Upper cervical ossicles in Down syndrome

Six patients with upper cervical spine ossicles and Down syndrome from a study population of 184 are described. The average age was 20.6 years at the time of diagnosis. Three of the patients were involved in tumbling. Radiographic anatomy of the ossicles and the dens, as well as serial radiographs in three of the six patients, suggest that this represents an avulsion of the upper end of the dens rather than an occipital vertebrae, ossiculum terminale, or os odontoideum, as previously described. The authors advocate restriction of high-risk activities for all patients with Down syndrome.     

Relation of body fat distribution to hyperinsulinemia in children and adolescents: the Bogalusa Heart Study

The relation of body fat distribution to plasma levels of glucose and insulin during an oral glucose tolerance test was examined in 355 Black and White school-age children. Both central and peripheral fat were similarly related to fasting, 30-min, and 1-h glucose. Unlike peripheral fat, central body fat was more strongly related to the 1-h insulin response (r = 0.35 vs 0.26); this association remained significant for central fat independent of peripheral fat (r = 0.18). The strong relation of central fat to insulin response was noted in both races and sexes but not in either sexually immature or relatively thin children. These findings indicate that, even in early life, a central body fat pattern relates positively to insulin response to glucose load. Thus, knowledge of body fat localization may help identify persons most susceptible to hyperinsulinemia in early life.     

Chronic brief restraint decreases in vivo binding of benzodiazepine receptor ligand to mouse brain

This study examines the effects of chronic brief restraint on in vivo benzodiazepine (BZD) receptor binding in mouse brain. Three groups of mice were used. Mice in group 1 were neither restrained nor injected (ACUTE control). Mice in group 2 were restrained for 5–6 s by grabbing the back skin and holding the subject upside-down at a 45° angle as if to be injected (CHRONIC SHAM control) for 7 d. Mice in group 3 (CHRONIC SALINE) received daily single intraperitoneal (ip) injections of saline (5 mL/kg) for 7 d. On d 8 BZD receptors were labeled in vivo by administration of 3 μCi [³H]flumazenil (ip). The levels of ligand bound in vivo to cerebral cortex (CX), cerebellum (CB), brain stem (BS), striatum (ST), hippocampus (HP), and hypothalamus (HY) were determined. Results indicated that the level of binding was significantly (p<0.01) lower by 30–50% (depending on the brain region) in saline-injected or sham control groups compared to acute control animals. Furthermore, the values for sham control were similar to the saline-treated group. Our data suggest that exposure to chronic mild restraint produces a decrease in in vivo binding of [³H]flumazenil in mouse brain and supports the hypothesis that chronic mild stress produces a decrease in BZD receptor binding sites.     

Shigellosis occurring in newborn nursery staff

Shigellosis is uncommon in the newborn nursery. We describe a case of Shigella sonnei gastroenteritis occurring in a newborn. Three of 32 health care providers caring for the infant acquired shigellosis. The neonate probably acquired the infection from its mother via vertical transmission. All six members of the infant's family had gastroenteritis and two siblings had stool cultures positive for Shigella. Transmission of Shigella in the newborn nursery is potentially great. Emphasis on handwashing and glove use, aggressive case finding, notification of contacts, and a liberal "forced paid sick time" policy may halt the spread.     

The Effect of Dopa on the Spinal Cord. 8. Presynaptic and “Remote” Inhibition of Transmission from Ia Afferents to Alpha Motoneurones

In unanesthetized spinal cats, injected with l-DOPA, intra-axonal recording was used to investigate the primary afferent depolarization (PAD) evoked in different species of afferents by volleys in the flexor reflex afferents (FRA). It was confirmed that a late PAD is evoked in la afferents and usually not in Ib or cutaneous afferents. Some late PAD was observed in a few group II muscle afferents. Intracellular recording from motoneurones revealed a considerable depression of the Ia EPSP during the late PAD evoked from the FRA after DOPA, but it was diffkult to attribute this entirely to the PAD in Ia afferents since there was also a late postsynaptic conductance increase in the motoneurones. A further analysis was made on acute spinal cats not injected with DOPA, in which a late P.4D sometimes is evoked by FR24 volleys, without the late postsynaptic soma effects in motoneurones. The marked depression of the Ia EPSP evoked from the FRA under these conditions has a longer duration than the PAD in la afferent terminals. It is postulated that two mechanisms contribute to the Ia EPSP depression, presynaptic inhibition and “remote inhibition”; the latter action persisting after the repolarization of Ia afferents. The results are discussed in relation to reflex regulation of stepping.     

Electrotonic characteristics of alpha motoneurones of varying size

1. The neuronal membrane responses to long constant current pulses (essentially current steps) have been studied in cat triceps surae motoneurones identified as to the type of muscle fibres, fast twitch (type F) or slow twitch (type S), innervated by the cell being studied. For each motoneurone the membrane time constant, τ_M, and input resistance, R_N, were determined from the response to a current step. In addition, shorter time constants (`equalizing time constants') resulting from current spread into the dendrites were estimated by graphical analysis.

2. The electrotonic length of the combined motoneurone soma and dendritic tree was estimated from the current step data using the neuronal equivalent cylinder model formulated by Rall (Rall, 1969). The mean electrotonic length of the motoneurone equivalent cylinder was approximately 1·5 in both type F and type S motoneurones. The mean membrane time constant of type F cells was 5·6 msec and that of type S motoneurones was 6·7 msec. This difference in mean τ_M values was of border line statistical significance.

3. The results indicate that the electrotonic length of the combined dendritic trees of both large type F and small type S motoneurones is essentially the same. The implication of this conclusion for interpretation of previous analyses of the monosynaptic EPSP is discussed.