neuroanatomy

神经解剖学
  • 文章类型: Journal Article
    这项研究旨在评估在埃尔比勒PAR私立医院的200名患者中使用改良的Kocher点进行脑室造口术的有效性和安全性,该方法使用内窥镜第三脑室造口术(ETV)和外部脑室引流(EVD)。伊拉克库尔德斯坦。
    在此回顾性分析中,共200例患者被诊断为梗阻性脑积水,并利用改良入路部位接受ETV和EVD治疗.修改后的Kocher点位于鼻后11.5厘米处,横向3厘米,和冠状缝合前0-1厘米。
    使用这种改良的Kocher\的观点在手术精度和安全性方面带来了很大的提高。这将使导管的出血和错位的发生率最小化。解剖结构井井有条,在穿过门罗孔进入第三脑室的过程中,没有什么挑战。很容易通过改良的Kocher点引入,其功效增加,并且对限制的大脑区域造成伤害的可能性几乎为零。
    使用修改后的Kocher点可以为心室造口术提供更高的可靠性和准确性,从而减少并发症和增加手术的整体结果。它克服了传统入境网站的所有缺点,进一步,有助于提高ETV和EVD的生产率。必须做更多的研究来支持这种修改在其他临床环境中的益处。
    UNASSIGNED: This study was designed to assess the effectiveness and safety of using a modified Kocher\'s point for ventriculostomy using endoscopic third ventriculostomy (ETV) and external ventricular drainage (EVD) in 200 patients at PAR Private Hospital in Erbil, Iraqi Kurdistan.
    UNASSIGNED: In this retrospective analysis, a total of 200 patients who were diagnosed with obstructive hydrocephalus and underwent ETV and EVD utilizing a modified entry site were included. The revised Kocher point was located 11.5 cm posterior and superior to the nasion, 3 cm laterally, and 0-1 cm before the coronal suture.
    UNASSIGNED: The use of this modified Kocher\'s point has brought much improvement in surgical precision and safety. This would minimize incidences of bleeding and misplacement of the catheters. The anatomical structure was well organized, and nothing was challenging in the process of traversing through the foramen of Monro into the third ventricle. It was easily introduced through the modified Kocher point with increasing efficacy and near zero possibility of sustaining injury to the limiting cerebral region.
    UNASSIGNED: Using the modified point of Kocher provides added reliability and accuracy to ventriculostomy, thereby reducing complications and increasing the overall outcome of surgeries. It overcomes all the drawbacks of classical entry sites and, further, helps in increasing the productivity of ETV and EVD. More research must be done to support the benefits of this modification in other clinical settings.
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  • 文章类型: Journal Article
    结构磁共振成像(MRI)是可视化3D神经解剖学和评估神经退行性疾病如亨廷顿病(HD)的病理和疾病进展的强大工具。复制许多精神病的HD小鼠模型的发展,在人类HD中观察到的运动和认知障碍提高了我们对该疾病的认识,并为测试新疗法提供了机会.类似于临床情况,HD小鼠模型的MRI显示脑病理学的发作和进展。这里,我们提供了迄今为止在HD小鼠模型中使用结构MRI的文章的概述,强调研究和模型之间的差异,并描述当前知识状态的差距和对未来研究的建议。
    Structural magnetic resonance imaging (MRI) is a powerful tool to visualize 3D neuroanatomy and assess pathology and disease progression in neurodegenerative disorders such as Huntington\'s disease (HD). The development of mouse models of HD that reproduce many of the psychiatric, motor and cognitive impairments observed in human HD has improved our understanding of the disease and provided opportunities for testing novel therapies. Similar to the clinical scenario, MRI of mouse models of HD demonstrates onset and progression of brain pathology. Here, we provided an overview of the articles that used structural MRI in mouse models of HD to date, highlighting the differences between studies and models and describing gaps in the current state of knowledge and recommendations for future studies.
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  • 文章类型: Journal Article
    中脑海绵状畸形(MCM)是罕见和危险的采取的重要结构和束位于这段脑干。MCM治疗仍然存在争议,手术切除基本上适用于复发性出血和进行性神经功能恶化的病例。手术破裂MCM的最佳时机是在亚急性阶段。一旦表明手术切除,术前计划需要个体化.有多种方法可以进入中脑病变,取决于延伸和主要位置:横向亚颞叶,后经小幕,半球间经颅,前颞极入路,或者一些替代方案。这个视频案例的目的是回顾周围的解剖结构,并展示半坐位的优势和小脑上脑下入路治疗中脑被盖病变的可行性。1-10在这个二维视频中,我们介绍了一个18岁的男子,有4年的复视和第三神经麻痹的历史,入院前10天恶化。他以半坐位的方式通过外侧小脑上幕下入路对MCM进行了显微手术全切除。最后,对手术部位和周围结构进行了显微镜和内窥镜检查.患者对手术耐受性良好,围手术期顺利。他的恢复很顺利,但保持了先前的动眼神经麻痹。我们讨论了手术方法的重要步骤,局部神经解剖学,以及切除这些具有挑战性的MCM的显微外科技术。目标是完全切除MCM,同时保留发育的静脉异常和周围的白色纤维束。
    Midbrain cavernous malformations (MCMs) are rare and dangerous taken the important structures and tracts located in this segment of the brainstem. MCM treatment is still controversial, and surgical resection is basically indicated in cases of recurrent hemorrhage and progressive neurologic deterioration. The optimal moment to operate ruptured MCM is in the subacute stage. Once indicated for surgical resection, preoperative planning needs to be individualized. There are various ways to access midbrain lesions, depending on the extension and predominant location: lateral subtemporal, posterior transtentorial, interhemispheric transcallosal, and anterior temporopolar approaches, or some of the alternatives. The aim of this Video 1 case is to review the surrounding anatomic structures and demonstrate the advantages of the semisitting position and the viability of the supracerebellar infratentorial approach for a tegmental midbrain lesion.1-10 In this 2-dimensional video, we present an 18-year-old man with a 4-year history of diplopia and third nerve palsy, which worsened 10 days before admission. He underwent microsurgical total resection of this MCM via extreme lateral supracerebellar infratentorial approach in a semisitting position. At the end, the surgical site and surrounding structures were reviewed microscopically and endoscopically. The patient tolerated the surgery well, and the perioperative course was uneventful. His recovery was smooth but he maintained the previous oculomotor nerve palsy. We discuss important steps of the surgical approach, local neuroanatomy, and the microsurgical techniques for the resection of these challenging MCM. The goal is total resection of the MCM with the preservation of the developmental venous anomaly and the surrounding white fiber tracts.
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  • 文章类型: Journal Article
    痴呆症教育是痴呆症患者及其非正式护理人员和家庭护理和管理的重要组成部分。为了充分了解痴呆症,对大脑的解剖学和生理学的一些了解可能是必要的,这将有助于非正式护理人员了解痴呆症的行为,以帮助他们应对护理。
    这项综合审查旨在确定,评价,评估痴呆症教育资源是否包括详细说明大脑解剖结构及其与痴呆症的关系的信息,以及这些信息是否可以提高知识水平(PROSPERO注册号:CRD42022320530)。在8个数据库中搜索了2012年至2022年5月4日发表的文献,其中6篇文章符合纳入标准。
    使用混合方法评估工具(2018年)的方法学质量因研究而异。教育干预措施有限,其中包含有关大脑解剖学和生理学的信息。所有干预措施都不只专注于提供神经学教育;然而,都包含至少一些解决这个问题的内容,根据纳入标准。在大多数情况下,教育干预措施受到好评和交付,这并没有什么不同,无论他们是亲自还是虚拟交付的。大多数研究报告了干预后痴呆症知识的增加(事后测量或感知)。
    对大脑解剖学和生理学的教育干预仍然有限,如果包括在内,往往不是焦点,因此,需要更严格的研究来调查教育干预对痴呆症知识的影响及其在痴呆症护理中的作用。
    UNASSIGNED: Dementia education is a vital component of dementia care and management for patients and their informal carers and family. To fully understand dementia, some knowledge of the anatomy and physiology of the brain may be necessary and would help informal carers understand behaviors of dementia to help cope with care provision.
    UNASSIGNED: This integrative review aims to identify, appraise, and assess whether dementia education resources include information detailing the anatomy of the brain and its relationship with dementia and whether this information improves knowledge (PROSPERO Registration Number: CRD42022320530). Literature published from 2012 until May 4, 2022 was searched in eight databases with six articles meeting the inclusion criteria.
    UNASSIGNED: Using the Mixed Methods Appraisal Tool (2018) methodological quality varied across studies. There are limited educational interventions which incorporate information on the anatomy and the physiology of the brain. None of the interventions focused solely on providing neurological education; however, all contained at least some content that addressed this, as per inclusion criteria. In most cases, the educational interventions were well-received and delivered, which did not differ, whether they were delivered in person or virtually. The majority of the studies reported an increase in dementia knowledge (measured pre-post or perceived) following the intervention.
    UNASSIGNED: Educational interventions on brain anatomy and physiology remain limited, and if included, are often not the focus, and as such more rigorous study is required to investigate the effect of educational interventions on dementia knowledge and their role in dementia care.
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  • 文章类型: Historical Article
    背景:Liliequist膜(LM)代表了神经解剖学中至关重要但具有挑战性的解剖结构。首先在1875年观察到,后来在1956年由BengtLiliequist阐明,LM的精确解剖描述和边界仍然很复杂。它的意义延伸到神经外科,影响各种手术,如内窥镜第三脑室囊管造口术,动脉瘤和肿瘤手术,鞍上蛛网膜囊肿的治疗,管理中脑周围出血。然而,对LM的全面理解受到现有文献中不一致的解剖学描述和限制的阻碍,有必要进行系统的审查。
    方法:通过搜索PubMed,科学直接,和谷歌学者提供与利利奎斯特膜有关的文章。搜索采用网格术语,如\“Liliequist膜,\"\"Liliequist\"的隔膜,“和相关的变化。纳入标准包括探索历史演变的研究,解剖结构,放射学特征,以及LM在神经外科中的临床意义。
    结果:搜索产生了358篇文章,根据相关性筛选了276篇独特的文章。经过细致的筛选,72篇文章进行了全文评估,结果纳入了符合资格标准的5篇文章。选定的研究方法各不相同,包括解剖,放射学评估,以及在神经外科手术中的临床意义。对LM的解剖学变异的见解,放射学可视化,及其在指导神经外科干预方面的关键作用。
    结论:尽管在理解其临床意义和放射学可视化方面取得了进展,在精确划定其边界方面仍然存在挑战。进一步研究,特别是胚胎学发育和组织学特征,是必不可少的。增强对LM相关病理的理解对于神经外科手术中准确的术前计划和优化患者预后至关重要。
    The Liliequist membrane (LM) represents a crucial yet challenging anatomical structure in neuroanatomy. First observed in 1875 and later elucidated by Bengt Liliequist in 1956, the LM\'s precise anatomical description and boundaries remain complex. Its significance extends to neurosurgery, impacting various procedures like endoscopic third ventriculocisternostomies, aneurysm and tumor surgeries, treatment of suprasellar arachnoid cysts, and managing perimesencephalic hemorrhages. However, a comprehensive understanding of the LM is hindered by inconsistent anatomical descriptions and limitations in available literature, warranting a systematic review.
    A systematic review was conducted by searching PubMed, Science Direct, and Google Scholar for articles pertaining to Liliequist\'s membrane. The search employed Mesh terms like \"Liliequist membrane,\" \"Liliequist\'s diaphragm,\" and related variations. Inclusion criteria encompassed studies exploring the historical evolution, anatomical structure, radiological characteristics, and clinical implications of the LM in neurosurgery.
    The search yielded 358 articles, with 276 unique articles screened based on relevance. Following a meticulous screening process, 72 articles underwent full-text assessment, resulting in the inclusion of 5 articles meeting the eligibility criteria. The selected studies varied in methodology, including anatomical dissections, radiological evaluations, and clinical significance in neurosurgical procedures. Insights were derived on LM\'s anatomical variations, radiological visualization, and its critical role in guiding neurosurgical interventions.
    Despite advancements in understanding its clinical significance and radiological visualization, challenges persist in precisely delineating its boundaries. Further research, especially on embryological development and histological characterization, is essential. Enhancing comprehension of LM-related pathologies is crucial for accurate preoperative planning and optimizing patient outcomes in neurosurgery.
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  • 文章类型: Journal Article
    在本研究中,我们进行了范围审查,以提供有关碳花青染料DiI的现有文献的概述,在人体神经解剖道追踪中。PubMed,Scopus,和WebofScience数据库进行了系统搜索。我们确定了过去三十年中发表的61项研究。虽然研究纳入了从胚胎阶段开始的人类生命样本,大多数研究集中在成人组织。利用周围神经系统(PNS)组织的研究很少,大多数研究集中在中枢神经系统(CNS)。在先前的肠道追踪研究中,最常见的兴趣主题是视觉通路的连通性。DiI晶体更常用。然而,一些研究使用糊状或溶解形式的DiI。达到的最大跟踪距离和跟踪速度为,分别,70mm和1mm/h。我们确定了专注于通过改变固定等参数来优化追踪功效的研究,孵育温度,染料再应用,或电场的应用。其他研究旨在通过评估档案组织的实用性和组织清除在DiI应用中的相容性来扩大DiI使用的范围。在双重标记研究中,DiI示踪和免疫组织化学的结合已显示出用于评估表型定义的人CNS和PNS神经元群体的连通性的手段。
    In the present study, we conducted a scoping review to provide an overview of the existing literature on the carbocyanine dye DiI, in human neuroanatomical tract tracing. The PubMed, Scopus, and Web of Science databases were systematically searched. We identified 61 studies published during the last three decades. While studies incorporated specimens across human life from the embryonic stage onwards, the majority of studies focused on adult human tissue. Studies that utilized peripheral nervous system (PNS) tissue were a minority, with the majority of studies focusing on the central nervous system (CNS). The most common topic of interest in previous tract tracing investigations was the connectivity of the visual pathway. DiI crystals were more commonly applied. Nevertheless, several studies utilized DiI in a paste or dissolved form. The maximum tracing distance and tracing speed achieved was, respectively, 70 mm and 1 mm/h. We identified studies that focused on optimizing tracing efficacy by varying parameters such as fixation, incubation temperature, dye re-application, or the application of electric fields. Additional studies aimed at broadening the scope of DiI use by assessing the utility of archival tissue and compatibility of tissue clearing in DiI applications. A combination of DiI tracing and immunohistochemistry in double-labeling studies have been shown to provide the means for assessing connectivity of phenotypically defined human CNS and PNS neuronal populations.
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  • 文章类型: Journal Article
    在解剖学术语上缺乏共识,文档标准,和物种之间额叶皮层的功能等效。人类前额叶功能与小鼠大脑中发现的解释之间仍然存在重大差距,这些发现似乎缺乏与认知和精神疾病有关的几个关键前额叶区域。雪貂是一种新兴的模型生物,已成为研究自上而下的认知控制和其他高阶大脑功能的中间模型物种。然而,这项研究尚未从合成中受益。这里,我们提供了所有已发表的关于雪貂额叶和/或前额叶皮层的研究的总结。每个实验在视觉上总结了雪貂大脑中的目标位置,并将出版时使用的解剖学术语与目前使用的适当术语进行比较。通过这样做,我们希望提高对以前和将来关于额叶皮层比较研究的出版物的解释的清晰度.
    There is a lack of consensus on anatomical nomenclature, standards of documentation, and functional equivalence of the frontal cortex between species. There remains a major gap between human prefrontal function and interpretation of findings in the mouse brain that appears to lack several key prefrontal areas involved in cognition and psychiatric illnesses. The ferret is an emerging model organism that has gained traction as an intermediate model species for the study of top-down cognitive control and other higher-order brain functions. However, this research has yet to benefit from synthesis. Here, we provide a summary of all published research pertaining to the frontal and/or prefrontal cortex of the ferret across research scales. The targeted location within the ferret brain is summarized visually for each experiment, and the anatomical terminology used at time of publishing is compared to what would be the appropriate term to use presently. By doing so, we hope to improve clarity in the interpretation of both previous and future publications on the comparative study of frontal cortex.
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  • 文章类型: Journal Article
    随着时间的推移,身体经历了一种自然的,多因素,持续的过程叫做衰老,诱导分子的变化,细胞,和许多身体系统的显微解剖水平。大脑,作为一个高度复杂的器官,尤其受到这个过程的影响,可能损害其众多功能。大脑依靠被称为神经递质的化学信使正常运作,多巴胺是最关键的.这种儿茶酚胺在中枢神经系统中起着广泛的关键作用,包括运动,学习,认知,动机,情感,奖励,荷尔蒙释放,记忆巩固,视觉表现,性欲,昼夜节律的调制,和大脑发育。在这次全面审查中,我们彻底研究了衰老对多巴胺能系统的影响,主要关注从A8到A17的多巴胺能核的经典划界。我们提供有关其解剖结构和功能的深入信息,特别是解决衰老如何影响这些细胞核。
    Over time, the body undergoes a natural, multifactorial, and ongoing process named senescence, which induces changes at the molecular, cellular, and micro-anatomical levels in many body systems. The brain, being a highly complex organ, is particularly affected by this process, potentially impairing its numerous functions. The brain relies on chemical messengers known as neurotransmitters to function properly, with dopamine being one of the most crucial. This catecholamine is responsible for a broad range of critical roles in the central nervous system, including movement, learning, cognition, motivation, emotion, reward, hormonal release, memory consolidation, visual performance, sexual drive, modulation of circadian rhythms, and brain development. In the present review, we thoroughly examine the impact of senescence on the dopaminergic system, with a primary focus on the classic delimitations of the dopaminergic nuclei from A8 to A17. We provide in-depth information about their anatomy and function, particularly addressing how senescence affects each of these nuclei.
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  • 文章类型: Journal Article
    发育性语言障碍(DLD)是一种常见的神经发育障碍,具有持续到成年的不利影响。然而,其神经基础仍不清楚。在这里,我们通过使用共定位似然估计系统地识别和定量合成DLD的神经解剖学研究来解决这一差距,最近开发的神经解剖学荟萃分析技术。结构大脑数据分析(22篇同行评审论文,577名参与者)仅在基底神经节中显示出高度一致的异常(100%的参与者组对此结构进行了检查,按组样本量加权;99.8%基于置换的异常聚类的可能性不是由于机会)。这些异常专门位于新纹状体前部(再次为100%加权比例和99.8%可能性)。正如预期的那样,考虑到激活的任务依赖性,功能神经影像学数据(11篇同行评审论文,414名参与者)产生了较少的一致性,尽管再次异常主要发生在基底神经节(79.0%和95.1%)。多重敏感性分析表明,这些模式是稳健的。荟萃分析阐明了DLD的神经解剖学特征,尤其涉及基底神经节.研究结果支持DLD的程序电路缺陷假设,对这种疾病有基础研究和转化意义,并提高我们对语言神经解剖学的理解。
    Developmental language disorder (DLD) is a common neurodevelopmental disorder with adverse impacts that continue into adulthood. However, its neural bases remain unclear. Here we address this gap by systematically identifying and quantitatively synthesizing neuroanatomical studies of DLD using co-localization likelihood estimation, a recently developed neuroanatomical meta-analytic technique. Analyses of structural brain data (22 peer-reviewed papers, 577 participants) revealed highly consistent anomalies only in the basal ganglia (100% of participant groups in which this structure was examined, weighted by group sample sizes; 99.8% permutation-based likelihood the anomaly clustering was not due to chance). These anomalies were localized specifically to the anterior neostriatum (again 100% weighted proportion and 99.8% likelihood). As expected given the task dependence of activation, functional neuroimaging data (11 peer-reviewed papers, 414 participants) yielded less consistency, though anomalies again occurred primarily in the basal ganglia (79.0% and 95.1%). Multiple sensitivity analyses indicated that the patterns were robust. The meta-analyses elucidate the neuroanatomical signature of DLD, and implicate the basal ganglia in particular. The findings support the procedural circuit deficit hypothesis of DLD, have basic research and translational implications for the disorder, and advance our understanding of the neuroanatomy of language.
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  • 文章类型: Journal Article
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