Benign Enhancing Foramen Magnum Lesions.

Benign enhancing foramen magnum lesions have been previously described as T2-hyperintense small, enhancing lesions located posterior to the intradural vertebral artery. We present the first case with pathologic correlation. These lesions are fibrotic nodules adhering to the spinal accessory nerve. While they can enlarge with time on subsequent examinations, on the basis of the imaging characteristics and location, they do not necessitate surgical resection.

Rates of Epidural Blood Patch following Lumbar Puncture Comparing Atraumatic versus Bevel-Tip Needles Stratified for Body Mass Index.

BACKGROUND AND PURPOSE: Postdural puncture headache, a known complication of lumbar puncture, typically resolves with conservative management. Symptoms persist in a minority of patients, necessitating an epidural blood patch. One method of decreasing rates of postdural puncture headache is using atraumatic, pencil-point needles rather than bevel-tip needles. To the best of our knowledge, this is the first study comparing epidural blood patch rates between pencil- and bevel-tip needles with a subgroup analysis based on body mass index. MATERIALS AND METHODS: This single-institution retrospective study identified 4435 patients with a recorded body mass index who underwent a lumbar puncture with a 22-ga pencil-tip Whitacre needle, a 20-ga bevel-tip Quincke needle, or a 22-ga Quincke needle. The groups were stratified by body mass index. We compared epidural blood patch rates between 22-ga pencil-tip Whitacre needles versus 22-ga Quincke needles and 22-ga Quincke needles versus 20-ga bevel-tip Quincke needles using the Fischer exact test and χ2 test. RESULTS: Postdural puncture headache necessitating an epidural blood patch was statistically more likely using a 22-ga Quincke needle in all patients (P < .001) and overweight (P = .03) and obese (P < .001) populations compared with using a 22-ga pencil-tip Whitacre needle. In the normal body mass index population, there was no statistically significant difference in epidural blood patch rates when using a 22-ga pencil-tip Whitacre needle compared with a 22-ga Quincke needle (P = .12). There was no significant difference in epidural blood patch rates when comparing a 22-ga Quincke needle versus a 20-ga bevel-tip Quincke needle in healthy (P = .70), overweight (P = .69), or obese populations (P = .44). CONCLUSIONS: Using a 22-ga pencil-tip Whitacre needle resulted in lower epidural blood patch rates compared with a 22-ga Quincke needle in all patients. Subgroup analysis demonstrated a statistically significant difference in epidural blood patch rates in overweight and obese populations, but not in patients with a normal body mass index.

Viabilidade de duas novas técnicas para inseminação intrauterina laparoscópica em ovinos / Two new techniques for laparoscopic intrauterine insemination in sheep - feasibility study

Avaliaram-se duas novas técnicas de inseminação laparoscópica intrauterina com o uso de agulha espinhal em ovinos. Foram realizadas quatro etapas experimentais, sendo os animais separados em dois grupos em cada etapa. Para tanto, foram utilizados os posicionamentos quadrupedal e dorsal. Realizou-se a inseminação de 80 ovinos após a sincronização de cio. Verificou-se que os acessos laparoscópicos propostos foram viáveis para a inseminação em ovinos. Considerou-se que a inseminação em posicionamento quadrupedal foi tecnicamente mais difícil se comparada ao acesso laparoscópico em decúbito dorsal, porém, com o aprimoramento da técnica e na dependência dos resultados quanto aos índices de prenhez, poderá se tornar procedimento adequado para a inseminação de ovelhas.

This study evaluated two new laparoscopic intrauterine insemination techniques with spinal needles in sheep. Four experimental stages were done, in which the animals were separated into two groups aiming to evaluate the techniques used. We used a total of 80 estrus-synchronized sheep, which were placed in quadrupedal or dorsal recumbence. The results showed that both insemination techniques using a spinal needle are feasible, but the quadrupedal insemination is technically more difficult compared to the laparoscopic approach in the dorsal position. With technical improvement and depending on the results in relation to pregnancy rates, this access could be considered an alternative procedure for sheep insemination.

Laparoscopic cystotomy for urolith removal in dogs: three case reports / Cistotomia laparoscópica na remoção de urólitos em cães: relato de três casos

The use of laparoscopic surgery for the removal of cystic calculi in three dogs was reported. Three trocars were used, one in the ventral midline (10mm) and the others in the right (10mm) and left (5mm) flanks. The calculi were removed and the bladder was sutured with intracorporeal technique in two layers, a simple continuous pattern and interrupted or continuous Lembert pattern. No postoperative complications were observed. One patient had a recurrence of urolithiasis, attributed to inadequate conservative treatment and to the lack of an appropriate diet. It was submitted to another similar videolaparoscopic cystotomy without complication. The proposed technique is appropriate and an alternative to conventional cystotomy for treatment of canine vesical urolithiasis.

Descreve-se a remoção de cálculos vesicais por cirurgia laparoscópica em três cães utilizando-se três portais (dois de 10mm e um de 5mm) dispostos na linha média ventral e nas paredes abdominais direita e esquerda. Após a remoção das litíases, realizou-se sutura intracorpórea da parede vesical, em padrão contínuo simples, abrangendo as quatro camadas do órgão e em Lembert contínuo ou interrompido, incorporando a serosa e a muscular. Não houve complicações pós-operatórias. Um dos pacientes apresentou recidiva da doença, condição atribuída ao manejo dietético deficiente no pós-operatório. Esse paciente foi novamente submetido à cistotomia laparoscópica similar sem a ocorrência de complicações. A técnica proposta foi adequada e pode ser utilizada como alternativa para cistotomia por celiotomia no tratamento de litíases vesicais em cães.

Attenuation of oxidative damage to DNA by taurine and taurine analogs.

Taurine has been suggested to have cytoprotective actions via a number of different mechanisms. The role of taurine in protecting DNA from oxidative damage has received only limited attention. The aim of the present studies was to test the hypothesis that taurine might act to attenuate oxidative damage to DNA caused by free radicals generated by iron-stimulated catecholamine oxidation in the presence of H2O2. Calf thymus DNA (100 microg/tube) was exposed to a reaction mixture containing: ferric chloride (60 microM), H2O2 (2.8 mM) and L-dopa (100 microM). Taurine and taurine analogs were added simultaneously to determine their effects to prevent oxidative damage to DNA. The reaction was carried out for 1 hour at 37 degrees C and terminated by rapid freezing in an ethanol/dry ice bath. The DNA was precipitated with ethanol and subsequently hydrolyzed with formic acid under vacuum. The hydroxylated bases were separated by HPLC and detected electrochemically. All experiments were replicated a minimum of 5 times. Taurine (20 mM) was found to reduce (p<0.05) damage to DNA as indexed by reductions in the formation of 5-OH-uracil (49% decrease), 8-OH adenine (37% decrease), and 8-OH guanine (21% decrease). Taurine had minimal effects to reduce the formation of 5-OH cytosine (<7% decrease). Taurine (20 mM) also increased total DNA recovery after damage 36-40% and increased total undamaged guanine approximately 32%. 5-OH Uracil formation could be reduced (p<0.05) by 1 mM taurine and 8-OH-adenine formation was reduced (p<0.05) by 5 mM taurine. Studies were conducted with various amino acid analogs and total base adduct formation was reduced by 20 mM beta-alanine (30% decrease), lysine (58% decrease) and glutathione (88% decrease). When tested at 20 mM, both hypotaurine and homotaurine provided greater protection against DNA damage than taurine, whereas isethionic acid provided a similar level of protection as taurine. Using identical conditions as the assays for base hydroxylation, we tested whether inhibition of quinone formation could account for taurine's mechanism of action. Taurine (49% decrease), homotaurine (24% decrease) and hypotaurine (79% decrease) all reduced quinone formation. Thus, inhibition of quinone formation could account for part of taurine's mechanism of action to inhibit oxidative damage, but it could not account for homotaurine's greater efficacy in preventing DNA damage. Overall, these studies show that taurine at concentrations normally found in cells can inhibit oxidative damage to DNA.