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Cerebelous Pseudotumor due to a Localized Vasculitis as First Presentation of Sjögren Syndrome 以Sjögren综合征为首发表现的局部血管炎引起的小脑假瘤
Pub Date : 2018-01-01 DOI: 10.21767/2171-6625.1000253
Guillermo Telenti-Rodríguez, V. Medrano-Martínez, Nuria Terán-Villagrá, I. Francés-Pont, L. H. Rubio, R. M. Domenech, S. Fernández-Izquierdo, J. Mallada-Frechín
Isolated, space-occupying lesions in the brain encompass a wide differential diagnosis. Autoimmune diseases may be at the origin of these lesions and should be included in the diagnostic process. Isolated brain involvement by Sjogren's syndrome is very rare. We present the first case published in the literature confirmed with brain biopsy, secondary to a cerebellar pseudotumoral lesion due to localized lymphocytic vasculitis as the first manifestation of a Sjogren's Syndrome.
孤立的,脑部占位性病变包含广泛的鉴别诊断。自身免疫性疾病可能是这些病变的起源,应纳入诊断过程。干燥综合征累及孤立的大脑是非常罕见的。我们报告了文献中第一例经脑活检证实的病例,继发于局部淋巴细胞性血管炎引起的小脑假性肿瘤病变,作为干燥综合征的第一表现。
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引用次数: 1
Alzheimerâs Disease: A Hypothesis 阿尔茨海默病:一种假说
Pub Date : 2018-01-01 DOI: 10.21767/2171-6625.1000269
J. Chan
This hypothesis explores Alzheimer’s Disease (AD) from a new perspective. It has been widely observed that AD patients present initially with “recent” memory loss. Recent memories are constantly created and updated, in contrast to “archived” memories, which do not require updating and which AD patients retain longer. Notably, memory creation and updating require the production and synthesis of proteins in neurons; and in AD patients, neurodegeneration is relative to the number of new proteins that the patient has synthesized. In neuronal protein synthesis, DNA transcribes mRNA, which is then translated into proteins in the cytoplasm. During this process, the unzipped DNA double helix is vulnerable to assault and can subsequently enter apoptosis if it is unable to repair itself. A healthy individual can create and update memories without neurodegeneration, and even among dementia patients, not every protein synthesis is subject to assault or neuronal damage. However, the more proteins are synthesized, the greater the probability of assault. I propose here that, consistent with AD being an agerelated disease, AD patients’ immune systems have declined to the point where they are unable to eradicate assault agents and to repair DNA damage sustained from assaults during neuronal protein synthesis.
这一假说从一个新的角度探讨了阿尔茨海默病(AD)。人们普遍观察到,阿尔茨海默病患者最初表现为“近期”记忆丧失。最近的记忆不断被创造和更新,而“存档”记忆则不需要更新,阿尔茨海默病患者保留的时间更长。值得注意的是,记忆的产生和更新需要神经元中蛋白质的产生和合成;在AD患者中,神经退行性变与患者合成的新蛋白质的数量有关。在神经元蛋白质合成中,DNA转录mRNA,然后将其翻译成细胞质中的蛋白质。在这个过程中,解压缩的DNA双螺旋很容易受到攻击,如果它不能自我修复,就会进入细胞凋亡。一个健康的人可以在没有神经退化的情况下创造和更新记忆,即使在痴呆症患者中,也不是每种蛋白质合成都会受到攻击或神经元损伤。然而,合成的蛋白质越多,攻击的可能性就越大。我在这里提出,与AD是一种相关性疾病相一致,AD患者的免疫系统已经下降到无法根除攻击因子和修复在神经元蛋白质合成过程中受到攻击的DNA损伤的程度。
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引用次数: 0
Vascular access: Nursing interventions, maintenance, and specialty patient care 血管通路:护理干预、维护和专科病人护理
Pub Date : 2017-12-07 DOI: 10.4172/2167-1168-C1-060
C. Chernecky
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引用次数: 0
The Role of Herpes Viruses in Autoimmune Diseases 疱疹病毒在自身免疫性疾病中的作用
Pub Date : 2017-10-31 DOI: 10.21767/2171-6625-C1-001
R. Herndon
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引用次数: 0
Complement anomalies in neurodegenerative and neurodevelopmental disorders as a trackable molecular event during the pre-clinical phase of disease development 在疾病发展的临床前阶段,补体异常在神经退行性和神经发育障碍中是一个可追踪的分子事件
Pub Date : 2017-10-31 DOI: 10.21767/2171-6625-C1-002
C. Strang
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引用次数: 3
Dietary polyphenols enhance optogenetic recall of fear memory in hippocampal dentate gyrus granule neuron subpopulations 膳食多酚增强海马齿状回颗粒神经元亚群恐惧记忆的光遗传学回忆
Pub Date : 2017-09-14 DOI: 10.21767/2171-6625-C1-009
Justin S. Brathwaite, Chad Smith, Tal Frolinger, Jun Wang, G. Pasinetti
Objectives: Social cognition (SC) impairments after traumatic brain injury (TBI) are pervasive. The movie for the assessment of social cognition (MASC) measures different facets of social interactions over the three stages of SC; social perception, social knowledge retrieval and response selection. The mechanisms underpinning SC deficits after TBI are poorly understood but aberrant eye fixation patterns could play a role. The present research explored fixations across social interactions to determine group differences and correlations between eye tracking and behavioural data. Design: Group differences in response selection during the MASC and fixation duration/count to areas of interest (eyes, nose and mouth) were examined. Methods: 18 TBI participants were recruited from the NHS and age/gender matched controls were recruited using stratified opportunity sampling. The MASC allows for quantification of incorrect answers; excessive theory of mind (ToM), reduced ToM and absence of ToM errors. The MASC was presented on a Tobii T120 eye tracker monitor. Results: TBI participants had significantly lower correct scores on the MASC and higher excessive/reduced errors compared to controls. There was no significant interaction between automated optical inspection (AOI) and group. However, significant main effects of group for fixation duration/count indicated that if AOI was ignored, controls displayed longer/more fixations overall suggesting a difference in visual scanning patterns between TBI and control groups. No significant correlations were established. Conclusions: TBI and controls exhibited disparate visual strategies during the MASC and this effect could underpin some SC impairments displayed by TBI participants. TBI participants also displayed insufficient and over-interpretative mental state reasoning compared to controls but it is unclear why. The present research outlines the multifaceted nature of SC impairments after TBI and highlights potential areas for SC intervention post-TBI
目的:创伤性脑损伤(TBI)后的社会认知(SC)障碍普遍存在。社会认知评估电影(MASC)测量了SC三个阶段的社会互动的不同方面;社会感知、社会知识检索和反应选择。TBI后SC缺陷的机制尚不清楚,但异常的眼睛注视模式可能起到一定作用。本研究探讨了社交互动中的注视,以确定眼动追踪和行为数据之间的群体差异和相关性。设计:研究MASC期间反应选择和对感兴趣区域(眼睛、鼻子和嘴巴)的固定持续时间/计数的组间差异。方法:从英国国家医疗服务体系招募18名TBI参与者,并采用分层机会抽样法招募年龄/性别匹配的对照组。MASC允许对错误答案进行量化;过度的心理理论(ToM)、减少的ToM和没有ToM错误。MASC出现在Tobii T120眼动仪上。结果:与对照组相比,TBI参与者在MASC上的正确分数显著较低,过度/减少的错误较高。在自动光学检查(AOI)和组之间没有显著的相互作用。然而,该组对注视持续时间/计数的显著主要影响表明,如果忽略AOI,对照组总体上表现出更长/更多的注视,这表明TBI组和对照组之间的视觉扫描模式存在差异。没有建立显著的相关性。结论:在MASC期间,TBI和对照组表现出不同的视觉策略,这种影响可能是TBI参与者表现出的一些SC损伤的基础。与对照组相比,TBI参与者也表现出了不充分和过度解释的心理状态推理,但原因尚不清楚。本研究概述了创伤性脑损伤后SC损伤的多方面性质,并强调了创伤性脑外伤后SC干预的潜在领域
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引用次数: 5
Clinical Presentations and Factors Responsiblefor Delays in Diagnosis of Juvenile MyoclonicEpilepsy among Sudanese Patients 苏丹青少年肌阵挛性癫痫的临床表现和延迟诊断的因素
Pub Date : 2017-08-04 DOI: 10.21767/2171-6625.1000209
S. Abdalla, M. Elmagzoub, H. Babikir
Introduction: Juvenile Myoclonic Epilepsy (JME) is common idiopathic epilepsy manifested by myoclonic jerks that commonly noticed in early childhood without consciousness disturbance, then the generalised tonic – clonic overwhelms the scene, absence attacks are not uncommon. The prominent and cardinal EEG features of JME syndrome that supports the diagnosis is the generalized 3.5-6 Hz single, bifid and polyspikes slow-wave’s complexes on normal brain background activity. Aim: Aims were to evaluate the demographic features and to detect the most common clinical presentations among Sudanese patients with JME and explain the possible causes of diagnosis delaying. Methods and patients: The study included all patients attended to National Ribat University – Faculty of Medicine and El-Magzoub Neurosciences centres whom their EEGs showed the characteristics features of JME (retrospectively). All the patients had been recruited (prospectively) and their EEGs have been repeated and clinical history and examination through pre-formed interview forms had bee done. The obtained data have been analysed using the SPSS and results were illustrated in by tables. Results and discussion: The mean age of JME patients at diagnosis was 19.55 ± 8.98 years. Myoclonic jerks were confirmed in about 91% of the patients. Sleep deprivation was the triggering factor for MJs in 61.4% of the patients. Absence attacks were confirmed in 77.27% of JME patients, and generalised tonic-clonic seizures in 84.1% of patients with a mean age of onset 13.92 ± 5.65 years. The elapsed time between jerks and GTC was 4.35 ± 3.61 years. Conclusion: MJs is common among Sudanese patients with JME and the sleep deprivation is the most frequent aggravating factors with the early awakening. Generalised tonic-clonic is common among JME patients and this great event may obscure MJs and confused the doctors to ask about them.
青少年肌阵挛性癫痫(JME)是一种常见的特发性癫痫,表现为肌阵挛性抽搐,通常在儿童早期没有意识障碍,然后全身性强直-阵挛性发作,缺席发作并不罕见。支持诊断的JME综合征的突出和主要EEG特征是正常脑背景活动下的广义3.5-6 Hz单、双峰和多峰慢波复合体。目的:目的是评估人口统计学特征,发现苏丹JME患者中最常见的临床表现,并解释诊断延迟的可能原因。方法和患者:该研究包括所有在国立Ribat大学医学院和El-Magzoub神经科学中心就诊的患者,他们的脑电图显示JME的特征(回顾性)。所有患者均为前瞻性招募,进行脑电图复核,并通过预先填写的访谈表进行临床病史和检查。所得数据已使用SPSS进行分析,结果以表格形式说明。结果与讨论:JME患者诊断时的平均年龄为19.55±8.98岁。约91%的患者确认有肌阵挛性抽搐。61.4%的患者睡眠不足是诱发MJs的因素。77.27%的JME患者出现失神发作,84.1%的患者出现全身性强直-阵挛性发作,平均发病年龄13.92±5.65岁。抽搐与GTC的间隔时间为4.35±3.61年。结论:睡眠不足是苏丹JME患者的常见症状,睡眠不足是最常见的加重因素。全身性强直-阵挛在JME患者中很常见,这一重大事件可能会使MJs模糊不清,并使医生在询问时感到困惑。
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引用次数: 1
Hypothermia for intracranial hypertension after traumatic brain injury: A randomized clinical study 低温治疗外伤性脑损伤后颅内高压:一项随机临床研究
Pub Date : 2017-05-12 DOI: 10.4172/2168-975X-C1-014
Junzo Nakao
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引用次数: 1
Hypothesis to explain yawning, cortisol rise, brain cooling and motor cortex involvement of involuntary arm movement in neurologically impaired patients. 解释神经受损患者打哈欠、皮质醇升高、大脑冷却和运动皮层参与手臂非自主运动的假说。
Pub Date : 2017-01-09 DOI: 10.21767/2171-6625.1000167
S. Thompson
Association between the hormone cortisol and yawning has been found. The Thompson Cortisol Hypothesis proposed a link between yawning and rises in cortisol with further recent evidence from neuroscience showing communication between the motor cortex, brain-stem and hypothalamus. Hormonal and neuronal links form the proposed network that influences and also monitors cortisol and brain temperature regulation via the hypothalamus. Evidence supports the proposed connection between brain-stem, hypothalamus and motor cortex and further supports the Thompson Cortisol Hypothesis suggesting threshold levels of cortisol elicit yawning to cool the brain. Additionally, this may explain the well-known observed phenomenon known as parakinesia brachialis oscitans in brain-stem ischaemic stroke patients during involuntary yawning.
皮质醇激素和打哈欠之间的联系已经被发现。汤普森皮质醇假说提出了打哈欠和皮质醇升高之间的联系,最近来自神经科学的进一步证据表明,运动皮层、脑干和下丘脑之间存在交流。激素和神经元连接形成了拟议的网络,该网络通过下丘脑影响并监测皮质醇和大脑温度调节。有证据支持脑干、下丘脑和运动皮层之间的联系,并进一步支持汤普森皮质醇假说,即皮质醇的阈值水平会引发打哈欠来冷却大脑。此外,这可能解释了在脑干缺血性中风患者非自愿打哈欠期间观察到的众所周知的现象,即腕骨运动障碍。
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引用次数: 6
Algorithm of Treatment for Extensive Vertebral Hemangiomas According to Tomita Classification of Vertebral Tumors 基于椎体肿瘤富田分类的广泛椎体血管瘤治疗算法
Pub Date : 2017-01-01 DOI: 10.21767/2171-6625.1000187
L. Nigro
Vertebral hemangiomas (VHs) are considered benign tumors consisting in vascular spaces lined by endothelium. Despite this definition they may develop and become extensive and symptomatic, in these cases they are called “aggressive”. A wide range of treatment options are available for symptomatic and extensive VHs such as radiotherapy, radiosurgery, embolization, alcohol injection, vertebroplasty, kyphoplasty, laminectomy, intralesional resection and total en bloc spondilectomy.
椎体血管瘤(VHs)被认为是由内皮细胞排列的血管间隙组成的良性肿瘤。尽管有这种定义,但它们可能会发展并变得广泛和有症状,在这些情况下,它们被称为“侵袭性”。对于有症状的和广泛的VHs,有广泛的治疗选择,如放疗、放射手术、栓塞、酒精注射、椎体成形术、后凸成形术、椎板切除术、病灶内切除术和全椎体切除术。
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引用次数: 6
期刊
Journal of neurology and neuroscience
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