérez-Neri
Q4 Medicine Pub Date : 2022-06-14 DOI: 10.31157/an.vi.375
I. Pérez-Neri
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引用次数: 0
Meet the Editor: Sergio A. Castillo-Torres 这位编辑是塞尔吉奥·a·卡斯蒂略-托雷斯
Q4 Medicine Pub Date : 2022-06-07 DOI: 10.31157/an.vi.376
Sergio Andrés Castillo Torres
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引用次数: 0
Therapeutic potential of cannabinoids for stroke: scoping review protocol 大麻素对中风的治疗潜力:范围审查方案
Q4 Medicine Pub Date : 2022-06-03 DOI: 10.31157/an.v1iinpress.356
Pérez-Neri Iván, Estêvão M Dulce, M. Rakesh, Sandoval Hugo, Zárate Manuel, Ríos Camilo
Introduction: Each year, approximately 795,000 people experience a new or recurrent stroke, either ischemic or hemorrhagic. The current therapeutical approach for acute ischemic stroke includes thrombolysis and mechanical thrombectomy; still, no neuroprotective treatment options currently exist to improve its neurological outcome. Some components of the endocannabinoid system are altered after ischemic stroke. It is considered that cannabinoids may exert neuroprotective effects; however, the use of cannabinoid receptor ligands is a major concern due to its psychotropic properties. Regardless that there are many studies describing the benefit of administering cannabinoids for experimental stroke several unanswered questions remain since most of the information point up in non-human species. A previous systematic review detected significant heterogeneity among studies, so it is appropriate to perform a scoping review to evaluate the feasibility of performing an updated systematic review and meta-analysis. This scoping review aims to evaluate the therapeutic potential of modulating the endocannabinoid system for stroke. Methods: Published studies (all publication types) will be retrieved from Web of Science, PubMed, Scopus, Ovid, EBSCOhost, and Google Scholar. Eligibility criteria: Clinical or preclinical studies reporting endocannabinoid levels or their effects, or reporting administration of cannabinoid modulators (stimulating or inhibiting their synthesis or metabolism, phytocannabinoids, or synthetic cannabinoids), in patients or models of stroke will be considered for inclusion. Studies written in languages different than Spanish or English that could not be appropriately translated, or whose full-text files could not be retrieved will be excluded. Data charting: Results will be summarized in tabular form. This protocol complies with PRISMA-P.
简介:每年,大约有795,000人经历新的或复发性中风,无论是缺血性还是出血性。目前急性缺血性卒中的治疗方法包括溶栓和机械取栓;然而,目前还没有神经保护治疗方案来改善其神经预后。缺血性中风后,内源性大麻素系统的某些成分发生改变。大麻素被认为可能具有神经保护作用;然而,大麻素受体配体的使用是一个主要的问题,由于其精神药物的性质。尽管有许多研究描述了在实验性中风中使用大麻素的好处,但由于大多数信息都指向非人类物种,因此仍有几个未解决的问题。先前的系统综述发现研究之间存在显著的异质性,因此有必要进行范围综述,以评估进行更新的系统综述和荟萃分析的可行性。本综述旨在评估调节内源性大麻素系统对中风的治疗潜力。方法:已发表的研究(所有出版类型)将从Web of Science, PubMed, Scopus, Ovid, EBSCOhost和Google Scholar中检索。入选标准:临床或临床前研究报告内源性大麻素水平或其影响,或报告大麻素调节剂(刺激或抑制其合成或代谢,植物大麻素或合成大麻素)在中风患者或模型中的应用将被考虑纳入。用西班牙语或英语以外的语言撰写的研究,如果不能适当翻译,或者其全文文件无法检索,将被排除在外。数据图表:结果将以表格形式汇总。本协议遵循PRISMA-P。
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引用次数: 0
Current Knowledge and Future Directions in Huntington’s Disease 亨廷顿舞蹈病的当前知识和未来方向
Q4 Medicine Pub Date : 2022-05-31 DOI: 10.31157/an.v1iinpress.346
E. Morales, Camila Herrera, Ledys Montaño, Karin Martínez, M. Meza, Natalia Del Villar, Xilene Mendoza, Alexander Rodríguez
Introduction: Huntington's Disease (HD) is a hereditary, neurodegenerative disorder due to abnormal repeats of the CAG triplet in the IT-15 gene. It is characterized by a triad of progressive motor, psychiatric and cognitive symptoms, resulting from striatal neuronal loss. The impact of HD in Latin America is evidenced by the prevalence rates in Maracaibo (Venezuela) and Juan de Acosta (Colombia), which are the highest recorded in the world. This contrasts with the social abandonment and the scarce intervention of local governments. Aim: Provide an approach to the most relevant aspects of HD from its pathogenesis and associated genetic polymorphisms, to the current treatment options. Methodology: A literature review was performed of the state of the art of prognosis and treatment strategies in HD, including the identification of different polymorphic markers in the genes coding for UCHL1, HIP1, PGC1α, GRIK2, TBP, BDNF, among others, and its associations in the evolution of the disease in the presence of abnormal CAG repeats. Conclusion: Even though in the last decades many researchers have focused on the development of curative treatment, there is no effective therapeutic target to prevent the clinical onset of the disease or to delay its progression. Instead, current pharmacological management is palliative, the evidence to generalize the surgical approaches is insufficient. Newly, the fetal neural cell transplantation into the striatum is offered as the surgical option that provides hope for the development of a true disease-modifying treatment.
简介:亨廷顿氏病(HD)是一种遗传性神经退行性疾病,是由IT-15基因CAG三联体异常重复引起的。它的特点是由纹状体神经元丧失引起的进行性运动、精神和认知症状。艾滋病在拉丁美洲的影响体现在马拉开波(委内瑞拉)和胡安·德·阿科斯塔(哥伦比亚)的流行率是世界上有记录以来最高的。这与社会遗弃和地方政府的稀缺干预形成了鲜明对比。目的:从HD的发病机制和相关的遗传多态性,到目前的治疗方案,为HD提供一个最相关的方面。方法:对HD的预后和治疗策略进行文献回顾,包括鉴定编码UCHL1、HIP1、PGC1α、GRIK2、TBP、BDNF等基因的不同多态性标记,以及在CAG重复序列异常的情况下,其与疾病进化的关系。结论:尽管在过去的几十年里,许多研究人员都致力于治疗性治疗的发展,但没有有效的治疗靶点来预防疾病的临床发作或延缓其进展。相反,目前的药物治疗是姑息性的,推广手术方法的证据不足。最近,将胎儿神经细胞移植到纹状体作为一种手术选择,为真正的疾病改善治疗的发展提供了希望。
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引用次数: 0
Meet the Editor: Sabino Luzzi 认识一下编辑:Sabino Luzzi
Q4 Medicine Pub Date : 2022-05-26 DOI: 10.31157/an.v1iinpress.367
Sabino Luzzi
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引用次数: 0
Disfagia orofaríngea neurogénica: concepto, fisiopatología, clínica y terapéutica 神经源性口咽吞咽困难:概念、病理生理学、临床和治疗
Q4 Medicine Pub Date : 2022-05-26 DOI: 10.31157/an.v1iinpress.347
J. Suárez-Escudero, Karla Sofia Lema Porto, Daniela Palacio Patiño, Manuela Izquierdo Moreno, Claudia Liliana Bedoya Londoño
el acto de tragar va más allá de un fenómeno mecánico. Es un proceso altamente complejo, elaborado y modelado por varios niveles del sistema nervioso. Su alteración es consecuencia directa o complicación asociada de varias patologías, donde sobresale la disfagia orofaríngea por etiología funcional de origen neurológico y neuromuscular. Es objetivo actualizar el conocimiento sobre los fundamentos y concepto de la disfagia orofaríngea neurogénica, y proveer información de utilidad clínica de sus principales causas. Los trastornos neurológicos son responsables del 70% al 80% de la etiología de la disfagia orofaríngea. Se produce principalmente por el accidente cerebrovascular, enfermedad de Parkinson, esclerosis múltiple, esclerosis lateral amiotrófica y traumatismo encéfalo craneano. Conclusiones: La disfagia orofaríngea neurogénica resulta de lesiones en cualquier parte de los circuitos y estructuras centrales entre la corteza cerebral y los componentes periféricos de la deglución, y los déficits fisiológicos son variados. La comprensión conceptual, fisiopatológica y de características clínicas de las principales causas de disfagia neurogénica ayudan a los equipos asistenciales para realizar acciones de detección, diagnóstico, tratamiento y rehabilitación oportuna.
吞咽不仅仅是一种机械现象。这是一个高度复杂的过程,由神经系统的几个层次精心设计和建模。它的改变是各种病理的直接后果或相关并发症,其中口咽吞咽困难突出的功能病因的神经和神经肌肉起源。目的是更新关于神经源性口咽吞咽困难的基础和概念的知识,并提供其主要原因的临床有用信息。神经系统疾病占口咽吞咽困难病因的70%至80%。它主要由中风、帕金森病、多发性硬化症、肌萎缩性侧索硬化症和颅脑创伤引起。结论:神经源性口咽吞咽困难是由大脑皮层和吞咽外周成分之间的中枢回路和结构的任何部分损伤引起的,生理缺陷是多种多样的。对神经源性吞咽困难主要原因的概念、病理生理学和临床特征的了解有助于护理团队进行检测、诊断、治疗和及时康复。
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引用次数: 1
Appreciation to Reviewers 2021 感谢审稿人
Q4 Medicine Pub Date : 2022-05-26 DOI: 10.31157/an.vi.357
Editorial Council
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引用次数: 0
Primary CNS Lymphoma of Diffuse B cells in a Patient with Neurofibromatosis Type 1: A Case Report. 1型神经纤维瘤病患者弥漫性B细胞原发性中枢神经系统淋巴瘤1例报告
Q4 Medicine Pub Date : 2022-05-26 DOI: 10.31157/an.v1iinpress.333
Cristopher Ramirez-Loera, Diego A. Sandoval-Lopez, S. Mejía-Pérez
Objective: To describe the case of a patient diagnosed with Neurofibromatosis Type 1 (NF1), who developed her first neoplastic lesion as Primary Central Nervous System Lymphoma (PCNSL). To our knowledge, this is the third case of PCNSL in the context of NF1. Background: PCNSL represents 1% of non-Hodgkin extranodal Lymphomas, and 3% of CNS tumors. Diffuse Large B-Cell Lymphoma accounts for 30-40% of the cases, commonly found in the encephalus, spinal cord, leptomeninges, or the eye. Predominant malignant tumors in NF1 are gliomas and Malignant Peripheral Nerve Sheath Tumor (MPNST). Methods: A 53-year-old Mexican female, with a history of NF1, arrived at the emergency department with left-side subacute progressive numbness and weakness. Left hemiplegia. MRI showed a ring-enhancing lesion in the right central lobe and a lesion in the subcutaneous tissue. Additionally, the patient underwent a full body 18-FDG PET scan, which reported activity only in the CNS.  Results: Lesion-centered craniectomy and surgical evacuation were performed. Histopathological examination revealed lymphoid lineage cells, CD20, PAX-5, and Ki-67 were positive for neoplastic cells, confirming the diagnosis of PCNSL. At the 6-months follow-up visit, strength improved significantly, and the follow-up MRI did not show residual mass.  Conclusions: It is necessary to study the prevalence of LPSNC in these patients, as well as the relative risk, and to develop guidelines for its best approach. We believe that the real incidence of the disease is underestimated, since the genetic and pathophysiological mechanisms that promote its origin still need to be clarified.
目的:描述1型神经纤维瘤病(NF1)患者的病例,她的第一个肿瘤病变为原发性中枢神经系统淋巴瘤(PCNSL)。据我们所知,这是NF1背景下的第三例PCNSL。背景:PCNSL占非霍奇金结外淋巴瘤的1%,占中枢神经系统肿瘤的3%。弥漫性大b细胞淋巴瘤占病例的30-40%,常见于脑、脊髓、脑膜或眼睛。NF1的主要恶性肿瘤是胶质瘤和恶性周围神经鞘瘤。方法:一名53岁的墨西哥女性,有NF1病史,以左侧亚急性进行性麻木和虚弱到达急诊室。左半身不遂。MRI显示右中央叶环状强化病变及皮下组织病变。此外,患者进行了全身18-FDG PET扫描,仅报告中枢神经系统有活动。结果:以病变为中心行颅骨切除术和手术引流。组织病理学检查显示淋巴系细胞、CD20、PAX-5、Ki-67肿瘤细胞阳性,证实PCNSL的诊断。随访6个月,患者力量明显改善,随访MRI未见肿块残留。结论:有必要研究LPSNC在这些患者中的患病率,以及相对风险,并制定最佳治疗方法的指南。我们认为,这种疾病的真实发病率被低估了,因为促进其起源的遗传和病理生理机制仍然需要澄清。
{"title":"Primary CNS Lymphoma of Diffuse B cells in a Patient with Neurofibromatosis Type 1: A Case Report.","authors":"Cristopher Ramirez-Loera, Diego A. Sandoval-Lopez, S. Mejía-Pérez","doi":"10.31157/an.v1iinpress.333","DOIUrl":"https://doi.org/10.31157/an.v1iinpress.333","url":null,"abstract":"Objective: To describe the case of a patient diagnosed with Neurofibromatosis Type 1 (NF1), who developed her first neoplastic lesion as Primary Central Nervous System Lymphoma (PCNSL). To our knowledge, this is the third case of PCNSL in the context of NF1. \u0000Background: PCNSL represents 1% of non-Hodgkin extranodal Lymphomas, and 3% of CNS tumors. Diffuse Large B-Cell Lymphoma accounts for 30-40% of the cases, commonly found in the encephalus, spinal cord, leptomeninges, or the eye. Predominant malignant tumors in NF1 are gliomas and Malignant Peripheral Nerve Sheath Tumor (MPNST). \u0000Methods: A 53-year-old Mexican female, with a history of NF1, arrived at the emergency department with left-side subacute progressive numbness and weakness. Left hemiplegia. MRI showed a ring-enhancing lesion in the right central lobe and a lesion in the subcutaneous tissue. Additionally, the patient underwent a full body 18-FDG PET scan, which reported activity only in the CNS.  \u0000Results: Lesion-centered craniectomy and surgical evacuation were performed. Histopathological examination revealed lymphoid lineage cells, CD20, PAX-5, and Ki-67 were positive for neoplastic cells, confirming the diagnosis of PCNSL. At the 6-months follow-up visit, strength improved significantly, and the follow-up MRI did not show residual mass.  \u0000Conclusions: It is necessary to study the prevalence of LPSNC in these patients, as well as the relative risk, and to develop guidelines for its best approach. We believe that the real incidence of the disease is underestimated, since the genetic and pathophysiological mechanisms that promote its origin still need to be clarified.","PeriodicalId":34902,"journal":{"name":"Archivos de Neurociencias","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84267383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experiencia cirugía estereotáctica entre los años 2000 y 2020 en el Hospital Militar Central, Bogotá, Colombia 2000年至2020年在哥伦比亚波哥大中央军事医院经历立体定向手术
Q4 Medicine Pub Date : 2022-05-26 DOI: 10.31157/an.v1iinpress.344
Diana Paola Duarte Mora, Paula Valentina Palacino Domínguez, Luis Orlando Rojas Romero
RESUMEN Introducción: La cirugía estereotáctica es una técnica quirúrgica con múltiples aplicaciones diagnósticas y terapéuticas que permite al neurocirujano realizar procedimientos más precisos y menos invasivos en comparación con la cirugía convencional, con el fin de evitar lesionar áreas funcionales. Metodología: Se realizó un estudio descriptivo retrospectivo de corte transversal en el cual se revisaron las historias clínicas de los pacientes mayores de 18 años intervenidos quirúrgicamente por medio de cirugía estereotáxica entre enero de 2000 y diciembre de 2020 en el Hospital Militar Centra (Bogotá, Colombia) Resultados: En el periodo de estudio comprendido entre enero del año 2000 y diciembre del año 2020 se encontraron un total de 119 pacientes intervenidos por medio de estereotaxia con objetivos diagnósticos y terapéuticos, de los cuales 44 son mujeres y 75 son hombres. La mayoría de los pacientes fueron llevados a resección y biopsia de tumores intracraneales. Se obtuvo una tasa de complicaciones del 4,2%. Conclusiones: La cirugía estereotáctica es una técnica quirúrgica útil en el diagnóstico y tratamiento de diversas patologías que tiene  buen rendimiento diagnóstico y baja tasa de complicaciones. En el presente estudio se presentan tasas de complicaciones similares a las reportadas en la literatura mundial siendo esta serie la única que analiza los resultados obtenidos con esta técnica quirúrgica en la población de las Fuerzas Militares de Colombia
本研究的主要目的是评估神经外科手术对神经系统的影响,以及神经外科手术对神经系统功能的影响,以及神经外科手术对神经系统功能的影响。方法:我们进行了一项回顾性描述性横断面研究,回顾了2000年1月至2020年12月在哥伦比亚波哥大军事中心医院接受立体定向手术的18岁以上患者的临床病史。在2000年1月至2020年12月的研究期间,共发现119例采用立体定向法进行诊断和治疗的患者,其中女性44例,男性75例。大多数患者接受了颅内肿瘤切除和活检。并发症发生率为4.2%。结论:立体定向手术是一种有用的诊断和治疗各种病理的外科技术,诊断性能好,并发症发生率低。在目前的研究中,并发症的发生率与世界文献中报道的相似,这是唯一一个分析这种手术技术在哥伦比亚军队人口中获得的结果的系列。
{"title":"Experiencia cirugía estereotáctica entre los años 2000 y 2020 en el Hospital Militar Central, Bogotá, Colombia","authors":"Diana Paola Duarte Mora, Paula Valentina Palacino Domínguez, Luis Orlando Rojas Romero","doi":"10.31157/an.v1iinpress.344","DOIUrl":"https://doi.org/10.31157/an.v1iinpress.344","url":null,"abstract":"RESUMEN \u0000Introducción: La cirugía estereotáctica es una técnica quirúrgica con múltiples aplicaciones diagnósticas y terapéuticas que permite al neurocirujano realizar procedimientos más precisos y menos invasivos en comparación con la cirugía convencional, con el fin de evitar lesionar áreas funcionales. \u0000Metodología: Se realizó un estudio descriptivo retrospectivo de corte transversal en el cual se revisaron las historias clínicas de los pacientes mayores de 18 años intervenidos quirúrgicamente por medio de cirugía estereotáxica entre enero de 2000 y diciembre de 2020 en el Hospital Militar Centra (Bogotá, Colombia) \u0000Resultados: En el periodo de estudio comprendido entre enero del año 2000 y diciembre del año 2020 se encontraron un total de 119 pacientes intervenidos por medio de estereotaxia con objetivos diagnósticos y terapéuticos, de los cuales 44 son mujeres y 75 son hombres. La mayoría de los pacientes fueron llevados a resección y biopsia de tumores intracraneales. Se obtuvo una tasa de complicaciones del 4,2%. \u0000Conclusiones: La cirugía estereotáctica es una técnica quirúrgica útil en el diagnóstico y tratamiento de diversas patologías que tiene  buen rendimiento diagnóstico y baja tasa de complicaciones. En el presente estudio se presentan tasas de complicaciones similares a las reportadas en la literatura mundial siendo esta serie la única que analiza los resultados obtenidos con esta técnica quirúrgica en la población de las Fuerzas Militares de Colombia","PeriodicalId":34902,"journal":{"name":"Archivos de Neurociencias","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81167414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Philosophy Books for Psychiatric Practice 精神病学实践哲学书籍
Q4 Medicine Pub Date : 2022-05-26 DOI: 10.31157/an.v1iinpress.371
H. Maung
{"title":"Philosophy Books for Psychiatric Practice","authors":"H. Maung","doi":"10.31157/an.v1iinpress.371","DOIUrl":"https://doi.org/10.31157/an.v1iinpress.371","url":null,"abstract":"","PeriodicalId":34902,"journal":{"name":"Archivos de Neurociencias","volume":"65 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74344417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Archivos de Neurociencias
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