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1.
Bone ; : 117281, 2024 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-39395656

RESUMO

OBJECTIVES: High-altitude regions, comprising hypoxic conditions, are associated with different altitude-induced pathologies, including a reduction in bone density. Elucidating the mechanisms underlying bone degradation in such environments and developing targeted interventions and therapeutics is important. Bloodletting therapy has promising clinical applications, but its effects on the skeletal system and bone homeostasis are not well understood. The aim of this study was to investigate the effects of a hypobaric hypoxia environment on specific femoral morphological and structural properties, including bone volume, cortical thickness, and trabecular microarchitecture, in juvenile Sprague-Dawley (SD) rats, and to explore the potential modulating effects of a bloodletting intervention on these parameters. METHODS: Male SD rats, 6 weeks of age, were subjected to a simulated hypobaric hypoxia environment, replicating a 5000-m altitude, for 12 weeks. For the bloodletting intervention group, rats were subjected to a weekly 500 µL tail vein blood withdrawal. Micro-CT technology, hematoxylin and eosin staining, and tartrate-resistant acid phosphatase staining were employed to comprehensively assess the femoral microstructure, tissue architecture, and cellular morphology. Additionally, immunofluorescence analysis was conducted to quantify the expression of key proteins, and transcriptome analysis was performed to identify differentially expressed genes. RESULTS: Exposure of rats to hypobaric hypoxia led to a significant reduction in bone mineral content, trabecular bone number, and cortical bone thickness, suggesting a deterioration of bone microstructure. Additionally, the hypoxic environment upregulated the expression of RANKL and HIF-1α, while downregulating RUNX2. Notably, although bloodletting intervention did not significantly reverse these bone structural changes, transcriptome analysis revealed its regulatory influence on the expression of key genes, particularly Mmp2, Fosl2, and URS0000B2A65A, which are implicated in pathways governing the hypoxic response, osteoclast differentiation, and PI3K-Akt signaling. CONCLUSION: This study highlights the detrimental effect of hypobaric hypoxia on the bone microstructure of juvenile rats and underscores the therapeutic potential of bloodletting to ameliorate this condition. Additionally, our study on the regulatory mechanisms mediating bloodletting's effects on gene expression offers fresh perspectives on bone alterations. It suggests promising avenues for the development of novel preventative measures and targeted therapies to address the challenges posed by related bone disorders.

2.
High Alt Med Biol ; 2024 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-39379067

RESUMO

Aims: To explore the influence of recent high-altitude residential history on the optimal cutoff of glycosylated hemoglobin (HbA1c) for detecting abnormal glucose metabolism. Methods: The study included 505 self-reported healthy Han participants of age 18-65 years, recruited in Chengdu and categorized based on recent (within 3 months) high-altitude (>2,500 m) residential history. The 1999 WHO criteria was used as the gold standard for defining prediabetes and diabetes. HbA1c test performance was assessed using receiver operating characteristic curve, with the optimal cutoff determined by Maximum Youden index. Propensity score matching with 0.02 calipers and nearest neighbor method was used to balance confounding factors between groups. Results: Of the participants, 238 (47.13%) were populations with recent high-altitude residential history (HA group), and 267 (52.87%) were low-altitude dwellers (LA group). The HA group had slightly higher HbA1c levels (p > 0.05) and higher erythrocyte and hemoglobin levels (p < 0.05), compared to the LA group. Weak correlations between prediabetes and HbA1c levels were observed in the HA group (rs = 0.21, p < 0.05) and the LA group (rs = 0.07, p = 0.25). The optimal cutoff for the detection of diabetes was 6.5% (area under the curve [AUC] 0.94) in the HA group and 5.9% (AUC 0.97) in the LA group, which remained unchanged after adjustment for confounders. Conclusions: The optimal cutoff of HbA1c for the detection of diabetes in populations with recent history of living at high altitude was higher than that in general populations living at low altitude, and the diagnostic value of HbA1c for prediabetes was also inadequate.

3.
Nat Commun ; 15(1): 8948, 2024 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-39419983

RESUMO

Moisture-capturing materials can enable potentially game-changing energy-water technologies such as atmospheric water production, heat storage, and passive cooling. Hydrogel composites recently emerged as outstanding moisture-capturing materials due to their low cost, high affinity for humidity, and design versatility. Despite extensive efforts to experimentally explore the large design space of hydrogels for high-performance moisture capture, there is a critical knowledge gap on our understanding behind the moisture-capture properties of these materials. This missing understanding hinders the fast development of novel hydrogels, material performance enhancements, and device-level optimization. In this work, we combine synthesis and characterization of hydrogel-salt composites to develop and validate a theoretical description that bridges this knowledge gap. Starting from a thermodynamic description of hydrogel-salt composites, we develop models that accurately capture experimentally measured moisture uptakes and sorption enthalpies. We also develop mass transport models that precisely reproduce the dynamic absorption and desorption of moisture into hydrogel-salt composites. Altogether, these results demonstrate the main variables that dominate moisture-capturing properties, showing a negligible role of the polymer in the material performance under all considered cases. Our insights guide the synthesis of next-generation humidity-capturing hydrogels and enable their system-level optimization in ways previously unattainable for critical water-energy applications.

4.
Angew Chem Int Ed Engl ; : e202411708, 2024 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-39276143

RESUMO

Precursor solution aging process can cause significant influence on the photovoltaic performance of perovskite solar cells (PVSCs). Notably, we first observe that the aging phenomenon is more severe in the precursor of two-step sequential method compared to that in one-step method due to that the protic solvent isopropanol facilitates amine-cation side reaction and iodide ions oxidation. Herein, we report a novel approach for selectively stabilizing both organic amine salt and lead iodide (PbI2) precursor solutions in two-step method. The introduction of benzene-1,3-dithiol into organic amine salt solution can mitigate amine-cation side reactions due to the formation of an acidic and reducing environment. Simultaneously, decamethylferrocene (FcMe10/FcMe+10) pair can act as a redox shuttle in PbI2 solution to concurrently oxidize Pb0 and reduce I2 in cyclic manner. Consequently, the PVSCs device fabricated from ameliorative precursor solutions demonstrates superior power conversion efficiency of 25.31%, retaining 95% of its efficiency after 21 days of solution aging. Moreover, the unencapsulated devices maintain 85% of primitive efficiency for 1500 h at maximum power point tracking under continuous illumination. This work establishes a fundamental guidance and scientific direction for the stabilization of two-step perovskite precursor solutions.

5.
J Org Chem ; 89(19): 13868-13875, 2024 Oct 04.
Artigo em Inglês | MEDLINE | ID: mdl-39294860

RESUMO

A novel reaction of cyclic and acyclic secondary amines with in situ-generated allene intermediate species from nitro-substituted donor-acceptor cyclopropanes is reported. In the presence of a simple inorganic base, NaOH, tetrasubstituted enamine derivatives can be obtained in moderate to excellent yields. The reaction is operationally easy, features mild reaction conditions and simple inorganic bases, and is free of transition metals.

6.
Small ; : e2406076, 2024 Sep 17.
Artigo em Inglês | MEDLINE | ID: mdl-39289826

RESUMO

Seawater electrolysis can generate carbon-neutral hydrogen but its efficiency is hindered by the low mass activity and poor stability of commercial catalysts at industrial current densities. Herein, Pt nanoclusters are loaded on nickel-iron-cobalt phosphide nanosheets, with the obtained Pt@NiFeCo-P electrocatalyst exhibiting excellent hydrogen evolution reaction (HER) activity and stability in alkaline seawater at ampere-level current densities. The catalyst delivers an ultralow HER overpotential of 19.7 mV at -10 mA cm-2 in seawater-simulating alkaline solutions, along with a Pt-mass activity 20.8 times higher than Pt/C under the same conditions, while dropping to 8.3 mV upon a five-fold NaCl concentrated natural seawater. Remarkably, Pt@NiFeCo-P offers stable operation for over 1000 h at 1 A cm-2 in an alkaline brine electrolyte, demonstrating its potential for efficient and long-term seawater electrolysis. X-ray photoelectron spectroscopy (XPS), in situ electrochemical impedance spectroscopy (EIS), and in situ Raman studies revealed fast electron and charge transfer from the NiFeCo-P substrate to Pt nanoclusters enabled by a strong metal-support interaction, which increased the coverage of H* and accelerated water dissociation on high valent Co sites. This study represents a significant advancement in the development of efficient and stable electrocatalysts with high mass activity for sustainable hydrogen generation from seawater.

7.
Diabetes Obes Metab ; 2024 Sep 26.
Artigo em Inglês | MEDLINE | ID: mdl-39323366

RESUMO

AIM: To explore the effectiveness of the Metawell programme on cardiometabolic risk factors in China, which combines meal replacement biscuits, a wireless scale, and a mobile phone application. METHODS: In this two-arm, parallel-design randomized study, 220 participants were randomly assigned to an intervention (n = 110) and a control (n = 110) group. Participants in the intervention group were instructed to use meal replacement products and scales for weight loss and monitoring, whereas participants in the control group received printed materials containing a sample diet and face-to-face weight loss education at enrolment. The trial lasted 6 months, including a weight loss period in Months 1-3 and a weight maintenance period in Months 3-6. Generalized estimating equations were used to compare differences between the two groups. RESULTS: The median (interquartile range) ages of the intervention and control groups were 32.00 (28.00, 39.00) years and 33.00 (28.25, 41.00) years, with body mass indices of 28.20 (26.30, 30.95) kg/m2 and 27.70 (26.02, 29.70) kg/m2, respectively. Participants in the intervention group experienced significantly greater decreases in waist circumference, hip circumference, triglycerides, total cholesterol: high-density lipoprotein cholesterol ratio, fasting blood glucose, fasting insulin, and homeostatic model assessment of insulin resistance index compared to the control group (p < 0.01). Among participants who did not regain weight during the maintenance period after weight loss, the reductions in systolic and diastolic blood pressure were significantly greater in the intervention group than in the control group (p < 0.05). CONCLUSIONS: The Metawell programme of caloric restriction and remote monitoring can be adapted to overweight and obese people in China to reduce their cardiometabolic risk factors. Furthermore, there was a better improvement in blood pressure in participants who maintained the effects of weight loss.

8.
Chem Rev ; 124(17): 10052-10111, 2024 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-39194152

RESUMO

Bubbles play a ubiquitous role in electrochemical gas evolution reactions. However, a mechanistic understanding of how bubbles affect the energy efficiency of electrochemical processes remains limited to date, impeding effective approaches to further boost the performance of gas evolution systems. From a perspective of the analogy between heat and mass transfer, bubbles in electrochemical gas evolution reactions exhibit highly similar dynamic behaviors to them in the liquid-vapor phase change. Recent developments of liquid-vapor phase change systems have substantially advanced the fundamental knowledge of bubbles, leading to unprecedented enhancement of heat transfer performance. In this Review, we aim to elucidate a promising opportunity of understanding bubble dynamics in electrochemical gas evolution reactions through a lens of phase change heat transfer. We first provide a background about key parallels between electrochemical gas evolution reactions and phase change heat transfer. Then, we discuss bubble dynamics in gas evolution systems across multiple length scales, with an emphasis on exciting research problems inspired by new insights gained from liquid-vapor phase change systems. Lastly, we review advances in engineered surfaces for manipulating bubbles to enhance heat and mass transfer, providing an outlook on the design of high-performance gas evolving electrodes.

9.
Adv Mater ; 36(39): e2405860, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39108194

RESUMO

Narrow-bandgap Sn-Pb alloying perovskites showcased great potential in constructing multiple-junction perovskite solar cells (PSCs) with efficiencies approaching or exceeding the Shockley-Queisser limit. However, the uncontrollable surface metal abundance (Sn2+ and Pb2+ ions) hinders their efficiency and versatility in different device structures. Additionally, the undesired Pb distribution mainly at the buried interface accelerates the Pb leakage when devices are damaged. In this work, a novel strategy is presented to modulate crystallization kinetics and surface metal abundance of Sn-Pb perovskites using a cobweb-like quadrangular macrocyclic porphyrin material, which features a molecular size compatible with the perovskite lattice and robustly coordinates with Pb2+ ions, thus immobilizing them and increasing surface Pb abundance by 61%. This modulation reduces toxic Pb leakage rates by 24-fold, with only ∼23 ppb Pb in water after severely damaged PSCs are immersed in water for 150 h.This strategy can also enhance chemical homogeneity, reduce trap density, release tensile strain and optimize carrier dynamics of Sn-Pb perovskites and relevant devices. Encouragingly, the power conversion efficiency (PCEs) of 23.28% for single-junction, full-stack devices and 21.34% for hole transport layer-free Sn-Pb PSCs are achieved.Notably, the related monolithic all-perovskite tandem solar cell also achieves a PCE of 27.03% with outstanding photostability.

10.
Biodivers Data J ; 12: e130445, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39131440

RESUMO

Background: Pseudopoda Jäger, 2000 is currently the largest genus in the family Sparassidae Bertkau, 1872, comprising 255 species. Of these, 154 species have been recorded in China, representing 60.4% of the global species.In October 2023, a spider survey was conducted in Shennongjia National Nature Reserve, Hubei Province, China. After examination and morphological comparison, one new species of the genus Pseudopoda was identified and is described here. New information: In this paper, a new species of Pseudopoda collected in Hubei Province, China, is proposed and named Pseudopodaguanmenshan sp. nov. A detailed description, diagnosis, photographs and distribution map of the new species are provided.

11.
Nucleic Acids Res ; 2024 Aug 27.
Artigo em Inglês | MEDLINE | ID: mdl-39189447

RESUMO

Circular RNAs (circRNAs) represent recently discovered novel regulatory non-coding RNAs. While they are present in many eukaryotes, there has been limited research on plant circRNAs. We developed PlantCircRNA (https://plant.deepbiology.cn/PlantCircRNA/) to fill this gap. The two most important features of PlantCircRNA are (i) it incorporates circRNAs from 94 plant species based on 39 245 RNA-sequencing samples and (ii) it imports the original AtCircDB and CropCircDB databases. We manually curated all circRNAs from published articles, and imported them into the database. Furthermore, we added detailed information of tissue as well as abiotic stresses to the database. To help users understand these circRNAs, the database includes a detection score to measure their consistency and a naming system following the guidelines recently proposed for eukaryotes. Finally, we developed a comprehensive platform for users to visualize, analyze, and download data regarding specific circRNAs. This resource will serve as a home for plant circRNAs and provide the community with unprecedented insights into these mysterious molecule.

12.
BMJ Open ; 14(8): e087142, 2024 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-39181552

RESUMO

INTRODUCTION: Osteoporotic fractures are a leading cause of disability and contribute significantly to medical care costs worldwide. Variations in bone mineral density and the risk of osteoporosis are notably influenced by altitude. This study aims to longitudinally examine individuals with osteoporosis and low bone mass at three different altitudes (low, high and very high) to understand the effects of high-altitude environments on bone density. METHODS AND ANALYSIS: This multicentre, prospective cohort study will involve 893 participants divided into three groups based on altitude: low (500-1500 m), high (2500-4500 m) and very high (4500-5500 m). Participants will undergo comprehensive diagnostic assessments, including demographic data collection, structured questionnaires, medical examinations and clinical laboratory tests. Follow-up visits will occur annually for a minimum of 5 years. The primary outcome will be changes in bone mineral density values. Secondary outcomes will include the incidence of osteoporosis and osteoporotic fractures. Cox proportional hazard models will be used to calculate the risk associated with osteoporotic events and related fractures. ETHICS AND DISSEMINATION: The study has been approved by the Institutional Review Board of the Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region (No: 2024-70). The acquired insights will be disseminated via academic forums, scholarly articles and stakeholder engagement sessions. TRIAL REGISTRATIONNUMBER: ChiCTR2300078872.


Assuntos
Altitude , Densidade Óssea , Osteoporose , Fraturas por Osteoporose , Humanos , Osteoporose/epidemiologia , Estudos Prospectivos , Pessoa de Meia-Idade , Feminino , Idoso , Fraturas por Osteoporose/epidemiologia , Fraturas por Osteoporose/etiologia , Masculino , Estudos Multicêntricos como Assunto , China/epidemiologia , Fatores de Risco , Projetos de Pesquisa
13.
Nat Comput Sci ; 4(8): 615-625, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39117916

RESUMO

The calculation of electron-phonon couplings (EPCs) is essential for understanding various fundamental physical properties, including electrical transport, optical and superconducting behaviors in materials. However, obtaining EPCs through fully first-principles methods is notably challenging, particularly for large systems or when employing advanced functionals. Here we introduce a machine learning framework to accelerate EPC calculations by utilizing atomic orbital-based Hamiltonian matrices and gradients predicted by an equivariant graph neural network. We demonstrate that our method not only yields EPC values in close agreement with first-principles results but also enhances calculation efficiency by several orders of magnitude. Application to GaAs using the Heyd-Scuseria-Ernzerhof functional reveals the necessity of advanced functionals for accurate carrier mobility predictions, while for the large Kagome crystal CsV3Sb5, our framework reproduces the experimentally observed double domes in pressure-induced superconducting phase diagrams. This machine learning framework offers a powerful and efficient tool for the investigation of diverse EPC-related phenomena in complex materials.

14.
Org Lett ; 26(31): 6586-6590, 2024 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-39079756

RESUMO

A rhodium-catalyzed [4 + 2] cycloaddition of ynamines and 2-(cyanomethyl)phenylboronates has been developed, leading to efficient and excellent regioselective synthesis of valuable indole-linked aromatic compounds in a concise and flexible approach. Interestingly, this strategy was successful in the construction of C···N axially chiral indoles with high enantiocontrol by the introduction of a new phosphoramidite ligand (Xie-Phos).

15.
ACS Energy Lett ; 9(7): 3391-3399, 2024 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-39022669

RESUMO

Water scarcity remains a grand challenge across the globe. Sorption-based atmospheric water harvesting (SAWH) is an emerging and promising solution for water scarcity, especially in arid and noncoastal regions. Traditional approaches to AWH such as fog harvesting and dewing are often not applicable in an arid environment (<30% relative humidity (RH)), whereas SAWH has demonstrated great potential to provide fresh water under a wide range of climate conditions. Despite advances in materials development, most demonstrated SAWH devices still lack sufficient water production. In this work, we focus on the adsorption bed design to achieve high water production, multicyclic operation, and a compact form factor (high material loading per heat source contact area). The modeling efforts and experimental validation illustrate an optimized design space with a fin-array adsorption bed enabled by high-density waste heat, which promises 5.826 Lwater kgsorbent -1 day-1 at 30% RH within a compact 1 L adsorbent bed and commercial adsorbent materials.

16.
J Imaging ; 10(6)2024 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-38921614

RESUMO

Recent advancements in computer vision, especially deep learning models, have shown considerable promise in tasks related to plant image object detection. However, the efficiency of these deep learning models heavily relies on input image quality, with low-resolution images significantly hindering model performance. Therefore, reconstructing high-quality images through specific techniques will help extract features from plant images, thus improving model performance. In this study, we explored the value of super-resolution technology for improving object detection model performance on plant images. Firstly, we built a comprehensive dataset comprising 1030 high-resolution plant images, named the PlantSR dataset. Subsequently, we developed a super-resolution model using the PlantSR dataset and benchmarked it against several state-of-the-art models designed for general image super-resolution tasks. Our proposed model demonstrated superior performance on the PlantSR dataset, indicating its efficacy in enhancing the super-resolution of plant images. Furthermore, we explored the effect of super-resolution on two specific object detection tasks: apple counting and soybean seed counting. By incorporating super-resolution as a pre-processing step, we observed a significant reduction in mean absolute error. Specifically, with the YOLOv7 model employed for apple counting, the mean absolute error decreased from 13.085 to 5.71. Similarly, with the P2PNet-Soy model utilized for soybean seed counting, the mean absolute error decreased from 19.159 to 15.085. These findings underscore the substantial potential of super-resolution technology in improving the performance of object detection models for accurately detecting and counting specific plants from images. The source codes and associated datasets related to this study are available at Github.

17.
Microorganisms ; 12(5)2024 May 12.
Artigo em Inglês | MEDLINE | ID: mdl-38792801

RESUMO

Antibiotic resistance is a global health crisis. Notably, carbapenem-resistant Enterobacterales (CRE) pose a significant clinical challenge due to the limited effective treatment options. This problem is exacerbated by persisters that develop upon antibiotic exposure. Bacteria persisters can tolerate high antibiotic doses and can cause recalcitrant infections, potentially developing further antibiotic resistance. Iron is a critical micronutrient for survival. We aimed to evaluate the utility of iron chelators, alone and in combination with antibiotics, in managing persisters. We hypothesized that iron chelators eradicate CRE persisters in vitro, when administered in combination with antibiotics. Our screening revealed three clinical isolates with bacteria persisters that resuscitated upon antibiotic removal. These isolates were treated with both meropenem and an iron chelator (deferoxamine mesylate, deferiprone or dexrazoxane) over 24 h. Against our hypothesis, bacteria persisters survived and resuscitated upon withdrawing both the antibiotic and iron chelator. Pursuing our aim, we next hypothesized that iron chelation is feasible as a post-antibiotic treatment in managing and suppressing persisters' resuscitation. We exposed bacteria persisters to an iron chelator without antibiotics. Flow cytometric assessments revealed that iron chelators are inconsistent in suppressing persister resuscitation. Collectively, these results suggest that the iron chelation strategy may not be useful as an antibiotic adjunct to target planktonic bacteria persisters.

18.
Micromachines (Basel) ; 15(5)2024 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-38793188

RESUMO

The dimensional accuracy and microstructure affect the service performance of parts fabricated by wire arc additive manufacturing (WAAM). Regulating the geometry and microstructure of such parts presents a challenge. The coupling method of an artificial neural network and finite element (FE) is proposed in this research for this purpose. Back-propagating neural networks (BPNN) based on optimization algorithms were established to predict the bead width (BW) and height (BH) of the deposited layers. Then, the bead geometry was modeled based on the predicted dimension, and 3D FE heat transfer simulation was performed to investigate the evolution of temperature and microstructure. The results showed that the errors in BW and BH were less than 6%, and the beetle antenna search BPNN model had the highest prediction accuracy compared to the other models. The simulated melt pool error was less than 5% with the experimental results. The decrease in the ratio of the temperature gradient and solidification rate induced the transition of solidified grains from cellular crystals to columnar dendrites and then to equiaxed dendrites. Accelerating the cooling rate increased the primary dendrite arm spacing and δ-ferrite content. These results indicate that the coupling model provides a pathway for regulating the dimensions and microstructures of manufactured parts.

19.
Sci Rep ; 14(1): 11891, 2024 May 24.
Artigo em Inglês | MEDLINE | ID: mdl-38789531

RESUMO

Urban open spaces (UOS) are crucial for urban life, offering benefits across individual and societal levels. However, the understanding of the systematic dynamic of UOS scaling with city size and its potential non-linear performance remains a limited clarity area. This study bridges this gap by integrating urban scaling laws with remote sensing data from 1990 to 2020, creating a framework to analyze UOS trends in China. Our findings reveal that UOS growth is sub-linear scaling with city size, exhibiting economies of scale with scaling exponents between 0.55 and 0.65 and suggesting potential shortages. The distribution structure of UOS across cities is becoming increasingly balanced, as indicated by the rising Zipf's slope from 0.66 to 0.88. Southeastern coastal cities outperform, highlighting spatial variations and path dependency in UOS development. Additionally, using metrics of Scale-adjusted metropolitan indicator (SAMI) and the ratio of open space consumption to population growth rates (OCRPGR), we observe a trend towards more coordinated development between UOS and population, with a declining proportion of uncoordinated cities. Our long-term, large sample coverage study of UOS in China may offer positive significance for urban ecological planning and management in similar rapidly urbanizing countries, contributing to critical insights for quantifying and monitoring urban sustainable development.

20.
Cureus ; 16(3): e56268, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38623103

RESUMO

We report a case of isolated left abducens nerve palsy accompanying a right thalamic infarct. The patient, a 43-year-old Malay male with newly diagnosed hypertension, diabetes mellitus, and dyslipidemia, initially reported binocular diplopia on left lateral gaze persisting for five weeks. Subsequently, he experienced acute left-sided body weakness and slurred speech for over one day. Clinical examination revealed restricted left eye lateral gaze (-3) with no relative afferent pupillary defect. Additionally, decreased power (4/5) was noted in the left upper and lower limbs. Brain magnetic resonance imaging (MRI) revealed restricted diffusion in the right thalamus extending to the right posterior internal capsule, left anterior cingulate gyrus, and left caudate nucleus. The patient was initiated on antiplatelet, antihypertensive, and oral hypoglycemic agents, resulting in symptom improvement. This rare neuroophthalmological finding has not been reported previously.

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