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Atlanto-occipital assimilation: embryological basis and its clinical significance. 寰枕同化:胚胎学基础及其临床意义。
IF 1.1 Q3 Medicine Pub Date : 2024-03-31 Epub Date: 2023-12-20 DOI: 10.5115/acb.23.225
Hari Hara Hanusun N, Akanksha Singh, Pooja Poddar, Jessy J P, Neerja Rani, Hitesh Gurjar, Seema Singh

Atlanto-occipital assimilation is an osseous embryological anomaly of the craniovertebral junction in which the atlas (C1) is fused to the occiput of skull. Embryologically, this assimilation may happen due to failure of the segmentation and separation of the caudal occipital and the cranial cervical sclerotome. The segmentation clock is maintained by NOTCH and WNT signalling pathways along with Hox genes and retinoic acid. This condition is likely to be a consequence of mutation in above mentioned genes. The knowledge of this assimilation may be crucial for the clinicians as it may lead to various neurovascular symptoms. The present case report involves the analysis of atlanto-occipital assimilation with its clinical significance and embryological basis.

寰枕同化是颅椎交界处的一种骨性胚胎异常,即寰椎(C1)与头骨枕融合。在胚胎学上,这种同化可能是由于尾枕和颅颈硬骨的分节和分离失败造成的。分节时钟由 NOTCH 和 WNT 信号通路以及 Hox 基因和视黄酸维持。这种情况很可能是上述基因突变的结果。了解这种同化现象对临床医生来说至关重要,因为它可能会导致各种神经血管症状。本病例报告分析了寰枕同位的临床意义和胚胎学基础。
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引用次数: 0
A biceps-bicaudatus sartorius muscle: dissection of a variant with possible clinical implications. 肱二头肌-冈底斯肌:解剖变体,可能具有临床意义。
IF 1.1 Q3 Medicine Pub Date : 2024-03-31 Epub Date: 2024-01-03 DOI: 10.5115/acb.23.254
Konstantinos Natsis, Christos Koutserimpas, Trifon Totlis, George Triantafyllou, George Tsakotos, Katerina Al Nasraoui, Filippos Karageorgos, Maria Piagkou

The current cadaveric report describes an unusual morphology of the sartorius muscle (SM), the biceps-bicaudatus variant. The SM had two (lateral and medial) heads, with distinct tendinous origins from the anterior superior iliac spine. The lateral head was further split into a lateral and a medial bundle. The anterior cutaneous branch of the femoral nerve emerged between the origins of the lateral and medial heads. SM morphological variants are exceedingly uncommon, with only a few documented cases in the literature, and several terms used for their description. Although their rare occurrence, they may play an important role in the differential diagnosis of entrapment syndromes, in cases of neural compressions, such as meralgia paresthetica, while careful dissection during the superficial inter-nervous plane of the direct anterior hip approach is of utmost importance, to avoid adverse effects due to the altered SM morphology.

目前的尸体报告描述了萨尔图里斯肌(Sartorius muscle,SM)的一种不同寻常的形态,即肱二头肌-双头肌变体(biceps-bicaudatus variant)。腓肠肌有两个头(外侧头和内侧头),与髂前上棘有明显的肌腱起源。外侧头又分为外侧束和内侧束。股神经前皮支位于外侧头和内侧头的起源之间。SM形态变异极为罕见,文献中仅有几例记录在案,有多个术语用于描述。尽管其发生率极低,但在神经压迫病例(如麻痹性肢痛症)中,它们可能在夹层综合征的鉴别诊断中发挥重要作用,而在髋关节前方直接入路的浅表神经间平面中进行仔细解剖则至关重要,以避免因 SM 形态改变而产生不良影响。
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引用次数: 0
Impact of peripheral blood mononuclear cells preconditioned by activated platelet supernatant in managing gastric mucosal damage induced by zinc oxide nanoparticles in rats. 用活化血小板上清液预处理外周血单核细胞对控制氧化锌纳米颗粒诱发的大鼠胃黏膜损伤的影响
IF 1.1 Q3 Medicine Pub Date : 2024-03-31 Epub Date: 2024-01-15 DOI: 10.5115/acb.23.217
Darwish Badran, Ayman El-Baz El-Agroudy, Amira Adly Kassab, Khaled Saad El-Bayoumi, Zienab Helmy Eldken, Noha Ramadan Mohammed Elswaidy

The world has witnessed tremendous advancements in nano-base applications. Zinc oxide nanoparticles (ZON) are widely used in food industry and medicine. Although their application is of important value, they may cause toxicity to body tissues. Peripheral blood mononuclear cells (PBMCs) proved its efficacy in tissue regeneration especially when it is preconditioned by activated platelet supernatant (APS). The aim of this study is to evaluate the effect of ZON on the gastric mucosa and the therapeutic role of the PBMCs preconditioned by APS in rats. Ten rats were donors and fifty rats were recipients. The recipients were divided into; control group, ZON group (10 mg/kg/day orally for five days) and preconditioned PBMCs group (1×107 once intravenously 24 hours after ZON). Gastric specimens were processed for histological, immunohistochemical, biochemical and quantitative real-time polymerase chain reaction studies. ZON group showed marked structural changes in the gastric mucosa. There was desquamation or deep ulceration of the epithelium. Cytoplasmic vacuoles and pyknotic nuclei were in glandular cells. Reduced proliferating cell nuclear antigen and increased tumor necrosis factor-α were in epithelial cells. There were significant elevation in malondialdahyde and reduction in glutathione, superoxide dismutase, and catalase. Enhancement in mRNA expression of nuclear factor kappa-B and cyclooxygenase-2 was detected. The preconditioned PBMCs group showed significant improvement of all parameters. So, ZON had cytotoxic effects on the gastric mucosa and the preconditioned PBMCs had a therapeutic effect on gastric mucosal damage after ZON.

全球在纳米基础应用方面取得了巨大进步。纳米氧化锌(ZON)被广泛应用于食品工业和医药领域。虽然其应用具有重要价值,但可能会对人体组织造成毒性。事实证明,外周血单核细胞(PBMCs)在组织再生方面具有功效,尤其是在使用活化血小板上清液(APS)进行预处理的情况下。本研究旨在评估 ZON 对大鼠胃黏膜的影响以及经 APS 预处理的 PBMCs 的治疗作用。十只大鼠为供体,五十只大鼠为受体。受体分为:对照组、ZON 组(口服 10 毫克/千克/天,连续五天)和预处理 PBMCs 组(ZON 24 小时后静脉注射一次,每次 1×107)。对胃标本进行组织学、免疫组化、生化和实时定量聚合酶链反应研究。ZON 组的胃黏膜出现了明显的结构变化。上皮出现脱屑或深度溃疡。腺细胞出现胞浆空泡和细胞核萎缩。上皮细胞中的增殖细胞核抗原减少,肿瘤坏死因子-α增加。丙二醛明显升高,谷胱甘肽、超氧化物歧化酶和过氧化氢酶降低。检测到核因子 kappa-beta 和环氧化酶-2 的 mRNA 表达增强。预处理 PBMCs 组的所有参数都有明显改善。因此,ZON 对胃黏膜有细胞毒性作用,而预处理的 PBMCs 对 ZON 后的胃黏膜损伤有治疗作用。
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引用次数: 0
A comprehensive review of the mental spine. 全面回顾精神脊柱。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-03-31 Epub Date: 2023-12-15 DOI: 10.5115/acb.23.220
Ross Champagne, Rithvik Vutukuri, Chung Yoh Kim, R Shane Tubbs, Joe Iwanaga

Clinical case reports and research regarding the mental spines and their associated structures create a detailed picture of the floor of the mouth for assessment during clinical treatment. This compilation of information covers the mental spines, the attached geniohyoid and genioglossus muscles, the lingual foramina, and the veins and arteries of the jaw and floor of the mouth. It is important to consider the variations in the mental spines for oral and maxillofacial treatment involving the mandible. Differences in anatomy of the mental spine, including their number, location, and size, can impact diagnosis and treatment approaches.

有关精神脊柱及其相关结构的临床病例报告和研究为临床治疗期间的评估提供了详细的口底情况。本资料汇编涵盖了精神脊柱、附着的舌侧肌和舌根肌、舌侧孔以及下颌和口底的静脉和动脉。在涉及下颌骨的口腔颌面部治疗中,考虑精神脊柱的变化非常重要。精神脊柱解剖结构的差异,包括其数量、位置和大小,都会影响诊断和治疗方法。
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引用次数: 0
Exploring amygdala structural changes and signaling pathways in postmortem brains: consequences of long-term methamphetamine addiction. 探索死后大脑的杏仁核结构变化和信号通路:长期甲基苯丙胺成瘾的后果。
IF 1.1 Q3 Medicine Pub Date : 2024-03-31 Epub Date: 2023-11-22 DOI: 10.5115/acb.23.193
Zahra Azimzadeh, Samareh Omidvari, Somayeh Niknazar, Saeed Vafaei-Nezhad, Navid Ahmady Roozbahany, Mohammad-Amin Abdollahifar, Foozhan Tahmasebinia, Gholam-Reza Mahmoudiasl, Hojjat Allah Abbaszadeh, Shahram Darabi

Methamphetamine (METH) can potentially disrupt neurotransmitters activities in the central nervous system (CNS) and cause neurotoxicity through various pathways. These pathways include increased production of reactive nitrogen and oxygen species, hypothermia, and induction of mitochondrial apoptosis. In this study, we investigated the long-term effects of METH addiction on the structural changes in the amygdala of postmortem human brains and the involvement of the brain- cAMP response element-binding protein/brain-derived neurotrophic factor (CREB/BDNF) and Akt-1/GSK3 signaling pathways. We examined ten male postmortem brains, comparing control subjects with chronic METH users, using immunohistochemistry, real-time polymerase chain reaction (to measure levels of CREB, BDNF, Akt-1, GSK3, and tumor necrosis factor-α [TNF-α]), Tunnel assay, stereology, and assays for reactive oxygen species (ROS), glutathione disulfide (GSSG), and glutathione peroxidase (GPX). The findings revealed that METH significantly reduced the expression of BDNF, CREB, Akt-1, and GPX while increasing the levels of GSSG, ROS, RIPK3, GSK3, and TNF-α. Furthermore, METH-induced inflammation and neurodegeneration in the amygdala, with ROS production mediated by the CREB/BDNF and Akt-1/GSK3 signaling pathways.

甲基苯丙胺(METH)可以潜在地破坏中枢神经系统(CNS)的神经递质活动,并通过多种途径引起神经毒性。这些途径包括增加活性氮和活性氧的产生、低温和诱导线粒体凋亡。在这项研究中,我们研究了冰毒成瘾对死后人脑杏仁核结构变化的长期影响,以及脑- cAMP反应元件结合蛋白/脑源性神经营养因子(CREB/BDNF)和Akt-1/GSK3信号通路的参与。我们使用免疫组织化学、实时聚合酶链反应(测量CREB、BDNF、Akt-1、GSK3和肿瘤坏死因子-α [TNF-α]的水平)、隧道试验、体视学和活性氧(ROS)、谷胱甘肽二硫(GSSG)和谷胱甘肽过氧化物酶(GPX)的测定,对10个男性死后的大脑进行了检测,并将对照组与慢性冰毒用户进行了比较。结果显示,甲基安非他明显著降低BDNF、CREB、Akt-1和GPX的表达,同时增加GSSG、ROS、RIPK3、GSK3和TNF-α的水平。此外,甲基苯丙胺诱导的杏仁核炎症和神经变性,通过CREB/BDNF和Akt-1/GSK3信号通路介导ROS的产生。
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引用次数: 0
The pterygomandibular raphe: a comprehensive review. 翼下颌剑突:全面回顾。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-03-31 Epub Date: 2024-01-30 DOI: 10.5115/acb.23.232
Rithvik Vutukuri, Norio Kitagawa, Keiko Fukino, R Shane Tubbs, Joe Iwanaga

The pterygomandibular raphe (PMR) is a tendinous structure connecting the bucinator and the superior pharyngeal constrictor muscles. With its implications in the spread of oral cancer, the proper treatment of obstructive sleep apnea, and dental procedures, it is important to obtain a thorough understanding of the PMR. We reviewed the existing literature to compile the published information regarding its anatomy, embryology, imaging, variations, functions, pathologies, and clinical relevance of the pterygomandibular raphe.

翼下颌剑突(PMR)是连接颊肌和咽上收缩肌的腱性结构。翼下颌下腺剑突对口腔癌的扩散、阻塞性睡眠呼吸暂停的正确治疗以及牙科手术都有影响,因此全面了解翼下颌下腺剑突非常重要。我们查阅了现有文献,汇编了有关翼下颌剑突的解剖、胚胎学、影像学、变异、功能、病理和临床相关性的已发表信息。
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引用次数: 0
A novel histologic description of the fibrous networks in the lid-cheek junction and infraorbital region. 睑颊交界处和眶下区纤维网的新组织学描述。
IF 1.1 Q3 Medicine Pub Date : 2024-03-31 Epub Date: 2024-01-26 DOI: 10.5115/acb.23.275
Sang-Hee Lee, Kyu-Ho Yi, Jung-Hee Bae, You-Jin Choi, Young-Chun Gil, Kyung-Seok Hu, Eqram Rahman, Hee-Jin Kim

The aim of this study was to identify the anatomical feature of retaining ligament and fat compartment on the lower eyelid and infraorbital region using a histological method, and to investigate clear definitions for them which could be used generally in the clinical area. Eighteen specimens from eight fresh Korean cadavers were stained with Masson trichrome or hematoxylin and eosin. The ligamentous and fascial fibrous tissue were clearly identified. The ligamentous fibrous tissue which traversed in the superficial and deep fat layer was skin ligament and orbicularis retaining ligament (ORL). The fascial fibrous tissue enclosed the orbicularis oculi muscle (OOc) and circumferencial adipose tissue. Based on the ligamentous and fascial structure, three fat compartments, septal, suborbicularis oculi and infraorbital fat compartment, could be identified. The OOc attached to orbital rim and dermis by ORL and skin ligament, and the muscle fascicle and fat fascicle provided the connection point to the ORL and skin ligament as enclosing all muscle and fat tissue. The combination of the force made by the skin ligament in the lower eyelid and ORL may decide the level and form of the infraorbital grooves.

本研究的目的是利用组织学方法确定下眼睑和眶下区保留韧带和脂肪区的解剖特征,并研究可在临床上普遍使用的明确定义。研究人员用 Masson 三色或苏木精和伊红对来自 8 具新鲜韩国尸体的 18 份标本进行了染色。韧带纤维组织和筋膜纤维组织清晰可辨。穿过浅层和深层脂肪的韧带纤维组织是皮肤韧带和眼轮匝肌固定韧带(ORL)。筋膜纤维组织包裹着眼轮匝肌和眼周脂肪组织。根据韧带和筋膜结构,可以确定三个脂肪区,即眼轮匝肌间隔、眼轮匝肌下和眶下脂肪区。眼轮匝肌通过眼轮匝肌韧带和皮肤韧带与眼眶边缘和真皮相连,肌肉筋膜和脂肪筋膜提供了与眼轮匝肌韧带和皮肤韧带的连接点,将所有肌肉和脂肪组织包围起来。下眼睑皮肤韧带和眼轮匝肌所受的力可决定眶下沟的水平和形态。
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引用次数: 0
Fenestrated popliteal vein pierced by a branch of the tibial nerve. 被胫神经分支刺穿的腘静脉裂孔。
IF 1.1 Q3 Medicine Pub Date : 2023-12-31 Epub Date: 2023-08-08 DOI: 10.5115/acb.23.035
Edward C Muo, Joe Iwanaga, Juan J Cardona, Łukasz Olewnik, Aaron S Dumont, R Shane Tubbs

Knowledge of anatomical variations is important so as to avoid potential iatrogenic injury or misdiagnosis on imaging. Here we report an unusual finding and relationship between the tibial nerve and popliteal vein. During the routine dissection of an adult cadaver, it was noted that a branch of the tibial nerve in the popliteal fossa pierced the most distal part of the popliteal vein. This unusual finding is described and relevant reports in the literature discussed. Our hopes are that such a report might help surgeons avoid injury to such a fenestrated popliteal vein and the tibial nerve branch traveling through it therefore decreasing patient morbidity.

对解剖变异的了解非常重要,可避免潜在的先天性损伤或影像学误诊。在此,我们报告了一个不寻常的发现以及胫神经和腘静脉之间的关系。在对一具成人尸体进行常规解剖时,我们发现腘窝中的胫神经分支刺穿了腘静脉的最远处。本文对这一不寻常的发现进行了描述,并讨论了文献中的相关报道。我们希望这样的报告可以帮助外科医生避免损伤这种腘静脉瘘管和穿过瘘管的胫神经分支,从而降低患者的发病率。
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引用次数: 0
Analyzing the factors that contribute to the development of embryological classical type of bladder exstrophy. 分析导致膀胱萎缩胚胎学经典类型发展的因素。
IF 1.1 Q3 Medicine Pub Date : 2023-12-31 Epub Date: 2023-08-31 DOI: 10.5115/acb.23.056
Ria Margiana, Widya Juwita, Khoirul Ima, Zakiyatul Faizah, Supardi Supardi

Bladder exstrophy is a rare congenital condition of the pelvis, bladder, and lower abdomen that opens the bladder against the abdominal wall, produces aberrant growth, short penis, upward curvature during erection, wide penis, and undescended testes. Exstrophy affects 1/30,000 newborns. The bladder opens against the abdominal wall in bladder exstrophy, a rare genitourinary condition. This study is vital to provide appropriate therapy choices as a basis to improve patient outcomes. This study may explain bladder exstrophy and provide treatment. Epispadias, secretory placenta, cloacal exstrophy, and other embryonic abnormalities comprise the exstrophy-spades complex. The mesenchymal layer does not migrate from the ectoderm and endoderm layers in the first trimester, affecting the cloacal membrane. Embryological problems define the exstrophy-aspidistra complex, which resembles epimedium, classic bladder, cloacal exstrophy, and other diseases. Urogenital ventral body wall anomalies expose the bladder mucosa, causing bladder exstrophy. Genetic mutations in the Hedgehog cascade pathway, Wnt signal, FGF, BMP4, Alx4, Gli3, and ISL1 cause ventral body wall closure and urinary bladder failure. External factors such as high maternal age, smoking moms, and high maternal body mass index have also been associated to bladder exstrophy. Valproic acid increases bladder exstrophy risk; chemicals and pollutants during pregnancy may increase bladder exstrophy risk. Bladder exstrophy has no identified cause despite these risk factors. Exstrophy reconstruction seals the bladder, improves bowel function, reconstructs the vaginal region, and restores urination.

膀胱萎缩是一种罕见的先天性骨盆、膀胱和下腹部疾病,会使膀胱紧贴腹壁开放,导致发育畸形、阴茎短小、勃起时向上弯曲、阴茎宽大和睾丸下垂。每 30,000 名新生儿中就有 1 人患有睾丸萎缩症。膀胱萎缩症是一种罕见的泌尿生殖系统疾病,患者的膀胱紧贴腹壁开放。这项研究对于提供适当的治疗选择至关重要,是改善患者预后的基础。这项研究可以解释膀胱外翻并提供治疗方法。膀胱外翻、分泌性胎盘、泄殖腔外翻和其他胚胎畸形构成了膀胱外翻-黑桃复合体。间质层在妊娠头三个月不会从外胚层和内胚层移出,从而影响泄殖腔膜。胚胎学问题决定了膀胱外翻-膀胱外翻复合体,它类似于膀胱外翻、典型膀胱外翻、泄殖腔外翻和其他疾病。泌尿生殖器腹侧体壁异常会暴露膀胱粘膜,导致膀胱萎缩。刺猬级联通路、Wnt 信号、FGF、BMP4、Alx4、Gli3 和 ISL1 的基因突变会导致腹侧体壁闭合和膀胱功能衰竭。高龄产妇、吸烟妈妈和高体重指数等外部因素也与膀胱外翻有关。丙戊酸会增加膀胱外翻的风险;怀孕期间的化学物质和污染物可能会增加膀胱外翻的风险。尽管存在这些风险因素,但膀胱萎缩并没有确定的原因。膀胱萎缩再造术可封闭膀胱、改善肠道功能、重建阴道区域并恢复排尿功能。
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引用次数: 0
Morphological types and morphometrical measurements of the suprascapular notch in both dry bones and human cadavers: anatomical study to improve the outcomes of the diagnostic and interventional procedures in the shoulder region. 干骨和人体尸体肩胛上切迹的形态类型和形态测量:改善肩部诊断和介入手术结果的解剖学研究。
IF 1.1 Q3 Medicine Pub Date : 2023-12-31 Epub Date: 2023-10-19 DOI: 10.5115/acb.23.167
Ashraf Youssef Nasr

Understanding the anatomy of suprascapular area helps the clinicians and surgeons in management of any disability at the shoulder region. This work aimed to clear the different morphological and morphometrical types of suprascapular notch (SSN). Unknown 120 dry human scapulae of both sides and 60 formalin-embalmed cadaveric upper limbs (40 males and 20 females) were used in the present study. Three main morphological forms of SSN were reported: J, U, and V-shaped. J-shaped notch showed the highest incidence followed by U-shaped then V-shaped one. Morphometrically, type (III) notch was the most prevalent in both dry bones and cadavers, while the incidence of type (II) was the lowest form. Also, the measurements of superior transverse diameter, middle transverse diameter and vertical dimension of the different types of the notch showed no side or sex significant difference. The suprascapular foramen with ossified superior transverse scapular ligament (STSL) was seen in 5.8% of dry bones and 10% of cadaveric specimens. Fan and band-shaped ossified transverse scapular ligaments were reported. Absence of SSN was seen in 10.8% of dry bones, 7.5% of male and 10% of female specimens with left side predominance. V-shaped, absence, and ossified STSL were considered as predisposing factors of suprascapular nerve entrapment syndrome. Knowledge of the morphology and morphometric parameters of SSN is of great clinical significance for anatomists, radiologists, physiotherapists, orthopedics and neurosurgeons to perform good diagnosis and best planning for surgical or arthroscopic interventions within the shoulder region.

了解肩胛上区的解剖结构有助于临床医生和外科医生处理肩部的任何残疾。本工作旨在明确肩胛上切迹(SSN)的不同形态和形态计量类型。在本研究中使用了120个未知的双侧干人肩胛骨和60个福尔马林防腐的上肢尸体(40名男性和20名女性)。报道了SSN的三种主要形态:J型、U型和V型。J形切口发生率最高,其次是U形切口,然后是V形切口。从形态学上看,(III)型切迹在干骨和尸体中最为常见,而(II)型切痕的发生率最低。此外,不同类型切迹的上横径、中横径和垂直尺寸的测量显示,侧面或性别无显著差异。在5.8%的干骨和10%的尸体标本中发现了带有骨化的肩胛上横韧带(STSL)的肩胛上孔。报道了扇形和带状骨化的肩胛骨横韧带。10.8%的干骨、7.5%的男性和10%的女性标本中没有SSN,左侧占优势。V型、无STSL和STSL骨化被认为是肩胛上神经卡压综合征的易感因素。了解SSN的形态和形态计量参数对于解剖学家、放射科医生、物理治疗师、骨科医生和神经外科医生在肩部区域内进行良好的诊断和手术或关节镜干预的最佳规划具有重要的临床意义。
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引用次数: 1
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