Morphometric analysis of the palpebral fissure and canthal distance in Serbian young adults / Análisis morfométrico de la fisura palpebral y la distancia cantal en adultos jóvenes serbios

SUMMARY: Frontaly and anteriorly the orbit is closed by a skin-muscular closure of eyelids. The eyelids limit the palpebral fissure, which is subject to geographical, racial, and age variations. As a part of the face, eyelids and palpebral fissure play a very important role in the attractiveness of the individual, but al so in the diagnosis of certain local and systemic pathological processes. The aim of the study was to perform a morphometric analysis of the palpebral fissure in a young population without pathological conditions and syndromes. The study was conducted on 90 subjects (45 male and 45 female) aged 19.28±0.69 years. Subjects were photographed with a Nikon D3400 camera, and the morphometric parameters were measured with the ImageJ 1.48v software. Statistical analysis of the data was performed in Windows Excel. The measurements in the study were the distance between the mid-points of both pupils, distance between both external canthi, distance between both internal canthi, palpebral fissure width and palpebral fissure height at three points. The average height of the palpebral fissure to the right is 9.35±1.55 mm and to the left is 9.41±1.56 mm. The average width of the palpebral fissure on the right is 27.05±1.71 mm and on the left is 27.18±1.68 mm. It was found that there was some difference in the measured parameters, however, this difference was not statistically significant.

RESUMEN: El músculo orbicular de los ojos se encuentra en la cara, delante de la órbita y debajo de la piel. Los párpados limitan la fisura palpebral, la abertura natural, sujeta a variaciones geográficas, raciales y de edad. Los párpados y la fisura palpebral juegan un papel importante en la estética de las personas, pero también en el diagnóstico de ciertos procesos patológicos locales y sistémicos. El objetivo del estudio fue realizar un análisis morfométrico de la fisura palpebral en una población joven sin enfermedades o condiciones patológicas. El estudio se realizó en 90 sujetos (45 hombres y 45 mujeres) de 19,28 ± 0,69 años. Los sujetos fueron fotografiados con una cámara Nikon D3400, y los parámetros morfométricos se midieron con el software ImageJ 1.48v. El análisis estadístico de los datos se realizó en Windows Excel. Se midieron la distancia entre los puntos medios de ambas pupilas, la distancia entre ambos cantos laterales, la distancia entre ambos cantos mediales, el ancho de la fisura palpebral y la altura de la fisura palpebral en tres puntos. La altura promedio de la fisura palpebral a la derecha fue 9,35 ± 1,55 mm y a la izquierda fue 9,41 ± 1,56 mm. El ancho promedio de la fisura palpebral a la derecha era 27,05 ± 1,71 mm y a la izquierda era 27,18 ± 1,68 mm. Se determinó una diferencia leve en los parámetros medidos, sin embargo, esta diferencia no fue estadísticamente significativa.

Morphology of the pterion in Serbian population / Morfología del pterion en población serbia

The pterion is a topographic point on the lateral aspect of the skull where frontal, sphenoid, parietal and temporal bones form the H or K shaped suture. This is an important surgical point for the lesions in anterior and middle cranial fossa. This study was performed on 50 dry skulls from Serbian adult individuals from Department of Anatomy, Faculty of Medicine in Novi Sad. The type of the pterion on both sides of each skull was determined and they are calcified in four types (sphenoparietal, frontotemporal, stellate and epipteric). The distance between the center of the pterion and defined anthropological landmarks were measured using the ImageJ software. Sphenoparietal type is predominant with 86 % in right side and 88 % in left side. In male skulls, the distance from the right pterion to the frontozygomatic suture is 39.89±3.85 mm and 39.67±4.61 mm from the left pterion to the frontozygomatic suture. In female skulls the distance is 37.38±6.38 mm on the right and 35.94±6.46 mm on the left. The shape and the localization of the pterion are important because it is an anatomical landmark and should be used in neurosurgery, traumatology and ophthalmology.

El pterion es un punto topográfico en la cara lateral del cráneo donde los huesos frontales, esfenoides, parietales y temporales forman la sutura en forma de H o K. Este es un punto quirúrgico importante para las lesiones en la fosa craneal anterior y media. Este estudio se realizó en 50 cráneos secos de adultos serbios del Departamento de Anatomía de la Facultad de Medicina de Novi Sad. Se determinó el tipo de pterión en ambos lados de cada cráneo y se calcifican en cuatro tipos (esfenoparietal, frontotemporal, estrellado y epipterico). La distancia entre el centro del pterion y los puntos de referencia antropológicos definidos se midió utilizando el software ImageJ. El tipo esfenoparietal es predominante con 86 % en el lado derecho y 88 % en el lado izquierdo. En los cráneos masculinos, la distancia desde el pterion derecho hasta la sutura frontocigomática es 39,89 ± 3,85 mm y 39,67 ± 4,61 mm desde el pterion izquierdo hasta la sutura frontocigomática. En los cráneos femeninos, la distancia es 37,38 ± 6,38 mm a la derecha y 35,94 ± 6,46 mm a la izquierda. La forma y la localización del pterion son importantes debido a que es un indicador anatómico y debe usarse en neurocirugía, traumatología y oftalmología.

[Multiple anatomical malformations in 25-year old patient with heterotaxy--case report].

INTRODUCTION: Heterotaxy or situs ambiguus is a rare congenital disorder, characterized by abnormal situs with either left or right isomerism that usually coincides with A complex malformation. The classic left isomerism or bilateral left-sidedness or heterotaxy syndrome with polysplenia implies that patients have bilateral bilobed lungs, bilateral pulmonary atria, a centrally located liver, a stomach in indeterminate position, and multiple spleens, occasionally associated with interruption of the inferior cava with azygos or hemiazygos continuation. CASE REPORT: We present a case of situs ambiguus associated with severe heart and vascular abnormalities in a 25-year-old male patient. On the admittance to our clinic the patient had history of biliary colic, moderate jaundice of the conjunctive and sclerae, and severe central cyanosis. The echocardiography revealed a large atrial septal defect, complete absence of the interventricular septum resulting in the single ventricle and the inversion of atria. The angiography obtained the hypoplastic inferior vena cava continuing with azygos vein that flowed into the left superior vena cava. The computerized tomography scans showed three splenuli in the right upper quadrant of the abdomen, and a single gallstone appeared in the left-positioned gallbladder. The contrast radiography showed complete transposition of the guts and stomach. DISCUSSION AND CONCLUSION: To our knowledge, our patient with described severity of the anomalies had the longest life span in this part of Europe, although the longer survivors have been described in the other parts of the world. Furthermore, clinical characteristics of both left and right isomerism have been obtained in the patients with anatomically pronounced left isomerism.

[Critical periods during development of the dentate nucleus and their clinical significance].

INTRODUCTION: The aim of this study was to identify the critical periods in the development of the human dentate nucleus in fetuses of different gestational ages and in one newborn brain. MATERIAL AND METHODS: The fetal brains were fixed in alcohol-formalin-acetic acid, embedded in paraffin, cut into 30 micro sections, and stained with cresyl violet. The sections were examined by light microscopy. In order to identify vulnerable periods, histological and stereological analyses were done. FORMATION OF THE DENTATE NUCLEUS: The first appearance of the dentate nucleus was noticed in fetus of 12.5 weeks of gestation (wg), and its cells corresponded to the first and second stage of maturation. Formation of the dorsomedial lamina begins at the end of the 13th wg, and it starts to fold at 19.5 wg. At this time, cells correspond to the third stage of maturation, and formation of the ventromedial lamina begins. The first folds of the ventromedial lamina are noticed at 23.5 wg. Fourth stage maturity cells are noticed at 23.5 wg. remaining conspicuous up to birth. The numerical density of the nerve cell nuclei shows a constant decrease. CONCLUSION: Based on our results, we can conclude that during development of the dentate nucleus, there are two vulnerable periods. The first one corresponds to the fourth month of intrauterine life, and the second to the intensive growth of the dorsomedial and ventrolateral lamina (20.0 - 24.5 wg).

[Development of human hypothalamus at the end of the first and in the second trimester of gestation].

INTRODUCTION: The paper deals with the embryonic development of human hypothalamus at the end of the first and during the second trimesters of gestation. Bearing in mind that the mammal brain, as an entity, develops from the prosencephalic, mesencephalic and rhombencephalic vesicles, which are noticeable in the cranial portion of the neural tube in the 4th week of gestation, and that diencephalon is manifested in the eye vesicle at the same gestational age, authors presented the neuronal secretory activity in that period. SECRETORY ACTIVITY OF HYPOTHALAMIC NEURONS: The secretory activity of both neurons and hypothalamic nuclei, as well as their maturation, were followed-up by certain immunohistochemical and immunoradiological methods based on structural identification of some factors (primarily protein molecules), which made it possible to determine the specificity of secretory activity of hypothalamic nuclei (ex. tuberohypophyseal pathways), as well as the levels of the hormone release into the hypothalamo-hypophysial complex. CONCLUSION: The aim of this work was to estimate the catecholamine activity during the development of the respective part of the brain in the 5th, 6th, 11th and 13th week of gestation and later.

[Catecholamines in the human diencephalon].

INTRODUCTION: Catecholamines are chemical compounds which play an important role as neurotransmitters in many vital functions of the organism. The paper presents a short survey of their biosynthesis, disintegration andfunctions, with respect to the neuroanatomical location of cell groups which contain these compounds. CATECHOLAMINES IN THE HUMAN HYPOTHALAMUS: Because the authors were most interested in the behavior of catecholamines in the diencephalon, particularly in the hypothalamus, they focussed their attention on cells secreting catecholamines (dopamine, noradrenaline, adrenaline, octopamine). The paper also deals with the connections between cellular structures which emit and receive the neuronal impulses that transport catecholamines as neurotransmitters. These include the following dopaminergic systems: nigrostriatal, tuberohypophysial, retinal, periventricular, periglomerular and dopaminergic systems in mesolimbic, mesocortical and diencephalic regions. The paper also indicates other areas in human brain with adrenaline and noradrenaline secreting cells.

A histological study of cerebral aqueduct.

Cerebral (sylvian) aqueduct is a narrow channel in the mesencephalon. It lies between the tectum and the tegmentum of the mesencephalon and is surrounded by the periaqueductal gray matter. The aim of this study was to determine the shape of the aqueduct of sylvius and the structure of its walls in a series of transverse histological sections. Serial transverse sections of the mesencephalon were examined in twenty adult brains of both sexes. Six sections were stained by the hematoxylin-eosin method. The rostral part of the the aqueduct has a triangular shape with dorsal concavity caused by retrocommissural fossae. In the middle, its shape is oval to irregular, the rostral part has a T shape due to isthmic recess on the floor. Walls of the aqueduct are coated with a layer of prismatic cells. Determination of the morphological and histological features of the mesencephalic aqueduct is important for differentiation between physiological and pathological processes in this region.

Development of paraventricular nucleus (PVN) associated with immunoreactivity to tyrosine hydroxylase (TH) in the second half of gestation.

The aim of this study was to shed more light on the developmental characteristics of human paraventricular nucleus (PVN) and hypothalamus in general, using modern immunohistochemical techniques to detect the activity of tyrosine hydroxylase (TH) in the synthesis of catecholamine (CA). Fetal brains were examined at 12, 16, 20 and 23 weeks gestation. Immunohistochemical staining used for sections is a qualitative method for detection and distribution of the chosen protein. The amplification of positive signals was carried out using AVIDIN/BIOTIN technique. The first positive results were obtained at 16th week of gestation and immunoreactivity) grew with the advencement of gestation and that there was no homogenisation of immunoreactivity in some parts of the nucleus. The PVN showed to be an oval formation. nearly parallel with the lateral wall of the 3rd cerebral ventricle, where the upper apex of the nucleus is situated closer to the ependymal ventricular layer. There was an ascendant dorsal movement of the nucleus in the embryonic phase of hypothalamus development.