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1.
Theriogenology ; 199: 77-85, 2023 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-36706702

RESUMO

The in vitro production (IVP) of cattle embryos requires that germinal-vesicle stage oocytes undergo a period of maturation in vitro prior to fertilization and culture to the blastocyst stage. Success of IVP in taurine cattle is enhanced following ovarian stimulation prior to oocyte retrieval (OPU), particularly if preceded by a short period of FSH withdrawal ('coasting'). However, evidence regarding the importance of progesterone (P4) support during OPU-IVP is equivocal. The current study, therefore, determined the effects of increased peripheral P4 concentrations during FSH-stimulated ('coasted') cycles of OPU. Progesterone support was provided by either an active corpus luteum (CL) and/or one of two intravaginal P4 releasing devices (i.e., CIDR® [1.38 g P4] or PRID® Delta [1.55 g P4]). Expt. 1 established an initial estrus prior to OPU, allowing CL formation (single luteal phase) spanning the first two of five cycles of OPU; the remaining three cycles were supported by either a CIDR® or PRID® Delta. Expt. 2 commenced with two cycles of dominant follicle removal (including prostaglandin F2α) undertaken seven days apart prior to six cycles of OPU. The absence of a CL meant that these cycles were supported only by a CIDR® or PRID® Delta. As each experiment involved several sequential cycles of OPU, the cumulative effects of device use on vaginal discharges were also assessed. Each experiment involved 10 sexually mature Holstein heifers. In the absence of a CL, peak plasma P4 concentrations were greater (P = 0.002) for the PRID® Delta (4.3 ± 0.22) than for the CIDR® (2.9 ± 0.22). In Expt. 1 there was an interaction (P < 0.05) between CL presence at OPU and P4 device on Day 8 blastocyst yields, indicating an effect of P4 device only when the CL was absent. The percentage hatching/hatched blastocysts of matured oocytes for the CIDR® and PRID® Delta was 44.3 ± 5.04 and 41.0 ± 5.40 in the presence, and 17.1 ± 3.48 and 42.2 ± 3.76 in the absence, of a CL (P = 0.018). Combined analyses of data from Expt. 1 and 2, when no CL was present, confirmed that Day 8 blastocyst yields were greater (P = 0.022) for the PRID® Delta than the CIDR®. Vaginal discharge scores were higher (P < 0.001) for the PRID® Delta than the CIDR® in Expt. 1 but not in Expt 2; however scores were low, did not increase with repeated use, and thus were deemed of no clinical or welfare concern. In conclusion, enhanced P4 support during FSH-stimulated cycles of OPU-IVP can improve in vitro embryo development.


Assuntos
Folículo Ovariano , Progesterona , Bovinos , Animais , Feminino , Progesterona/farmacologia , Folículo Ovariano/fisiologia , Corpo Lúteo/fisiologia , Hormônio Foliculoestimulante/farmacologia
2.
Theriogenology ; 161: 108-119, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33307428

RESUMO

Contemporary systems for oocyte retrieval and culture of both cattle and human embryos are suboptimal with respect to pregnancy outcomes following transfer. In humans, chromosome abnormalities are the leading cause of early pregnancy loss in assisted reproduction. Consequently, pre-implantation genetic testing for aneuploidy (PGT-A) is widespread and there is considerable interest in its application to identify suitable cattle IVP embryos for transfer. Here we report on the nature and extent of chromosomal abnormalities following transvaginal follicular aspiration (OPU) and IVP in cattle. Nine sexually mature Holstein heifers underwent nine sequential cycles of OPU-IVP (six non-stimulated and three stimulated cycles), generating 459 blastocysts from 783 oocytes. We adopted a SNP-array approach normally employed in genomic evaluations but reanalysed (Turner et al., 2019; Theriogenology125: 249) to detect levels of meiotic aneuploidy. Specifically, we asked whether ovarian stimulation increased the level of aneuploidy in either trophectoderm (TE) or inner-cell mass (ICM) lineages of blastocysts generated from OPU-IVP cycles. The proportion of Day 8 blastocysts of inseminated was greater (P < 0.001) for stimulated than non-stimulated cycles (0.712 ± 0.0288 vs. 0.466 ± 0.0360), but the overall proportion aneuploidy was similar for both groups (0.241 ± 0.0231). Most abnormalities consisted of meiotic trisomies. Twenty in vivo derived blastocysts recovered from the same donors were all euploid, thus indicating that 24 h of maturation is primarily responsible for aneuploidy induction. Chromosomal errors in OPU-IVP blastocysts decreased (P < 0.001) proportionately as stage/grade improved (from 0.373 for expanded Grade 2 to 0.128 for hatching Grade 1 blastocysts). Importantly, there was a high degree of concordance in the incidence of aneuploidy between TE and ICM lineages. Proportionately, 0.94 were "perfectly concordant" (i.e. identical result in both); 0.01 were imperfectly concordant (differing abnormalities detected); 0.05 were discordant; of which 0.03 detected a potentially lethal TE abnormality (false positives), leaving only 0.02 false negatives. These data support the use of TE biopsies for PGT-A in embryos undergoing genomic evaluation in cattle breeding. Finally, we report chromosome-specific errors and a high degree of variability in the incidence of aneuploidy between donors, suggesting a genetic contribution that merits further investigation.


Assuntos
Doenças dos Bovinos , Diagnóstico Pré-Implantação , Aborto Animal , Aneuploidia , Animais , Blastocisto , Bovinos/genética , Cromossomos , Feminino , Indução da Ovulação/veterinária , Gravidez
3.
Results Probl Cell Differ ; 63: 223-255, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28779321

RESUMO

During growth, the oocyte accumulates mRNAs that will be required in the later stages of oogenesis and early embryogenesis until the activation of the embryonic genome. Each of these developmental stages is controlled by multiple regulatory mechanisms that ensure proper protein production. Thus mRNAs are stabilized, stored, recruited, polyadenylated, translated and/or degraded over a period of several days. As a consequence, understanding the biological significance of changes in the abundance of transcripts during oocyte growth and differentiation is rather complex. Nevertheless the availability of transcriptomic platforms applicable to scarce samples such as oocytes has generated large amounts of data that depict the transcriptome of oocytes under different conditions. Despite several technical constrains related to protein determination in oocytes that still limit the possibility to verify certain hypothesis, it is now possible to use mRNA levels to start building plausible scenarios. To start deciphering the changes in the level of specific mRNAs involved in chromatin remodelling, we have performed a meta-analysis of existing microarray datasets from germinal vesicle (GV) stage bovine oocytes during the final stages of oocyte differentiation. We then analysed the expression profiles of histone and histone-remodelling enzyme mRNAs and correlated these with the major histone modifications known to occur at the same period, based on data available in the literature. We believe that this approach could reveal the function of specific enzymes in the oocyte. In turn, this information will be useful in future studies, which final ambitious goal is to decipher the 'oocyte-specific histone code'.


Assuntos
Montagem e Desmontagem da Cromatina , Histonas/genética , Oócitos/enzimologia , Oócitos/metabolismo , Animais , Bovinos , Cromatina/química , Cromatina/genética , Cromatina/metabolismo , Montagem e Desmontagem da Cromatina/genética , Feminino , Oogênese/genética
4.
Mol Reprod Dev ; 82(6): 450-62, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25940597

RESUMO

Major remodelling of the chromatin enclosed within the germinal vesicle occurs towards the end of oocyte growth in mammals, but the mechanisms involved in this process are not completely understood. In bovine, four distinct stages of chromatin compaction-ranging from a diffused state (GV0) to a fully compacted configuration (GV3)-are linked to the gradual acquisition of developmental potential. To better understand the molecular events and to identify mRNA modulations occurring in the oocyte during the GV0-to-GV3 transition, transcriptomic analysis was performed with the EmbryoGENE microarray platform. The mRNA abundance of several genes decreased as chromatin compaction increased, which correlates with progressive transcriptional silencing that is characteristic of the end of oocyte growth. On the other hand, the abundance of some transcripts increased during the same period, particularly several histone gene transcripts from the H2A, H2B, H3, H4, and linker H1 family. In silico analysis predicted RNA-protein interactions between specific histone transcripts and the bovine stem-loop binding protein 2 (SLBP2), which helps regulate the translation of histone mRNA during oogenesis. These results suggest that some histone-encoding transcripts are actively stored, possibly to sustain the needs of the embryo before genome activation. This dataset offers a unique opportunity to survey which histone mRNAs are needed to complete chromatin compaction during oocyte maturation and which are stockpiled for the first three cell cycles following fertilization.


Assuntos
Montagem e Desmontagem da Cromatina/fisiologia , Histonas/biossíntese , Oócitos/metabolismo , Oogênese/fisiologia , RNA Mensageiro/biossíntese , Animais , Bovinos , Feminino , Análise de Sequência com Séries de Oligonucleotídeos , Oócitos/citologia
5.
Biotechnol Prog ; 16(2): 292-5, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-10753457

RESUMO

The purpose of this study was to evaluate the effect of temperature (10 and 27 degrees C) on the efficiency of bipolar membrane electroacidification (BMEA) to fractionate soybean proteins. BMEA is a technology derived from electrodialysis, based on the isoelectric precipitation of proteins. It appears that temperature has a significant effect on the selective precipitation of the soybean protein fractions, mainly 11 S and 7 S, during BMEA. At 27 degrees C, the precipitation profile of the four protein fractions is situated in a pH range from 6.6 to 4.4, with no possibility of separating any of theses fractions. However, at 10 degrees C, the 11 S globulin precipitates at a higher pH than at 27 degrees C, pH 6.7 vs 5.9, allowing the fractionation of 11 S from the other fractions. Using electroacidification it is possible to obtain a precipitate solution enriched in the 11 S fraction (71.8% of 11 S and 10.8% of 7 S) and a supernatant solution enriched in the 7 S fraction (46.6% of 7 S and 4.6% of 11S).


Assuntos
Eletroquímica/métodos , Glycine max/química , Proteínas de Plantas/química , Proteínas de Plantas/isolamento & purificação , Temperatura , Fracionamento Químico/métodos , Membranas Artificiais , Solubilidade
6.
Dev Med Child Neurol ; 39(10): 699-705, 1997 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9352734

RESUMO

A 2-year-old boy meeting the criteria for autistic disorder was diagnosed 2 years later with a visual agnosia characterised by a combination of certain aspects of associative and apperceptive agnosia. MRI then revealed a severe encephalomalacia of the right temporal lobe and bilateral temporo-occipital areas. This association is discussed in terms of a clinical and aetiological relation between autistic disorder and visual agnosia.


Assuntos
Agnosia/etiologia , Transtorno Autístico/complicações , Encefalomalacia/complicações , Criança , Corpo Caloso/patologia , Encefalomalacia/diagnóstico , Humanos , Imageamento por Ressonância Magnética , Masculino , Testes Neuropsicológicos , Lobo Occipital , Testes Psicológicos , Lobo Temporal
7.
Brain Cogn ; 33(2): 224-41, 1997 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9073375

RESUMO

Despite the use of stimuli that can be processed by both hemispheres, a number of studies have reported lower memory scores after the left intracarotid amobarbital procedure (IAP) than after the right IAP. Because of that, failure after ipsilateral IAP is observed more often in patients with a left temporal seizure focus (LT) than in right temporal patients (RT), possibly needlessly excluding some LT patients from surgery. In order to overcome the deleterious effects of anesthetizing the dominant hemisphere, we designed an IAP protocol that did not promote verbal encoding of the stimuli. For this purpose, a large number of visual and tactile stimuli (colored pictures and real objects) were presented to be recognized later. The effect of seizure focus lateralization was examined in 82 temporal lobe epileptic patients who underwent IAP as part of their presurgical evaluation. As expected, for both RT and LT patients, long-term recognition of pictures presented under the effect of amobarbital was highly sensitive to the presence of a contralateral epileptic focus. However, contrary to what is generally reported, LT patients performed better than RT patients when their left (ipsilateral) hemisphere was anesthetized. In RT patients, although memory scores were lower after the left contralateral injection, the disparity in memory scores between the right and left injection was not as marked as in LT patients. These results are discussed in terms of the influence of type of processing required during the initial encoding on later recognition during IAP.


Assuntos
Amobarbital , Dominância Cerebral/fisiologia , Epilepsia do Lobo Temporal/fisiopatologia , Hipnóticos e Sedativos , Transtornos da Memória/diagnóstico , Neuropsicologia/métodos , Análise de Variância , Estudos Transversais , Epilepsia do Lobo Temporal/complicações , Feminino , Humanos , Idioma , Masculino , Memória/efeitos dos fármacos , Memória/fisiologia , Transtornos da Memória/etiologia , Reconhecimento Visual de Modelos/efeitos dos fármacos , Reconhecimento Visual de Modelos/fisiologia , Estereognose/efeitos dos fármacos , Estereognose/fisiologia , Fatores de Tempo
8.
Proc Natl Acad Sci U S A ; 94(4): 1064-8, 1997 Feb 18.
Artigo em Inglês | MEDLINE | ID: mdl-9037006

RESUMO

The human C1 heterogeneous nuclear ribonucleoprotein particle protein (hnRNP protein) undergoes a cycle of phosphorylation-dephosphorylation in HeLa cell nuclear extracts that modulates the binding of this protein to pre-mRNA. We now report that hyperphosphorylation of the C1 hnRNP protein is mediated by a kinase activity in nuclear extracts that is RNA-dependent. Although the basal phosphorylation of the C1 hnRNP protein in nuclear extracts reflects a casein kinase II-type activity, its RNA-dependent hyperphosphorylation appears to be mediated by a different kinase. This is indicated by the unresponsiveness of the RNA-stimulated hyperphosphorylation to casein kinase II inhibitors, and the distinct glycerol gradient sedimentation profiles of the basal versus RNA-stimulated C1 hnRNP protein phosphorylation activities from nuclear extracts. RNA-dependent phosphorylation was observed both for a histidine-tagged recombinant human C1 hnRNP protein added to nuclear extracts and also for the endogenous C1 hnRNP protein. Additional results rule out protein kinase A, protein kinase C, calmodulin-dependent protein kinase II, and double-stranded RNA-activated protein kinase as the enzymes responsible for the RNA-dependent hyperphosphorylation of the C1 hnRNP protein. These results reveal the existence in nuclear extracts of an RNA-dependent protein kinase activity that hyperphosphorylates a known pre-mRNA binding protein, and define an additional element to be integrated into the current picture of how nuclear proteins are regulated by phosphorylation.


Assuntos
Ribonucleoproteínas Nucleares Heterogêneas Grupo C , Proteínas Nucleares/metabolismo , Proteínas Quinases/metabolismo , RNA Nuclear/metabolismo , Proteínas de Ligação a RNA/metabolismo , Ribonucleoproteínas/metabolismo , Caseína Quinase II , Núcleo Celular/metabolismo , Inibidores Enzimáticos/farmacologia , Células HeLa , Ribonucleoproteínas Nucleares Heterogêneas , Humanos , Modelos Biológicos , Fosforilação , Proteínas Serina-Treonina Quinases/antagonistas & inibidores
9.
Epilepsy Res ; 24(1): 57-63, 1996 May.
Artigo em Inglês | MEDLINE | ID: mdl-8800635

RESUMO

7 cases of pure multiple subpial transection (MST) without associated cortical resection, for treatment of pharmaco-resistant partial epilepsy localized in highly functional cortical area, are reported. The transections were performed following the technique described by Morrell. The follow-up period ranged from 1 to 4 years. MST induced no significant neurological handicap: only 2 patients experiencing a transitory sensory-motor deficit and with total recovery within 1 month. With respect to seizures, 5 patients were improved with a decrease in seizure frequency of 100, 95, 75, 60 and 40%, respectively. Complex partial seizures changed postoperatively into simple partial seizures in 1 case. In conclusion, this procedure seems to be adequate, although no statistically significant results are available at this time. In our series, we believe failures could be attributed to either a very restricted area of transection or to an incorrect delimitation of the epileptic focus.


Assuntos
Epilepsias Parciais/cirurgia , Pia-Máter/cirurgia , Adulto , Criança , Resistência a Medicamentos , Eletroencefalografia , Feminino , Seguimentos , Humanos , Masculino
11.
J Clin Exp Neuropsychol ; 18(2): 234-48, 1996 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-8780958

RESUMO

A woman, LB, while in recovery from a viral encephalitis, exhibited a delusion for place, which led her to insist that she was at home, in spite of compelling evidence to the contrary. Later, she developed a Capgras syndrome, that is, another misidentification syndrome. The patient was given a detailed neuropsychological evaluation to shed light on the mechanisms underlying her delusional misbelief. Two main deficits were in evidence: (1) a severe visual-spatial impairment, giving the patient a distorted perception of her surroundings; and (2) frontal lobe dysfunction, which played a critical role in her impulsive responses and lack of self-awareness. The pathogenesis of delusion for place and persons if discussed in light of these observations.


Assuntos
Síndrome de Capgras/psicologia , Delusões/psicologia , Encefalite Viral/psicologia , Orientação , Meio Social , Conscientização/fisiologia , Mapeamento Encefálico , Síndrome de Capgras/diagnóstico , Síndrome de Capgras/fisiopatologia , Delusões/diagnóstico , Delusões/fisiopatologia , Encefalite Viral/diagnóstico , Encefalite Viral/fisiopatologia , Feminino , Lobo Frontal/fisiopatologia , Humanos , Rememoração Mental/fisiologia , Pessoa de Meia-Idade , Testes Neuropsicológicos , Orientação/fisiologia , Distorção da Percepção/fisiologia , Tomografia Computadorizada por Raios X
12.
Rev Neurol (Paris) ; 152(3): 190-5, 1996 Mar.
Artigo em Francês | MEDLINE | ID: mdl-8761629

RESUMO

Consequently an infarct in the territory of the right middle cerebral artery, a 77-year old man had a complete left sensory motor hemiplegia, with left neglect. For several weeks, he described the existence of one and more supernumerary phantom limbs. The patient's adamant and delusional conviction of their reality caused him considerable distress. Without being anosognosic he was not completely aware of his disorder, and had slight difficulties in judging what was plausible. The mechanisms underlying this delusion concerning specific parts of the body probably involve multifactorial disorders: first, a sensory deafferentation source of a distorsion of the perceived body schema; second, a resulting discrepancy between the perception of the body schema and its innate representation; third abnormalities of self-awareness and of self-judgement, leading the patient to argue forcellully in favor of incongruous rationalizations.


Assuntos
Infarto Cerebral/complicações , Membro Fantasma/etiologia , Idoso , Imagem Corporal , Infarto Cerebral/psicologia , Delusões/etiologia , Hemiplegia/etiologia , Humanos , Julgamento , Masculino , Testes Neuropsicológicos , Racionalização
13.
Brain ; 117 ( Pt 6): 1283-301, 1994 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-7820566

RESUMO

We present two patients with bilateral lesions of the superior temporal cortex who manifested a number of functional dissociations in the auditory domain. The perception of speech and environmental sounds were preserved; yet, the perception of tunes, prosody and voice was impaired. As the processing of melodic but not rhythmic variations in musical sequences was selectively disturbed, the deficit cannot be attributed to a general impairment in auditory memory or sequential processing. These findings suggest that melody processing is not mediated by a general-purpose auditory architecture but by specialized cortical subsystems residing within the lesioned areas. Current taxonomies of auditory agnosia and models of normal music cognition are evaluated in light of the functional dissociations manifested by these patients.


Assuntos
Córtex Auditivo/fisiopatologia , Percepção Auditiva , Encefalopatias/fisiopatologia , Transtornos Cognitivos/fisiopatologia , Adulto , Agnosia/fisiopatologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Música
14.
Neuropathol Appl Neurobiol ; 20(1): 22-30, 1994 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-8208337

RESUMO

A 49-year-old man suffered from progressive dementia and seizures leading to death after 2 years. CT scans showed severe cortical-subcortical atrophy and hypodensity of the white matter. His father had died at about the same age with similar clinical signs. Two sisters and one brother were also affected. Neuropathological study revealed predominant involvement of the cerebral white matter with myelin loss, gliosis and type I lacunes. The small arteries and arterioles of the white matter and basal ganglia, and, to a lesser extent those of the subarachnoidal space, displayed fibrosis and replacement of the media by an eosinophilic, PAS positive, Congo Red negative, granular substance. Electron microscopy showed swollen myocytes surrounded by collagen, elastin and a compact electron-dense material. Immunofluorescence using antibodies against IgA, IgG, IgM, C1q and C3 stained the abnormal media weakly. In the cortex, there were diffuse senile plaques and neurofibrillary tangles. Immunohistochemistry demonstrated beta/A4 positive material in cortical senile plaques but not in arterial walls. Adventitial macrophages were, however, immunoreactive for gamma-trace. Systemic arterioles were normal. The vascular changes and leukoencephalopathy are comparable to those described in 'Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy' (CADASIL). Similar vascular changes were also observed in nonfamilial cases. An association with Alzheimer changes in the cortex has not been described previously. The relationship between both diseases and the role of each in the causation of the dementia is unclear.


Assuntos
Doença de Alzheimer/patologia , Encéfalo/patologia , Córtex Cerebral/patologia , Transtornos Cerebrovasculares/patologia , Doença de Alzheimer/diagnóstico por imagem , Artérias Cerebrais/patologia , Córtex Cerebral/diagnóstico por imagem , Transtornos Cerebrovasculares/diagnóstico por imagem , Elastina/metabolismo , Humanos , Imuno-Histoquímica , Itália , Masculino , Microscopia Eletrônica , Pessoa de Meia-Idade , Emaranhados Neurofibrilares/patologia , Linhagem , Medula Espinal/patologia , Tomografia Computadorizada por Raios X
16.
Neurochirurgie ; 38 Suppl 1: 1-112, 1992.
Artigo em Francês | MEDLINE | ID: mdl-1501756

RESUMO

The currently available surgical procedures for the treatment of epilepsy, from fundamental data to therapeutic results, including various means of investigation are reported. The work is based on a review of the literature and on the cases studied by the two teams from the Universities of Montreal and Bordeaux who share the same concept of epilepsy surgery. The patient groups of the two teams include 316 S.E.E.G., 214 cortectomies, 39 callosotomies and 2 multiple sub-pial transsections. In the first part, the authors attempt to demonstrate that the epileptic focus corresponds to the region where the seizures arise, that this focus is not directly comparable to the region where inter-ictal spikes are recorded and sometimes becomes autonomous from the causal lesion. The epileptic phenomenon has a definite harmful effect on cerebral functions and a probable self-aggravating potential. The second chapter summarizes the clinical data on which the indications and contraindications are based. These obviously depend on whether the intervention is intended to be curative or palliative. Various non-invasive and invasive investigations are then reviewed, according to their relative importance and the experience of each team. The main points developed are: the electroclinical correlations during seizures, the symptomatological data for differentiating between temporal and frontal lobe seizures, the contribution of M.R.I. in demonstrating the epileptogenic and epileptic lesions, the electrophysiological information suggesting that S.E.E.G. remains the most informative mean of investigation. The various methods of investigation of assessing electrical, functional (cerebral blood flow, metabolism) and morphological aspects of epilepsy, supply non-redondant findings about the localisation of the epileptic focus. The chapter on surgical techniques mainly discusses the various modes of implantation of subdural and intracerebral electrodes and reports the same rate of morbidity in both cases. Orthogonal teleradiography is still perfectly suited to the implantation of intracerebral electrodes. S.E.E.G. is still the most anatomically precise technique. However, in certain conditions, extraoperative E.Co.G. is more adequate. New surgical modalities have recently appeared such as the multiple subpial transsections which allow treatment of epileptic foci unapproachable by cortectomy and such as modified techniques of hemispherectomy, which by decreasing morbidity, renew interest in them. In the chapter on surgical results, the authors emphasize the methodological problems of evaluation that partly account for their wide variability. The results obtained with the various surgical modalities are reviewed. The outcome in cortectomies is discussed at length in terms of the data from the literature as well as the results reported by both teams.(ABSTRACT TRUNCATED AT 400 WORDS)


Assuntos
Epilepsia/cirurgia , Adolescente , Adulto , Encéfalo/cirurgia , Criança , Pré-Escolar , Epilepsia/diagnóstico , Epilepsia/fisiopatologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
18.
Arch Phys Med Rehabil ; 71(9): 673-6, 1990 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-2375673

RESUMO

Shoulder pain is a frequent and debilitating problem in hemiplegic patients, and its etiology remains poorly understood. The role played by hemineglect in the appearance of shoulder pain was studied. During two years, 94 hemiplegic subjects were involved in a rehabilitation program after cerebrovascular accidents. Their average age was 68 years; 45 (47.9%) subjects had shoulder pain, and 24 subjects (22.5%) had hemineglect. The subjects with shoulder pain were compared to those without pain (the control group) with respect to gender, age, diabetes, heart failure, cardiac ischemia, scapulohumeral arthritis, and calcified tendinitis of the rotator cuff. We were unable to demonstrate a relationship between hemineglect and shoulder pain in the hemiplegic (X2 (1) = 2.03, p = .15), although pain was significantly more frequent in subjects with right hemispheric cerebrovascular accident (X2 (1) = 5.0, p less than .025). The subjects with shoulder pain had significantly more spasticity of the affected limb (X2 (1) = 26.3, p less than .01), less sensitivity to pinprick of the upper paralyzed extremity (X2 (1) = 10.8, p less than .01), and a more severe subluxation of the affected shoulder (t(51) = 14.0, p less than .01).


Assuntos
Atenção , Encefalopatias/complicações , Hemiplegia/complicações , Dor/complicações , Ombro , Idoso , Encefalopatias/etiologia , Transtornos Cerebrovasculares/complicações , Feminino , Hemiplegia/etiologia , Humanos , Masculino , Pessoa de Meia-Idade
19.
Brain Cogn ; 11(2): 167-85, 1989 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-2478174

RESUMO

To test the three main hypotheses of the human amnesic syndrome (encoding, consolidation, retrieval), we designed an original protocol for memory assessment under Amytal that included, in addition to a retrograde memory measure, both short-term and long-term anterograde memory measures. Twenty epileptic patients with SEEG-confirmed unilateral temporal lobe foci were given right and left injections on successive days. Only the long-term memory measure for material presented under Amytal was significantly related to the presence of a temporal contralateral epileptogenic focus, even if it was assessed when the hemisphere had completely recovered from the effect of Amytal. Short-term memory deficits were observed equally often after injections ipsilateral and contralateral to the epileptogenic focus, and no retrograde amnesia was observed. These results are consistent with the consolidation hypothesis.


Assuntos
Amobarbital/farmacologia , Encéfalo/efeitos dos fármacos , Memória de Curto Prazo/efeitos dos fármacos , Retenção Psicológica/efeitos dos fármacos , Adolescente , Adulto , Amnésia Retrógrada/psicologia , Afasia/psicologia , Artérias Carótidas , Dominância Cerebral/efeitos dos fármacos , Epilepsia do Lobo Temporal/psicologia , Feminino , Hipocampo/efeitos dos fármacos , Humanos , Injeções Intra-Arteriais , Masculino , Corpos Mamilares/efeitos dos fármacos , Memória , Testes Neuropsicológicos , Reconhecimento Visual de Modelos/efeitos dos fármacos , Lobo Temporal/efeitos dos fármacos , Núcleos Talâmicos/efeitos dos fármacos , Tato/efeitos dos fármacos
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