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1.
Viruses ; 15(12)2023 Dec 16.
Artículo en Inglés | MEDLINE | ID: mdl-38140687

RESUMEN

Parasitoid wasps are fundamental insects for the biological control of agricultural pests. Despite the importance of wasps as natural enemies for more sustainable and healthy agriculture, the factors that could impact their species richness, abundance, and fitness, such as viral diseases, remain almost unexplored. Parasitoid wasps have been studied with regard to the endogenization of viral elements and the transmission of endogenous viral proteins that facilitate parasitism. However, circulating viruses are poorly characterized. Here, RNA viromes of six parasitoid wasp species are studied using public libraries of next-generation sequencing through an integrative bioinformatics pipeline. Our analyses led to the identification of 18 viruses classified into 10 families (Iflaviridae, Endornaviridae, Mitoviridae, Partitiviridae, Virgaviridae, Rhabdoviridae, Chuviridae, Orthomyxoviridae, Xinmoviridae, and Narnaviridae) and into the Bunyavirales order. Of these, 16 elements were described for the first time. We also found a known virus previously identified on a wasp prey which suggests viral transmission between the insects. Altogether, our results highlight the importance of virus surveillance in wasps as its service disruption can affect ecology, agriculture and pest management, impacting the economy and threatening human food security.


Asunto(s)
Parásitos , Virus , Avispas , Animales , Humanos , Ecosistema , Viroma
2.
bioRxiv ; 2023 Oct 24.
Artículo en Inglés | MEDLINE | ID: mdl-37961153

RESUMEN

The global incidence of chikungunya has surged in recent decades, with South America, particularly Brazil, experiencing devastating outbreaks. The primary vector for transmitting CHIKV in urban areas is the mosquito species Aedes aegypti, which is very abundant in Brazil. However, little is known about the impact of locally circulating CHIKV genotypes and specific combinations of mosquito populations on vector competence. In this study, we analyzed and compared the infectivity and transmissibility of a recently isolated CHIKV-ECSA lineage from Brazil among four Ae. aegypti populations collected from different regions of the country. When exposed to CHIKV-infected mice for blood feeding, all mosquito populations showed high infection rates and dissemination efficiency. Moreover, using a mouse model to assess transmission rates in a manner that better mirrors natural cycles, we observed that these populations exhibit highly efficient transmission rates of CHIKV-ECSA. Our findings underscore the robust capability of Brazilian Ae. aegypti populations to transmit the locally circulating CHIKV-ECSA lineage, potentially explaining its higher prevalence compared to the Asian lineage also introduced in Brazil.

3.
Anal Methods ; 15(37): 4827-4833, 2023 Sep 28.
Artículo en Inglés | MEDLINE | ID: mdl-37587794

RESUMEN

The present work describes a laboratory-on-a-drone (Lab-on-a-Drone) developed to perform in situ detection of contaminants in environmental water samples. Toward this goal, the system was mounted on an unmanned aerial vehicle (UAV) (drone) and remotely controlled via Wi-Fi to acquire a water sample, perform the electrochemical detection step, and then send the voltammetry data to a smartphone. This Lab-on-a-Drone system was also able to recharge its battery using a solar cell, greatly increasing the autonomy of the system, even in the absence of a power line. As a proof of concept, the Lab-on-a-Drone was employed for the detection of Pb2+ in environmental waters, using a simple electrochemical cell containing a miniaturized screen-printed boron-doped diamond electrode (SP-BDDE) as a working electrode, an Ag/AgCl as a reference electrode, and a graphite ink as a counter electrode. For quantification purposes, analytical curves were constructed covering a concentration range from 1.0 µg L-1 (4.83 nmol L-1) to 80.0 µg L-1 (386.10 nmol L-1), featuring a detection limit of 0.062 µg L-1 (0.30 nmol L-1). The Lab-on-a-Drone was applied to monitor a water reservoir in the Metropolitan Region of Recife, Brazil. To evaluate its performance regarding accuracy and precision, a reference method based on inductively coupled plasma optical emission spectrometry (ICP-OES) was applied, and the results obtained by both methods showed no statistical differences (t-test at 95% confidence level, n = 3). These results represent the first demonstration of the capabilities of an adapted UAV for the quantification of electroactive environmental contaminant using voltammetry, with real-time data transmission. Thus, the Lab-on-a-Drone makes it possible to reach difficult-to-access environmental reserves and to monitor potentially polluting activity in distant water bodies. Thus, this tool can be used by governments and non-profit organizations to monitor environmental waters using fast, low-cost, process autonomy with accurate and precise data useful to decision making.

4.
Anal Methods ; 15(19): 2300-2308, 2023 May 18.
Artículo en Inglés | MEDLINE | ID: mdl-37089039

RESUMEN

The present study reports, for the first time, the development and application of a highly efficient method based on digital imaging analysis for the simultaneous determination of Cu2+ and furfural in cachaça samples using a two-phase system and chemometrics tools. Furfural reacts with aniline in an acidic medium to form a Schiff base, which exhibits a pink color. On the other hand, Cu2+ reacts with cuprizone in a basic medium to form a blue complex. The two reactions were performed on a porcelain plate, and a smartphone was used to capture the colorimetric images. Partial least squares (PLS) regression was used to construct the prediction models for Cu2+ and furfural contents in cachaça samples. After finding the best PLS models, the ordered predictor selection (OPS) analysis was performed in order to select the most predictive variables. The method developed was found to be effective in estimating the amounts of Cu2+ and furfural in cachaça samples, with a mean absolute error of 0.2 mg L-1 for the Cu2+ model, and 0.3 mg per 100 mL of anhydrous alcohol for the furfural model. The method proposed in this study is simple and straightforward; it does not require complex technical knowledge and can be used by the producers themselves in the cachaça manufacturing process.

5.
Nat Microbiol ; 8(1): 135-149, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36604511

RESUMEN

Aedes aegypti and A. albopictus mosquitoes are the main vectors for dengue virus (DENV) and other arboviruses, including Zika virus (ZIKV). Understanding the factors that affect transmission of arboviruses from mosquitoes to humans is a priority because it could inform public health and targeted interventions. Reasoning that interactions among viruses in the vector insect might affect transmission, we analysed the viromes of 815 urban Aedes mosquitoes collected from 12 countries worldwide. Two mosquito-specific viruses, Phasi Charoen-like virus (PCLV) and Humaita Tubiacanga virus (HTV), were the most abundant in A. aegypti worldwide. Spatiotemporal analyses of virus circulation in an endemic urban area revealed a 200% increase in chances of having DENV in wild A. aegypti mosquitoes when both HTV and PCLV were present. Using a mouse model in the laboratory, we showed that the presence of HTV and PCLV increased the ability of mosquitoes to transmit DENV and ZIKV to a vertebrate host. By transcriptomic analysis, we found that in DENV-infected mosquitoes, HTV and PCLV block the downregulation of histone H4, which we identify as an important proviral host factor in vivo.


Asunto(s)
Aedes , Arbovirus , Virus del Dengue , Dengue , Virus de Insectos , Virus ARN , Infección por el Virus Zika , Virus Zika , Animales , Humanos , Virus Zika/genética , Virus de Insectos/fisiología , Virus del Dengue/genética , Mosquitos Vectores , Arbovirus/genética
6.
J Biomol Struct Dyn ; 41(7): 3062-3075, 2023 04.
Artículo en Inglés | MEDLINE | ID: mdl-35249470

RESUMEN

The Rad5 protein is an SWI/SNF family ubiquitin ligase that contains an N-terminal HIRAN domain and a RING C3HC4 motif. The HIRAN domain is critical for recognition of the stalled replication fork during the replication process and acts as a sensor to initiate the damaged DNA checkpoint. It is a conserved domain widely distributed in eukaryotic organisms and is present in several DNA-binding proteins from all kingdoms. Here we showed that distant species have important differences in key residues that affect affinity for ssDNA. Based on these findings, we hypothesized that different HIRAN domains might affect fork reversal and translesion synthesis through different metabolic processes. To address this question, we predicted the tertiary structure of both yeast and human HIRAN domains using molecular modeling. Structural dynamics experiments showed that the yeast HIRAN domain exhibited higher structural denaturation than its human homolog, although both domains became stable in the presence of ssDNA. Analysis of atomic contacts revealed that a greater number of interactions between the ssDNA nucleotides and the Rad5 domain are electrostatic. Taken together, these results provide new insights into the molecular mechanism of the HIRAN domain of Rad5 and may guide us to further elucidate differences in the ancient eukaryotes HIRAN sequences and their DNA affinity.Communicated by Ramaswamy H. Sarma.


Asunto(s)
Proteínas de Saccharomyces cerevisiae , Saccharomyces cerevisiae , Humanos , Saccharomyces cerevisiae/genética , Proteínas de Unión al ADN/química , Replicación del ADN , ADN/química , ADN de Cadena Simple , ADN Helicasas/química , ADN Helicasas/genética , ADN Helicasas/metabolismo , Proteínas de Saccharomyces cerevisiae/genética
7.
Anal Methods ; 14(26): 2631-2641, 2022 07 07.
Artículo en Inglés | MEDLINE | ID: mdl-35736378

RESUMEN

In this work, a simple, low-cost and easy-to-handle analytical procedure based on carbon quantum dots (CQDs) is proposed to check commercially available formulated microbicides that are used to mitigate the transmission of viruses, such as SARS-COV-2, or bacterial diseases. For this purpose, CQDs were synthesized via pyrolysis using citric acid and ethylenediamine as precursors to produce an intense fluorescence that is used to measure the concentration of hypochlorite, an important biocidal agent present in sanitizing mats, by quenching mechanisms. The characterization of the CQDs was performed using IR spectrophotometry, UV-Vis spectrophotometry, spectrofluorometry, thermogravimetric analysis, scanning electron microscopy, dynamic light scattering, X-ray diffraction, energy-dispersive spectroscopy, and zeta potential measurements. For analytical purposes, fluorescence was measured in a UV chamber irradiated using an LED with the maximum emission at 350 nm. A smartphone was coupled to the UV chamber to measure the fluorescence quenching due to the presence of hypochlorite, and further the digital images were decomposed by RGB data using free software. Tests of pH, CQD concentration and stability of the fluorescence emitted were performed. The stability study of the fluorescence emitted by the CQD solution showed a relative standard deviation lower than 5.0%. The fluorescence digital image-based (FDIB) method resulted in a linear range from 17.44 µmol L-1 to 90.0 µmol L-1 with an LOD of 3.30 µmol L-1 for the determination of hypochlorite using a microplate made of PLA (polylactic acid) customized using a 3D printer. Furthermore, the hypochlorite concentration was tested in situ for its compliance in a sanitizing mat, in a real use situation (daily, a group of four people, each one kept their feet on the mat for 30 s). After 2.5 h, the monitored concentration of hypochlorite was 0.04953% (w/v) or 7.63 mmol L-1, and therefore, it was inefficient to act as a sanitizing agent. Thus, for the first time in the literature, an FDIB method with CQDs is used to verify in situ microbicide practices with a fast and low-cost analytical procedure.


Asunto(s)
COVID-19 , Puntos Cuánticos , Carbono/química , Carbono/farmacología , Humanos , Ácido Hipocloroso , Puntos Cuánticos/química , SARS-CoV-2
8.
Genomics ; 113(4): 2290-2303, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-34044154

RESUMEN

Varroa destructor is an ectoparasite mite that attacks bees leading to colony disorders worldwide. microRNAs (miRNAs) are key molecules used by eukaryotes to post-transcriptional control of gene expression. Nevertheless, still lack information aboutV. destructor miRNAs and its regulatory networks. Here, we used an integrative strategy to characterize the miRNAs in the V. destructor mite. We identified 310 precursors that give rise to 500 mature miRNAs, which 257 are likely mite-specific elements. miRNAs showed canonical length ranging between 18 and 25 nucleotides and 5' uracil preference. Top 10 elements concentrated over 80% of total miRNA expression, with bantam alone representing ~50%. We also detected non-templated bases in precursor-derived small RNAs, indicative of miRNA post-transcriptional regulatory mechanisms. Finally, we note that conserved miRNAs control similar processes in different organisms, suggesting a conservative role. Altogether, our findings contribute to the better understanding of the mite biology that can assist future studies on varroosis control.


Asunto(s)
MicroARNs , Varroidae , Animales , Abejas/parasitología , Regulación de la Expresión Génica , Genoma , MicroARNs/genética , Varroidae/genética
9.
Transbound Emerg Dis ; 68(6): 3070-3074, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33421326

RESUMEN

An 11-year-old male mixed-breed cat, with exclusively indoor life, presented 3 cough episodes after the owners tested positive by RT-PCR for SARS-CoV-2. The house is inhabited by 5 people (3 adults and 2 children), and 2 of the adults have shown mild symptoms associated with throat discomfort. The cat was vaccinated, had no history of any previous disease, and tested negative for feline coronavirus (FCoV), feline immunodeficiency virus (FIV) and feline leukaemia virus (FeLV). Rectal sample collected from the cat was positive for SARS-CoV-2 by RT-PCR. Viral genome sequences recovered from human and cat samples showed an average 99.4% sequence identity. This is the first report of genome sequences of SARS-CoV-2 recovered from a cat and its owner in Latin America.


Asunto(s)
COVID-19 , Enfermedades de los Gatos , Gatos/virología , SARS-CoV-2/aislamiento & purificación , Animales , COVID-19/veterinaria , Enfermedades de los Gatos/virología , Humanos , Virus de la Inmunodeficiencia Felina , América Latina , Virus de la Leucemia Felina , Masculino
10.
J Cardiovasc Pharmacol ; 76(1): 42-49, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32265370

RESUMEN

Anakinra is a recombinant human interleukin 1 receptor antagonist that competes and blocks the biologic effects of interleukin 1, reducing systemic inflammatory responses. In the 2015 guidelines for the diagnosis and management of pericardial diseases of the European Society of Cardiology, anakinra was established as a third-line therapy option for refractory recurrent pericarditis (RP). Recently, important studies that investigates the effect and safety of anakinra in RP were published, such as the AIRTRIP trial and the International Registry of Anakinra for Pericarditis. This article presents the current evidence about the effectiveness and safety of anakinra in RP and discusses its clinical application and mechanisms.


Asunto(s)
Antiinflamatorios/uso terapéutico , Proteína Antagonista del Receptor de Interleucina 1/uso terapéutico , Pericarditis/tratamiento farmacológico , Adolescente , Adulto , Anciano , Antiinflamatorios/efectos adversos , Niño , Preescolar , Femenino , Humanos , Proteína Antagonista del Receptor de Interleucina 1/efectos adversos , Masculino , Persona de Mediana Edad , Pericarditis/diagnóstico , Pericarditis/inmunología , Recurrencia , Resultado del Tratamiento , Adulto Joven
11.
RNA ; 26(5): 581-594, 2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-31996404

RESUMEN

Endogenous viral elements (EVEs) are found in many eukaryotic genomes. Despite considerable knowledge about genomic elements such as transposons (TEs) and retroviruses, we still lack information about nonretroviral EVEs. Aedes aegypti mosquitoes have a highly repetitive genome that is covered with EVEs. Here, we identified 129 nonretroviral EVEs in the AaegL5 version of the A. aegypti genome. These EVEs were significantly associated with TEs and preferentially located in repeat-rich clusters within intergenic regions. Genome-wide transcriptome analysis showed that most EVEs generated transcripts although only around 1.4% were sense RNAs. The majority of EVE transcription was antisense and correlated with the generation of EVE-derived small RNAs. A single genomic cluster of EVEs located in a 143 kb repetitive region in chromosome 2 contributed with 42% of antisense transcription and 45% of small RNAs derived from viral elements. This region was enriched for TE-EVE hybrids organized in the same coding strand. These generated a single long antisense transcript that correlated with the generation of phased primary PIWI-interacting RNAs (piRNAs). The putative promoter of this region had a conserved binding site for the transcription factor Cubitus interruptus, a key regulator of the flamenco locus in Drosophila melanogaster Here, we have identified a single unidirectional piRNA cluster in the A. aegypti genome that is the major source of EVE transcription fueling the generation of antisense small RNAs in mosquitoes. We propose that this region is a flamenco-like locus in A. aegypti due to its relatedness to the major unidirectional piRNA cluster in Drosophila melanogaster.


Asunto(s)
Aedes/genética , Genoma de los Insectos/genética , ARN Interferente Pequeño/genética , Retroelementos/genética , Animales , Sitios de Unión/genética , Cadherinas/genética , Culicidae/genética , Proteínas de Unión al ADN/genética , Proteínas de Drosophila/genética , Drosophila melanogaster/genética , Proteínas de Homeodominio/genética , Regiones Promotoras Genéticas , Factores de Transcripción/genética
12.
Genes (Basel) ; 10(4)2019 04 05.
Artículo en Inglés | MEDLINE | ID: mdl-30959844

RESUMEN

Antisense RNAs (asRNAs) are present in diverse organisms and play important roles in gene regulation. In this work, we mapped the primary antisense transcriptome in the halophilic archaeon Halobacterium salinarum NRC-1. By reanalyzing publicly available data, we mapped antisense transcription start sites (aTSSs) and inferred the probable 3' ends of these transcripts. We analyzed the resulting asRNAs according to the size, location, function of genes on the opposite strand, expression levels and conservation. We show that at least 21% of the genes contain asRNAs in H. salinarum. Most of these asRNAs are expressed at low levels. They are located antisense to genes related to distinctive characteristics of H. salinarum, such as bacteriorhodopsin, gas vesicles, transposases and other important biological processes such as translation. We provide evidence to support asRNAs in type II toxin⁻antitoxin systems in archaea. We also analyzed public Ribosome profiling (Ribo-seq) data and found that ~10% of the asRNAs are ribosome-associated non-coding RNAs (rancRNAs), with asRNAs from transposases overrepresented. Using a comparative transcriptomics approach, we found that ~19% of the asRNAs annotated in H. salinarum belong to genes with an ortholog in Haloferax volcanii, in which an aTSS could be identified with positional equivalence. This shows that most asRNAs are not conserved between these halophilic archaea.


Asunto(s)
Perfilación de la Expresión Génica , Halobacterium salinarum/genética , ARN sin Sentido/genética , Transcriptoma/genética , Regulación de la Expresión Génica Arqueal/genética , Genoma Arqueal/genética , ARN no Traducido/genética , Ribosomas/genética , Sitio de Iniciación de la Transcripción
13.
Zootaxa ; 4514(4): 553-562, 2018 Nov 09.
Artículo en Inglés | MEDLINE | ID: mdl-30486195

RESUMEN

A new species of Amphisbaena from the Espinhaço Mountain Range in Bahia State is described based on morphological and molecular data. Amphisbaena caetitensis sp nov. is a small four-pored amphisbaenian with 186-194 body annuli, 10-12 tail annuli, 16 dorsal and 19-22 ventral segments on a midbody annulus and a strikingly distinctive tail tip. The most similar species is A. uroxena, but they can be distinguished by some morphological features besides the genetic divergence of 7.65% on the mitochondrial 16S rRNA.


Asunto(s)
Lagartos , ARN Ribosómico 16S , Animales , Brasil , Mitocondrias
14.
Neurosurgery ; 67(3): 770-80, 2010 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-20651623

RESUMEN

BACKGROUND: The existence of pituitary stem cells in the adult pituitary gland is supported by such findings as postnatal proliferation, differentiation based on environmental alterations, and development of hormone-producing cells after specific lesions in the pituitary. OBJECTIVE: We discuss which cells in the adult pituitary gland might play a role as pituitary stem cells, the potential for these cells to initiate pituitary adenomas, and possible future clinical implications. METHODS: We reviewed the English literature in search for scholarly articles related to stem cells in the adult pituitary, cells with embryonic profile in the adult gland, mitogenic characteristics of adult pituitary cells, and pituitary adenoma oncogenesis. RESULTS: We identified and analyzed 135 articles related to pituitary stem cells and pituitary development published since 1965. Stem cell characteristics, including renewal, proliferation abilities, and the presence of stem cells markers, have been demonstrated by adult pituitary cells from mammals. However, the proliferation ability observed so far is limited, and the potential of differentiation into hormone-secreting cells remains to be conclusively proven. Stem cell markers have been detected in animal models of pituitary tumorigenesis; however, a direct connection has not been demonstrated. CONCLUSION: Research into the capacity of "pituitary stem cells" to differentiate in vitro and in vivo will clarify the mechanisms for regulation of these cells. As pituitary stem cells are better understood, clinical applications like the treatment of pituitary adenomas and the implantation of pituitary stem cells for hormonal deficiencies may be developed.


Asunto(s)
Adenoma/patología , Células Madre Adultas/citología , Diferenciación Celular/fisiología , Linaje de la Célula/fisiología , Hipófisis/citología , Neoplasias Hipofisarias/patología , Adenoma/terapia , Células Madre Adultas/fisiología , Animales , Biomarcadores/análisis , Biomarcadores/metabolismo , Proliferación Celular , Humanos , Hipófisis/fisiología , Neoplasias Hipofisarias/terapia , Trasplante de Células Madre/métodos , Trasplante de Células Madre/tendencias
15.
Pituitary ; 13(1): 68-77, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-19697135

RESUMEN

Pituitary tumors are challenging tumors in the sellar region. Surgical approaches to the pituitary have undergone numerous refinements over the last 100 years. The introduction of the endoscope have revolutionized pituitary surgery. The aim of this study is to report the results of a consecutive series of patients undergoing pituitary surgery using a pure endoscopic endonasal approach and to evaluate the efficacy and safety of this procedure. We reviewed the data of 228 consecutive patients who underwent endonasal transsphenoidal adenoma removal over an 10-year period. Pre- and post-operative hormonal status (at least 3 months after surgery) were analyzed and compared with clinical parameters presented by the patients. Tumor removal rate, endocrinological outcomes, and complications were retrospectively assessed in 228 patients with pituitary adenomas who underwent 251 procedures between December 1998 and December 2007. There were 93 nonfunctioning adenomas, 58 growth hormone-secreting, 41 prolactin-secreting, 28 adrenocorticotropin hormone secreting, 7 FSH-LH secreting and 1 thyroid-stimulating hormone-secreting adenomas. Gross total removal was achieved in 79.3% of the cases after a median follow-up of 61.5 months. The remission results for patients with nonfunctioning adenomas was 83% and for functioning adenomas were 76.3% (70.6% for GH hormone-secreting, 85.3% for prolactin hormone-secreting, 71.4% for ACTH hormone-secreting, 85.7% for FSH-LH hormone-secreting and 100% for TSH hormone-secreting), with no recurrence at the time of the last follow-up. Post-operative complications were present in 35 (13.9%) cases. The most frequent complications were temporary and permanent diabetes insipidus (six and two cases, respectively), syndrome of inappropriate antidiuretic hormone secretion (two cases) and CSF leaks (eight cases). There was no death related to the procedure in this series. The endoscopic endonasal approach for resection of pituitary adenomas, provides acceptable results representing a safe alternative procedure to the microscopic approach. This less invasive method, associated with a small number of complications, provides excellent tumor removal rates and represents an important tool for the achievement of good results in the pituitary surgery, mainly for the complete removal of large adenomas.


Asunto(s)
Adenoma/cirugía , Endoscopía/métodos , Neoplasias Hipofisarias/cirugía , Adenoma/clasificación , Adenoma/complicaciones , Endoscopía/efectos adversos , Endoscopía/normas , Humanos , Hormonas Hipofisarias/sangre , Neoplasias Hipofisarias/clasificación , Neoplasias Hipofisarias/complicaciones , Complicaciones Posoperatorias , Estudios Retrospectivos
16.
J Clin Neurosci ; 16(9): 1246-9, 2009 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-19560362

RESUMEN

An intratumoral hemorrhage within a meningioma occurs infrequently; in less than 3% of all lesions. When hemorrhage does occur, however, it is associated with a poor prognosis and significant mortality rates. We report a 66-year-old woman with a 10-year history of multiple intracranial meningiomas managed conservatively who underwent surgical resection of a spheno-orbital lesion for decompression of the right optic nerve. Postoperatively, an intratumoral hemorrhage developed in a contralateral lesion, which was managed conservatively. During follow up, the hemorrhaged lesion became significantly smaller. To our knowledge there are no published reports of spontaneous resolution of a meningioma after intratumoral hemorrhage without surgical management. We review the literature on hemorrhage in meningiomas and postulate some pathophysiologic mechanisms for the bleeding and subsequent tumor resolution seen in this patient.


Asunto(s)
Hemorragia Cerebral/patología , Meningioma/patología , Anciano , Hemorragia Cerebral/cirugía , Femenino , Humanos , Imagen por Resonancia Magnética , Meningioma/cirugía , Examen Neurológico , Neoplasias Craneales/patología , Neoplasias Craneales/cirugía , Hueso Esfenoides/cirugía , Tomografía Computarizada por Rayos X , Trastornos de la Visión/etiología
17.
J Clin Neurosci ; 16(10): 1369-71, 2009 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-19553127

RESUMEN

Spinal intradural arachnoid cysts (ACs) are found frequently in the thoracic region, and often extend over four or five vertebral levels. We present a 28-year-old patient who had a giant thoracic congenital intradural extramedullary AC (T1-T12) with a 10-month history of pain, paresthesia, paraparesis and gait ataxia. A T3 to T6 laminectomy was performed. After durotomy, the posterior wall of the AC was visualized compressing the spinal cord. We resected the cyst wall as widely as possible and connected the cyst to the subarachnoid space using a catheter. There were no postoperative complications. At 1-year follow-up, the patient presented with no motor deficits or pain, and had experienced progressive resolution of the gait ataxia. The treatment of giant intradural extramedullary ACs, especially for those that cannot be totally excised, should include generous fenestration and the insertion of a cyst-subarachnoid shunt.


Asunto(s)
Quistes Aracnoideos , Neoplasias de la Médula Espinal , Vértebras Torácicas/patología , Adulto , Quistes Aracnoideos/patología , Quistes Aracnoideos/cirugía , Femenino , Humanos , Imagen por Resonancia Magnética/métodos , Procedimientos Neuroquirúrgicos/métodos , Neoplasias de la Médula Espinal/patología , Neoplasias de la Médula Espinal/cirugía , Espacio Subaracnoideo/patología , Tomografía Computarizada por Rayos X/métodos
18.
J Headache Pain ; 10(1): 15-20, 2009 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-19067118

RESUMEN

The objective of this study is to analyze the presence of headache in pituitary tumors and their characteristics, the relationship between pituitary tumor size, biological type, local extension and intrasellar pressure (ISP). This is a prospective study, of 64 consecutive patients presenting with primary pituitary masses at Neuroendocrinological Department of General Hospital of Fortaleza from October 2005 to December 2006. We analyzed sex, age, headache (laterality, site, severity, quality, frequency, duration, associated symptoms, time of onset, trigger, alleviating factors and familial history) and tumor characteristics (type, size, quiasmatic compression, cavernous sinus invasion, sella turcica destruction, cystic or solid mass and ISP). We observed a statistic significant factor between pituitary tumor and tumor size, optic compression, sellar destruction, cavernous sinus invasion and ISP. Biochemical-neuroendocrine factors, mainly in prolactinomas, seem to be an important factor in the determination of headache. The presence of headache in pituitary tumor is related to a combination of factors, including ISP, tumor extension, relationship with the sellar structures, patient predisposition, familial history, and functional disturbance within the hypothalamo-pituitary axis.


Asunto(s)
Cefalea/etiología , Cefalea/fisiopatología , Hipófisis/patología , Neoplasias Hipofisarias/complicaciones , Neoplasias Hipofisarias/diagnóstico , Adulto , Seno Cavernoso/patología , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Silla Turca/patología
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