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 12,197 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Pyramidal neurons in the mouse SmI cortex were labeled by the retrograde transport of horseradish peroxidase (HRP) injected into the ipsilateral MsI cortex. Terminals of the local axon collaterals of these neurons (CC terminals) were identified in SmI, and their distribution and synaptic connectivity were examined. To avoid confusion, terminals in SmI cortex labeled by the anterograde transport of HRP injected into MsI were eliminated by lesion-induced degeneration. Lesions of MsI were made 24 hours after the injection of HRP; postlesion survival time was 4 days. Most CC axon terminals occurred in layers III and V where they formed asymmetrical synapses. Of 139 CC synapses in layer III and 104 in layer V, approximately 13% were formed with dendritic shafts. Reconstruction of 19 of these dendrites from serial thin sections showed them to originate from both spiny and nonspiny neurons. Most synapses of CC terminals (about 87%) were onto dendritic spines. In contrast, White and Keller (1987) demonstrated that terminals belonging to the local axon collaterals of corticothalamic (CT) projection cells synapse mainly with dendritic shafts of nonspiny neurons: 92% onto shafts, the remainder onto spines. The distribution of asymmetical synapses onto spines and dendritic shafts was analyzed for neuropil in layers III, IV, and V. Depending on the layer, from 34 to 46% of the asymmetrical synapses in the neuropil were onto dendritic shafts. Results showing that CC and CT terminals form proportions of axodendritic vs. axospinous synapses that differ from each other, and from the neuropil, indicate that local axon collaterals are highly selective with regard to their postsynaptic elements.
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PMID:Intrinsic circuitry: synapses involving the local axon collaterals of corticocortical projection neurons in the mouse primary somatosensory cortex. 229 29

A 56-year-old, hypertensive man was admitted to our hospital because of confusion. He had been well unit half an hour before admission, when he had suddenly developed left hemiplegia. Although he became deep coma soon after admission, his vital signs were preserved. CT scan revealed a large right putaminal hemorrhage and a ventricular perforation. The condition was too severe for surgical approaches and conservative therapy for brain edema was performed. On the 2nd hospital day, corneal and light reflexes were disappeared and an anisocolia appeared. On the 3rd hospital day, right papilledema appeared. Doll's head-eye movements and ciliospinal reflexes were absent. CT scan demonstrated marked brain edema and collapsed ambient cisterns. Tentorial herniation were suspected. On the 4th hospital day, respiratory arrest occurred and ventilatory assistance began. On the 11th hospital day, electroencephalograms (EEG's) showed electrocerebral silence. EEG's performed next day showed still electrocerebral silence. On the 13th hospital day, brainstem auditory evoked potentials were recorded without any responses. He was thought to be in condition of brain death. On the 17th hospital day, multifocal myoclonus involving lower limbs and abdominal muscles appeared. The myoclonus lasted for about 15 hours occurred on both sides, but was asymmetrical. The myoclonus consisted of intermittent, brief, arrhythmic, stereotype, jerking contractions of the muscles. Sometimes, the contractions were sufficient enough to jump his body over the bed. These symptoms provided the characteristics of spinal myoclonus. Etiologies of spinal myoclonus are varied, but the primary abnormality exists within the spinal cord.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[Spinal myoclonus in association with brain death]. 262 31

The giant breast tumour of adolescence is rare in Caucasians. Six cases seen over 10 years are reported to illustrate diagnostic problems and highlight the importance of conservative management. Malignancy may be suspected because of rapid growth and skin ulceration. Conversely, the lesion may be considered to be no more than asymmetrical breast development or virginal hypertrophy. Clinical management problems have arisen because of confusion between fibroadenoma and the term cystosarcoma phylloides, previously used for tumours seen in older patients. The histological distinction between giant fibroadenoma and phylloides tumour has important clinical implications in older age groups. These implications do not apply to Caucasian adolescents in whom these tumours have a wide spectrum of histological appearances but uniformly benign clinical behaviour. Giant fibroadenoma of adolescence is a satisfactory designation and simple enucleation a satisfactory treatment, irrespective of the histological appearance.
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PMID:Giant breast tumours of adolescence. 282 Mar 68

This article describes an organizational/interactional model for understanding and working with graduate student marriages. The model first distinguishes symmetrical (student/student) from asymmetrical (student/working spouse) marriages. Then, the major focus is on asymmetrical marriages and the disengagement process that is typical among these couples. Asymmetrical organization, especially within today's ethos of equal roles and equal responsibilities, presents graduate student couples with several dilemmas: (a) it promotes hierarchical confusion, (b) it makes for a problematic marital quid pro quo, and (c) it fosters contextual gaps between the two partners. When these inherent difficulties are misconstrued and mishandled, dysfunctional sequences lead the couple into progressive disengagement. Even as dissatisfaction in the marriage increases, graduate student couples have a tendency to postpone and suspend negotiations. Over time, there is an intensification of the couple's unhappiness but, at the same time, the relationship remains structurally unchanged. The building tension in the marriage typically culminates in a crisis when a milestone in the student's course of work precipitates a major disorganization of the system. Clinical implications of the model are outlined with recommendations for focused interventions.
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PMID:Graduate student marriages: an organizational/interactional view. 322 5

A diagnosis of Reiter's syndrome was made in 12 males and 13 females based on an asymmetrical oligoarthritis with lower extremity predominance and at least 1 characteristic extraarticular manifestation. The pattern of disease was similar in both sexes; females had more extensive upper extremity joint involvement and ocular inflammation; males had more nonbacterial urethritis. Eighty-two % of males and 62% of females were HLA-B27 positive. We suggest that Reiter's syndrome has not been diagnosed in more females in the past because of an historical bias, a reliance on the complete classical triad, and confusion with seronegative rheumatoid arthritis.
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PMID:Reiter's syndrome: a male and female disease. 709 84

Because electrodermal variables show consistency over time and situations, and evidence of genetic loading, it is of interest to examine such measures in adult schizophrenics and in children at risk for the disorder. Samples of adult schizophrenics are heterogeneous with regard to electrodermal activity. One group, the nonresponders, fails completely to respond to simple moderate intensity nonsignal stimuli. The other, the responders, does not differ from normals in frequency of response to nonsignal stimuli, but tends to show elevated tonic levels, and bilaterally asymmetrical and rapidly recovering responses. These two groups differ in other physiological and psychological measures, and in clinical picture. The responder pattern is predictive of poor outcome of acute schizophrenic episodes. A similar hyperactive pattern was found to differentiate children genetically at high or low risk for schizophrenia, and to predict psychiatric breakdown in the former group in Mednick and Schulsinger's original high risk study. The relationship to risk has been less evident in later studies, but similar, albeit weaker, tendencies have been reported. It is concluded that the nonresponding pattern may be secondary to a clinical picture of withdrawal and confusion, whereas the responder pattern may index vulnerability to schizophrenic episodes. On the psychological level, it is argued that this relationship is best conceptualized in attentional terms couched in information-processing language.
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PMID:Electrodermal activity and vulnerability to schizophrenia: a review. 733 75

A comparison of the major cerebral arteries between humans and rats shows many similarities, including anomalies in their general organization, the structure of these vessels at the light and electron microscope levels and their morphological changes associated with cerebral vascular diseases. The general organization of the major cerebral arteries shows the following main differences between humans and rats. In rats, the internal carotid arteries have become an integral part of the circle of Willis. In the anterior cerebral arteries, a common variation in humans is the underdevelopment of one of the two arteries, whereas in rats, buttonhole-like structures are common in one or both arteries. The anterior communicating artery present in humans is absent in rats. The olfactory artery is prominent in rats, but absent in humans. The posterior communicating artery in humans is the most variable component of the circle of Willis, being asymmetric in its origin, diameters and branches. Similarly, the posterior cerebral arteries in rats often exhibit asymmetrical origin from the basilar artery. There was some confusion in the literature regarding the name of the posterior cerebral arteries in rats, but this was caused mainly by misquotations and incorrect interpretations of the papers. In humans, most aneurysms occur in the anterior half of the circle of Willis, and the incidence is higher in females than males; the middle cerebral artery is most often the one to become occluded, and the vertebral arteries are common sites for thrombosis. The various channels that constitute collateral circulation in humans provide a margin of safety, so that in case of cerebral occlusion due to thrombosis, atherosclerosis, or vasospasm related to hemorrhage, blood supply to the affected area can be maintained through these collaterals. Collateral circulation is also present in rats. However, in rats, information on the presence of various types of aneurysms, their location and frequency in normal and experimental models of hypertension and stroke is still lacking. Cerebral arteries from humans and rats are characterized by the absence of external elastic lamina, as compared with systemic arteries. A type of multipolar cell resembling the interstitial cell of Cajal is present in the cerebral arteries of humans. Its function is unknown. Earlier reports of cerebral valves have been shown to represent intimal cushions near the branching points of the cerebral arteries. Intravascular bridges present in human cerebral arteries, have not been reported in rats. Finally, the presence of vascular remodeling, as found in the cerebral arterioles of hypertensive rats, remains to be established in the cerebral arterioles of human hypertensives.(ABSTRACT TRUNCATED AT 400 WORDS)
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PMID:Morphology of cerebral arteries. 763 Sep 27

99mTechnetium-MDP bone scintigrams in 11 patients with ankylosing spondylitis were reviewed. Increased activity in sacroiliac joints was present in five of 11 cases, all of whom had symptoms of less than 5 years duration. Patients with longstanding disease had normal or low sacroiliac joint activity. In the spine, appearances included diffuse symmetrical, unifocal or multifocal asymmetrical increased uptake involving the costovertebral, costotransverse and facet joints as well as the spinous processes. In advanced disease with extensive ankylosis, the lumbar spine was featureless on scintigraphy, except for focal increased activity at the site of previous fracture in one patient. Of six available views of the sternum, increased uptake was present in five at the manubriosternal joint and five at the sternoclavicular joints. Increased peripheral uptake was mainly in the hips and knees in advanced cases. Plain radiographic changes correlated poorly with scintigraphic changes, scintigraphy detecting considerably more lesions than radiography. Awareness of the scintigraphic appearances of ankylosing spondylitis may lead to diagnosis before the development of radiographic changes and avoid confusion with other pathology. Clinical indications for bone scintigraphy in ankylosing spondylitis are suggested.
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PMID:99mTc-MDP scintigraphy in ankylosing spondylitis. 829 44

To determine computed tomographic (CT) imaging characteristics of retropharygeal edema, we reviewed CT images in 18 patients with head and neck tumors. Retropharyngeal edema spread craniocaudally between soft palate and upper half of thyroid cartilage in all patients. No edema fluid extended above soft palate and below thyroid cartilage. Horizontally, it spread symmetrically in ten and asymmetrically in eight patients. Predominance in asymmetrical retropharyngeal edema was found on the same side as that of unilateral predominance both in lymph nodes enlargement and jugular vein stenosis/occlusion. All patients had edema also in other cervical spaces. Edema of retropharyngeal and other spaces fluctuated synchronously. In 14 patients, as primary lesion and/or cervical lymph nodes regressed, retropharyngeal edema disappeared or decreased. Retropharyngeal edema had some imaging characteristics. With knowledge of that, we could avoid diagnostic confusion when evaluating head and neck CT images.
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PMID:Edema in the retropharyngeal space associated with head and neck tumors: CT imaging characteristics. 1598 28

Sequential asymmetrical colour matching of forty Munsell samples simulated under illuminant C and one of eight test illuminants was carried out. The subjects matched the appearance of each sample under illuminant C with its appearance under the test illuminant. Samples and background (N7) were presented for 1 s under the test illuminant and were isoluminant with each other. Subjects adjusted hue, chroma, and value under illuminant C. The experiments distinguished two groups of subjects; some observers needed to reduce the luminance of the sample to make a match while others did not. This 'dimming' occurred when the matches were close to cardinal axes, especially the tritanopic confusion line. A model of luminance and cone-opponent mechanisms contributing to brightness can account for the dimming effect. Details of analysis in cone-opponent space (L - M, L + M - S, L + M) are presented in the companion paper (Stanikunas et al, 2005 Perception 34 this issue).
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PMID:Colour matching of isoluminant samples and backgrounds: a dimming effect. 1617 45


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