Articles: brain-pathology.
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Based on the authors' experience with reconstruction of the heart using three-dimensional echocardiography, the authors assessed the feasibility of three-dimensional reconstruction of brain images using transfontanelle ultrasound in selected cases of infants with abnormal intracranial findings. A conventional 5-MHz ultrasound transducer inside a transducer holder was rotated 180 degrees around its vertical axis using a computer-controlled stepper motor to acquire multiple sequential cross-sections of the brain. The raw digital data of this three-dimensionally recorded dataset were transferred to a PC-based workstation for further analysis. ⋯ In other 2-week-old newborns, the extension and volume of a periventricular hemorrhage was visualized by three-dimensional reconstruction of coronal cross-sectional images from the acquired three-dimensional dataset. The three-dimensional reconstruction of the lateral ventricles allowed the three-dimensional visualization and estimation of ventricular dilatation in milliliters in an 8-week-old infant with hydrocephalus. Three-dimensional reconstruction of brain images and volume estimation of brain lesions and cavities by ultrasound may provide new insights into the morphology and extension of ultrasonographically visible brain lesions.
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Cell. Mol. Biol. (Noisy-le-grand) · Jun 2000
Comparative StudyAlterations in the interaction between iron regulatory proteins and their iron responsive element in normal and Alzheimer's diseased brains.
Iron regulatory proteins (IRPs) are cytoplasmic mRNA binding proteins involved in intracellular regulation of iron homeostasis. IRPs regulate expression of ferritin and transferrin receptor at the mRNA level by interacting with a conserved RNA structure termed the iron-responsive element (IRE). This concordant regulation of transferrin receptors and ferritin is designed so a cell can obtain iron when it is needed, and sequester iron when it is in excess. ⋯ At the cellular level, the outcome of this alteration in the molecular regulatory mechanism would be increased iron accumulation without an increase in ferritin; identical to the observation we reported in AD brains. The appearance of the single IRE/IRP complex in Alzheimer's brain extracts is associated with relatively high endogenous ribonuclease activity. We propose that elevated RNase activity is one mechanism by which the iron regulatory system becomes dysfunctional.
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Review Case Reports
Diffusion and perfusion magnetic resonance imaging in childhood stroke.
Two magnetic resonance imaging techniques, diffusion and perfusion imaging, are being used increasingly for evaluation of pathophysiology of stroke. This article introduces these techniques and reports some initial studies using these approaches, together with conventional T2-weighted magnetic resonance imaging, for investigation of childhood stroke. It is shown that the combination of T2-weighted and diffusion images can provide information about the timing of stroke events in childhood, and perfusion imaging can detect abnormalities not visible by other magnetic resonance imaging techniques. These magnetic resonance methods therefore should play an important role in investigation of children with stroke and could be of particular value in studies of at-risk populations of children such as those with sickle cell disease.
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J. Neurol. Neurosurg. Psychiatr. · May 2000
How well does the Oxfordshire community stroke project classification predict the site and size of the infarct on brain imaging?
The Oxfordshire Community Stroke Project (OCSP) classification is a simple clinical scheme for subdividing first ever acute stroke. Several small studies have shown that when an infarct is visible on CT or MRI, the classification predicts its site in about three quarters of patients. The aim was to further investigate this relation in a much larger cohort of patients in hospital with ischaemic stroke. ⋯ The OCSP classification predicted the site of infarct in three quarters of patients. When an infarct is visible on brain imaging, the site of the infarct should guide the use of further investigations, but if an infarct is not seen, the OCSP classification could be used to predict its likely size and site.
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Combined SPECT and diffusion-weighted MRI as a predictor of infarct growth in acute ischemic stroke.
In acute ischemic stroke, the infarcted core is surrounded by a zone of tissue that has decreased perfusion. Some of this tissue may be salvaged by prompt, effective treatment. Diffusion-weighted MRI is sensitive in detecting the infarcted tissue, whereas SPECT also detects the hypoperfused tissue around the infarcted core. We studied the potential of combined diffusion-weighted MRI and SPECT to predict infarct growth and clinical outcome in patients not receiving thrombolytic treatment. ⋯ A large hypoperfusion zone around the infarct core in the acute phase of ischemic stroke predicts the infarct growth during the first week, and this correlates significantly with the change in the neurologic status of the patient. Combined diffusion-weighted MRI and SPECT performed within 24 h after the onset of symptoms can be useful in the evaluation of acute stroke to predict infarct growth.