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1.
Br J Neurosurg ; 33(3): 283-284, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28597698

RESUMO

Intracranial fungal infection of the cavernous sinus is a condition that usually affects immunocompromised individuals and is rarely seen in immunocompetent individuals. It is a potentially life threatening condition which requires prompt treatment. Here we present a case of an immunocompetent patient with a fungal infection of the cavernous sinus.


Assuntos
Encefalopatias/cirurgia , Seio Cavernoso/microbiologia , Infecções Fúngicas do Sistema Nervoso Central/cirurgia , Encefalopatias/diagnóstico , Seio Cavernoso/cirurgia , Infecções Fúngicas do Sistema Nervoso Central/diagnóstico , Humanos , Imunocompetência/fisiologia , Masculino , Neuroendoscopia/métodos , Adulto Jovem
2.
Turk Neurosurg ; 25(4): 617-24, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26242340

RESUMO

AIM: This study evaluated the neuroprotective effect of intrathecally infused paclitaxel in the prevention of motoneuron death and mitochondrial dysfunction following brachial plexus avulsion injury. MATERIAL AND METHODS: Brachial root avulsion injury was induced in Sprague-Dawley rats. The Paclitaxel treatment group (n = 32) received a 5-d intrathecal infusion of paclitaxel (256 ng/d) via a micro infusion pump, whereas the Control group (n = 32) received normal saline. The cervical cord was harvested at survival times of 1, 2, 4, and 6 wk (n = 8 each). The number of surviving and nNOS-positive motoneurons at the injury level in the ventral horn was determined with NADPH-d histochemistry. Mitochondrial function at this location was measured with CcO histochemistry and densitometry. An independent t-test was applied to detect differences between the study groups at specific survival times. RESULTS: The Paclitaxel treatment group showed a significant relative reduction in nNOS expression at 2, 4, and 6 wk, and significantly improved mitochondrial function at 4 and 6 wk. Motoneuron survival was significantly increased at 2, 4, and 6 wk. CONCLUSION: Paclitaxel has a significant neuroprotective effect against spinal motoneuron degeneration following brachial plexus avulsion injury, which involves inhibition of nNOS expression and prevention of mitochondrial dysfunction.


Assuntos
Células do Corno Anterior/efeitos dos fármacos , Antineoplásicos Fitogênicos/farmacologia , Doenças Mitocondriais/prevenção & controle , Fármacos Neuroprotetores/farmacologia , Óxido Nítrico Sintase Tipo I/antagonistas & inibidores , Óxido Nítrico Sintase Tipo I/biossíntese , Paclitaxel/farmacologia , Raízes Nervosas Espinhais/efeitos dos fármacos , Animais , Plexo Braquial/lesões , Morte Celular/efeitos dos fármacos , Complexo IV da Cadeia de Transporte de Elétrons/metabolismo , Feminino , Injeções Espinhais , Neurônios Motores/efeitos dos fármacos , NADPH Desidrogenase/metabolismo , Ratos , Ratos Sprague-Dawley , Medula Espinal/patologia
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