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1.
Arch Neurol ; 62(4): 653-8, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15824268

RESUMO

BACKGROUND: Cerebral cavernous malformations (CCMs) are congenital vascular anomalies that can cause seizures, intracranial hemorrhages, focal neurological deficits, and migrainelike headaches. Magnetic resonance (MR) imaging has substantially facilitated diagnosis of CCM. It is now widely accepted that familial clustering with an autosomal dominant inheritance pattern should be suspected in cases of multiple lesions. OBJECTIVE: To determine by MR imaging the penetrance of cavernous malformations in a 3-generation family that included 5 members with typical clinical signs and diagnostic findings. METHODS: All family members underwent routine MR T1-weighted and T2-weighted spin-echo sequences in addition to MR T2-weighted gradient-echo sequences. RESULTS: Four family members had been symptomatic with either brainstem bleeding, headaches, or focal neurological signs. The gradient-echo sequences yielded a dramatically higher sensitivity with regard to lesion number and distribution. As in previous reports of familial CCM, an increase in lesion number with increasing age, changes in lesion characteristics, de novo occurrence in serial MR imaging over time, and the phenomenon of anticipation could be confirmed in this family. CONCLUSION: Magnetic resonance gradient-echo sequences should be considered the method of choice for diagnosis of familial CCM.


Assuntos
Encéfalo/anormalidades , Encéfalo/patologia , Neoplasias do Sistema Nervoso Central/diagnóstico , Hemangioma Cavernoso do Sistema Nervoso Central/diagnóstico , Adulto , Idoso , Vasos Sanguíneos/anormalidades , Vasos Sanguíneos/patologia , Vasos Sanguíneos/fisiopatologia , Encéfalo/irrigação sanguínea , Neoplasias do Sistema Nervoso Central/genética , Neoplasias do Sistema Nervoso Central/fisiopatologia , Criança , Protocolos Clínicos , Progressão da Doença , Cefaleia/etiologia , Cefaleia/patologia , Cefaleia/fisiopatologia , Hemangioma Cavernoso do Sistema Nervoso Central/genética , Hemangioma Cavernoso do Sistema Nervoso Central/fisiopatologia , Humanos , Hemorragias Intracranianas/etiologia , Hemorragias Intracranianas/patologia , Hemorragias Intracranianas/fisiopatologia , Imageamento por Ressonância Magnética , Masculino , Valor Preditivo dos Testes , Prognóstico , Convulsões/etiologia , Convulsões/patologia , Convulsões/fisiopatologia
2.
PLoS One ; 2(6): e528, 2007 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-17565381

RESUMO

Strategies for non-invasive and quantitative imaging of gene expression in vivo have been developed over the past decade. Non-invasive assessment of the dynamics of gene regulation is of interest for the detection of endogenous disease-specific biological alterations (e.g., signal transduction) and for monitoring the induction and regulation of therapeutic genes (e.g., gene therapy). To demonstrate that non-invasive imaging of regulated expression of any type of gene after in vivo transduction by versatile vectors is feasible, we generated regulatable herpes simplex virus type 1 (HSV-1) amplicon vectors carrying hormone (mifepristone) or antibiotic (tetracycline) regulated promoters driving the proportional co-expression of two marker genes. Regulated gene expression was monitored by fluorescence microscopy in culture and by positron emission tomography (PET) or bioluminescence (BLI) in vivo. The induction levels evaluated in glioma models varied depending on the dose of inductor. With fluorescence microscopy and BLI being the tools for assessing gene expression in culture and animal models, and with PET being the technology for possible application in humans, the generated vectors may serve to non-invasively monitor the dynamics of any gene of interest which is proportionally co-expressed with the respective imaging marker gene in research applications aiming towards translation into clinical application.


Assuntos
Neoplasias Encefálicas/genética , Neoplasias Encefálicas/terapia , Terapia Genética , Glioma/genética , Glioma/terapia , Luminescência , Animais , Western Blotting , Neoplasias Encefálicas/metabolismo , Vetores Genéticos , Glioma/metabolismo , Proteínas de Fluorescência Verde/genética , Proteínas de Fluorescência Verde/metabolismo , Herpesvirus Humano 1/genética , Humanos , Imageamento por Ressonância Magnética , Camundongos , Camundongos Nus , Tomografia por Emissão de Pósitrons , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Timidina Quinase/genética , Timidina Quinase/metabolismo , Células Tumorais Cultivadas
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