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血管性眩晕和头晕诊断标准:Bárány协会前庭疾病分类委员会共识文件
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作者 凌霞(译) 吴月霞(译) +13 位作者 冯宇菲(译) 钟利群(译) 赵桂萍(译) 杨旭(审校) 王朝霞(审校) Ji-Soo Kim David E.Newman-Toker Kevin A.Kerber Klaus Jahn Pierre Bertholon John Waterston hyung lee Alexandre Bisdorff Michael Strupp 《神经损伤与功能重建》 2023年第12期683-690,共8页
本文介绍了Bárány协会前庭疾病分类委员会制定的血管性眩晕和头晕的诊断标准。分类中包括由卒中或短暂性脑缺血发作以及孤立性迷路梗死/出血和椎动脉压迫综合征引起的眩晕/头晕。眩晕和头晕是后循环卒中最常见的症状之一。血... 本文介绍了Bárány协会前庭疾病分类委员会制定的血管性眩晕和头晕的诊断标准。分类中包括由卒中或短暂性脑缺血发作以及孤立性迷路梗死/出血和椎动脉压迫综合征引起的眩晕/头晕。眩晕和头晕是后循环卒中最常见的症状之一。血管性眩晕/头晕可能是急性持续性(≥24 h)或短暂性(数分钟至<24 h)发作。对于出现急性前庭症状和其他中枢神经系统症状和体征,包括中枢性HINTS体征(头脉冲试验正常、方向改变的凝视诱发性眼震或明显的眼球反向偏斜)的患者,尤其是伴有血管危险因素的患者,应该考虑血管性眩晕/头晕的诊断。尽管孤立性迷路梗死尚无确诊方法,但在卒中风险增加的患者中应该考虑,如果急性单侧前庭功能丧失同时伴有或在随后的30 d内出现小脑前下动脉区域的缺血性卒中,则可以推测为孤立性迷路梗死。对于椎动脉压迫综合征的诊断,常需要典型的临床症状、体征及其血管受损的影像学或超声证据支持。 展开更多
关键词 眩晕 头晕 失衡 梗死 卒中 脑干 小脑
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Effect of L-Deprenyl on the Putrescine Level and Neuronal Damage after Transient Global Cerebral Ischemia in Gerbils
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作者 hyung lee Yeun-Kyung Chu +3 位作者 Joon-Ho Shon Kyung-Hee Chun Jee-In Kim Seong-Ryong lee 《International Journal of Organic Chemistry》 2017年第2期171-184,共14页
L-Deprenyl is selective and irreversible monoamine oxidase B inhibitor, known to have neuroprotective properties. Putrescine, one of polyamine, is thought to be important in the neuronal cell damage associated with va... L-Deprenyl is selective and irreversible monoamine oxidase B inhibitor, known to have neuroprotective properties. Putrescine, one of polyamine, is thought to be important in the neuronal cell damage associated with various type of excitatory neurotoxicity. We examined the effects of L-deprenyl on the changes in putrescine level and neuronal damage after transient global ischemia in ger-bils. Male Mongolian gerbils weighing 65 - 75 g were used in the experiment. Global ischemia was induced by occlusion of common carotid arteries for 3 min to observe neuronal injury in hippocampal pyramidal cells. L-Deprenyl group was given 10 mg/kg of L-deprenyl intraperitoneally immediately after, 3 h and 6 h after global ischemia. Treated animals were processed in parallel with ischemic animals receiving saline as a vehicle and with sham- operated controls. Hippocampal putrescine level was increased by global ischemia and inhibited by L-deprenyl treatment. In histological findings, counts of viable neurons were made in the pyramidal cell layer of the hippocampal CA1 area 3 days after ischemic insult. The number of viable neurons in the pyramidal cell layer of CA1 area was significantly increased in animals treated with L-deprenyl compared to vehicle-treated ischemic animals (p < 0.05). In terminal deoxynucleotidyl transferase (TdT)-mediated dUTP nick endlabeling (TUNEL) assay, semiquantitative analysis of dark-brown neuronal cells was made in the hippocampal CA1 area. There was also a significant difference in the degree of TUNEL staining in the hippocampal CA1 area between vehi-cle-treated and L-deprenyl-treated animals (p < 0.05). These data show L-deprenyl is effective as a prophylactic treatment for neuronal injury when it is administrated before ischemia but a further study need to know the effects of administration of L-deprenyl after ischemia and at given times after reper-fusion. 展开更多
关键词 L-Deprenyl POLYAMINE Global ISCHEMIA Hippocampus GERBIL NEUROPROTECTION
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