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1.
Heredity (Edinb) ; 113(3): 195-204, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24595365

RESUMO

Studies of hybridizing species can reveal much about the genetic basis and maintenance of species divergence in the face of gene flow. Here we report a genetic segregation and linkage analysis conducted on F2 progeny of a reciprocal cross between Senecio aethnensis and S. chrysanthemifolius that form a hybrid zone on Mount Etna, Sicily, aimed at determining the genetic basis of intrinsic hybrid barriers between them. Significant transmission ratio distortion (TRD) was detected at 34 (∼27%) of 127 marker loci located in nine distinct clusters across seven of the ten linkage groups detected, indicating genomic incompatibility between the species. TRD at these loci could not be attributed entirely to post-zygotic selective loss of F2 individuals that failed to germinate or flower (16.7%). At four loci tests indicated that pre-zygotic events, such as meiotic drive in F1 parents or gametophytic selection, contributed to TRD. Additional tests revealed that cytonuclear incompatibility contributed to TRD at five loci, Bateson-Dobzhansky-Muller (BDM) incompatibilities involving epistatic interactions between loci contributed to TRD at four loci, and underdominance (heterozygote disadvantage) was a possible cause of TRD at one locus. Major chromosomal rearrangements were probably not a cause of interspecific incompatibility at the scale that could be examined with current map marker density. Intrinsic genomic incompatibility between S. aethnensis and S. chrysanthemifolius revealed by TRD across multiple genomic regions in early-generation hybrids is likely to impact the genetic structure of the natural hybrid zone on Mount Etna by limiting introgression and promoting divergence across the genome.


Assuntos
Rearranjo Gênico/genética , Ligação Genética/genética , Genoma de Planta/genética , Hibridização Genética/genética , Senécio/genética , Mapeamento Cromossômico/métodos , Segregação de Cromossomos/genética , Fluxo Gênico/genética , Loci Gênicos/genética , Especiação Genética , Genômica/métodos , Germinação/genética , Sicília
2.
Heredity (Edinb) ; 108(2): 87-95, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21829224

RESUMO

Hybridization is increasingly seen as a trigger for rapid evolution and speciation. To quantify and qualify divergence associated with recent homoploid hybrid speciation, we compared quantitative trait (QT) and molecular genetic variation between the homoploid hybrid species Senecio squalidus and its parental species, S. aethnensis and S. chrysanthemifolius, and also their naturally occurring Sicilian hybrids. S. squalidus originated and became invasive in the United Kingdom following the introduction of hybrid plants from Mount Etna, Sicily, about 300 years ago. We recorded considerable molecular genetic differentiation between S. squalidus and its parents and their Sicilian hybrids in terms of both reduced genetic diversity and altered allele frequencies, potentially due to the genetic bottleneck associated with introduction to the United Kingdom. S. squalidus is also distinct from its parents and Sicilian hybrids for QTs, but less so than for molecular genetic markers. We suggest that this is due to resilience of polygenic QTs to changes in allele frequency or lack of selection for hybrid niche divergence in geographic isolation. While S. squalidus is intermediate or parental-like for most QTs, some trangressively distinct traits were observed, which might indicate emerging local adaptation in its invasive range. This study emphasizes the important contribution of founder events and geographic isolation to successful homoploid hybrid speciation.


Assuntos
Quimera/genética , Evolução Molecular , Especiação Genética , Hibridização Genética , Característica Quantitativa Herdável , Senécio/genética , Marcadores Genéticos , Variação Genética , Ploidias
3.
Heredity (Edinb) ; 108(5): 552-62, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22187083

RESUMO

Although homoploid hybrid speciation in plants is probably more common than previously realized, there are few well-documented cases of homoploid hybrid origin in conifers. We examined genetic divergence between two currently widespread pines in Northeast China, Pinus sylvestris var. mongolica and Pinus densiflora, and also whether two narrowly distributed pines in the same region, Pinus funebris and Pinus takahasii, might have originated from the two widespread species by homoploid hybrid speciation. Our results, based on population genetic analysis of chloroplast (cp), mitochondrial (mt) DNA, and nuclear gene sequence variation, showed that the two widespread species were divergent for both cp- and mtDNA variation, and also for haplotype variation at two of eight nuclear gene loci surveyed. Our analysis further indicated that P. sylvestris var. mongolica and P. densiflora remained allopatric during the most severe Quaternary glacial period that occurred in Northeast China, but subsequently exhibited rapid range expansions. P. funebris and P. takahasii, were found to contain a mixture of chlorotypes and nuclear haplotypes that distinguish P. sylvestris var. mongolica and P. densiflora, in support of the hypothesis that they possibly originated via homoploid hybrid speciation following secondary contact and hybridization between P. sylvestris var. mongolica and P. densiflora.


Assuntos
Evolução Molecular , Especiação Genética , Hibridização Genética , Pinus/genética , China , DNA de Cloroplastos/genética , DNA Mitocondrial/genética , Variação Genética , Endogamia
4.
Heredity (Edinb) ; 107(4): 362-70, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-21448232

RESUMO

It remains unclear how speciation history might contribute to species-specific variation and affect species delimitation. We examined concordance between cytoplasmic genetic variation and morphological taxonomy in two fir species, Abies chensiensis and A. fargesii, with overlapping distributions in central China. Range-wide genetic variation was investigated using mitochondrial (mt) and plastid (pt) DNA sequences, which contrast in their rates of gene flow. Four mtDNA haplotypes were recovered and showed no obvious species' bias in terms of relative frequency. In contrast, a high level of ptDNA variation was recorded in both species with 3 common ptDNA haplotypes shared between them and 21 rare ptDNA haplotypes specific to one or other species. We argue that the lack of concordance between morphological and molecular variation between the two fir species most likely reflects extensive ancestral polymorphism sharing for both forms of cytoplasmic DNA variation. It is feasible that a relatively fast mutation rate for ptDNA contributed to the production of many species-specific ptDNA haplotypes, which remained rare due to insufficient time passing for their spread and fixation in either species, despite high levels of intraspecific ptDNA gene flow. Our phylogeographic analyses further suggest that polymorphisms in both organelle genomes most likely originated during and following glacial intervals preceding the last glacial maximum, when species distributions became fragmented into several refugia and then expanded in range across central China.


Assuntos
Abies/genética , Citoplasma/genética , DNA Mitocondrial/genética , DNA de Plantas/genética , Abies/classificação , China , Fluxo Gênico , Variação Genética , Dados de Sequência Molecular , Filogenia , Filogeografia , Polimorfismo Genético , Especificidade da Espécie
5.
Science ; 289(5483): 1343-6, 2000 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-10958779

RESUMO

The arctic flora is thought to have originated during the late Tertiary, approximately 3 million years ago. Plant migration routes during colonization of the Arctic are currently unknown, and uncertainty remains over where arctic plants survived Pleistocene glaciations. A phylogenetic analysis of chloroplast DNA variation in the purple saxifrage (Saxifraga oppositifolia) indicates that this plant first occurred in the Arctic in western Beringia before it migrated east and west to achieve a circumpolar distribution. The geographical distribution of chloroplast DNA variation in the species supports the hypothesis that, during Pleistocene glaciations, some plant refugia were located in the Arctic as well as at more southern latitudes.


Assuntos
DNA de Cloroplastos/genética , DNA de Plantas/genética , Variação Genética , Haplótipos , Magnoliopsida/genética , Magnoliopsida/fisiologia , Regiões Árticas , Evolução Biológica , Enzimas de Restrição do DNA , Ecossistema , Folhas de Planta/genética
6.
Eur J Neurol ; 13(9): 958-62, 2006 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16930361

RESUMO

We describe the clinical presentation, progression and electrodiagnostic features of three patients with a mild form of chronic inflammatory demyelinating polyneuropathy (CIDP). The unusually mild but also variable clinical picture was a cause of diagnostic uncertainty in all, but CIDP was eventually confirmed by extensive electrophysiological studies in each case, as well as by histology in one. Cerebrospinal fluid protein was raised in only one patient. Two patients were treated by intravenous immunoglobulins and both improved. Awareness of the existence of this relatively benign form of CIDP in its various presentations is essential as it can be functionally disabling, progress to more severe symptomatology, and as patients may benefit from immunomodulatory therapy.


Assuntos
Imunização Passiva/métodos , Polirradiculoneuropatia Desmielinizante Inflamatória Crônica , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Condução Nervosa/fisiologia , Polirradiculoneuropatia Desmielinizante Inflamatória Crônica/diagnóstico , Polirradiculoneuropatia Desmielinizante Inflamatória Crônica/fisiopatologia , Polirradiculoneuropatia Desmielinizante Inflamatória Crônica/terapia
7.
Evolution ; 55(10): 1943-62, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11761056

RESUMO

The Mediterranean species complex of Senecio serves to illustrate evolutionary processes that are likely to confound phylogenetic inference, including rapid diversification, gene tree-species tree discordance, reticulation, interlocus concerted evolution, and lack of complete lineage sorting. Phylogeographic patterns of chloroplast DNA (cpDNA) haplotype variation were studied by sampling 156 populations (502 individuals) across 18 species of the complex, and a species phylogeny was reconstructed based on sequences from the internal transcribed spacer (ITS) regions of nuclear ribosomal DNA. For a subset of species, randomly amplified polymorphic DNAs (RAPDs) provided reference points for comparison with the cpDNA and ITS datasets. Two classes of cpDNA haplotypes were identified, with each predominating in certain parts of the Mediterranean region. However, with the exception of S. gallicus, intraspecific phylogeographic structure is limited, and only a few haplotypes detected were species-specific. Nuclear sequence divergence is low, and several unresolved phylogenetic groupings are suggestive of near simultaneous diversification. Two well-supported ITS clades contain the majority of species, amongst which there is a pronounced sharing of cpDNA haplotypes. Our data are not capable of diagnosing the relative impact of reticulation versus insufficient lineage sorting for the entire complex. However, there is firm evidence that S. flavus subsp. breviflorus and S. rupestris have acquired cpDNA haplotypes and ITS sequences from co-occurring species by reticulation. In contrast, insufficient lineage sorting is a viable hypothesis for cpDNA haplotypes shared between S. gallicus and its close relatives. We estimated the minimum coalescent times for these haplotypes by utilizing the inferred species phylogeny and associated divergence times. Our data suggest that ancestral cpDNA polymorphisms may have survived for ca. 0.4-1.0 million years, depending on molecular clock calibrations.


Assuntos
Evolução Biológica , Filogenia , Senécio/classificação , Senécio/genética , Cloroplastos/fisiologia , DNA Intergênico/genética , DNA de Plantas/genética , Bases de Dados de Ácidos Nucleicos , Meio Ambiente , Europa (Continente) , Variação Genética , Geografia , Ploidias , Polimorfismo Genético , Polimorfismo de Fragmento de Restrição
8.
Clin Neuropharmacol ; 21(2): 101-7, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9579296

RESUMO

The efficacy and safety of ropinirole, a novel nonergot dopamine D2-like receptor agonist, was assessed as monotherapy for the treatment of patients with early-stage Parkinson's disease. In this double-blind, multicenter trial, patients were randomly allocated in a ratio of 2:1 to receive, over a 12-week period, either ropinirole or placebo. Clinical status was assessed using the Unified Parkinson's Disease Rating Scale (UP-DRS), Clinician's Global Evaluation (CGE), and a finger-tapping score. In all, 41 patients received ropinirole and 22 received placebo. The end-point analysis, on an intention-to-treat basis, revealed a significant difference (p = 0.018) in improvement in UP-DRS motor score from baseline between treatment groups (ropinirole, 43.4%; and placebo, 21.0%). Other parameters, including the number of responders and improvement in CGE, showed similar results. Three patients in the ropinirole group and one patient in the placebo group discontinued the study because of adverse events. There was no significant difference between the treatment groups in the overall incidence of adverse events. Although the dopaminergic side effects were reported significantly more frequently in the ropinirole group than in the placebo group (dizziness, p = 0.0326; nausea, p = 0.001; and somnolence, p = 0.005), none necessitated study withdrawal. There was no evidence of any chronic effect of the study medication on vital signs. In conclusion, ropinirole is a safe and well-tolerated drug and, as monotherapy, provided significant therapeutic benefit compared with placebo to patients in the early stages of Parkinson's disease.


Assuntos
Antiparkinsonianos/uso terapêutico , Indóis/uso terapêutico , Doença de Parkinson/tratamento farmacológico , Receptores de Dopamina D2/agonistas , Adulto , Idoso , Análise de Variância , Antiparkinsonianos/efeitos adversos , Método Duplo-Cego , Feminino , Humanos , Indóis/efeitos adversos , Masculino , Pessoa de Meia-Idade , Receptores de Dopamina D2/efeitos dos fármacos , Resultado do Tratamento
9.
Parkinsonism Relat Disord ; 3(2): 103-7, 1997 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18591063

RESUMO

Neuropsychiatric side effects often complicate anti-Parkinsonian therapy and pose a significant problem in the optimal management of idiopathic Parkinson's disease. Several publications report a relative lack of neuropsychiatric side effects in Parkinsonian patients treated with subcutaneous apomorphine. To investigate this further, we have used subcutaneous apomorphine to treat 12 non-demented IPD patients with previous oral drug-related neuropsychiatric problems. Treatment with apomorphine allowed alteration of anti-Parkinsonian medication and led to the abolition or reduction of neuropsychiatric complications in all patients. The mechanism remains unclear but may be due, in part, to a reduction in oral medication or a psychotropic action of apomorphine, possibly due to the piperidine moiety in its structure, or both.

10.
J Infect ; 15(2): 153-60, 1987 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-3668270

RESUMO

A highly sensitive and specific immunoradiometric assay, based upon a monoclonal antibody, was used to measure interferon-alpha (IFN-alpha) in the cerebrospinal fluid (CSF) of patients with central nervous system infections and in controls with non-infectious neurological disorders. IFN-alpha was detected in all 21 patients with viral meningitis but in only one of four patients with non-viral aseptic meningitis. It was also present in the CSF of three of four patients with herpes encephalitis and five of seven patients with acute bacterial meningitis. By contrast, IFN-alpha was present in the CSF in low concentrations in only five (7%) of 71 neurological controls. This rapid test is positive in viral meningitis and may help in distinguishing viral infection from other causes of aseptic meningitis. It is usually negative in non-infective disorders but will not distinguish between viral and bacterial infections.


Assuntos
Encefalite/diagnóstico , Interferon Tipo I/líquido cefalorraquidiano , Meningismo/diagnóstico , Meningite Viral/diagnóstico , Meningite/diagnóstico , Adolescente , Adulto , Infecções Bacterianas/diagnóstico , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Meningite Asséptica/diagnóstico , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Radioimunoensaio
11.
J Neuroimaging ; 5(3): 152-6, 1995 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7626822

RESUMO

A combination of extracranial and transcranial color-coded sonography was used to identify the patterns of vascular occlusion in 47 patients with acute ischemic stroke. Total anterior circulation infarction (n = 20) was associated with internal carotid artery (ICA) or middle cerebral artery (MCA) occlusion (n = 8 and 9, respectively), or with significant reduction in ipsilateral MCA velocities (n = 5). Patients with partial anterior circulation (n = 22) infarction had patency of the ipsilateral ICA and MCA. In this group, significant reduction of ipsilateral MCA velocities (n = 7) was associated with more extensive infarcts on conventional neuroimaging (n = 6), suggesting multiple MCA branch occlusions. Ultrasound imaging was unable to identify underlying vascular pathology in patients with posterior circulation infarction or with lacunar infarction (n = 5). An ultrasound-based approach enables noninvasive identification of major vascular pathology of the anterior cerebral circulation in patients with acute cerebral infarction. It may be useful for the rapid identification of patients most and those least likely to benefit from acute intervention, and for monitoring their response.


Assuntos
Arteriopatias Oclusivas/diagnóstico por imagem , Isquemia Encefálica/diagnóstico por imagem , Encéfalo/irrigação sanguínea , Transtornos Cerebrovasculares/diagnóstico por imagem , Ultrassonografia Doppler em Cores , Ultrassonografia Doppler Transcraniana , Doença Aguda , Adulto , Idoso , Idoso de 80 Anos ou mais , Velocidade do Fluxo Sanguíneo , Doenças das Artérias Carótidas/diagnóstico por imagem , Artéria Carótida Interna/diagnóstico por imagem , Artérias Cerebrais/diagnóstico por imagem , Infarto Cerebral/diagnóstico por imagem , Circulação Cerebrovascular , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Grau de Desobstrução Vascular
12.
J Colloid Interface Sci ; 272(1): 210-7, 2004 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-14985039

RESUMO

The interaction of carbon black with an acrylic resin has been investigated by rheology. Two carbon blacks, with similar particle size and surface characteristics but quite different particle morphologies, have been examined. These are somewhat arbitrarily denoted as "spherical" and "fractal" as shown by small-angle neutron scattering (SANS) and ultrasonic spectroscopy studies. In the absence of polymer, stable aqueous dispersions could not be obtained. Stable dispersions could be obtained, however, upon addition of polymer to a level corresponding to a ratio of 50 mg of polymer per 13 m2 (+/- m2) of surface area (i.e., 15 wt% particles). These stable dispersions exhibit flow typical of concentrated dispersions-Newtonian behavior up to some apparent "yield" or critical value, above which pronounced shear thinning is observed. The critical stress increases with increasing polymer concentration. When a significant amount of nonadsorbed polymer is also present, a second Newtonian plateau is superimposed on the shear-thinning behavior. This feature is observed for both particle types but is more pronounced for the fractal particle. When there is little or no nonadsorbed polymer, the viscosity of the fractal particle dispersions is greater than the viscosity of the spherical particle dispersions. At low polymer concentrations, the dispersions are predominantly viscous at low shear stresses. The phase angle decreases significantly over a narrow shear stress range and the rheology tends to more elastic behavior. At higher shear stresses, the dependence on particle morphology is weak.

13.
J R Soc Med ; 84(11): 650-1, 1991 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-1744868

RESUMO

Botulinum toxin has been successfully used to treat spasmodic torticollis. The optimum dosage is not clear and the recommended doses in the United Kingdom are 20-25 ng. We have used much lower doses (average 13 ng) without loss of efficacy and accompanied by a reduction in side effects. We treated 12 patients (eight women and four men) with a mean duration of torticollis of 4 years. Eleven of the 12 patients (91%) showed an improvement in total scores for pain and degree of head movement. The benefits appeared a week after treatment and lasted for 3 months. Side effects were minimal and transient. Our experience suggests low doses of the toxin may be equally efficacious.


Assuntos
Toxinas Botulínicas/administração & dosagem , Torcicolo/tratamento farmacológico , Adulto , Toxinas Botulínicas/uso terapêutico , Esquema de Medicação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Espasmo/tratamento farmacológico
18.
Neurophysiol Clin ; 39(3): 135-8, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19716463

RESUMO

We report the case of a patient with Parkinson's disease who developed rapidly progressive weakness of the four limbs due to an acute motor axonal neuropathy (AMAN). This occurred days after a neuroleptic malignant syndrome (NMS). Serologic evidence of a preceding Campylobacter jejuni infection was detected and treatment with intravenous immunoglobulins proved effective. This case suggests that the rarely described neuropathies occurring with NMS may have a postinfectious immune basis and respond to immunomodulatory therapy.


Assuntos
Infecções por Campylobacter/complicações , Campylobacter jejuni , Síndrome de Guillain-Barré/etiologia , Síndrome Maligna Neuroléptica/etiologia , Doença de Parkinson/complicações , Quadriplegia/etiologia , Anticorpos Antibacterianos/sangue , Anticorpos Antibacterianos/imunologia , Antiparkinsonianos/efeitos adversos , Antiparkinsonianos/uso terapêutico , Infecções por Campylobacter/diagnóstico , Eletromiografia , Febre/etiologia , Gangliosídeo G(M1)/imunologia , Síndrome de Guillain-Barré/terapia , Humanos , Imunoglobulina G/sangue , Imunoglobulina G/imunologia , Imunoglobulina M/sangue , Imunoglobulina M/imunologia , Imunoglobulinas Intravenosas/uso terapêutico , Lipopolissacarídeos/imunologia , Masculino , Pessoa de Meia-Idade , Mimetismo Molecular , Condução Nervosa , Doença de Parkinson/tratamento farmacológico , Inconsciência/etiologia
19.
Mol Ecol ; 14(11): 3513-24, 2005 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-16156819

RESUMO

The vegetation of the northeast Qinghai-Tibetan Plateau is dominated by alpine meadow and desert-steppe with sparse forests scattered within it. To obtain a better understanding of the phylogeography of one constituent species of the forests in this region, we examined chloroplast trnT-trnF and trnS-trnG sequence variation within Juniperus przewalskii, a key endemic tree species. Sequence data were obtained from 392 trees in 20 populations covering the entire distribution range of the species. Six cpDNA haplotypes were identified. Significant population subdivision was detected (G(ST) = 0.772, N(ST) = 0.834), suggesting low levels of recurrent gene flow among populations and significant phylogeographic structure (N(ST) > G(ST), P < 0.05). Eight of the nine disjunct populations surveyed on the high-elevation northeast plateau were fixed for a single haplotype (A), while the remaining, more westerly population, contained the same haplotype at high frequency together with two low frequency haplotypes (C and F). In contrast, most populations that occurred at lower altitudes at the plateau edge were fixed or nearly fixed for one of two haplotypes, A or E. However, two plateau edge populations had haplotype compositions different from the rest. In one, four haplotypes (A, B, D and E) were present at approximately equivalent frequencies, which might reflect a larger refugium in the area of this population during the last glacial period. Phylogenetic analysis indicated that the most widely distributed haplotype A is not ancestral to other haplotypes. The contrasting phylogeographic structures of the haplotype-rich plateau edge area and the almost haplotype-uniform plateau platform region indicate that the plateau platform was recolonized by J. przewalskii during the most recent postglacial period. This is supported by the findings of a nested clade analysis, which inferred that postglacial range expansion from the plateau edge followed by recent fragmentation is largely responsible for the present-day spatial distribution of cpDNA haplotypes within the species.


Assuntos
Demografia , Variação Genética , Juniperus/genética , Filogenia , Sequência de Bases , China , Análise por Conglomerados , DNA de Cloroplastos/genética , Geografia , Haplótipos/genética , Funções Verossimilhança , Modelos Genéticos , Dados de Sequência Molecular , Dinâmica Populacional , Análise de Sequência de DNA
20.
Spinal Cord ; 43(6): 389-91, 2005 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15655567

RESUMO

OBJECTIVE: To report a case of brachial diplegia with normal lower limb power, after a cervical cord injury. DESIGN: Case report of a 63-year-old man who sustained a neck trauma following a fall. SETTING: Department of Neurology, University Hospitals of Leicester, Royal Infirmary, Leicester, UK. CASE REPORT: The mechanism of the injury was probably one of hyperflexion resulting in central cervical cord contusion. Initial neurological examination revealed brachial diplegia, with posterior column sensory involvement of the lower limbs which had normal power. The patient was also in urinary retention but had no respiratory involvement. Magnetic resonance imaging (MRI) of the spinal cord showed a hyperintense signal in the central mid-cervical cord. CONCLUSION: Pure brachial diplegia represents a rare clinical presentation of cervical cord pathology, including trauma, of which clinicians should be aware.


Assuntos
Neuropatias do Plexo Braquial/diagnóstico , Neuropatias do Plexo Braquial/etiologia , Vértebras Cervicais/lesões , Imageamento por Ressonância Magnética , Traumatismos da Medula Espinal/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Traumatismos da Medula Espinal/complicações
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