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1.
Phys Chem Chem Phys ; 19(34): 23015-23023, 2017 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-28816321

RESUMO

Ionic liquids (ILs) are promising electrolytes and many efforts have been made in basic scientific research as well as in applied research. In this contribution, we synthesised a variety of partly novel phosphonium ILs with different anions as well as with different compositions and lengths of the side chains of the cations. We measured a variety of their important transport properties such as viscosity, conductivity and diffusivity by means of stress-controlled rheology, impedance spectroscopy and PFGSTE NMR diffusometry. The results are analysed with respect to different models for derivation from ideal behaviours such as the ionicity and the (fractional) Walden rule depending on their molecular structure. These models are well established in the literature and are herein applied to rarely investigated but promising phosphonium ILs, with a particular emphasis placed on the effect of ether side chains. In comparison, the models show a qualitative correlation but distinct deviation in the quantification especially in the temperature dependent values and with other IL systems. These results aim to facilitate a better understanding of the IL properties depending on the molecular composition and by this way help to choose the ILs with optimal properties for practical applications.

2.
Langmuir ; 25(20): 12380-6, 2009 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-19778027

RESUMO

Galactitol dehydrogenase (GatDH) from Rhodobacter sphaeroides is a multifunctional enzyme that catalyzes in the presence of oxidized beta-nicotinamide adenine dinucleotide (NAD(+)) the interconversion of various multivalent aliphatic alcohols to the corresponding ketones. The recombinant GatDH was provided with an N-terminal His(6)-tag to which distally up to three cysteine residues were attached. This protein construct maintained nearly full enzymatic activity, and it could be covalently immobilized via thiol bonds onto the surface of a gold electrode. Binding of GatDH onto the gold electrode was verified by SPR measurements, and residual enzyme activity was measured by cyclic voltammetry using 1,2-hexanediol as substrate, the cofactor NAD(+) and the redox mediator CTFM (4-carboxy-2,5,7-trinitrofluorenyliden-malonnitrile) in solute form. The results demonstrate the possibility of a directed functional immobilization of proteins on gold surfaces, which represents a proof-of-concept for the development of reactors for electrochemical synthon preparation using dehydrogenases.


Assuntos
Enzimas Imobilizadas/química , Enzimas Imobilizadas/genética , Ouro/química , Polímeros/química , Rhodobacter sphaeroides/enzimologia , Desidrogenase do Álcool de Açúcar/química , Desidrogenase do Álcool de Açúcar/genética , Cloreto de Cálcio/metabolismo , Domínio Catalítico , Cisteína/metabolismo , Eletroquímica , Eletrodos , Transporte de Elétrons , Enzimas Imobilizadas/isolamento & purificação , Enzimas Imobilizadas/metabolismo , Mutação , NAD/metabolismo , Engenharia de Proteínas , Desidrogenase do Álcool de Açúcar/isolamento & purificação , Desidrogenase do Álcool de Açúcar/metabolismo , Compostos de Sulfidrila/química , Propriedades de Superfície
3.
J Phys Condens Matter ; 21(17): 175410, 2009 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-21825425

RESUMO

In order to study the mechanism and parameters of H jump motion in the nonstoichiometric Nb carbides, we have performed quasielastic neutron scattering (QENS) measurements for NbC(0.71)H(0.28) over the temperature range 11- 475 K. Our results indicate that about 30% of H atoms in this system participate in a fast diffusive motion. The temperature dependence of the corresponding H jump rate in the range 298-475 K follows the Arrhenius law with an activation energy of 328 ± 9 meV. The Q dependence of the QENS data suggests that the observed jump motion corresponds to long-range diffusion of H atoms along chains of the off-centre sites in carbon vacancies.

4.
J Phys Condens Matter ; 20(20): 204115, 2008 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-21694244

RESUMO

Mn(x)Zn(1-x)Fe(2)O(4)-based magnetic fluids with x = 0.1-0.9 are synthesized by coprecipitation. The samples are heated in a radio frequency (rf) magnetic field using an rf generator at different powers, and the temperature is measured as function of time using an optical thermometer. The heating effect of the dispersed magnetic nanoparticles is proportional to the imaginary part of the dynamic magnetic susceptibility of the ferrofluid, a quantity that depends on the temperature through the magnetization of the ferrite nanoparticles and the Néel or Brownian relaxation times, respectively. We propose an extrapolation method to actuate the Curie temperatures of the dispersed magnetic nanoparticles. By means of appropriate fitting functions for (dT/dt) versus T for both the heating and the cooling process, we deduce the Curie temperature of the samples under investigation. For Mn(x)Zn(1-x)Fe(2)O(4)-based magnetic nanoparticles the Curie temperatures decrease with increasing Zn content. They turn out to be lower than the literature values for bulk Mn(x)Zn(1-x)Fe(2)O(4), a phenomenon which is generally observed for phase transitions of nanocrystalline materials.

5.
J Colloid Interface Sci ; 311(2): 425-9, 2007 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-17448487

RESUMO

Polymer colloids are prepared via radicalic emulsion polymerisation of butylacrylate. Functionalization with amino groups is achieved by copolymerisation of 2-amino-ethylmethacrylates. In order to over-compensate the positive surface charges resulting from the amino groups additionally vinylbenzenesulfonic acid is copolymerized. The size of the resulting particles is controlled by the molar ratio of amino to sulfonic acid groups. The suitability of amino groups for coupling reactions is demonstrated by electrophilic addition of fluorescein-5-isothiocyanate. The resulting particles are characterized by dynamic light scattering and zeta potential measurements as well as by optical spectroscopy. The suitability of labelled particles for optical tracer experiments is demonstrated by fluorescence correlation spectroscopy.


Assuntos
Aminas/química , Coloides/síntese química , Polímeros/síntese química , Acrilatos/química , Coloides/química , Tamanho da Partícula , Polímeros/química , Análise Espectral
6.
Br J Pharmacol ; 110(4): 1321-8, 1993 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-8306071

RESUMO

1. The endothelium-dependence of catecholamine-induced relaxation of rat cerebral arteries was investigated in vitro. 2. In the basilar artery (BA), the maximal relaxant response was most pronounced with noradrenaline (NA), less with isoprenaline (Iso), and only very little with terbutaline. Methoxamine and the alpha 2-adrenoceptor selective agonists BHT 933 and clonidine, had no relaxant effect. 3. In BA, the relaxation by NA or Iso was markedly attenuated by N omega-nitro-L-arginine (L-NOARG) 10(-4) M. Short term perfusion of the vessels by Triton X 100 (1:1,000) suppressed the NA-induced relaxation. 4. The relaxation induced by NA or Iso was markedly reduced in presence of L-NOARG in the posterior, medial and anterior cerebral artery. 5. In BA, NA-induced relaxation was non-competitively inhibited by propranolol, atenolol, and the beta 1- and beta 2-adrenoceptor selective antagonists, CGP 20712 A and ICI 118551. 6. The relaxant NA-effect was not affected by prazosin but was non-competitively blocked by phentolamine. 7. The Iso-induced relaxation was competitively blocked by propranolol, whereas atenolol, CGP 20712 A and ICI 118551 caused a non-competitive inhibition. 8. The experiments indicate that the catecholamine-induced relaxation in rat isolated cerebral arteries depends upon the endothelium. They suggest that the NA-induced relaxation of BA is mediated by different alpha- and beta-adrenoceptors and that the Iso-induced relaxation is mediated by different beta-receptors. The findings would also be compatible with the idea of a receptor type which cannot be characterized by the pharmacological tools that we have used.


Assuntos
Artérias Cerebrais/fisiologia , Endotélio Vascular/fisiologia , Norepinefrina/farmacologia , Receptores Adrenérgicos beta/fisiologia , Vasodilatação/efeitos dos fármacos , Animais , Arginina/análogos & derivados , Arginina/farmacologia , Artérias Cerebrais/efeitos dos fármacos , Técnicas In Vitro , Masculino , Nitroarginina , Ratos , Ratos Sprague-Dawley , Receptores Adrenérgicos beta/classificação
7.
Eur J Pharmacol ; 276(3): 277-80, 1995 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-7601214

RESUMO

Since vasoactive intestinal peptide (VIP) and nitric oxide (NO) are considered to be non-adrenergic, non-cholinergic (NANC) inhibitory mediators in human penile erectile tissue, the goal of this study was to discover possible synergistic effects of exogeneous VIP and the NO donor 3-morpholino-sydnonimine (SIN-1) in human isolated cavernous arteries and cavernosal smooth muscle. In contrast to VIP, SIN-1 elicited complete and reproducible relaxant actions. Combined administration of VIP and SIN-1 revealed non-synergistic, independent relaxant effects in both investigated tissues. The results do not favour a combined administration of VIP and SIN-1 as a new therapeutic approach in the treatment of erectile dysfunction.


Assuntos
Molsidomina/análogos & derivados , Músculo Liso Vascular/efeitos dos fármacos , Músculo Liso/efeitos dos fármacos , Pênis/efeitos dos fármacos , Peptídeo Intestinal Vasoativo/farmacologia , Vasodilatadores/farmacologia , Artérias/efeitos dos fármacos , Interações Medicamentosas , Humanos , Técnicas In Vitro , Contração Isométrica/efeitos dos fármacos , Masculino , Molsidomina/farmacologia , Relaxamento Muscular/efeitos dos fármacos , Pênis/irrigação sanguínea , Fenilefrina/farmacologia , Fluxo Sanguíneo Regional/efeitos dos fármacos
8.
Neurosci Lett ; 313(1-2): 21-4, 2001 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-11684330

RESUMO

This study investigates whether potassium ion (K+) channels are involved in the nitric oxide (NO)-induced relaxation in segments of the isolated rat basilar artery, mounted onto a wire myograph. A high extracellular K+ concentration partly inhibited the relaxant effects of the NO donors DEA/NO and SIN-1 (3-morpholino-sydnonimine). Whereas single applications of the K+ channel inhibitors tetraethyl-ammonium (10(-3) M), glibenclamide (10(-6) M), 4-aminopyridine (10(-3) M), or BaCl(2) (5 x 10(-5) M) did not affect the responses to DEA/NO, a combination of these inhibitors reduced the effects of DEA/NO. These data suggest, that the relaxant effects of NO donors are partly mediated via activation of K+channels. Different K+ channel types seem to be involved that function in a redundant manner and compensate for each other.


Assuntos
Artéria Basilar/fisiologia , Hidrazinas/farmacologia , Molsidomina/análogos & derivados , Doadores de Óxido Nítrico/farmacologia , Canais de Potássio/fisiologia , Vasodilatação/fisiologia , 4-Aminopiridina/farmacologia , Animais , Antiarrítmicos/farmacologia , Artéria Basilar/efeitos dos fármacos , Glibureto/farmacologia , Técnicas In Vitro , Masculino , Molsidomina/farmacologia , Óxidos de Nitrogênio , Bloqueadores dos Canais de Potássio/farmacologia , Ratos , Ratos Sprague-Dawley , Tetraetilamônio/farmacologia , Vasodilatação/efeitos dos fármacos
9.
Naunyn Schmiedebergs Arch Pharmacol ; 351(6): 636-43, 1995 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-7675123

RESUMO

The functional interaction between the dihydropyridine calcium channel blocker nitrendipine and quinidine was studied in isolated preparations from guinea-pig cardiac ventricle and in mesenteric arterial segments under a variety of experimental conditions. The negative inotropic potency of nitrendipine is clearly enhanced by quinidine (3 x 10(-6)-10(-4) mol/l) by up to two orders of magnitude, i.e. cardiac nitrendipine effects are potentiated. Vasorelaxant effects, however, remain largely unaffected (nitrendipine potency is increased by half an order of magnitude maximally). To elucidate the mechanism of this interaction, the ability of quinidine to potentiate the negative inotropic effect of a series of 12 dihydropyridines was compared with their voltage-dependence of action in guinea-pig left atria. No significant correlation is found (r = 0.18). Furthermore, quinidine inhibits rather than stimulates binding of tritiated nitrendipine, nimodipine or (S)-isradipine to isolated cardiac membranes. Therefore, the mechanism of the quinidine-nitrendipine interaction differs from those previously proposed for modulation of dihydropyridine binding by other drugs. We hypothesize that quinidine-occupied calcium channels adopt an intermediate affinity for nitrendipine, higher than in resting channels, but lower than the high affinity present with inactivated channels. Model calculations which are based on this assumption are able to reproduce all experimental findings of this study.


Assuntos
Bloqueadores dos Canais de Cálcio/farmacologia , Sistema Cardiovascular/efeitos dos fármacos , Nitrendipino/farmacologia , Quinina/farmacologia , Animais , Sítios de Ligação , Di-Hidropiridinas/metabolismo , Sinergismo Farmacológico , Feminino , Cobaias , Átrios do Coração/efeitos dos fármacos , Hemodinâmica/efeitos dos fármacos , Técnicas In Vitro , Masculino , Artérias Mesentéricas/efeitos dos fármacos
10.
Neurosurgery ; 37(6): 1146-53, 1995 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-8584155

RESUMO

The objective of this study was to compare the relaxant effects of the K+ channel openers pinacidil and lemakalim in isolated human pial arteries with the effects of the dihydropyridines nifedipine and nimodipine and the prostacyclin analog iloprost. Relaxation was measured in vessels contracted by 40 mmol/L K+. In contrast to the potent and consistent relaxant effects of nifedipine, nimodipine, and iloprost, the potency of pinacidil and lemakalim proved to be highly variable and inversely correlated with the onset velocity of the preceding contractions of K+ as well as with the endothelium-dependent relaxation of carbachol. Thus, in contrast to dihydropyridines and iloprost, pinacidil and lemakalim selectively elicited potent relaxations in those arteries that exhibited signs of altered vascular wall functions.


Assuntos
Benzopiranos/farmacologia , Artérias Cerebrais/efeitos dos fármacos , Guanidinas/farmacologia , Canais de Potássio/efeitos dos fármacos , Pirróis/farmacologia , Vasodilatadores/farmacologia , Bloqueadores dos Canais de Cálcio/farmacologia , Carbacol/farmacologia , Cromakalim , Técnicas de Cultura , Relação Dose-Resposta a Droga , Endotélio Vascular/efeitos dos fármacos , Humanos , Iloprosta/farmacologia , Nifedipino/farmacologia , Nimodipina/farmacologia , Pinacidil
11.
J Neurosurg ; 93(6): 1048-54, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11117848

RESUMO

OBJECT: The goal of this study was to investigate whether K+ channels are involved in nitric oxide (NO)-induced relaxation of isolated human cerebral arteries. METHODS: Successive concentration-response curves relating to the use of the NO donor diethylamine NO (DEA/NO) were established in the absence and presence of different K+ channel inhibitors after mounting human cerebral arteries onto a wire myograph. The arteries were obtained from macroscopically intact tissue that had been removed during brain tumor operations. A high K+ concentration partially inhibited the relaxant effects of DEA/NO. Different K+ channel inhibitors (tetraethylammonium [TEA], 10(-3) M; charybdotoxin, 10(-7) M; glibenclamide, 10(-6) M; 4-aminopyridine [4-AP], 10(-3) M; BaCl2, 5 x 10(-5) M; and apamin, 10(-6) M) alone failed to affect the responses to DEA/NO. However, a combination of TEA, glibenclamide, 4-AP, and BaCl2 partially blocked the relaxant effects of DEA/NO. In addition, the effects of DEA/NO were inhibited by the thromboxane A2 analog U46619 (3 x 10(-7) M). CONCLUSIONS: Inhibitors of the large-conductance or small-conductance Ca++-activated K+ channels, the adenosine triphosphate-sensitive K+ channels, and the delayed-rectifier or inward-rectifier K+ channels failed to alter the effects of DEA/NO when only one K+ channel blocker was used. However, a regimen of a combination of K+ channel blockers that possess selectivity for different channels demonstrated that different K+ channel types are involved; these channels may function in a redundant manner and compensate for each other. Selective thromboxane A2 agonists are capable of inhibiting the relaxant response to the NO donor.


Assuntos
Artérias Cerebrais/efeitos dos fármacos , Dietilaminas/farmacologia , Óxido Nítrico/farmacologia , Bloqueadores dos Canais de Potássio , Vasodilatação/efeitos dos fármacos , Artérias Cerebrais/fisiologia , Técnicas de Cultura , Relação Dose-Resposta a Droga , Sinergismo Farmacológico , Humanos , Óxido Nítrico/fisiologia , Canais de Potássio/fisiologia , Vasodilatação/fisiologia
12.
Neurol Res ; 20(1): 63-72, 1998 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-9471105

RESUMO

Alterations of the endothelium may play a role in the generation of cerebral vasospasm. The objective of this study was to investigate the involvement of the endothelium and of endogenous endothelin (ET) on the NG-nitro-L-arginine (L-NOARG)-induced contractions in isolated rat basilar arteries. L-NOARG, NG-nitro-L-arginine methyl esther, and methylene blue, but not D-NOARG, induced concentration-dependent contractions and spontaneous vasomotion. The effect of L-NOARG was reversed by L-arginine and submaximally reduced in de-endothelialized arteries. The contractile effect of L-NOARG was completely suppressed by the ET-antagonists BQ 123 and Ro 46-2005 in a part of the basilar arteries. After washout of the respective antagonist, the L-NOARG-induced contraction started, but was not influenced by a second application of the antagonist. In another part of preparations the antagonists failed to influence the L-NOARG-induced contraction. Inconsistent suppressor effects were also observed after preincubation with ketanserin, Manning compound, losartan, or indomethacin. None of these antagonists reversed the established L-NOARG-induced contraction. Thus, endothelium-derived NO suppresses spontaneous contraction and vasomotion in rat basilar arteries. Endogenous ET, 5-HT, vasopressin, angiotensin or cyclooxygenase metabolites do not cause the contraction induced by inhibition of the NO synthase, but may act as 'trigger factors', that may play a role in rat models of cerebral vasospasm or infarction.


Assuntos
Artéria Basilar/fisiologia , Endotélio Vascular/efeitos dos fármacos , Endotélio Vascular/enzimologia , Óxido Nítrico Sintase/metabolismo , Vasoconstrição/efeitos dos fármacos , Animais , Anti-Inflamatórios não Esteroides/farmacologia , Anti-Hipertensivos/farmacologia , Arginina Vasopressina/análogos & derivados , Arginina Vasopressina/farmacologia , Carbacol/farmacologia , Endotelinas/antagonistas & inibidores , Endotelinas/biossíntese , Inibidores Enzimáticos/farmacologia , Antagonistas de Hormônios/farmacologia , Indometacina/farmacologia , Ketanserina/farmacologia , Losartan/farmacologia , Masculino , Agonistas Muscarínicos/farmacologia , Óxido Nítrico Sintase/antagonistas & inibidores , Nitroarginina/farmacologia , Norepinefrina/farmacologia , Peptídeos Cíclicos/farmacologia , Periodicidade , Ratos , Ratos Sprague-Dawley , Serotonina/farmacologia , Antagonistas da Serotonina/farmacologia , Agonistas do Receptor de Serotonina/farmacologia , Vasoconstritores/farmacologia
13.
Clin Neuropathol ; 23(4): 158-66, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-15328880

RESUMO

A case of myofibrosarcoma (IMT) of the brain and lung as well as the spinal cord is described. A 29-year-old male patient presented with fever (40 degrees C), malaise, vomitus, meningism and leukocytosis. Computer tomography identified a bleeding in the left frontal lobe. A bleeding angioma was suspected and an operation was performed. The histological examination could not reveal an exact diagnosis. Eight months after complete recovery from the first bleeding, the patient had a second intracranial temporo-occipital bleeding on the right side which has been removed operatively. A new lesion was seen in the left parietal white matter of the brain. A growing cavernoma was suspected and resection of the lesion was planned. Pre-operatively the patient suffered from hemoptysis and fever. The X-ray of the chest showed a pulmonary lesion in the left lower lobe. In the CT of the chest a large tumor in the left lower lobe of the lung and additionally a cystic structure in the mediastinum was seen. The histological examination of this tumor identified an inflammatory myofibroblastic tumor (IMT). The left parietal lesion has been resected after the thoracic operation. The brain lesions were estimated to be metastases of the IMT of the lung. In the further clinical history the patient developed a large spinal cord metastasis of the thoracic spine. The metastatic development of the tumor reported in this case is unusual. The current therapy of these tumors consists of complete tumor resection and further clinical controls. However, due to the localization and the extension of some lesions in the present case, the complete resection has not been possible. There is no proven role of chemotherapy and radiation therapy. The patient died due to the pulmonary deterioration.


Assuntos
Neoplasias do Sistema Nervoso Central/secundário , Fibrossarcoma/secundário , Neoplasias Pulmonares/patologia , Neoplasias de Tecido Muscular/secundário , Adulto , Neoplasias do Sistema Nervoso Central/fisiopatologia , Neoplasias do Sistema Nervoso Central/cirurgia , Diagnóstico Diferencial , Fibrossarcoma/fisiopatologia , Fibrossarcoma/cirurgia , Hemangioma Cavernoso do Sistema Nervoso Central/patologia , Humanos , Imuno-Histoquímica , Neoplasias Pulmonares/fisiopatologia , Imageamento por Ressonância Magnética , Masculino , Neoplasias de Tecido Muscular/fisiopatologia , Neoplasias de Tecido Muscular/cirurgia , Tomografia Computadorizada por Raios X
14.
Acta Neurochir Suppl ; 82: 51-4, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-12378991

RESUMO

The clinical results of surgery for unruptured aneurysms in the Neurosurgical Department of Kiel were analyzed to further discuss whether an operative treatment can be advised. Between 1991 and 2001, 54 unruptured aneurysms in 45 patients were operated in our department. No complications occurred in 38 patients; transient complications (slight aphasia, hemiparesis, psychiatric disorders) in 4 patients; postoperative seizures in one, epidural haematoma with the need of re-operation in one, and infection in another patient. At the time of discharge, GOS was 5 in 33 patients, 4 in 12 patients. But the slight disabilities were due to the aneurysm operation only in two patients, in the other 10 patients they were caused by pre-existing concomitant diseases. The Rankin-Scale after at least 6 months was 1 (no disability) in 31 patients (37 patients investigated); 2 (slight disability) in 5, and 3 (moderate disability) in one patient. In only one of these patients, the slight disability was caused by the aneurysm operation. During a telephone interview performed between 6 months and 7 years after the operation, all patients except two (31 patients investigated) gave a positive answer to the question, whether, in case of diagnosis of an aneurysm, they would undergo an operation again. Regarding our results, we still advocate treatment of unruptured aneurysms in patients who are in stable clinical conditions, especially in young patients and in patients with unique aneurysm configurations and aneurysm sizes approaching 10 mm.


Assuntos
Aneurisma Intracraniano/cirurgia , Complicações Pós-Operatórias/etiologia , Adolescente , Adulto , Idoso , Avaliação da Deficiência , Feminino , Seguimentos , Alemanha , Escala de Resultado de Glasgow , Humanos , Aneurisma Intracraniano/diagnóstico , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/diagnóstico , Reoperação , Estudos Retrospectivos
15.
J Clin Neurosci ; 10(1): 74-8, 2003 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-12464527

RESUMO

It is unclear whether the configuration of the basilar artery (BA) in patients with subarachnoid hemorrhage (SAH) of unknown origin is comparable to that in normal subjects or whether there are differences which may help to identify the origin. We studied the BA configuration in 57 patients with SAH of unknown origin (10%), who were identified in a prospectively collected series of 549 SAH patients consecutively admitted to our service over a 9-year period. There were 30 patients (53%) with non-perimesencephalic SAH and 27 with perimesencephalic SAH (47%). According to a standardized algorithm we determined, on straight anteroposterior digital subtraction angiography (DSA), the width of the proximal BA segment at the origin of the anterior inferior cerebellar artery and the width of the most distal BA segment between the superior cerebellar arteries and the posterior cerebral arteries. Based on these measurements we calculated the distal-proximal BA ratios and compared them to the ratios obtained in a control group of 31 patients who had DSA for reasons other than aneurysmal SAH. The mean ratio in patients with non-perimesencephalic SAH of unknown origin was 1.150 (range: 1.080-1.230). In patients with perimesencephalic SAH of unknown origin it was 1.156 (range: 1.120-1.250). In the control group the mean ratio was 1.163 (range: 1.125-1.200). There are no variations in the configurations of the BA which could possibly explain the cause of this type of SAH or clarify the origin of hemorrhage.


Assuntos
Artéria Basilar/diagnóstico por imagem , Hemorragia Subaracnóidea/diagnóstico por imagem , Adulto , Idoso , Angiografia Digital , Feminino , Humanos , Masculino , Mesencéfalo , Pessoa de Meia-Idade , Estudos Prospectivos , Hemorragia Subaracnóidea/etiologia
16.
J Zhejiang Univ Sci ; 5(10): 1262-9, 2004 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-15362199

RESUMO

OBJECTIVE: The purpose of this study was to differentiate between cerebral amyloid angiopathy (CAA) and hypertension (HTN) based on hemorrhage pattern interpretation. METHODS: From June 1994 to Oct., 2000, 83 patients admitted to our service with acute intracerebral hemorrhage (ICH) were investigated retrospectively; 41 patients with histologically proven diagnosis of cerebral amyloid angiography and 42 patients with clear history of hypertension were investigated. RESULTS: Patients with a CAA-related ICH were significantly older than patients with a HTN-related ICH (74.0 years vs 66.5 years, P < 0.05). There was a significantly higher number of hematomas > or = 30 ml in CAA (85.3%) when compared with HTN (59.5%). No basal ganglional hemorrhage was seen in CAA, but in 40.5% in HTN. In CAA-related ICH, subarachnoid hemorrhage (SAH) was seen in 26 patients (63.4%) compared to only 11 patients (26.2%) in HTN-related ICH. Intraventricular hemorrhage was seen in 24.4% in CAA, and in 26.2% in HTN. Typical features of CAA-related ICH included lobar distribution affecting mainly the lobar superficial areas, lobulated appearance, rupture into the subarachnoid space, and secondary IVH from the lobar hemorrhage. More specifically, multiplicity of hemorrhage, bilaterality, and repeated episodes also strongly suggest the diagnosis of CAA. Multiple hemorrhages, defined as 2 or more separate hematomas in multiple lobes, accounted for 17.1% in CAA-related ICH. CONCLUSION: There are certain features in CAA on CT and MRI and in clinical settings. To some extent, these features may contribute to distinguishing CAA from HTN related ICH.


Assuntos
Angiopatia Amiloide Cerebral/diagnóstico , Angiopatia Amiloide Cerebral/epidemiologia , Hemorragia Cerebral/diagnóstico , Hemorragia Cerebral/epidemiologia , Hipertensão Intracraniana/diagnóstico , Hipertensão Intracraniana/epidemiologia , Medição de Risco/métodos , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Causalidade , Angiopatia Amiloide Cerebral/classificação , Hemorragia Cerebral/classificação , China/epidemiologia , Comorbidade , Diagnóstico Diferencial , Feminino , Humanos , Hipertensão Intracraniana/classificação , Masculino , Pessoa de Meia-Idade , Prognóstico , Reprodutibilidade dos Testes , Estudos Retrospectivos , Sensibilidade e Especificidade , Índice de Gravidade de Doença
17.
Phys Rev Lett ; 58(10): 1016-1019, 1987 Mar 09.
Artigo em Inglês | MEDLINE | ID: mdl-10034310
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