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A Case Report of Classical eight-and-a-Half Syndrome and Etiology Analysis 经典八半证1例报告及病因分析
Pub Date : 2021-07-08 DOI: 10.31579/2578-8868/162
D. Fan
Eight-and-a-half syndrome is one-and-a-half syndrome plus ipsilateral seventh (facial) cranial nerve palsy, which was first reported by Eggenberger in 1998. This syndrome is caused by a lesion (most often vascular or demyelinating) in the dorsal tegmentum of the caudal pons. It involves the para pontine reticular formation and the medial longitudinal fasciculus, as well as the nucleus and the fasciculus of the facial nerve. We describe a case of a 56-year-old man presented with eight-and-a-half syndrome. We also discuss the vascular pathology and etiology of this syndrome through the literature review. Most eight-and-a-half syndrome cases are caused by occlusions of the perforating branches of the pons. The pathology can be transparent lipid-like changes at the perforator arteries. It can also be thrombosis at the orifice of the main or perforator arteries. BAH could be a very important factor in perforator artery infarction at the pontine. The etiology is closely related to hyperglycemia. An effective intervention is to avoid bad habits and control the hyperglycemia.
八半综合征是一半综合征加同侧第七(面)脑神经麻痹,由Eggenberger于1998年首次报道。这种综合征是由脑桥尾侧背盖的病变(通常是血管或脱髓鞘)引起的。它涉及到桥旁网状结构和内侧纵束,以及面神经核和面神经束。我们描述了一个56岁的男子提出了八半综合征的情况。并通过文献复习,讨论了该综合征的血管病理及病因。大多数八半综合征的病例是由脑桥穿支闭塞引起的。病理表现为穿支动脉透明的脂质样改变。它也可能是在主动脉或穿支动脉的开口处形成血栓。BAH可能是脑桥穿支动脉梗死的一个重要因素。病因与高血糖密切相关。避免不良生活习惯和控制高血糖是有效的干预措施。
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引用次数: 0
The Common Carotid Artery Thrombus and Embolic Stroke in the Setting of COVID-19 Infection 新冠肺炎感染情况下颈总动脉血栓和栓塞性卒中
Pub Date : 2021-07-08 DOI: 10.31579/2578-8868/190
Wengui Yu
Since the outbreak of the COVID-19 in Wuhan, China in 2019, there have been increasing reports of large vessel thrombosis and associated embolic stroke in patients with COVID-19 infection. The pathogenesis is thought to be multifactorial, including angiotensin-converting enzyme 2 receptor-mediated endothelial damage, rupture of atherosclerotic plaques, cytokine-storm induced-inflammation, and hypercoagulability. Here, we present a case of an otherwise-healthy COVID-19 patient who developed a right common carotid artery thrombus and embolic stroke with left sided numbness and weakness. Blood tests were significant for elevated levels of inflammatory biomarkers and di-dimer. Vessel imaging showed no evidence of underlying atherosclerosis or arterial dissection. Cardiac workup was unremarkable. The etiology of the carotid artery thrombus was likely COVID-19 related inflammation and hypercoagulability. He was started on apixaban 5mg twice daily for secondary stroke prevention. After 3 months, he was transitioned from apixaban to aspirin 81mg daily. At 4-month follow-up, he improved with only residual left arm numbness. Our case study suggests that in patients with large vessel thrombosis in the setting of Covid-19 infection, oral anticoagulation for 3 months followed by daily aspirin may be a reasonable treatment option for secondary stroke prevention.
自2019年中国武汉新冠肺炎疫情暴发以来,COVID-19感染患者大血管血栓形成和相关栓塞性卒中的报道越来越多。发病机制被认为是多因素的,包括血管紧张素转换酶2受体介导的内皮损伤、动脉粥样硬化斑块破裂、细胞因子风暴诱导的炎症和高凝性。在这里,我们报告了一例健康的COVID-19患者,他出现了右侧颈总动脉血栓和栓塞性中风,并伴有左侧麻木和虚弱。血液测试显示炎症生物标志物和二聚体水平升高。血管造影未见潜在动脉粥样硬化或动脉夹层。心脏检查无明显异常。颈动脉血栓的病因可能是与COVID-19相关的炎症和高凝性。他开始服用阿哌沙班5mg,每日两次,用于二级卒中预防。3个月后,他从阿哌沙班过渡到阿司匹林81mg每日。在4个月的随访中,他的病情有所改善,只有残余的左臂麻木。我们的病例研究表明,在Covid-19感染的大血管血栓患者中,口服抗凝剂3个月,然后每天服用阿司匹林可能是继发性卒中预防的合理治疗选择。
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引用次数: 0
The Hypothesis of Unexplained Brain Damage and Learning Difficulties 不明原因脑损伤假说与学习困难
Pub Date : 2021-05-10 DOI: 10.31579/2578-8868/165
T. Antonis
Introduction: The term learning disabilities refers to a complex and multidimensional phenomenon that affects many thousands of students. Due to the rich symptomatology of learning difficulties and the increased differences between individuals, it has not been possible to analyze all cases exclusively from the perspective of the neuropsychological approach. Aim. The aim of this study was to present research conducted in the context of theories on the brain function of people with learning disabilities. Supporting the hypothesis of brain dysfunction. Methodology: Literature review was carried out in the web, which referred to researches on Special Learning Disabilities and the brain function associated with them. Results: Review of the literature highlighted key points of the relationship between learning difficulties and brain function. Brain dysfunction and the cognitive functions produced emerged as one of the key factors involved in learning disabilities. Many of the theories developed around the problems of children with learning disabilities have focused on specific areas of the brain that may be dysfunctional. Conclusions: The difficulty of locating obvious brain damage in individuals who have been characterized as dyslexic leads to the strengthening of the hypothesis of the existence of a slight or minimal brain damage that cannot be easily diagnosed and strengthens the hypothesis of an unexplained brain damage that could be heterogeneous groups of learning disabilities.
引言:学习障碍一词是指影响成千上万学生的一种复杂而多维的现象。由于学习困难的症状学丰富,个体之间的差异也越来越大,因此不可能完全从神经心理学的角度来分析所有病例。目标本研究的目的是介绍在学习障碍者大脑功能理论的背景下进行的研究。支持大脑功能障碍的假说。方法:在网络上进行文献综述,涉及对特殊学习障碍及其相关大脑功能的研究。结果:文献综述强调了学习困难和大脑功能之间关系的关键点。大脑功能障碍及其产生的认知功能是导致学习障碍的关键因素之一。许多围绕学习障碍儿童问题发展起来的理论都集中在大脑中可能功能失调的特定区域。结论:在被描述为阅读障碍的个体中,很难定位明显的脑损伤,这导致了无法轻易诊断的轻微或最小脑损伤存在的假设得到了加强,并加强了可能是异质性学习障碍群体的不明原因脑损伤的假设。
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引用次数: 0
Anti-CASPR2 and Epilepsy: don’t forget to think about it 抗caspr2和癫痫:不要忘记考虑它
Pub Date : 2021-05-06 DOI: 10.31579/2578-8868/149
M. Schlindwein
Autoimmune encephalitis (AE) is an important cause of seizures. With the discovery of highly specific neuronal-antibodies the recognition of the clinical syndrome associated with each marker is crucial to the right diagnosis and treatment regime. In this short review we summarize the importance of CASPR2 antibodies in unknown etiology seizures and its epileptogenesis.
自身免疫性脑炎(AE)是癫痫发作的重要原因。随着高度特异性神经元抗体的发现,识别与每种标志物相关的临床综合征对于正确的诊断和治疗方案至关重要。在这篇简短的综述中,我们总结了CASPR2抗体在未知病因性癫痫发作及其癫痫发生中的重要性。
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引用次数: 0
Microdialysis in vivo Evaluation of the effects of SA-4503, a Sigma1 Receptor Agonist, on the Levels of Monoamines in the Prefrontal Cortex of Conscious Rats 体内微透析评价Sigma1受体激动剂SA-4503对清醒大鼠前额皮质单胺水平的影响
Pub Date : 2021-05-06 DOI: 10.31579/2578-8868/164
F. Crespi
Sigma receptors are widespread in the central nervous system and are differentiated in two subtypes, sigma1 and sigma2. In particular, the sigma1 receptor subtype appears to be able to influence biological mechanisms connected with neuro-degeneration. Furthermore, several studies are implicating sigma1 receptor agonists within antidepressant activity. Evidence of prefrontal cortex abnormalities in clinically depressed subjects have been reported by several works and that monoamines such as serotonin and cathecolamines can be involved in such malfunctions. Up to now the most of the preclinical work performed to analyze the influence of sigma1 receptor agonists upon catecholaminergic and serotoninergic activities in brain areas has been done by means of in vitro as well as ex vivo methodologies. Here, SA-4503, a selective sigma1 receptor agonist with potential antidepressant activity has been tested in vivo upon dopamine (DA), noradrenaline (NA) and serotonin (5-HT) levels detected by micro-dialysis in the medial Prefrontal Cortex (mPFC) of freely moving rats.
Sigma受体广泛存在于中枢神经系统,分为sigma1和sigma2两种亚型。特别是,sigma1受体亚型似乎能够影响与神经变性相关的生物学机制。此外,一些研究暗示sigma1受体激动剂与抗抑郁活性有关。临床抑郁症患者前额皮质异常的证据已被一些研究报道,单胺类如5 -羟色胺和儿茶酚胺可能与这种异常有关。到目前为止,大多数分析sigma1受体激动剂对脑区儿茶酚胺能和血清素能活性影响的临床前工作都是通过体外和离体方法完成的。在这里,SA-4503,一种具有潜在抗抑郁活性的选择性sigma1受体激动剂,通过微透析检测自由运动大鼠内侧前额叶皮层(mPFC)的多巴胺(DA)、去甲肾上腺素(NA)和血清素(5-HT)水平,在体内进行了测试。
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引用次数: 0
The Antimicrobial Efficacy of four different Intracanal Medication to Microorganisms existing in the Failure of Endodontic Therapy: An in vitro study 四种不同肛门内药物对牙髓治疗失败中存在的微生物的抗菌效果:体外研究
Pub Date : 2021-04-20 DOI: 10.31579/2578-8868/178
J. Vieyra
Aim.This study aims to identify the efficacy of different intracanal medication formulations existing in end of endodontic therapy’s failure, and related to strains of Enterococcus faecalis, Pseudomonas aeruginosa, and Staphylococcus aureus in Petri plates. Materials and methods. It was used diffusion test in agar where each Petri plate with the inoculated bacteria. Perforations of approximately 4 mm deep by 5 mm in diameter were made to prepare where the intracanal drug (25 µl) to be tested. The diameters of the bacterial inhibition zones were measured and registered to each tested medication at the period of 24 hours, 48 hours, 7 and 14 days respectively. Results. All the medications promoted inhibition halos. The inhibition halos were represented in mm. A higher elimination of micro-organisms can be significantly achieved through the association of different substances in the formulation of an intra canal medication, with emphasis to Ca (OH)2 combined with nitrofurazone and magnesium oxide respectively. Conclusion. Cleaning and shaping of the root canal system associated with the chemical combination of Ca (OH) 2 with antiseptic pastes or solutions considerably reduce the bacterial load.
目的:本研究旨在确定不同管内药物制剂在牙髓治疗失败后的疗效,并与培养皿中的粪肠球菌、铜绿假单胞菌和金黄色葡萄球菌菌株有关。材料和方法。在琼脂中进行扩散试验,在每个培养皿中接种细菌。在待测试的肛门内药物(25µl)的位置进行约4 mm深乘5 mm直径的穿孔。分别在24小时、48小时、7天和14天的时间段测量并记录细菌抑制区的直径。后果所有药物都能促进抑制光晕。抑制晕以毫米表示。通过在管内药物配方中结合不同物质,可以显著实现对微生物的更高清除率,重点是Ca(OH)2分别与呋喃西林和氧化镁结合。结论与Ca(OH)2与防腐膏或溶液的化学组合相关的根管系统的清洁和整形显著降低了细菌负荷。
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引用次数: 0
The Antimicrobial Efficacy of four different Intracanal Medication to Microorganisms existing in the Failure of Endodontic Therapy: An in vitro study 四种不同的管内药物对牙髓治疗失败中存在的微生物的抗菌效果:一项体外研究
Pub Date : 2021-04-20 DOI: 10.31579/2578-8868/136
Jorge Paredes Vieyra, Fabian Ocampo Acosta, Francisco Javier Jiménez Enríquez, Alan Hidalgo Vargas, Ignacio Manriquez Quintana, Rosendo Andres Rojas Alvarado
Aim.This study aims to identify the efficacy of different intracanal medication formulations existing in end of endodontic therapy’s failure, and related to strains of Enterococcus faecalis, Pseudomonas aeruginosa, and Staphylococcus aureus in Petri plates. Materials and methods. It was used diffusion test in agar where each Petri plate with the inoculated bacteria. Perforations of approximately 4 mm deep by 5 mm in diameter were made to prepare where the intracanal drug (25 µl) to be tested. The diameters of the bacterial inhibition zones were measured and registered to each tested medication at the period of 24 hours, 48 hours, 7 and 14 days respectively. Results. All the medications promoted inhibition halos. The inhibition halos were represented in mm. A higher elimination of micro-organisms can be significantly achieved through the association of different substances in the formulation of an intra canal medication, with emphasis to Ca (OH)2 combined with nitrofurazone and magnesium oxide respectively. Conclusion. Cleaning and shaping of the root canal system associated with the chemical combination of Ca (OH) 2 with antiseptic pastes or solutions considerably reduce the bacterial load.
目的:本研究旨在确定不同管内药物制剂在牙髓治疗失败后的疗效,并与培养皿中的粪肠球菌、铜绿假单胞菌和金黄色葡萄球菌菌株有关。材料和方法。在琼脂中进行扩散试验,在每个培养皿中接种细菌。在待测试的肛门内药物(25µl)的位置进行约4 mm深乘5 mm直径的穿孔。分别在24小时、48小时、7天和14天的时间段测量并记录细菌抑制区的直径。后果所有药物都能促进抑制光晕。抑制晕以毫米表示。通过在管内药物配方中结合不同物质,可以显著实现对微生物的更高清除率,重点是Ca(OH)2分别与呋喃西林和氧化镁结合。结论与Ca(OH)2与防腐膏或溶液的化学组合相关的根管系统的清洁和整形显著降低了细菌负荷。
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引用次数: 0
Epidemiological Characterization of Brain Tumors in Colombia, a 10-Year Period 哥伦比亚脑肿瘤10年的流行病学特征
Pub Date : 2021-04-16 DOI: 10.31579/2578-8868/173
J. Gómez-Vega
Introduction: Central nervous system tumors are rare; in 2015 they represented approximately 1.4% of new cancer diagnoses, causing 2.6% of deaths by cancer that year. In Colombia, there are few reports on the epidemiology of brain tumors, and those that exist are local databases that do not have a rigorous and massive registry. Due to limited epidemiological information in our country, this document aims to characterize the epidemiology of brain tumors in Colombia over a 10-year period. Methods: A retrospective descriptive observational study was conducted, using databases of population-based cancer registries in Colombia. We extracted information from a 10-year period recorded in patients with tumors without age group restriction. A descriptive analysis was carried out for all the variables considered, the incidence and mortality rates per 100,000 person years were calculated. Statistical software Stata 14.0 was used. Results: Our analysis was performed with a population of 775 adult patients and 123 pediatric patients, with an incidence of 1.55 per 100.000 individuals in the pediatric population and 3.19 per 100.000 individuals in the adult population. The mortality rate for pediatric and adult patients was 0.063 per 100.000 individuals and 1.86 per 100.000 individuals respectively. The most frequent tumors in the pediatric age group were neuroepithelial tumors, embryonal tumors and ependymal tumors, whereas for adults, the most frequent were neuroepithelial tumors, meningiomas and hematolymphoid tumors. Conclusions: This study constitutes the most recent work on the epidemiology of brain tumors in Colombia. There was a clear general underreporting and statistics lower than those compared with the literature. It is intended to expand coverage and data collection in population-based cancer registries.
中枢神经系统肿瘤是罕见的;2015年,他们约占新癌症诊断的1.4%,占当年癌症死亡人数的2.6%。在哥伦比亚,很少有关于脑肿瘤流行病学的报告,而那些存在的是当地的数据库,没有严格和大规模的登记。由于我国流行病学信息有限,本文旨在描述哥伦比亚10年来脑肿瘤的流行病学特征。方法:使用哥伦比亚基于人群的癌症登记数据库进行回顾性描述性观察研究。我们从没有年龄组限制的10年肿瘤患者记录中提取信息。对所考虑的所有变量进行了描述性分析,计算了每10万人年的发病率和死亡率。采用统计软件Stata 14.0。结果:我们对775名成人患者和123名儿科患者进行了分析,儿童人群的发病率为1.55 / 10万,成人人群的发病率为3.19 / 10万。儿童和成人患者的死亡率分别为0.063 / 10万人和1.86 / 10万人。在儿童年龄组中最常见的肿瘤是神经上皮肿瘤、胚胎肿瘤和室管膜肿瘤,而在成人年龄组中最常见的肿瘤是神经上皮肿瘤、脑膜瘤和血淋巴肿瘤。结论:这项研究构成了哥伦比亚脑肿瘤流行病学的最新工作。与文献相比,有明显的普遍漏报和统计数据。它旨在扩大以人群为基础的癌症登记处的覆盖范围和数据收集。
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引用次数: 0
Intradural Dorsolumbar Disc Herniation: Case Report and literature Review 硬膜内腰椎间盘突出症病例报告及文献复习
Pub Date : 2021-03-22 DOI: 10.31579/2578-8868/171
Norbery de la Paz
Intradural disc herniation is a rare entity, representing between 0.26% and 0.30% of all herniated discs. 92% of cases occur in the lumbar spine, more frequent at the L4-L5 level. The diagnostic and therapeutic conduct performed in a 61-year-old male patient who came to the office with a one-year and six-month history of dorsolumbar pain is described, accompanied by sensory alterations in the lower limbs. In view of the exacerbation of symptoms, a simple magnetic resonance study was performed, observing an intraspinal, intradural, extramedullary lesion at the D12-L1 space. An intradural disc herniation is suspected. After being evaluated the case in the group of Neurosurgeons (Group of Spinal Surgery) of the Institute of Neurology and Neurosurgery of Havana, it is proposed to carry out surgical treatment, which consisted of the extraction with microsurgical technique of the Herniated disc, preserving the vertebral anatomy through the laminoplasty technique, an open book variant. The patient evolved satisfactorily after three months of follow-up. It is concluded that intradural disc herniation should be included among intradural, extraxial lesions of the spine. By means of the magnetic resonance study, a group of imaging signs that support the preoperative diagnosis of this lesion can be described. Surgery is the definitive therapeutic method and allows an accurate diagnosis of spinal herniation to be established.
硬膜内椎间盘突出是一种罕见的疾病,约占所有椎间盘突出的0.26%至0.30%。92%的病例发生在腰椎,多见于L4-L5节段。本文描述了一名61岁男性患者的诊断和治疗行为,该患者就诊时有一年和六个月的腰背疼痛史,并伴有下肢感觉改变。鉴于症状加重,进行了简单的磁共振研究,观察了D12-L1间隙的椎管内、硬膜内、髓外病变。怀疑为硬膜内椎间盘突出。在哈瓦那神经病学和神经外科研究所的神经外科医生组(脊柱外科组)对病例进行评估后,建议进行手术治疗,其中包括用显微外科技术提取突出的椎间盘,通过椎板成形术(一种开放式的书)保留椎体解剖结构。病人随访三个月后进展满意。结论:硬膜内椎间盘突出应包括在硬膜内、脊柱外病变中。通过磁共振研究,可以描述一组支持该病变术前诊断的影像学征象。手术是最终的治疗方法,可以准确诊断脊柱突出症。
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引用次数: 0
Improvements in Cognition and Educational Attainment as a Result of Integrating Music into Science Teaching in Elementary School 把音乐融入小学科学教学提高认识和教育水平
Pub Date : 2021-03-19 DOI: 10.31579/2578-8868/161
Raed Mualem
BACKGROUND AND OBJECTIVE: This study examines the effect on third-grade students’ academic achievement and their pleasure and interest in lessons as a result of the incorporation of music into science classes. MATERIAL AND METHODS: Sixty third grade Arab school children were studied before and after listing a Mozart Concerto. Their pleasure and interest in the lesson was evaluated using the 20-statement Barak questionnaire. Comparison was made between an initial 6 lessons without music and subsequent 6 lessons with music. In another study at the Institute of Neurology and Neurosurgery in Havana, Cuba, continuous electroencephalographic monitoring (CEEG) was performed in 15 third-grade school children during 10 minutes at basal condition and for 10 minutes while listening to the same piece of music. RESULTS: Assessment scores in the science examination were significantly higher overall after listening to music. A clear increment of alpha and gamma absolute powers was found when listening to music, although for the alpha band this augmentation was significantly greater. An increment of the alpha band power was related to significantly better performance of spatial–temporal tasks when listening to music. Changes in the gamma frequency band represent cognitive processes. Hence, CEEG analysis adds to evidence that listening to music can increase enjoyment and improve academic achievement among elementary school students. CONCLUSION: We propose that music stimulates the formation of neural networks that prime the brain for learning. We recommend that teachers of core subjects, especially mathematics, science and languages, begin their lessons with 5 minutes of calm music.
背景与目的:本研究考察了在科学课中加入音乐对三年级学生学业成绩、课堂乐趣和兴趣的影响。材料和方法:对60名三年级的阿拉伯学生在播放莫扎特协奏曲前后进行了研究。他们对这节课的兴趣和愉悦程度是用巴拉克的20项问卷来评估的。将前6节无音乐课与后6节有音乐课进行比较。在古巴哈瓦那神经病学和神经外科研究所的另一项研究中,研究人员对15名三年级学生进行了连续脑电图监测(CEEG),分别在基础条件下和听同一段音乐时进行了10分钟的连续监测。结果:听音乐后学生理科考试评估成绩总体上显著提高。当听音乐时,α和γ的绝对功率明显增加,尽管对于α波段,这种增加明显更大。在听音乐时,α波段功率的增加与更好的时空任务表现显著相关。伽马频段的变化代表认知过程。因此,脑电图分析进一步证明,听音乐可以增加小学生的乐趣,提高学习成绩。结论:我们认为音乐刺激神经网络的形成,使大脑为学习做好准备。我们建议核心科目的老师,特别是数学、科学和语言的老师,以5分钟平静的音乐开始他们的课程。
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引用次数: 0
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Journal of neuroscience and neurological surgery
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