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1.
Water Sci Technol ; 68(1): 76-82, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23823542

RESUMEN

A feedforward-feedback aeration control strategy based on online oxygen requirements (OR) estimation is proposed for oxidation ditch (OD) processes, and it is further developed for intermittent aeration OD processes, which are the most popular type in Japan. For calculating OR, concentrations of influent biochemical oxygen demand (BOD) and total Kjeldahl nitrogen (TKN) are estimated online by the measurement of suspended solids (SS) and sometimes TKN is estimated by NH4-N. Mixed liquor suspended solids (MLSS) and temperature are used to estimate the required oxygen for endogenous respiration. A straightforward parameter named aeration coefficient, Ka, is introduced as the only parameter that can be tuned automatically by feedback control or manually by the operators. Simulation with an activated sludge model was performed in comparison to fixed-interval aeration and satisfying result of OR control strategy was obtained. The OR control strategy has been implemented at seven full-scale OD plants and improvements in nitrogen removal are obtained in all these plants. Among them, the results obtained in Yumoto wastewater treatment plant were presented, in which continuous aeration was applied previously. After implementing intermittent OR control, the total nitrogen concentration was reduced from more than 5 mg/L to under 2 mg/L, and the electricity consumption was reduced by 61.2% for aeration or 21.5% for the whole plant.


Asunto(s)
Oxígeno/metabolismo , Eliminación de Residuos Líquidos/métodos , Modelos Teóricos , Oxidación-Reducción , Aguas del Alcantarillado/microbiología , Temperatura
2.
Eur Cell Mater ; 24: 403-25, 2012 Nov 17.
Artículo en Inglés | MEDLINE | ID: mdl-23160992

RESUMEN

Despite recent research which more and more stresses the importance of osteocytes in regulating bone and systemic mineral metabolism, current molecular and functional knowledge of osteocyte properties are still incomplete, mostly due to limited availability of in vitro models. Osteocytes are terminally differentiated dendritic cells, and therefore are not easy to obtain and maintain in primary cultures. As an alternative, osteocyte differentiation can be induced by progressive osteoblast embedding in mineralised extracellular matrix. In this model, which is suitable for reproduction of bone development, the presence of calcified matrix prevents several cell biological methods from being used. Therefore, the osteocyte-like MLO-Y4 cell line continues to be the most widely used cellular system. Here we show that treatment of primary osteoblasts or MC3T3-E1 cells with retinoic acid generates a homogeneous population of ramified cells with osteocyte features, as confirmed by morphological and molecular analyses. The first morphological changes are detectable in primary cells after 2 days of treatment, and in the cell line after 4 days of treatment. Differentiation is complete in 5 and 10 days, respectively, with progressive development of dendrites, loss of the ability to produce extracellular matrix, down-regulation of osteoblast markers, and up-regulation of osteocyte-specific molecules, most notably among them sclerostin. Compared to other published protocols, our method has a number of advantages. It is easy to perform and does not require special instrumentation, it is highly reproducible, and rapidly generates a mature osteocyte population in the complete absence of extracellular matrix, allowing the use of these cells for unlimited biological applications.


Asunto(s)
Modelos Biológicos , Osteoblastos/citología , Osteocitos/citología , Osteogénesis/efectos de los fármacos , Tretinoina/farmacología , Proteínas Adaptadoras Transductoras de Señales , Animales , Línea Celular , Proliferación Celular/efectos de los fármacos , Proteínas de la Matriz Extracelular/metabolismo , Glicoproteínas/genética , Glicoproteínas/metabolismo , Péptidos y Proteínas de Señalización Intercelular , Ratones , Osteoblastos/metabolismo , Osteoblastos/ultraestructura , Osteocitos/metabolismo , Osteocitos/ultraestructura , Regulación hacia Arriba
3.
J Nephrol ; 32(1): 139-150, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30628019

RESUMEN

Renal biopsy (RBx) informs about kidney transplantation (KTx) prognosis. In our observational study the prevalence of histological anomalies and the prognostic role of CD45, vimentin (VIM) and periostin (POSTN) in KTx-RBx have been evaluated. One hundred forty-six KTx-RBx (2009-2012) were analysed for general histology and in immunohistochemistry for CD45, VIM and POSTN. Clinical data of the 146-KTx patients were collected at the RBx time (T0), 6 and 12 months before and after RBx. Follow-up time was 21 ± 14 months. Glomerulosclerosis was 20% glomeruli/biopsy. Tubular atrophy (TA), Interstitial infiltrate (I-Inf) and interstitial fibrosis (IF) were slight in 21-18% and 25%, moderate in 22-30% and 26% and severe in 30-18% and 28% of patients. Fifty-eight percent of patients had lesions compatible with IF-TA. CD45, VIM and POSTN correlated to each-other and to TA, I-Inf and IF. VIM and POSTN correlated to GS. CD45 and VIM correlated directly to renal function (RF) and 25(OH)VitD, while POSTN inversely to 25(OH)VitD. Thirty patients restarted dialysis (HD+). HD+ had lower T0-eGFR, and higher CD45, VIM and POSTN than HD-. POSTN resulted the strongest in discriminate for HD+ . CD45, VIM and POSTN correlate to each-other and predict graft outcome. POSTN was the strongest in discriminate for HD+. 25(OH)VitD might influence inflammation and fibrosis in KTx.


Asunto(s)
Moléculas de Adhesión Celular/metabolismo , Enfermedades Renales/etiología , Trasplante de Riñón/efectos adversos , Riñón/metabolismo , Antígenos Comunes de Leucocito/metabolismo , Vimentina/metabolismo , Adulto , Biomarcadores/metabolismo , Biopsia , Transición Epitelial-Mesenquimal , Femenino , Fibrosis , Supervivencia de Injerto , Humanos , Inmunohistoquímica , Riñón/patología , Riñón/fisiopatología , Enfermedades Renales/metabolismo , Enfermedades Renales/patología , Enfermedades Renales/fisiopatología , Masculino , Persona de Mediana Edad , Factores de Tiempo , Resultado del Tratamiento
4.
Bone ; 83: 35-47, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26476373

RESUMEN

INTRODUCTION: AHSG, a serum glycoprotein with recognized anti-calcification activity, has also been suggested to modulate both bone formation and resorption. Though the bulk of AHSG is mostly synthesized in the liver, it has been claimed that also bone cells might produce it. However, the extent of the bone AHSG production and the potential controlling factors remain to be definitively proven. A relevant number of studies support the notion that FGF23, a bone-derived hormone, not only regulates the most important mineral metabolism (MM) related factors (phosphate, parathyroid hormone, vitamin D, etc.), but might be also involved in cardiovascular (CV) outcome, both in chronic kidney disease (CKD) patients and in the general population. Furthermore, in addition to some direct autocrine and paracrine effects in bone, FGF23 has been suggested to interact with AHSG. In this study we investigated if AHSG is really produced by bone cells, and if its bone production is related and/or controlled by FGF23, using cultured bone cells, according to a new method recently published by our group. RESULTS: Our data show that AHSG is consistently produced in osteocytes and to a far lesser extent in osteoblasts. Both FGF23 addition to the culture medium and its over-expression in osteocytes were associated with a consistent increase of both AHSG mRNA and protein, while FGF23 silencing was followed by opposite effects. Though most of these results were largely affected by the blockage of FGF23 receptors, the role of these receptors in the different experimental sets is still not completely clarified. In addition, we found that FGF23 and AHSG proteins co-localized both in cytoplasm and nucleus, which suggests a possible reciprocal interactivity. CONCLUSIONS: Our data not only confirm that AHSG is produced in bone, mainly in osteocytes, but show for the first time that its production is modulated by FGF23. Since both proteins play important roles in the bone and cardiovascular pathology, these results add new pieces to the puzzling relationship between bone and vascular pathology, in particular in CKD patients, prompting future investigations in this field.


Asunto(s)
Factores de Crecimiento de Fibroblastos/metabolismo , Osteocitos/metabolismo , alfa-2-Glicoproteína-HS/biosíntesis , Animales , Bovinos , Células Cultivadas , Medios de Cultivo , Factor-23 de Crecimiento de Fibroblastos , Factores de Crecimiento de Fibroblastos/genética , Técnica del Anticuerpo Fluorescente , Regulación de la Expresión Génica/efectos de los fármacos , Silenciador del Gen/efectos de los fármacos , Humanos , Masculino , Ratones Endogámicos BALB C , Osteoblastos/efectos de los fármacos , Osteoblastos/metabolismo , Osteocitos/efectos de los fármacos , Regiones Promotoras Genéticas/genética , Unión Proteica/efectos de los fármacos , ARN Mensajero/genética , ARN Mensajero/metabolismo , Reacción en Cadena en Tiempo Real de la Polimerasa , Receptores de Factores de Crecimiento de Fibroblastos/antagonistas & inhibidores , Receptores de Factores de Crecimiento de Fibroblastos/metabolismo , Proteínas Recombinantes/farmacología , Tibia/efectos de los fármacos , Tibia/metabolismo , Factores de Tiempo , alfa-2-Glicoproteína-HS/genética
5.
Bone Marrow Transplant ; 22(9): 931-2, 1998 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-9827825

RESUMEN

An 11-year-old boy with severe aplastic anemia underwent unrelated BMT following TBI, antithymocyte globulin and CY. On day +23, CMV antigenemia was detected which resolved with ganciclovir. Eight days after discontinuing ganciclovir, he complained of impaired visual acuity. Ophthalmologic findings and a positive PCR study using anterior chamber fluid from the right eye confirmed the presumptive diagnosis of CMV retinitis, although CMV antigenemia and PCR studies using PBMC were then negative. He was successfully re-treated with ganciclovir. CMV retinitis should be considered even when CMV antigenemia is not present or PCR using PBMC is negative.


Asunto(s)
Anemia Aplásica/terapia , Antivirales/uso terapéutico , Trasplante de Médula Ósea/efectos adversos , Retinitis por Citomegalovirus/etiología , Ganciclovir/uso terapéutico , Antígenos Virales/sangre , Niño , Retinitis por Citomegalovirus/sangre , Humanos , Masculino , Trasplante Homólogo
6.
FEMS Immunol Med Microbiol ; 27(1): 35-41, 2000 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-10617788

RESUMEN

The polymerase chain reaction (PCR) method has been employed to amplify a chlamydial genome encoding four variable segments of the major outer membrane protein and genotyping of different Chlamydia trachomatis serovars was successfully achieved by means of restriction fragment length polymorphism (RFLP) analysis and sequencing of amplified DNA. These methods were applied to identify the serotypes of C. trachomatis in endocervical specimens obtained from asymptomatic pregnant Japanese women at 28-30 weeks of gestation. Among the 218 specimens, 207 were serotyped 43 (19.3%) as serovar D, 53 (24.3%) as E, 24 (11.0%) as F, 39 (17.9%) as G, 15 (6. 9%) as H, 15 (6.9%) as I, five (2.3%) as J, nine (4.1%) as K and four (1.8%) as mixed. Among the 11 unclassified strains by RFLP, six (2.8%) were identified as serovar B variants and five (2.3%) were identified as D/IC-Cal-8. It was suggested that variants of endemic trachoma serovars also have affinity for the urogenital tract of Japanese pregnant women.


Asunto(s)
Cuello del Útero/microbiología , Infecciones por Chlamydia/microbiología , Chlamydia trachomatis/clasificación , Complicaciones Infecciosas del Embarazo/microbiología , Enfermedades del Cuello del Útero/microbiología , Secuencia de Aminoácidos , Secuencia de Bases , Chlamydia trachomatis/genética , ADN Bacteriano/análisis , Femenino , Humanos , Japón , Datos de Secuencia Molecular , Reacción en Cadena de la Polimerasa/métodos , Polimorfismo de Longitud del Fragmento de Restricción , Embarazo , Tercer Trimestre del Embarazo , Análisis de Secuencia de ADN , Serotipificación
7.
Int J Radiat Biol ; 79(11): 919-24, 2003 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-14698960

RESUMEN

PURPOSE: To assess the possibility that extremely low frequency (ELF) magnetic fields obstruct the damage repair process, the gene conversion frequency and cell cycle kinetics in a DNA repair-proficient and nucleotide excision repair (NER)-deficient strain of diploid yeast Saccharomyces cerevisiae. MATERIALS AND METHODS: DNA repair- or NER-deficient cells were irradiated with sublethal doses of ultraviolet light (UV) radiation followed by exposure to 50 Hz magnetic fields up to 30 mT for 48 h. After exposure, colony-forming ability was scored as revertants in which gene conversion had restored the functional allele of the ARG4 gene conversion hotspot. Cell cycle analysis was performed using flow cytometry. RESULTS: Gene conversion rate was increased by the combined exposure in DNA repair-proficient cells, whereas it remained unchanged between UV alone and the combined exposure in NER-deficient cells. The UV-induced G1 arrest was inhibited by exposure to 30 mT ELF magnetic fields in both repair-proficient and -deficient cells. CONCLUSIONS: The results suggest that exposure to high-density (30 mT) ELF magnetic fields decreases the efficiency of NER by suppressing G1 arrest, which in turn led to enhancement of the UV-induced gene conversion.


Asunto(s)
Campos Electromagnéticos , Fase G1/efectos de la radiación , Ciclo Celular/efectos de la radiación , Daño del ADN , Reparación del ADN/efectos de la radiación , Relación Dosis-Respuesta en la Radiación , Citometría de Flujo , Cinética , Magnetismo , Saccharomyces cerevisiae/efectos de la radiación , Factores de Tiempo , Rayos Ultravioleta
8.
Mutat Res ; 471(1-2): 127-34, 2000 Nov 20.
Artículo en Inglés | MEDLINE | ID: mdl-11080668

RESUMEN

We used bacterial mutation assays to assess the mutagenic and co-mutagenic effects of power frequency magnetic fields (MF). For the former, we exposed four strains of Salmonella typhimurium (TA98, TA100, TA1535, TA1537) and two strains of Escherichia coli (WP2 uvrA, WP2 uvrA/pKM101) to 50Hz, 14mT circularly polarized MF for 48h. All results were negative. For the latter, we treated S. typhimurium (TA98, TA100) and E. coli (WP2 uvrA, WP2 uvrA/pKM101) cells with eight model mutagens (N-ethyl-N'-nitro-N-nitrosoguanidine, 2-(2-furyl)-3-(5-nitro-2-furyl) acrylamide, 4-nitroquinoline-N-oxide, 2-aminoanthracene, N(4)-aminocytidine, t-butyl hydroperoxide, cumen hydroperoxide, and acridine orange) with and without the MF. The MF induced no significant, reproducible enhancement of mutagenicity. We also investigated the effect of MF on mutagenicity and co-mutagenicity of fluorescent light (ca. 900lx for 30min) with and without acridine orange on the most sensitive tester strain, E. coli WP2 uvrA/pKM101. Again, we observed no significant difference between the mutation rates induced with and without MF. Thus, a 50Hz, 14mT circularly polarized MF had no detectable mutagenic or co-mutagenic potential in bacterial tester strains under our experimental conditions. Nevertheless, some evidence supporting a mutagenic effect for power frequency MFs does exist; we discuss the potential mechanisms of such an effect in light of the present study and studies done by others.


Asunto(s)
Bacterias/genética , Magnetismo/efectos adversos , Mutagénesis/efectos de los fármacos , Pruebas de Mutagenicidad , Cocarcinogénesis , Escherichia coli/efectos de los fármacos , Escherichia coli/genética , Fluorescencia , Microsomas Hepáticos/efectos de los fármacos , Microsomas Hepáticos/enzimología , Mutágenos/toxicidad , Salmonella typhimurium/efectos de los fármacos , Salmonella typhimurium/genética
9.
Mutat Res ; 373(1): 55-60, 1997 Jan 03.
Artículo en Inglés | MEDLINE | ID: mdl-9015153

RESUMEN

In order to estimate possible mutagenic and/or carcinogenic activity of electromagnetic fields, wing spot tests were performed in Drosophila melanogaster. A DNA repair defective mutation mei-41D5 was introduced into the conventional mwh/flr test system to enhance mutant spot frequency. Third instar larvae were exposed to a 5-Tesla static magnetic field for 24 h, and after molting, wings were examined under a microscope to detect hair spots with mutant morphology. The exposure caused a statistically significant enhancement of somatic recombination compared with the unexposed control. This enhancement was suppressed to the control level by supplement of vitamin E, a non-specific antioxidant. It is inferred that the magnetic field enhanced the genotoxic effect of spontaneously produced free radicals, possibly by affecting the lifetime of the radicals. Enhancement of non-disjunction, terminal deletions and gene mutations were not detected.


Asunto(s)
Drosophila melanogaster/genética , Campos Electromagnéticos/efectos adversos , Mitosis/efectos de la radiación , Recombinación Genética/efectos de la radiación , Animales , Reparación del ADN/genética , Radicales Libres/metabolismo , Larva/efectos de la radiación , Rayos Ultravioleta/efectos adversos , Vitamina E/farmacología , Alas de Animales/anomalías
10.
Mutat Res ; 476(1-2): 55-62, 2001 May 09.
Artículo en Inglés | MEDLINE | ID: mdl-11336983

RESUMEN

Possible carcinogenic and/or mutagenic activity of extremely low frequency magnetic fields was examined using somatic mutation and recombination test system of Drosophila melanogaster. An X-linked semi-dominant DNA repair defective mutation mei-41(D5) was introduced into the conventional mwh/flr test system to enhance mutant spot frequency. Virgin females of w mei-41(D5)/FM6; flr/TM6 were crossed with w mei-41(D5)/Y; mwh jv; spa(pol) males. The F(1) third instar larvae were exposed to a 50Hz, 20mT sinusoidal AC magnetic field for 24h. After moulting from pupal cases, their wings were examined under a bright field microscope to detect hair spots with mwh or flr mutant morphology. The exposure caused a statistically significant enhancement in somatic recombination spot frequency. Mutant spots arising due to chromosomal non-disjunction or terminal deletion also increased but the frequency of spots resulting from point mutation was not altered. The enhancement in the recombination spot frequency was suppressed to the control level when a culture medium without electrolytes was used during exposure. When larvae were exposed to a magnetic field in an annular dish, flies from the outer ring showed more mutant spots compared to those from the inner ring. These results suggest that the detected mutagenic activity was that of the induced eddy current, rather than that of the magnetic field itself.


Asunto(s)
Campos Electromagnéticos/efectos adversos , Mutación , Animales , Drosophila melanogaster/genética , Drosophila melanogaster/crecimiento & desarrollo , Femenino , Larva/crecimiento & desarrollo , Masculino , Pruebas de Mutagenicidad , Recombinación Genética
11.
Mutat Res ; 427(2): 147-56, 1999 Jun 30.
Artículo en Inglés | MEDLINE | ID: mdl-10393268

RESUMEN

Possible mutagenic and co-mutagenic effects of strong static magnetic fields were estimated using bacterial mutagenicity test. Mutagenic potential of static magnetic fields up to 5T (T:1T=10,000 G) was not detected by the bacterial mutagenicity test using four strains of Salmonella typhimurium (TA98, TA100, TA1535 and TA1537) and Escherichia coli WP2 uvrA either in the pre-incubation method or in the plate incorporation method. In the co-mutagenicity test, E. coli WP2 uvrA cells were treated with various chemical mutagens and were simultaneously exposed to a 2T or a 5T static magnetic field. Mutation rate in the exposed group was significantly higher than that in the non-exposed group when cells were treated with N-ethyl-N'-nitro-N-nitrosoguanidine (ENNG), N-methyl-N'-nitro-N-nitrosoguanidine (MNNG), ethylmethanesulfonate (EMS), 4-nitroquinoline-N-oxide (4-NQO), 2-amino-3-methyl-3H-imidazo[4,5-f]quinoline (IQ) or 2-(2-furyl)-3-(5-nitro-2-furyl) acrylamide (AF-2). The mutagenicity of 2-aminoanthracene (2-AA), 9-aminoacridine (9-AA), N4-aminocytidine and 2-acetoamidofluorene (2-AAF) was not affected by the magnetic field exposure. Possible mechanisms of the co-mutagenicity of magnetic fields are discussed.


Asunto(s)
Bacterias/genética , Magnetismo/efectos adversos , Pruebas de Mutagenicidad , Animales , División Celular , Escherichia coli/genética , Hígado/metabolismo , Metilnitronitrosoguanidina/análogos & derivados , Metilnitronitrosoguanidina/farmacología , Mutágenos/farmacología , Mutación , Ratas , Salmonella typhimurium/genética
12.
Early Hum Dev ; 52(1): 43-8, 1998 Aug 28.
Artículo en Inglés | MEDLINE | ID: mdl-9758247

RESUMEN

Maternal serum samples at 10 and 22 weeks of gestational age and cord blood samples were available from six cases of asymptomatic congenital human cytomegalovirus (HCMV) infection. Meaningful rises of serum IgG-antibody titers by ELISA occurred in three cases. Serum interferon (IFN)-gamma activity was detected in all six cases. Serum cell free soluble interleukin-2 receptor (sIL-2R) activity rose above the normal range (145-519 U/ml) in one IgG and IgM antibody-positive and three IgG antibody-positive woman. Serum levels of sIL-2R and IFN-gamma were not elevated in anti-HCMV antibody-negative healthy pregnant women. No HCMV IE DNA was detected by PCR in the serum of any of the pregnant women. HCMV DNA was detected in the serum of one of six infants with asymptomatic congenital HCMV infection. Assessment of the changes of serum cytokines such as sIL-2R and IFN-gamma in HCMV antibody-positive pregnant women may be useful for the prenatal diagnosis of active HCMV infection during pregnancy.


Asunto(s)
Infecciones por Citomegalovirus/congénito , Infecciones por Citomegalovirus/diagnóstico , Citomegalovirus/aislamiento & purificación , ADN Viral/sangre , Interferón gamma/sangre , Receptores de Interleucina-2/sangre , Citomegalovirus/genética , Infecciones por Citomegalovirus/sangre , Femenino , Humanos , Recién Nacido , Valor Predictivo de las Pruebas , Embarazo
13.
In Vivo ; 14(6): 745-6, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-11204492

RESUMEN

We analyzed 33 clinical isolates of cytomegalovirus (CMV) obtained from immunocompetent Japanese children. DNA was extracted from infected MRC-5 cells and we amplified CMV glycoprotein-B (gB), major IE (MIE), DNA polymerase and glycoprotein-H (gH) genes using PCR. Among the 33 clinical isolates, 24 were identified as gB group 1, one as group 2, 6 as group 3, and 2 as simultaneous infections with group 1 and group 3 strains. Clinical isolates of CMV have also been classified into 18 MIE, 8 DNA polymerase and 15 gH genotype patterns by restriction fragment length polymorphism (RFLP). RFLP analysis is useful in molecular epidemiological studies of CMV infection in immunocompetent individuals.


Asunto(s)
Infecciones por Citomegalovirus/diagnóstico , Citomegalovirus/clasificación , Citomegalovirus/genética , Inmunocompetencia , Infecciones por Citomegalovirus/epidemiología , Infecciones por Citomegalovirus/inmunología , ADN Viral/análisis , ADN Polimerasa Dirigida por ADN/genética , Genes Inmediatos-Precoces , Genotipo , Humanos , Lactante , Reacción en Cadena de la Polimerasa , Polimorfismo de Longitud del Fragmento de Restricción , Proteínas del Envoltorio Viral/genética
16.
Mutagenesis ; 16(6): 499-501, 2001 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-11682641

RESUMEN

The aim of this experiment was to investigate whether static magnetic fields (SMFs) have cytogenetic effects in mouse bone marrow cells. The frequency of micronuclei was significantly increased by exposure of mice to 3.0 T for 48 and 72 h and 4.7 T for 24, 48 and 72 h. The increase in micronucleus frequency was dose dependent at all times. Micronucleus frequency at 4.7 T was higher than at 3.0 T. We consider that the increased numbers of micronuclei may be attributable to a stress reaction caused by SMFs or a direct clastogenic/spindle disturbance effect of SMFs.


Asunto(s)
Magnetismo/efectos adversos , Micronúcleos con Defecto Cromosómico/genética , Animales , Células de la Médula Ósea/metabolismo , Análisis Citogenético , Eritrocitos Anormales/metabolismo , Masculino , Ratones , Ratones Endogámicos BALB C , Pruebas de Mutagenicidad , Factores de Tiempo
17.
Epilepsia ; 37(10): 1020-2, 1996 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-8822703

RESUMEN

PURPOSE: We report a 1-year 7-month-old boy with severe myoclonic epilepsy in infancy (SME) who exhibited complex partial status epilepticus (CPSE), which was confirmed by ictal video-EEG analysis. This boy first had a hemiconvulsion in a hot bath at age 3 months. Thereafter, he exhibited both partial and generalized seizures that were extremely intractable. At age 9 months, he had a prolonged episode of impaired consciousness that fit the "obtundation status in SME" defined by Dravet et al. METHODS AND RESULTS: Ictal EEG revealed persisting irregular spike-and-wave complexes over the left hemisphere, predominantly in the occipitotemporal area, and confirmed CPSE. The EEG abnormalities with decreased level of the consciousness continued approximately 6 h after onset of the symptoms even with AED administration. CONCLUSIONS: Because SME features both generalized and focal seizures, both types of nonconvulsive status may be seen in SME. Although Dravet et al. already reported long-lasting atypical absences in patients with SME as "obtundation status," we demonstrated CPSE in an infant with SME who exhibited a prolonged stuporous state.


Asunto(s)
Coma/etiología , Epilepsias Mioclónicas/etiología , Epilepsia Parcial Compleja/complicaciones , Estado Epiléptico/complicaciones , Coma/diagnóstico , Electroencefalografía , Epilepsias Mioclónicas/diagnóstico , Humanos , Lactante , Masculino , Terminología como Asunto , Grabación de Cinta de Video
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