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1.
J Food Sci ; 84(7): 1820-1828, 2019 Jul.
Article in English | MEDLINE | ID: mdl-31206662

ABSTRACT

The aim of this study was to analyze the impact of traditional and combined pretreatment on dehydration kinetics and quality of dried swamp cranberries. Fruits were blanched, cut, or treated by combined technique consisting of blanching and application of pulsed electric field. Afterwards, fruits were subjected for osmotic dehydration (OD; 72 hr) in 61.5% sucrose solution or in ternary solution consisting of 30% sucrose with 0.1% addition of steviol glycosides to ensure similar sweetness of both mixtures. In the case of samples treated by combined method, OD was enhanced during first 30 min by sonication. Partially dehydrated cranberries were air dried at 70 °C. The quality of dehydrated fruits was assessed by the means of phenolics content, anthocyanin content, flavonoid content, vitamin C content, water activity, and color. Blanching decreased drying time by 48% to 50% in comparison to cutting. Utilization of combined method reduced drying time of cranberries up to 55% in comparison to cut samples. Water activity of all samples was below 0.6. Blanched samples or blanched and then treated with pulsed electric field and ultrasound contained more anthocyanins and flavonoids and less sucrose than cut samples. PRACTICAL APPLICATION: According to current trends in food and beverage industry, consumers seek for products which does not contain excessive amounts of sugars, salt, or fats. Dried cranberry fruits are rich in bioactive compounds and need to be osmotically dehydrated in sugar solutions to make the taste of the final product acceptable. Osmotic dehydration is also carried out to decrease time of drying, which is one of the most energy intensive processes. Therefore, there is a need to develop a technology with potential to maintain the bioactive compounds, reduce sugar content in comparison to traditionally process fruits, and enhance the kinetics of drying.


Subject(s)
Desiccation/methods , Food Preservation/methods , Vaccinium macrocarpon/chemistry , Animals , Anthocyanins/blood , Ascorbic Acid/chemistry , Color , Flavonoids/chemistry , Food Preservation/instrumentation , Fruit/chemistry , Kinetics , Osmosis , Phenols/chemistry , Quality Control , Taste
2.
Neuron ; 91(3): 602-14, 2016 Aug 03.
Article in English | MEDLINE | ID: mdl-27497222

ABSTRACT

Normal breathing in rodents requires activity of glutamatergic Dbx1-derived (Dbx1(+)) preBötzinger Complex (preBötC) neurons expressing somatostatin (SST). We combined in vivo optogenetic and pharmacological perturbations to elucidate the functional roles of these neurons in breathing. In transgenic adult mice expressing channelrhodopsin (ChR2) in Dbx1(+) neurons, photoresponsive preBötC neurons had preinspiratory or inspiratory firing patterns associated with excitatory effects on burst timing and pattern. In transgenic adult mice expressing ChR2 in SST(+) neurons, photoresponsive preBötC neurons had inspiratory or postinspiratory firing patterns associated with excitatory responses on pattern or inhibitory responses that were largely eliminated by blocking synaptic inhibition within preBötC or by local viral infection limiting ChR2 expression to preBötC SST(+) neurons. We conclude that: (1) preinspiratory preBötC Dbx1(+) neurons are rhythmogenic, (2) inspiratory preBötC Dbx1(+) and SST(+) neurons primarily act to pattern respiratory motor output, and (3) SST(+)-neuron-mediated pathways and postsynaptic inhibition within preBötC modulate breathing pattern.


Subject(s)
Interneurons/physiology , Medulla Oblongata/cytology , Medulla Oblongata/physiology , Neural Pathways , Animals , Homeodomain Proteins/biosynthesis , Mice , Mice, Transgenic , Neural Inhibition/physiology , Respiration/genetics , Rhodopsin/biosynthesis , Somatostatin/biosynthesis
3.
Nature ; 530(7590): 293-297, 2016 Feb 18.
Article in English | MEDLINE | ID: mdl-26855425

ABSTRACT

Sighs are long, deep breaths expressing sadness, relief or exhaustion. Sighs also occur spontaneously every few minutes to reinflate alveoli, and sighing increases under hypoxia, stress, and certain psychiatric conditions. Here we use molecular, genetic, and pharmacologic approaches to identify a peptidergic sigh control circuit in murine brain. Small neural subpopulations in a key breathing control centre, the retrotrapezoid nucleus/parafacial respiratory group (RTN/pFRG), express bombesin-like neuropeptide genes neuromedin B (Nmb) or gastrin-releasing peptide (Grp). These project to the preBötzinger Complex (preBötC), the respiratory rhythm generator, which expresses NMB and GRP receptors in overlapping subsets of ~200 neurons. Introducing either neuropeptide into preBötC or onto preBötC slices, induced sighing or in vitro sigh activity, whereas elimination or inhibition of either receptor reduced basal sighing, and inhibition of both abolished it. Ablating receptor-expressing neurons eliminated basal and hypoxia-induced sighing, but left breathing otherwise intact initially. We propose that these overlapping peptidergic pathways comprise the core of a sigh control circuit that integrates physiological and perhaps emotional input to transform normal breaths into sighs.


Subject(s)
Gastrin-Releasing Peptide/metabolism , Neurokinin B/analogs & derivatives , Neurons/physiology , Receptors, Bombesin/metabolism , Respiration , Signal Transduction/physiology , Animals , Bombesin/pharmacology , Emotions/physiology , Female , Gastrin-Releasing Peptide/deficiency , Gastrin-Releasing Peptide/genetics , In Vitro Techniques , Male , Mice , Mice, Inbred C57BL , Neurokinin B/deficiency , Neurokinin B/genetics , Neurokinin B/metabolism , Neurokinin B/pharmacology , Neurons/drug effects , Rats , Rats, Sprague-Dawley , Respiration/drug effects , Respiratory Center/cytology , Respiratory Center/drug effects , Respiratory Center/physiology , Ribosome Inactivating Proteins, Type 1/pharmacology , Saporins , Signal Transduction/drug effects
4.
J Neurophysiol ; 113(7): 2871-8, 2015 Apr 01.
Article in English | MEDLINE | ID: mdl-25717158

ABSTRACT

Each half of the medulla contains respiratory neurons that constitute two generators that control respiratory rhythm. One generator consists of the inspiratory neurons in the pre-Bötzinger complex (preBötC); the other, the pre-inspiratory (Pre-I) neurons in the parafacial respiratory group (pFRG), rostral to the preBötC. We investigated the contribution of the commissural fibers, connecting the respiratory rhythm generators located on the opposite side of the medulla to the generation of respiratory activity in brain stem-spinal cord preparation from 0- to 1-day-old rats. Pre-I neuron activity and the facial nerve and/or first lumbar (L1) root activity were recorded as indicators of the pFRG-driven rhythm. Fourth cervical ventral root (C4) root and/or hypoglossal (XII) nerve activity were recorded as indicators of preBötC-driven inspiratory activity. We found that a midline section that interrupted crossed fibers rostral to the obex irreversibly eliminated C4 and XII root activity, whereas the Pre-I neurons, facial nerve, and L1 roots remained rhythmically active. The facial and contralateral L1 nerve activities were synchronous, whereas right and left facial (and right and left L1) nerves lost synchrony. Optical recordings demonstrated that pFRG-driven burst activity was preserved after a midline section, whereas the preBötC neurons were no longer rhythmic. We conclude that in newborn rats, crossed excitatory interactions (via commissural fibers) are necessary for the generation of inspiratory bursts but not for the generation of rhythmic Pre-I neuron activity.


Subject(s)
Biological Clocks/physiology , Central Pattern Generators/physiology , Inhalation/physiology , Medulla Oblongata/physiology , Neural Inhibition/physiology , Neurons/physiology , Animals , Animals, Newborn , Neural Pathways/physiology , Rats
5.
J Neurosci ; 33(22): 9235-45, 2013 May 29.
Article in English | MEDLINE | ID: mdl-23719793

ABSTRACT

In the mammalian respiratory central pattern generator, the preBötzinger complex (preBötC) produces rhythmic bursts that drive inspiratory motor output. Cellular mechanisms initiated by each burst are hypothesized to be necessary to determine the timing of the subsequent burst, playing a critical role in rhythmogenesis. To explore mechanisms relating inspiratory burst generation to rhythmogenesis, we compared preBötC and hypoglossal (XII) nerve motor activity in medullary slices from neonatal mice in conditions where periods between successive inspiratory XII bursts were highly variable and distributed multimodally. This pattern resulted from rhythmic preBötC neural population activity that consisted of bursts, concurrent with XII bursts, intermingled with significantly smaller "burstlets". Burstlets occurred at regular intervals during significantly longer XII interburst intervals, at times when a XII burst was expected. When a preBötC burst occurred, its high amplitude inspiratory component (I-burst) was preceded by a preinspiratory component that closely resembled the rising phase of burstlets. Cadmium (8 µM) eliminated preBötC and XII bursts, but rhythmic preBötC burstlets persisted. Burstlets and preinspiratory activity were observed in ~90% of preBötC neurons that were active during I-bursts. When preBötC excitability was raised significantly, burstlets could leak through to motor output in medullary slices and in vivo in adult anesthetized rats. Thus, rhythmic bursting, a fundamental mode of nervous system activity and an essential element of breathing, can be deconstructed into a rhythmogenic process producing low amplitude burstlets and preinspiratory activity that determine timing, and a pattern-generating process producing suprathreshold I-bursts essential for motor output.


Subject(s)
Central Pattern Generators/physiology , Respiratory Center/physiology , Analysis of Variance , Animals , Animals, Newborn , Bicuculline/pharmacology , Cadmium/pharmacology , Data Interpretation, Statistical , Female , GABA Antagonists/pharmacology , Male , Mice , Mice, Inbred C57BL , Motor Neurons/physiology , Patch-Clamp Techniques , Potassium/pharmacology , Rats, Sprague-Dawley , Respiratory Mechanics/drug effects
6.
J Neurosci ; 33(13): 5454-65, 2013 Mar 27.
Article in English | MEDLINE | ID: mdl-23536061

ABSTRACT

Postsynaptic inhibition is a key element of neural circuits underlying behavior, with 20-50% of all mammalian (nongranule) neurons considered inhibitory. For rhythmic movements in mammals, e.g., walking, swimming, suckling, chewing, and breathing, inhibition is often hypothesized to play an essential rhythmogenic role. Here we study the role of fast synaptic inhibitory neurotransmission in the generation of breathing pattern by blocking GABA(A) and glycine receptors in the preBötzinger complex (preBötC), a site essential for generation of normal breathing pattern, and in the neighboring Bötzinger complex (BötC). The breathing rhythm continued following this blockade, but the lung inflation-induced Breuer-Hering inspiratory inhibitory reflex was suppressed. The antagonists were efficacious, as this blockade abolished the profound effects of the exogenously applied GABA(A) receptor agonist muscimol or glycine, either of which under control conditions stopped breathing in vagus-intact or vagotomized, anesthetized, spontaneously breathing adult rats. In vagotomized rats, GABA(A)ergic and glycinergic antagonists had little, if any, effect on rhythm. The effect in vagus-intact rats was to slow the rhythm to a pace equivalent to that seen after suppression of the aforementioned Breuer-Hering inflation reflex. We conclude that postsynaptic inhibition within the preBötC and BötC is not essential for generation of normal respiratory rhythm in intact mammals. We suggest the primary role of inhibition is in shaping the pattern of respiratory motor output, assuring its stability, and in mediating reflex or volitional apnea, but not in the generation of rhythm per se.


Subject(s)
Neural Inhibition/physiology , Respiration , Respiratory Center/cytology , Respiratory Center/physiology , Animals , Bicuculline/pharmacology , Choline O-Acetyltransferase/metabolism , Diaphragm/drug effects , Diaphragm/physiopathology , Electromyography , Functional Laterality , GABA-A Receptor Agonists/pharmacology , GABA-A Receptor Antagonists/pharmacology , Glycine/pharmacology , Glycine Agents/pharmacology , Indoles , Laryngeal Nerves/physiology , Male , Microinjections , Muscimol/pharmacology , Neural Inhibition/drug effects , Rats , Rats, Sprague-Dawley , Reflex/drug effects , Respiration/drug effects , Respiratory Center/drug effects , Respiratory Center/injuries , Strychnine/pharmacology , Vagotomy , Vagus Nerve/physiology
7.
J Comp Neurol ; 520(3): 606-19, 2012 Feb 15.
Article in English | MEDLINE | ID: mdl-21858819

ABSTRACT

Identification of two markers of neurons in the pre-Bötzinger complex (pre-BötC), the neurokinin 1 receptor (NK1R) and somatostatin (Sst) peptide, has been of great utility in understanding the essential role of the pre-BötC in breathing. Recently, the transcription factor dbx1 was identified as a critical, but transient, determinant of glutamatergic pre-BötC neurons. Here, to identify additional markers, we constructed and screened a single-cell subtractive cDNA library from pre-BötC inspiratory neurons. We identified the glycoprotein reelin as a potentially useful marker, because it is expressed in distinct populations of pre-BötC and inspiratory bulbospinal ventral respiratory group (ibsVRG) neurons. Reelin ibsVRG neurons were larger (27.1 ± 3.8 µm in diameter) and located more caudally (>12.8 mm caudal to Bregma) than reelin pre-BötC neurons (15.5 ± 2.4 µm in diameter, <12.8 mm rostral to Bregma). Pre-BötC reelin neurons coexpress NK1R and Sst. Reelin neurons were also found in the parahypoglossal and dorsal parafacial regions, pontine respiratory group, and ventromedial medulla. Reelin-deficient (Reeler) mice exhibited impaired respones to hypoxia compared with littermate controls. We suggest that reelin is a useful molecular marker for pre-BötC neurons in adult rodents and may play a functional role in pre-BötC microcircuits.


Subject(s)
Cell Adhesion Molecules, Neuronal/biosynthesis , Extracellular Matrix Proteins/biosynthesis , Gene Expression Regulation , Nerve Tissue Proteins/biosynthesis , Neurons/metabolism , Respiratory Center/cytology , Respiratory Center/metabolism , Serine Endopeptidases/biosynthesis , Age Factors , Amino Acid Sequence , Animals , Cell Adhesion Molecules, Neuronal/genetics , Dogs , Extracellular Matrix Proteins/genetics , Female , Humans , Male , Mice , Mice, Inbred C57BL , Mice, Neurologic Mutants , Molecular Sequence Data , NIH 3T3 Cells , Nerve Tissue Proteins/genetics , Rats , Reelin Protein , Serine Endopeptidases/genetics
8.
J Neurosci ; 31(8): 2895-905, 2011 Feb 23.
Article in English | MEDLINE | ID: mdl-21414911

ABSTRACT

Data from perinatal and juvenile rodents support our hypothesis that the preBötzinger complex generates inspiratory rhythm and the retrotrapezoid nucleus-parafacial respiratory group (RTN/pFRG) generates active expiration (AE). Although the role of the RTN/pFRG in adulthood is disputed, we hypothesized that its rhythmogenicity persists but is typically silenced by synaptic inhibition. We show in adult anesthetized rats that local pharmacological disinhibition or optogenetic excitation of the RTN/pFRG can generate AE and transforms previously silent RTN/pFRG neurons into rhythmically active cells whose firing is correlated with late-phase active expiration. Brief excitatory stimuli also reset the respiratory rhythm, indicating strong coupling of AE to inspiration. The AE network location in adult rats overlaps with the perinatal pFRG and appears lateral to the chemosensitive region of adult RTN. We suggest that (1) the RTN/pFRG contains a conditional oscillator that generates AE, and (2) at rest and in anesthesia, synaptic inhibition of RTN/pFRG suppresses AE.


Subject(s)
Exhalation/physiology , Medulla Oblongata/physiology , Neurons/physiology , Respiratory Center/physiology , Respiratory Physiological Phenomena , Animals , Exhalation/drug effects , Male , Neurons/drug effects , Rats , Rats, Sprague-Dawley , Respiratory Center/drug effects
9.
J Comp Neurol ; 518(10): 1862-78, 2010 May 15.
Article in English | MEDLINE | ID: mdl-20235095

ABSTRACT

The preBötzinger Complex (preBötC) contains neural microcircuitry essential for normal respiratory rhythm generation in rodents. A subpopulation of preBötC neurons expresses somatostatin, a neuropeptide with a modulatory action on breathing. Acute silencing of a subpopulation of preBötC neurons transfected by a virus driving protein expression under the somatostatin promoter results in persistent apnea in awake adult rats. Given the profound effect of silencing these neurons, their projections are of interest. We used an adeno-associated virus to overexpress enhanced green fluorescent protein driven by the somatostatin promoter in preBötC neurons to label their axons and terminal fields. These neurons send brainstem projections to: 1) contralateral preBötC; 2) ipsi- and contralateral Bötzinger Complex; 3) ventral respiratory column caudal to preBötC; 4) parafacial respiratory group/retrotrapezoid nucleus; 5) parahypoglossal nucleus/nucleus of the solitary tract; 6) parabrachial/Kölliker-Fuse nuclei; and 7) periaqueductal gray. We did not find major projections to either cerebellum or spinal cord. We conclude that there are widespread projections from preBötC somatostatin-expressing neurons specifically targeted to brainstem regions implicated in control of breathing, and provide a network basis for the profound effects and the essential role of the preBötC in breathing.


Subject(s)
Neural Pathways/anatomy & histology , Neurons/cytology , Respiratory Center/cytology , Animals , Dependovirus/genetics , Dependovirus/metabolism , Drosophila Proteins/genetics , Drosophila Proteins/metabolism , Fluorescent Dyes/metabolism , Green Fluorescent Proteins/genetics , Green Fluorescent Proteins/metabolism , Male , Neurons/metabolism , Promoter Regions, Genetic , Rats , Rats, Sprague-Dawley , Receptors, G-Protein-Coupled/genetics , Receptors, G-Protein-Coupled/metabolism , Receptors, Neuropeptide/genetics , Receptors, Neuropeptide/metabolism , Respiratory Center/physiology , Somatostatin/genetics
11.
Nat Neurosci ; 11(5): 538-40, 2008 May.
Article in English | MEDLINE | ID: mdl-18391943

ABSTRACT

Delineating neurons that underlie complex behaviors is of fundamental interest. Using adeno-associated virus 2, we expressed the Drosophila allatostatin receptor in somatostatin (Sst)-expressing neurons in the preBötzinger Complex (preBötC). Rapid silencing of these neurons in awake rats induced a persistent apnea without any respiratory movements to rescue their breathing. We hypothesize that breathing requires preBötC Sst neurons and that their sudden depression can lead to serious, even fatal, respiratory failure.


Subject(s)
Apnea/physiopathology , Drosophila Proteins/genetics , Neurons/metabolism , Receptors, G-Protein-Coupled/genetics , Receptors, Neuropeptide/genetics , Respiratory Center/metabolism , Somatostatin/metabolism , Animals , Apnea/chemically induced , Apnea/genetics , Biological Clocks/drug effects , Biological Clocks/genetics , Biomarkers/metabolism , Dependovirus/genetics , Drosophila , Drosophila Proteins/biosynthesis , Genetic Vectors , Green Fluorescent Proteins/genetics , Nerve Net/cytology , Nerve Net/drug effects , Nerve Net/metabolism , Neural Inhibition/drug effects , Neural Inhibition/genetics , Neurons/drug effects , Neuropeptides/pharmacology , Periodicity , Rats , Receptors, G-Protein-Coupled/biosynthesis , Receptors, Neurokinin-1/metabolism , Receptors, Neuropeptide/biosynthesis , Respiratory Center/cytology , Respiratory Center/drug effects , Respiratory Physiological Phenomena , Transfection/methods , Wakefulness/physiology
13.
Adv Med Sci ; 52 Suppl 1: 155-7, 2007.
Article in English | MEDLINE | ID: mdl-18229654

ABSTRACT

PURPOSE: Presenting the case of unusual onset hypokalemic periodic paralysis (HypoPP) where myopathy had developed two years before paralysis occurred. MATERIAL AND METHODS: A Polish three-generation family with HypoPP and mutation in CACNA1S (R1239G) has been investigated. Clinical presentation with unusual onset of the disease, biopsy results and genetic research in one family member were described. CONCLUSION: HypoPP is a rare disease it needs to be taken into consideration not only in cases of paroxysmal weakness but also when there is myopathy of unknown origin.


Subject(s)
Calcium Channels/genetics , Paralysis, Hyperkalemic Periodic/genetics , Adolescent , Age of Onset , Calcium Channels, L-Type , Child , Child, Preschool , Female , Humans , Male , Mutation , Pedigree
14.
Adv Med Sci ; 52 Suppl 1: 158-60, 2007.
Article in English | MEDLINE | ID: mdl-18229655

ABSTRACT

PURPOSE: Cryptogenic epilepsy (CE) is defined as a partial or generalized epilepsy syndromes in which we can not point out any underlying cause. The role of neuropsychological assessment of "non-lesional" epilepsies is crucial not only to better control of different medical treatment but also to understanding the role of epilepsy for cognitive functions. The aim of the study was to compare the intellectual and cognitive functions between children with newly diagnosed cryptogenic partial epilepsy (CPE) children and the control healthy group. MATERIAL AND METHODS: 184 participants, 89 patients with cryptogenic partial epilepsy and 95 healthy children and adolescents, with ages ranging from 6-16 years were assessed on neuropsychological tests of general intellectual functioning and selected cognitive skills. RESULTS: There were significant differences found between groups for four examined functions. Children with CPE scored significantly lower in verbal and categorial fluency, visuoconstructional tasks, learning and memory than group of healthy children. There was no differences in general IQ level. CONCLUSIONS: Study of neuropsychological profile in newly diagnosed CPE can get us an information of influence of stable, related to illness factors and the paroxysmal activity on cognitive function. Neurological follow-up of children with CPE at the very beginning of diagnosis should include screening evaluation of cognitive functions to provide appropriate intervention.


Subject(s)
Epilepsy, Complex Partial/physiopathology , Epilepsy, Complex Partial/parasitology , Adolescent , Child , Humans , Neuropsychological Tests , Pilot Projects
18.
J Physiol ; 570(Pt 2): 407-20, 2006 Jan 15.
Article in English | MEDLINE | ID: mdl-16293645

ABSTRACT

Inspiration and active expiration are commonly viewed as antagonistic phases of a unitary oscillator that generates respiratory rhythm. This view conflicts with observations we report here in juvenile rats, where by administration of fentanyl, a selective mu-opiate agonist, and induction of lung reflexes, we separately manipulated the frequency of inspirations and expirations. Moreover, completely transecting the brainstem at the caudal end of the facial nucleus abolished active expirations, while rhythmic inspirations continued. We hypothesize that inspiration and expiration are generated by coupled, anatomically separate rhythm generators, one generating active expiration located close to the facial nucleus in the region of the retrotrapezoid nucleus/parafacial respiratory group, the other generating inspiration located more caudally in the preBötzinger Complex.


Subject(s)
Biological Clocks/physiology , Exhalation/physiology , Inhalation/physiology , Lung/physiology , Mesencephalon/physiology , Aging , Animals , Decerebrate State , Exhalation/drug effects , Female , Fentanyl/pharmacology , Inhalation/drug effects , Lung/drug effects , Male , Mesencephalon/surgery , Motor Neurons/physiology , Naloxone/pharmacology , Periodicity , Pons/physiology , Pons/surgery , Rats , Rats, Sprague-Dawley , Respiratory Function Tests , Respiratory Mechanics/physiology , Respiratory Muscles/physiology , Vagotomy , Vagus Nerve/physiology
19.
Nat Neurosci ; 8(9): 1142-4, 2005 Sep.
Article in English | MEDLINE | ID: mdl-16116455

ABSTRACT

Ablation of preBötzinger complex (preBötC) neurons, critical for respiratory rhythm generation, resulted in a progressive, increasingly severe disruption of respiratory pattern, initially during sleep and then also during wakefulness in adult rats. Sleep-disordered breathing is highly prevalent in elderly humans and in some patients with neurodegenerative disease. We propose that sleep-disordered breathing results from loss of preBötC neurons and could underlie death during sleep in these populations.


Subject(s)
Immunotoxins/toxicity , Neurons/pathology , Respiratory Center/pathology , Sleep Apnea Syndromes/pathology , Substance P/analogs & derivatives , Animals , Cell Death/drug effects , Disease Models, Animal , Electroencephalography/methods , Electromyography/methods , Immunohistochemistry/methods , Neurons/physiology , Polysomnography/methods , Rats , Receptors, Neurokinin-1/metabolism , Respiratory Center/injuries , Ribosome Inactivating Proteins, Type 1 , Saporins , Sleep Apnea Syndromes/chemically induced , Sleep Apnea Syndromes/physiopathology , Sleep, REM/drug effects , Sleep, REM/physiology , Substance P/toxicity , Time Factors , Wakefulness/drug effects , Wakefulness/physiology
20.
Rocz Akad Med Bialymst ; 50 Suppl 1: 64-9, 2005.
Article in English | MEDLINE | ID: mdl-16119630

ABSTRACT

PURPOSE: Presentation of four patients with bilateral peripheral facial nerve palsy as a clinical manifestation of neuroborreliosis in children--diagnostic, treatment and prognosis. MATERIAL AND METHODS: In 2002-2004 in The Chair and Department of Developmental Neurology, 24 children from the Wielkopolska region were admitted with diagnosis of borreliosis. Among all the children with borreliosis, confirmed by serologic examination, 4 (16.7%) demonstrated bilateral peripheral facial palsy (PFP). We investigated the presence of IgM class and IgG class specific antibodies in the sera and cerebrospinal fluid (CSF) of 4 patients with bilateral PFP. (Detected by immunoenzymatic methods--ELISA.) RESULTS: Before the occurrence of PFP all the children manifested unspecified systemic symptoms such as headaches, muscle and articulation pains, weakness and in two cases a mood depression. At first all patients demonstrated elevated IgM antibodies and proper levels of IgG antibodies. Control tests administered within 2-14 months later reduction of antibodies was indicated. Two patients demonstrated significant pleocytosis in CSF test, (without the meningeal symptoms). All children were treated with physiotherapeutic procedures and were administered antibiotic intravenously. CONCLUSIONS: PFP is one of the most frequent neurological symptoms of borreliosis in children. In case of acute PFP and especially the bilateral form of PFP, neuroborreliosis is the most probable diagnosis. All children reported PFP at one side first and after several weeks the paresis of the facial nerve on the opposite side usually appeared. The clinical state of children started to improve after the introduction of physiotherapy and this process usually lasted several months.


Subject(s)
Borrelia/isolation & purification , Facial Nerve Diseases/therapy , Facial Paralysis/therapy , Lyme Neuroborreliosis/diagnosis , Lyme Neuroborreliosis/therapy , Adolescent , Anti-Bacterial Agents/therapeutic use , Anti-Inflammatory Agents/therapeutic use , Child , Electric Stimulation Therapy , Facial Nerve Diseases/microbiology , Facial Paralysis/microbiology , Female , Humans , Lyme Neuroborreliosis/complications , Male , Serologic Tests , Treatment Outcome
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