Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UNIPROT:P50583 (asymmetrical)
 12,197 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We have previously demonstrated that brain lesions caused by stroke led to the lateralization of T-cell dependent inflammation. The purpose of this study was to assess the impact of localization of the brain lesion on lateralization of immune responsiveness. The delayed-type hypersensitivity (DTH) reaction was used as an in vivo measure of antigen specific T-lymphocyte reactivity. All stroke patients were examined with computed scan tomography (CT) of the brain to ascertain the localization and extent of the brain lesion. Patients with right-sided brain lesions displayed significantly larger (P = 0.008) DTH responses on the paretic side compared to the contralateral side. Detailed analysis of the localization of the brain lesion revealed that infarcts encompassing frontal lobe-putamen led to significantly larger (P = 0.007) DTH responses on the paretic side compared to the contralateral side. Localization of the brain lesion affects the lateralization of DTH, supporting an asymmetrical modulation of the immune response. In addition, our study points to the frontal cortex-putamen as a putative brain centre regulating the magnitude of immune responses.
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PMID:Localization of the brain lesion affects the lateralization of T-lymphocyte dependent cutaneous inflammation. Evidence for an immunoregulatory role of the right frontal cortex-putamen region. 946 55

Acute ischaemic stroke is characterised by reductions in local cerebral blood flow (CBF) and activation of circulating platelets and leucocytes. Nitric oxide is a vasodilator and can inhibit these circulating cells. The aim of this study was to assess the effect of nitric oxide on platelet function and regional CBF in patients with acute ischaemic stroke. Sodium nitroprusside (SNP), a spontaneous nitric oxide donor, was administered at a dose which caused a 10 mm Hg fall in mean arterial blood pressure (MABP) in a pathophysiological study to 22 patients with acute ischaemic stroke and 12 matched control subjects. Platelet function (whole blood aggregation and flow cytometry) was assessed before and during SNP administration. Changes in regional CBF were measured using single photon emission computerised tomography (SPECT) scanning. SNP significantly reduced platelet aggregation in both the patient and control subject groups. Equally, the expression of platelet adhesion molecules P-selectin (CD62) and glycoprotein (GP) GP IIIa (CD61) were significantly reduced in both groups. GP Ia (CDw49b) expression was significantly attenuated in the patient but not in the control group. Four patients underwent SPECT scanning and improvements in local CBF corresponding to the penumbral area of the clinical stroke site were seen in 3 of these patients. A total of 24 regions of asymmetrical perfusion were examined, pre-SNP (median (SQR)), 0.68 (0.14) vs. peri-SNP 0.78 (0.17), 2p = 0.065. SNP, given at a dose which reduced MABP by 10 mm Hg, significantly inhibited platelet aggregation and adhesion molecule expression. Improved regional CBF was seen in some patients. SNP is a candidate therapeutic agent for patients with acute ischaemic stroke and warrants further study.
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PMID:Pathophysiological assessment of nitric oxide (given as sodium nitroprusside) in acute ischaemic stroke. 961 99

The anatomical and functional correlates of the hand sensorimotor areas was investigated in a stroke patient with a malacic lesion in the left fronto-parieto-temporal cortex. The patient presented hemiplegia and motor aphasia 12 months earlier, followed by an excellent motor recovery. Transcranial magnetic stimulation mapping, functional magnetic resonance and magnetoencephalography were used as methods of functional imaging and all yielded consistent results. In particular, an asymmetrical enlargement and posterior shift of the sensorimotor areas localized in the affected hemisphere were found with all three techniques. Aspects related to brain 'plasticity' for functional recovery are discussed.
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PMID:Hand motor cortical area reorganization in stroke: a study with fMRI, MEG and TCS maps. 967 9

Corticobasal degeneration (CBD) is a progressive disorder characterized by both cortical and basal ganglia dysfunction such as asymmetrical apraxia, and akinetic rigidity, involuntary movements, and cortical sensory loss. Although apraxia is a key finding for the differential diagnosis of CBD, it has not been determined whether the features of apraxia seen in subjects with CBD are similar to those features exhibited by subjects with left-hemisphere damage from stroke. Therefore, for both clinical purposes and in order to better understand the brain mechanisms that lead to apraxia in CBD, we studied praxis in a patient with CBD and compared him to patients who are apraxic from left-parietal strokes. We used three-dimensional movement analyses to compare the features of apraxic movement. This subject with CBD was a dentist whose initial complaint had been that he "forgot" how to use his tools in the mouths of his patients. Analyses were performed on the trajectories made when using a knife to actually slice bread, and when repetitively gesturing slicing made to verbal command. Movements of the left hand, wrist, elbow, and shoulder were digitized in 3-D space. Although the CBD subject was clearly apraxic, the features of his apraxia differed markedly from those of the subjects with lesions in the left parietal lobe. For movements to command, the CBD subject showed joint coordination deficits, but his wrist trajectories were produced in the appropriate spatial plane, were correctly restricted to a single plane, and, like control subjects, were linear in path shape. However, when he was actually manipulating the tool and object, all of these aspects of his trajectories became impaired. In contrast, the deficits of the apraxic subjects with left-parietal damage were most pronounced to verbal command with their movements improving slightly although remaining impaired during actual tool and object manipulation. Unlike patients with parietal strokes, patients with CBD have degeneration in several systems and perhaps deficits in these other areas may account for the differences in praxic behavior.
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PMID:Apraxia differs in corticobasal degeneration and left-parietal stroke: A case study. 1041 64

This case study describes the treatment and management of an 11-year-old competitive swimmer who was repeatedly disqualified from races because of an asymmetrical movement pattern, otherwise called stroke. The treatment was based on the impairments found during the physical examination that were considered relevant to the physical dysfunction resulting in the asymmetrical stroke. This gave rise to the hypothesis that muscle imbalances around the right shoulder and left hip, together with a relative restriction of motion in these joints, were resulting in the transmission of forces up and down the kinetic chain and that these were contributing factors to the asymmetrical breaststroke stroke. An eclectic approach was used in the analysis, and the subsequent treatment and management, of the problem. To achieve the goal of a symmetrical stroke, the muscle balance/imbalance approaches of Janda (1994), Sahrmann (1988) and Kendall et al. (1993) were used. The joint impairments were treated with techniques described by Maitland (1986) and Mulligan (1996), while the exercise programme included the core/stabilizing approach presented by Blanch (1997). The treatment period consisted of four phases of 3 weeks each. The result indicates that early identification and treatment of muscle imbalance syndromes and relative joint restrictions by the physiotherapist and coach working together may be useful in establishing good movement patterns and technique for competitive swimmers.
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PMID:The rehabilitation of a competitive swimmer with an asymmetrical breaststroke movement pattern. 1050 64

The use of recently developed techniques allows the quantitative investigation of the non-linear properties of the electrical activity of the brain not only in basic but also in applied research. The point correlation dimension (PD2) was used in this study for the analysis of the electroencephalogram (EEG) recorded in patients with unilateral stroke caused by middle cerebral artery occlusion. The scalp distribution of the PD2 and that of the P3 event-related potential component was mapped and frequency spectra were calculated. Compared to normal controls, asymmetrical PD2 distribution was observed with low values on the side of the stroke, the extension of which depended on recording conditions (level of vigilance) and only partially corresponded to the region characterized by slow frequencies. In one case, ipsilateral reduction of the P3 wave was caused by a small subcortical stroke. The efficacy of the linear and non-linear methods in localizing brain pathology are evaluated and compared.
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PMID:Scalp distribution of the dimensional complexity of the EEG and the P3 ERP component in stroke patients. 1055 74

The aim of this 1-year prospective study of acute stroke patients was to determine the effects of walking and asymmetrical weight bearing on the loss of bone mineral in the upper and lower femoral neck. Forty patients were followed. Eight remained unable to walk, whereas 32 relearned to walk independently within 7 months (12 shortly after the stroke, 15 by 2 months, 5 by 7 months). Bone mineral density (BMD) was measured in the proximal femur within the first week after stroke and 1 year later; regional BMD changes were computed for the lower and upper femoral neck. The lower part of the femoral neck is mainly influenced by compressive stresses of the hip, the upper part by tensile stresses during walking. When comparing mean BMD loss in groups of patients according to when they relearned to walk, a statistically significant trend in BMD loss was found in the lower femoral neck on both the paretic and nonparetic sides (p < 0.01 and p = 0.01, respectively), whereas, for the upper femoral neck, no significant trend was seen (p >/= 0.1). In addition, the body weight distribution during standing was assessed by use of a force-plate in 38 patients who could stand independently at the 7 month evaluation. The only significant correlation between changes in BMD and asymmetrical weight bearing was found in the lower femoral neck on the paretic side (r = 0.6, p < 0.001). In conclusion, this study shows that the reduction in BMD in the femoral neck occurs mainly in the lower part of the neck and on the paretic side. The BMD loss depended on when or if the patients relearned to walk, but also on the amount of body weight born on the paretic leg. Thus, measuring the lower part of the femoral neck gives a better estimate of the impact of gait and weight bearing than measuring the total femoral neck.
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PMID:Ambulatory level and asymmetrical weight bearing after stroke affects bone loss in the upper and lower part of the femoral neck differently: bone adaptation after decreased mechanical loading. 1106 59

It is generally believed that the supranuclear innervation of the hypoglossal nucleus is bilateral and symmetrical. The aim of this work is to study the frequency and clinical characteristics of supranuclear tongue palsy in unilateral stroke. 300 patients with acute unilateral ischaemic motor strokes (excluding those in the lower brainstem) and an equal number of normal controls were studied for the presence of tongue deviation in a standardised manner. 29% of stroke patients and 5% of controls had tongue deviation (p < 0. 00001). Deviation was always to the side of the limb weakness. In patients with a history of stroke, it occurred more frequently in those with previous stroke on the contralateral side. Tongue deviation was most common in patients with clinical features of the non-lacunar stroke subtype (56%) or in those with cortical or large subcortical infarctions on brain CT scan (55 and 45%, respectively). All tongue deviations were associated with supranuclear 7th nerve palsy. Dysphagia and dysarthria occurred in 43 and 90% of patients with tongue deviation. Weakness of the arm was significantly associated with presence of tongue deviation. Tongue deviation in unilateral stroke most likely results from asymmetrical supranuclear control of the 12th cranial nerve in many individuals. The finding that it occurs relatively commonly in large (non-lacunar) infarcts and its association with dysphagia may have clinical utility.
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PMID:Tongue deviation in acute ischaemic stroke: a study of supranuclear twelfth cranial nerve palsy in 300 stroke patients. 1107 Mar 77

While experimental analyses of steady rectilinear locomotion in fishes are common, unsteady movement involving time-dependent variation in heading, speed and acceleration probably accounts for the greatest portion of the locomotor time budget. Turning maneuvers, in particular, are key elements of the unsteady locomotor repertoire of fishes and, by many species, are accomplished by generating asymmetrical forces with the pectoral fins. The development of such left-right asymmetries in force production is a critical and as yet unstudied aspect of aquatic locomotor dynamics. In this paper, we measure the fluid forces exerted by the left and right pectoral fins of bluegill sunfish (Lepomis macrochirus) during turning using digital particle image velocimetry (DPIV). DPIV allowed quantification of water velocity fields, and hence momentum, in the wake of the pectoral fins as sunfish executed turns; forces exerted during turning were compared with those generated by the immediately preceding fin beats during steady swimming. Sunfish generate the forces required for turning by modulating two variables: wake momentum and pectoral fin stroke timing. Fins on opposite sides of the fish play functionally distinct roles during turning maneuvers. The fin nearer the stimulus inducing the turn (i.e. the strong side fin) generates a laterally oriented vortex ring with a strong central jet whose associated lateral force is four times greater than that produced during steady swimming. Little posterior (thrust) force is generated by the strong-side fin, and this fin therefore acts to rotate the body away from the source of the stimulus. The contralateral (weak-side) fin generates a posteriorly oriented vortex ring with a thrust force nine times that produced by the fin during steady swimming. Minimal lateral force is exerted by the weak-side fin, and this fin therefore acts primarily to translate the body linearly away from the stimulus. Turning with the paired fins is not simply steady swimming performed unilaterally. Instead, turning involves asymmetrical fin movements and fluid forces that are distinct in both direction and magnitude from those used to swim forward at constant speed. These data reflect the plasticity of the teleost pectoral fin in performing a wide range of steady and unsteady locomotor tasks.
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PMID:Wake dynamics and fluid forces of turning maneuvers in sunfish. 1117 Dec 96

At 2 weeks of age, infant rabbits show chewing movements that resemble those of the adult animal. Previous studies have shown that, at that stage, the accompanying masticatory motor pattern is clearly similar to the suckling motor pattern. As early as 4 weeks, chewing muscle activity is indistinguishable from the adult chewing motor pattern. These reports suggest that the adult chewing motor pattern is developed from the suckling motor pattern. In this study, the chewing motor pattern in the intermediate period (between 2 and 4 weeks of age) was investigated by means of fine-wire electromyography and jaw tracking. Maturation of masticatory movements was found to have two phases. Maximum gape increased in the first few days and was followed by strong development of transverse jaw excursions after the age of 17 days. The increase in jaw excursions was brought about by changes in motor behaviour and facilitated by the development of smooth occlusal surfaces. The changes in motor behaviour were: (1) the level of activity of the balancing-side muscles became more equal to that of the working side; (2) the timing of digastric muscle activity became asymmetrical at the age of 17 days; (3) the peak activity of masseter, temporalis, medial pterygoid and lateral pterygoid muscle portions was gradually shifted or prolonged into the power-stroke phase. It can be concluded that the masticatory contraction pattern shifts from one derived from the suckling contraction pattern at the age of 14 days to one almost similar to the adult chewing pattern at the age of 23 days.
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PMID:A longitudinal electromyographic study of the postnatal maturation of mastication in the rabbit. 1142 53


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