RESUMO
We present a 33-year-old patient with atypical clinical course of pancreatic mucinous cystadenoma. The tumor had connection with pancreatic ductal system and led to bleeding into cystic cavity. This contributed to incorrect preoperative diagnosis of post-necrotic cyst. The final diagnosis of mucinous cystadenoma was established after histological examination. Distal pancreatectomy excluded incorrect treatment.
Assuntos
Cistadenoma Mucinoso , Neoplasias Pancreáticas , Pseudocisto Pancreático , Humanos , Adulto , Cistadenoma Mucinoso/diagnóstico , Cistadenoma Mucinoso/cirurgia , Neoplasias Pancreáticas/diagnóstico , Neoplasias Pancreáticas/cirurgia , Neoplasias Pancreáticas/patologia , Pâncreas/cirurgia , Pancreatectomia , Pseudocisto Pancreático/cirurgia , Diagnóstico DiferencialRESUMO
Various types of brain activity, including motor, visual, and language, are accompanied by the propagation of periodic waves of electric potential in the cortex, possibly providing the synchronization of the epicenters involved in these activities. One example is cortical electrical activity propagating during sleep and described as traveling waves [Massimini et al., J. Neurosci. 24, 6862-6870 (2004)]. These waves modulate cortical excitability as they progress. Clinically related examples include cortical spreading depression in which a wave of depolarization propagates not only in migraine but also in stroke, hemorrhage, or traumatic brain injury [Whalen et al., Sci. Rep. 8, 1-9 (2018)]. Here, we consider the possible role of epicenters and explore a neural field model with two nonlinear integrodifferential equations for the distributions of activating and inhibiting signals. It is studied with symmetric connectivity functions characterizing signal exchange between two populations of neurons, excitatory and inhibitory. Bifurcation analysis is used to investigate the emergence of periodic traveling waves and of standing oscillations from the stationary, spatially homogeneous solutions, and the stability of these solutions. Both types of solutions can be started by local oscillations indicating a possible role of epicenters in the initiation of wave propagation.
Assuntos
NeurôniosRESUMO
In aggregation-fragmentation processes, a steady state is usually reached. This indicates the existence of an attractive fixed point in the underlying infinite system of coupled ordinary differential equations. The next simplest possibility is an asymptotically periodic motion. Never-ending oscillations have not been rigorously established so far, although oscillations have been recently numerically detected in a few systems. For a class of addition-shattering processes, we provide convincing numerical evidence for never-ending oscillations in a certain region U of the parameter space. The processes which we investigate admit a fixed point that becomes unstable when parameters belong to U and never-ending oscillations effectively emerge through a Hopf bifurcation.