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71.
We report eight cases of vein of Galen aneurysmal malformation (VGAM) assoicated with a Chiari type I malformation. In four cases magnetic resonance imaging (MRI) or computed tomography performed in the neonatal period did not demonstrate the posterior fossa anomaly, which appeared on later scans. In the other cases the MRI was performed in infancy and the anomaly was already present. We compared the venous phases of the posterior fossa angiograms and the MRI in these patients. In all eight cases, the angiograms showed a reflux in the cerebellar veins, via the petrous vein, associated with a uni-or bilateral stenosis or thrombosis of the distal posterior dural sinuses. Furthermore, in two cases the posterior fossa returned to normal on MRI following endovascular treatment, while in three cases the herniation of the cerebellar tonsils decreased after the embolization. Tonsillar prolapse becomes irreversible when the venous outlet is incapable of taking the flow even when the VGAM has been treated adequately. In eight additional cases of VGAM for which MRI and angiogram studies were available and in which stenosis or thrombosis of posterior dural sinuses was present without tonsillar prolapse, no reflux into the cerebellar veins was shown. We suggest that the posterior fossa hydrovenous congestion is a result of inadequate venous drainage and that the tonsillar descent is reversible if adequate venous drainage is reconstituted following therapeutic embolization of the fistula. Tonsillar prolapse is not a consequence of mass or raised intraventricular pressure. Our observation suggests that in some other conditions, the Chiari I malformations may be secondary to early hydrovenous dysfunction of the posterior fossa. 相似文献
72.
Hiroshi Onimaru Akiko Arata Ikuo Homma 《Experimental brain research. Experimentelle Hirnforschung. Expérimentation cérébrale》1995,106(1):57-68
In brainstem-spinal cord preparations isolated from newborn rats, intrinsic burst-generating properties of preinspiratory (Pre-I) neurons in the rostral ventrolateral medulla, which have been suggested to be primary respiratory rhythm-generating neurons, were studied by perforated whole-cell recordings using the antibiotic nystatin. Nystatin causes small pores to be formed in the cells, through which pass small monovalent ions. For blockade of chemical synaptic transmission, perfusate Ca2+ concentration was lowered to 0.2 mM and the Mg2+ concentration was increased to 5 mM. In Iow-Ca2+, high-Mg2+ solution (referred to here as low Ca), 10 of 55 Pre-I neurons generated rhythmic bursts (burst type), 14 fired tonically (tonic type), and 31 were silent (silent type). Burst-type neurons showed periodic depolarization of 5–12 mV in low Ca, at a rate of 12±6.5/min. Hyperpolarization of the membrane caused decrease in or disappearance of the periodic depolarization and prolongation of the cycle period. Thus, the burst generations were voltage dependent. The firing frequency of tonictype neurons was 2.3±1.6 Hz and was decreased by hyperpolarization. In 6 of these neurons, the firing patterns changed to burst patterns during continuous hyperpolarization. Membrane depolarization by continuous outward current injection into some silent-type neurons (3 of 11 tested) induced bursting activity. Activity of C4 and Pre-I neurons was completely silent with 0.1–1 M tetrodotoxin (TTX) added to the standard perfusate. In low Ca, burst-type neurons (n=3) were also silent with 1 M TTX perfusion. Inspiratory neurons either became silent (n=4) or fired tonically (n=1) in low Ca. The present study by perforated whole-cell recordings confirmed that some Pre-I neurons possess intrinsic burst-generating properties, which were not attributable to phasic synaptic inputs. 相似文献
73.
The pineal hormone melatonin has clear circadian phase-shifting effects in humans which have recently been formalized as a phase response curve. Its potential use in circadian rhythm disorders has been investigated in field studies of jet lag and shift work and in simulated phase shift. A substantial amount of information indicates that in the majority of subjects it hastens adaptation of both subjective and objective measures to forced shifts in time cues with few reported side-effects. Field studies of its use in adaptation to shift work are sparse and preliminary but the first indications are positive. In some blind subjects with sleep disturbance it can stabilize sleep onset time without necessarily entraining all circadian rhythms and it can advance sleep timing in delayed sleep-phase insomnia. Acute suppression of core body temperature may be an integral part of the phase-shifting mechanism. 相似文献
74.
为探讨原发性高血压患者的血压昼夜节律的变化与心率变异的关系,对65例原发性高血压患者进行了24h动态血压监测,用时域分析法对心率变异性(HRV)各项指标进行了检测,并与38例正常对照比较。结果:代表心率总变异程度的SDNN(24h正常RR间期标准差),SDANNI(24h5min平均RR间期标准差)明显下降(P<0.05)。按照夜间血压下降百分率将原发性高血压病人分为节律消失组、节律正常组,并分别与正常对照组比较,发现节律消失组HRV各项指标下降更为显著,SDNN、SDANNI、SDNNI(24h5min正常RR间期标准差均值)不但显著低于正常对照组(P<0.05),也显著低于节律正常组(P<0.05)。说明在原发性高血压患者中,节律消失者的心脏自主神经系统功能损害更为严重。 相似文献
75.
笔者对吉林省8种优势种群吸血蠓的昼夜活动节律进行了观察.结果表明:华库蠓、孔库蠓、伊库蠓、原野库蠓、亚单带库蠓、淡角库蠓属于晨昏活动型蠓种;明边库蠓属于夜间活动型蠓种;浑江铗蠓属于白天活动型蠓种. 相似文献
76.
Prosser RA 《Brain research》1999,818(2):784-413
The suprachiasmatic (SCN) circadian pacemaker generates 24 h rhythms of spontaneous neuronal activity when isolated in an acute brain slice preparation. The isolated pacemaker also retains its capacity to be reset, or phase-shifted by exogenous stimuli. For example, serotonin (5-HT) agonists advance the SCN pacemaker when applied during mid subjective day, while neuropeptide Y (NPY) agonists and melatonin advance the pacemaker when applied during late subjective day. Previous work has demonstrated interactions between NPY and 5-HT agonists, such that NPY can block 5-HTergic phase advances, while 5-HT agonists do not prevent NPY-induced advances. Due to a number of similarities in the actions of melatonin and NPY in the SCN, it seemed possible that melatonin and 5-HT might interact in the SCN as well. Therefore, in this study potential interactions between melatonin and 5-HT agonists were explored. Melatonin inhibited phase advances by the 5-HT agonist, (+)DPAT, and this inhibition was decreased by co-application of tetrodotoxin. Conversely, melatonin was unable to block phase advances by the cyclic AMP analog, 8BA-cAMP. Finally, neither 5-HT agonists nor 8BA-AMP were able to block melatonin-induced phase advances. These results demonstrate a clear interaction between melatonin and 5-HT in the SCN, and suggest that melatonin and NPY may play similar roles with respect to modulating the phase of the SCN circadian pacemaker in rats. 相似文献
77.
Buijs RM Wortel J Van Heerikhuize JJ Feenstra MG Ter Horst GJ Romijn HJ Kalsbeek A 《The European journal of neuroscience》1999,11(5):1535-1544
In view of mounting evidence that the suprachiasmatic nucleus (SCN) is directly involved in the setting of sensitivity of the adrenal cortex to ACTH, the present study investigated possible anatomical and functional connections between SCN and adrenal. Transneuronal virus tracing from the adrenal revealed first order labelling in neurons in the intermedio-lateral column of the spinal cord that were shown to receive an input from oxytocin fibres and subsequently second-order labelling in neurons of the autonomic division of the paraventricular nucleus. The latter neurons were shown to receive an input from vasopressin or vasoactive intestinal peptide (VIP) containing SCN efferents. The true character of this SCN input to second-order neurons was also demonstrated by the fact that third-order labelling was present within the SCN, vasopressin or VIP neurons. The functional presence of the SCN-adrenal connection was demonstrated by a light-induced fast decrease in plasma corticosterone that could not be attributed to a decrease in ACTH. Using intact and SCN-lesioned animals, the immediate decrease in plasma corticosterone was only observed in intact animals and only at the beginning of the dark period. This fast decrease of corticosterone was accompanied by constant basal levels of blood adrenaline and noradrenaline, and is proposed to be due to a direct inhibition of the neuronal output to the adrenal cortex by light-mediated activation of SCN neurons. As a consequence, it is proposed that the SCN utilizes neuronal pathways to spread its time of the day message, not only to the pineal, but also to other organs, including the adrenal, utilizing the autonomic nervous system. 相似文献
78.
J. Aerssens K. Declerck B. Maeyaert S. Boonen J. Dequeker 《Calcified tissue international》1999,65(1):34-40
In order to assess day-to-day variations of the circadian rhythm of biochemical bone resorption markers, urinary morning
(6–8 a.m.) and evening (7–10 p.m.) samples from 35 individuals were monitored during 3 subsequent days. The bone-specific
deoxypyridinoline (DPD) crosslinks of type I collagen followed a circadian rhythm in all individuals. In contrast, no such
pattern was observed in the urinary hydroxyproline/creatinine and calcium/creatinine measurements. The DPD crosslink measurements
showed a much larger difference between the morning and evening samples collected within 1 day compared with the variation
between the samples collected in the morning or evening on subsequent days, indicating the importance of adequate timing of
urine sampling for clinical trials aiming to monitor effects on bone resorption. The analysis of DPD crosslinks was then used
to evaluate the effects of different patterns of dietary calcium intake on the circadian rhythm of bone resorption in osteoporotic
patients. No significant effect on the circadian rhythm of the DPD crosslinks was found after concentrating the normal daily
calcium intake to the evening (6–10 p.m.) during 8 days (n = 7). Ingestion of a dietary calcium supplement (600 mg) at 10
p.m. during 8 days (n = 7) resulted in an increased urinary calcium excretion in the morning, and a flattening of the circadian
peak and nadir concentrations of urinary DPD/creatinine. The absolute levels of DPD/creatinine in the morning and evening
urine samples, respectively, were not significantly altered compared with the control day. We conclude that dietary calcium
supplementation in the evening only marginally affects the circadian rhythm of urinary DPD crosslinks in established osteoporosis
patients.
Received: 23 December 1996 / Accepted: 1 November 1998 相似文献
79.
测定了小鼠外周血T淋巴细胞中cAMP和cGMP含量及其比值的昼夜节律各峰值时相分别位于12:20时、01:12时和13:04时,经5.0Gyγ-射线照射后,cAMP含量升高,cGMP一降低,cAMP/cGMP比值增大。而0.5Gy照射引起比值下降。这些变化在04:00时较为明显,而在12:00时则观察不到,表现出明显的昼夜时相差异。另一方面,照射后cAMP/cGMP比值节律的峰值位相发生延迟或提前 相似文献
80.