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[Post-concussion syndrome: how much is organic and how much psychogenic?]. [脑震荡后综合症:多少是器质性的,多少是心因性的?]
Pub Date : 1992-07-01
L L Barraquer Bordás
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引用次数: 0
[Hormones and aggression]. [荷尔蒙和攻击性]。
Pub Date : 1992-07-01
M A Martí-Carbonell, S Darbra, A Garau, F Balada

This work is a review about psychoendocrinologic aspects of aggressive behavior. We have considered two approaches, the classical view focused on hormonal influences in the regulation of aggression and the most recent view which accounts for the influences of aggressive behavior and social status on hormonal secretion. In this review we differentiate the organizational from the activational effects. The main conclusions are referred to the gonadal steroids effects both organization and activation of the neural subtract of aggression. Among them it seems that aromatizable androgens have the most important effects. On the other hand, the testosterone would be predictive for dominant social status, the corticosterone would be for submission and finally, the ACTH would be predictive for the aggressive behavior but not for submission. In addition to that the literature point that the defeat experience is the main factor in submission. Referred to the effects of behavior on hormonal secretions, all the studies point out that social interaction elicits sympathetic-medullar and gonadal activation in the dominant animals and cortico-adrenal activation in the submissive ones.

本研究综述了攻击行为的心理内分泌学方面的研究。我们考虑了两种方法,古典观点侧重于激素在攻击调节中的影响,而最近的观点则考虑了攻击行为和社会地位对激素分泌的影响。在这篇综述中,我们区分了组织效应和激活效应。主要结论是性腺激素对攻击性神经减负的组织和激活都有影响。其中,芳香化雄激素似乎具有最重要的作用。另一方面,睾酮能预测主导社会地位,皮质酮能预测服从最后,ACTH能预测攻击行为但不能预测服从。除此之外,文献还指出失败经历是促使玩家屈服的主要因素。关于行为对激素分泌的影响,所有的研究都指出,社会互动在优势动物中引起交感神经髓质和性腺的激活,在服从动物中引起皮质肾上腺的激活。
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引用次数: 0
[Brainstem lesion in multiple sclerosis, blink reflex, and brainstem auditory evoked potentials]. [多发性硬化症的脑干病变,眨眼反射和脑干听觉诱发电位]。
Pub Date : 1992-05-01
F Alonso, A Traba, R Roldán, A Esteban

Blink reflex (BR) and brainstem auditory evoked potentials (BAEP) were recorded from 168 patients with several diagnostic categories of multiple sclerosis, from which 98 complained brainstem symptoms (BSS+). From the whole group, the BR showed a higher degree of abnormality (45.75%) than BAEP (27.95). This range increased in the group BSS+ (52.15% for the BR and 34.9% for the BAEP) and even more when sings or symptoms of brainstem were present at the time of exploration (BSS+P) 60.4% for the BR and 41.3% for BAEP. Among patients who never complained brainstem symptoms, the BR disclosed a subclinical lesion in the 33.3% and the BAEP in the 16.9%. The combination of BR and BAEP were more useful than an isolated test. The localization of the lesion both clinically and in the BR were mostly on the pons. Light correlation between the presence of isolated or multiple symptoms and the disorder in the BR were present. Facial myokymia and internuclear ophthalmoplegia were most often associated with disorder in the BR, in both, the commonest localization was on the pons, and in the former about the motor nucleus of the facial nerve.

本文记录了168例多发性硬化症患者的瞬目反射(BR)和脑干听觉诱发电位(BAEP),其中98例为主诉脑干症状(BSS+)。从全组来看,BR的异常程度(45.75%)高于BAEP(27.95%)。该范围在BSS+组中增加(BR为52.15%,BAEP为34.9%),当探查时存在唱歌或脑干症状时(BSS+P) BR为60.4%,BAEP为41.3%。在从未抱怨过脑干症状的患者中,33.3%的BR和16.9%的BAEP显示了亚临床病变。BR和BAEP联合检测比单独检测更有效。临床及脑内病变多位于桥脑桥。孤立或多重症状的存在与BR紊乱之间存在轻微的相关性。面肌无力和核间眼麻痹最常与脑区紊乱相关,两者最常定位于脑桥,前者最常定位于面神经运动核。
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引用次数: 0
[Validation of axillary temperature measurement as a biorhythm marker. Study of the sex variable]. [腋窝温度测量作为生物节律标记的验证。]性别变量的研究]。
Pub Date : 1992-05-01
A Adán

This paper analyses the relationship between oral and axillary temperatures in the waking part of the day, and verify the existence of sex differences within both parameters. We selected 20 healthy subjects (10 men and 10 women) aged 22 to 30, controlling environmental and subject variables. The women's group does show greater thermic values for axillary temperature (8 of the 13 recordings). There was a highly correlation between sex groups (r = 0.854, p less than 0.001), axillary temperature rhythms between sexes are coupled and any differences are only of degree. For oral temperature the women's group showed higher values in 3 recordings (15.00, 18.00 and 21.00), and there was no correlation between men and women throughout the day. These results evidence sex differences in rhythmic patterns of oral temperature. Correlations between temperatures were highly positive for the whole sample, men and women. Our study presents empirical data on the validity of using axillary temperature as alternative measurement of body temperature. We expect the use of axillary temperature to be increasingly employed in chronobiological field studies.

本文分析了一天清醒时口腔和腋窝温度之间的关系,并验证了这两个参数之间存在性别差异。我们选取了20名年龄在22 - 30岁之间的健康受试者(男10名,女10名),控制了环境和受试者变量。女性组的腋窝温度确实显示出更高的热值(13次记录中有8次)。性别组间存在高度相关(r = 0.854, p < 0.001),性别间腋窝温度节律是耦合的,差异只是程度上的。对于口腔温度,女性组在3次记录(15.00,18.00和21.00)中显示出较高的值,并且全天男性和女性之间没有相关性。这些结果证明了口腔温度节律模式的性别差异。在整个样本中,无论男女,温度之间的相关性都是高度正相关的。我们的研究提供了使用腋窝温度作为替代体温测量的有效性的经验数据。我们期望在时间生物学领域的研究中越来越多地使用腋窝温度。
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引用次数: 0
[Acetylcholinesterase activity during the cortical development of the cat brain]. [猫大脑皮层发育过程中的乙酰胆碱酯酶活性]。
Pub Date : 1992-05-01
J M de Gandarias, J Irazusta, E Echevarría, J Gil, L Casís

Acetylcholinesterase (AChe) hydrolyses acetylcholine to choline and acetate, thereby inactivating the neurotransmitter. However, the possible non-cholinergic function of this enzyme has been recently suggested. In the present work, changes in AChe activity during the postnatal development of the cat brain are described, in order to show if the enzyme could play a part in the maturing processes of the CNS. The study was performed in the frontal and parietal cortices, area 17 and areas 18 and 19 as a whole in the 15 and 30 days postnatal stages. Significant increases with age were observed in all the brain areas under study. It is suggested that this enzyme activity play a part in the maturation of the cat brain cortices, possibly in the cholinergic development and/or as a cell growth regulatory factor.

乙酰胆碱酯酶(AChe)将乙酰胆碱水解成胆碱和醋酸盐,从而使神经递质失活。然而,最近有人提出这种酶可能具有非胆碱能功能。本研究描述了出生后猫脑发育过程中乙酰胆碱酯酶活性的变化,以证明该酶是否在中枢神经系统的成熟过程中发挥作用。研究在出生后15天和30天对额叶和顶叶皮层,17区,18区和19区进行了整体研究。随着年龄的增长,在研究的所有大脑区域都观察到显著的增长。这表明,这种酶的活性在猫大脑皮层的成熟中起作用,可能在胆碱能发育和/或作为细胞生长调节因子。
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引用次数: 0
[Modulatory capability of the somatosensory afferents through acupuncture reflexotherapy]. 针刺反射疗法对躯体感觉传入的调节能力。
Pub Date : 1992-05-01
F Abad Alegría, J Bono Ariño

This paper concerns the influence of the acupuncture on the somatic afferent volley. As the main used points in experimental acupuncture, we stimulated 4GI and 7H. The results confirm the modulatory influence of the acupuncture on the somesthetic afference and, also, its different mode of action related with the nature of the point stimulated.

本文研究了针刺对躯体传入截击的影响。作为实验针刺的主要使用点,我们刺激了4GI和7H。结果证实了针刺对躯体感觉传入的调节作用,以及其不同的作用方式与受刺激点的性质有关。
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引用次数: 0
[Subtypes of muscarinic acetylcholine receptor following the experimental denervation of the cholinergic pathway ascending to the neocortex]. [胆碱能通路实验去神经后的毒蕈碱乙酰胆碱受体亚型]。
Pub Date : 1992-05-01
T Pascual-Alonso, J L González-Zárate

Background: Use of an experimentally induced neurotoxic lesion of the ascending cholinergic pathway to the neocortex, in rat brain, to study the postulated selective loss of muscarinic receptor subtypes (mAChR) presynaptically located (autoreceptors).

Methods: Stereotaxic lesion of n. basalis magnocellularis was induced by 25 nmol Ibotenic acid injection in the right brain hemisphere of adult, male, Wistar rats. The contralateral hemisphere served as control. Antagonist (quinuclidinyl-benzilate) and agonist (carbachol) specific binding to mAChR receptors at equilibrium was studied 7 days post-lesion on a P2 fraction of brain cortex homogenate. Displacement of antagonist binding by carbachol was analyzed by "one-point" and "two-point" model fits.

Results: Muscarinic receptors on the control hemisphere show no sign of lesion related changes as compared to data for intact rat brain: Bmax = 0.896 pmol/mg protein and Kd = 0.25 nM. In the lesioned hemisphere a -10.3% loss of antagonist binding (not statistically significant) was observed, with an increase in receptor affinity. Heterogeneity of agonist binding was found; receptor subtype analysis showed that the proportion M2/M1 was unchanged but an increase in carbachol (M2 selective affinity) did appeared.

Conclusions: We found no evidence of a selective presynaptic localization of muscarinic receptor sub-types on terminals of the cholinergic ascending pathway to the neocortex. A receptor loss related to the intensity of the neurotoxic lesion is suggested as well as the presence of regulative mechanisms (hypersensitivity) for receptors.

背景:利用实验诱导的大鼠脑新皮质上升胆碱能通路的神经毒性损伤,研究毒毒碱受体亚型(mAChR)在突触前定位(自受体)的假设选择性损失。方法:用25 nmol伊博滕酸注射成年雄性Wistar大鼠脑右半球诱导大细胞基底裂裂肌立体定向病变。对侧半球作为对照。在损伤后7天,在脑皮层匀浆P2部分上研究了拮抗剂(喹啉基苯磺酸盐)和激动剂(氨基戊二醇)在平衡状态下与mAChR受体的特异性结合。用“一点”和“两点”模型拟合的方法分析了拮抗剂与苯酚结合的位移。结果:对照半球毒蕈碱受体未见损伤相关改变,Bmax = 0.896 pmol/mg protein, Kd = 0.25 nM。在受损半球,拮抗剂结合损失-10.3%(无统计学意义),受体亲和力增加。发现激动剂结合的异质性;受体亚型分析表明,M2/M1的比例没有变化,但碳醇(M2选择性亲和力)有所增加。结论:我们没有发现毒蕈碱受体亚型在通向新皮层的胆碱能上行通路末端的选择性突触前定位的证据。受体的丧失与神经毒性损伤的强度有关,也与受体的调节机制(超敏反应)有关。
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引用次数: 0
[Meningiomas: immunohistochemical analysis of 26 cases]. 脑膜瘤:26例免疫组化分析。
Pub Date : 1992-03-01
M Pérez-Guiones Bacete, M Cerda-Nicolás, J Piquer, C Barcia-Mariño

We have analyzed, with immunohistochemical staining techniques 26 meningiomas of CNS. Vimentin intermediate filaments was present in all cases in the cytoplasm of tumoral cells. Single epithelium cytokeratin was positive in only 19% cases, same that was obtained with S-100 protein. Whereas 69% of cases expressed epithelial membrane antigen. No case was stained positively with Actin, Desmin and GFAP. The results obtained for others authors are analyzed.

我们用免疫组织化学染色技术分析了26例中枢神经系统脑膜瘤。所有病例的肿瘤细胞的细胞质中均存在波形蛋白中间丝。单上皮细胞角蛋白阳性仅19%,与S-100蛋白阳性相同。而69%的病例表达上皮膜抗原。未见Actin、Desmin、GFAP阳性。对其他作者的所得结果进行了分析。
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引用次数: 0
[CT vs MRI in the diagnosis of acute stroke]. [CT与MRI在急性脑卒中诊断中的比较]。
Pub Date : 1992-03-01
M Arias, I Requena, I Pereiro, M E Amigo, M Ventura, L Quintans, A Noya

70 patients who had suffered an acute stroke (52 ischaemic and 18 haemorrhagic) were studied with CT and MR, performing both techniques during the first week of disease and correlating the findings with the clinical data. MR proved superior in the detection of ischaemic infarcts, specially those in the posterior territory and with a small size; it was also superior to CT in the detection of leukoaraiosis and the demonstration of vascular obstructions. CT failed to detect a small brain stem haemorrhage secondary to bleeding of a cavernoma, while its performance was similar to that of MR in the remaining cases. In all patients with intracerebral haemorrhages, including two who were examined on the first day, an area of increased density was evidenced in the T1 sequences. It is concluded that CT, due to its greater availability and easiness of performance, must be maintained as first choice in acute stroke in order to differentiate haemorrhage from ischaemia, while MR may provide additional information in selected cases.

70例急性脑卒中患者(52例缺血性,18例出血性)采用CT和MR进行研究,在发病第一周采用这两种技术,并将结果与临床数据相关联。mri在检测缺血性梗死,特别是后脑区和小面积的缺血性梗死方面具有优势;在白质病变的发现和血管阻塞的显示方面也优于CT。CT未发现海绵状瘤出血继发脑干小出血,其余病例表现与MR相似。在所有脑出血患者中,包括在第一天接受检查的两名患者,T1序列显示密度增加的区域。结论是,CT由于其更大的可用性和易于执行,必须作为急性卒中的首选,以区分出血和缺血,而MR可能在选定的病例中提供额外的信息。
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引用次数: 0
[Neuroleptic malignant syndrome associated with the inadequate antidiuretic hormone secretion syndrome]. [与抗利尿激素分泌不足综合征相关的抗精神病药恶性综合征]。
Pub Date : 1992-03-01
M García Escrig, F Bermejo Pareja, O Soto Téllez, J Díaz Guzmán, A Lledó

Neuroleptic malignant syndrome (NMS) is an adverse reaction of an idiosyncratic nature to drugs having antidopaminergic activity. Pathogenesis is largely disputed. An NMS case is presented which was triggered by flupentixol and was associated with severe hyponatremia (116 mmol/l upon admission). Both clinically and analytically, the hyponatraemia fulfills criteria to be considered secondary to an inappropriate secretion of antidiuretic hormone (SIADH). Other possible causes of hyponatraemia were ruled out. After early treatment with dopaminergic agonists and water restriction, both conditions improved in parallel. The different pathogenetic possibilities which may explain the temporal coexistence of both syndromes in the same patient are discussed. The association of these two conditions is in favour of a probable central pathogenetic cause for NMS. On the other hand, it is suggested that hyponatraemia may mask the diagnosis of NMS.

抗精神病药恶性综合征(NMS)是一种特殊性质的不良反应的药物具有抗多巴胺能活性。发病机制在很大程度上存在争议。本文报告1例由氟哌噻醇引发的NMS病例,并伴有入院时116 mmol/l的严重低钠血症。从临床和分析角度来看,低钠血症符合继发于抗利尿激素(SIADH)分泌不当的标准。其他可能导致低钠血症的原因已被排除。在早期使用多巴胺能激动剂和限水治疗后,两种情况并行改善。不同的致病可能性,可能解释这两种综合征在同一病人的时间共存进行了讨论。这两种情况的关联有利于NMS可能的中心发病原因。另一方面,低钠血症可能掩盖NMS的诊断。
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引用次数: 0
期刊
Archivos de neurobiologia
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