Objective:To study the clinical effect of neural stem cell transplantation in the treatment of inherited cerebellar atrophy (CA). Methods:The cells from human fetal cerebellum (8-10 weeks of gestation) were grown and ...Objective:To study the clinical effect of neural stem cell transplantation in the treatment of inherited cerebellar atrophy (CA). Methods:The cells from human fetal cerebellum (8-10 weeks of gestation) were grown and expanded in vitro. The cultured neurospheres were then implanted into the dentate nuclei of patients by stereo tactic operation. Totally,12 patients (7 males and 5 females with age ranging 22-62 years,mean 43 years) were treated by this operation from August 2006 to August 2008. Results:The cells of fetal cerebellum were expanded by 107 folds in undifferentiated state in the culture. After the operation,no rejection was detected. Follow up,the effective rates were 58.3% after 3 months,75.0% after 6 months,and 66.7% for 12-24 months (mean 18 months). Conclusion:the transplantation of in vitro cultured neural stem cell is a feasible and effective treatment for inherited CA,but the long term effectiveness need to be taken in consideration.展开更多
橄榄桥脑小脑萎缩(OPCA)是一种原因未明的神经系统变性疾病。本病的病理解剖资料较少,CT对本病的形态学诊断有较大帮助,但受其性能限制仍不能令人满意。MRI以其卓越性能,为本病形态学改变提供最佳医学影像,显示出超乎寻常的优越性。作...橄榄桥脑小脑萎缩(OPCA)是一种原因未明的神经系统变性疾病。本病的病理解剖资料较少,CT对本病的形态学诊断有较大帮助,但受其性能限制仍不能令人满意。MRI以其卓越性能,为本病形态学改变提供最佳医学影像,显示出超乎寻常的优越性。作者结合1989~1992年对3例OPCA患者的MRI正中矢状断面之脑干、小脑和上颈髓各部位的测量,讨论本病的MRI诊断。资料与方法一、选MRI正中矢状断面图像,分别进行下述各条径线的线性测量。 A 中脑大脑脚前缘与导水管中间距 B 桥脑中点前缘与第四脑室底间距 c 桥脑延髓移行部之延髓最短前后径 D 延髓脊髓移行部之延髓前后径 E 第四脑室顶点与小脑后缘间前后径 F展开更多
文摘Objective:To study the clinical effect of neural stem cell transplantation in the treatment of inherited cerebellar atrophy (CA). Methods:The cells from human fetal cerebellum (8-10 weeks of gestation) were grown and expanded in vitro. The cultured neurospheres were then implanted into the dentate nuclei of patients by stereo tactic operation. Totally,12 patients (7 males and 5 females with age ranging 22-62 years,mean 43 years) were treated by this operation from August 2006 to August 2008. Results:The cells of fetal cerebellum were expanded by 107 folds in undifferentiated state in the culture. After the operation,no rejection was detected. Follow up,the effective rates were 58.3% after 3 months,75.0% after 6 months,and 66.7% for 12-24 months (mean 18 months). Conclusion:the transplantation of in vitro cultured neural stem cell is a feasible and effective treatment for inherited CA,but the long term effectiveness need to be taken in consideration.
文摘橄榄桥脑小脑萎缩(OPCA)是一种原因未明的神经系统变性疾病。本病的病理解剖资料较少,CT对本病的形态学诊断有较大帮助,但受其性能限制仍不能令人满意。MRI以其卓越性能,为本病形态学改变提供最佳医学影像,显示出超乎寻常的优越性。作者结合1989~1992年对3例OPCA患者的MRI正中矢状断面之脑干、小脑和上颈髓各部位的测量,讨论本病的MRI诊断。资料与方法一、选MRI正中矢状断面图像,分别进行下述各条径线的线性测量。 A 中脑大脑脚前缘与导水管中间距 B 桥脑中点前缘与第四脑室底间距 c 桥脑延髓移行部之延髓最短前后径 D 延髓脊髓移行部之延髓前后径 E 第四脑室顶点与小脑后缘间前后径 F