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Typical imaging manifestation of neuronal intranuclear inclusion disease in a man with unsteady gait:A case report
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作者 Xue Gao Zhi-Ding Shao Lei Zhu 《World Journal of Clinical Cases》 SCIE 2022年第33期12388-12394,共7页
BACKGROUND Neuronal intranuclear inclusion disease(NIID)is a rare neurological degenerative disorder with diverse manifestations and inadequate awareness.Only a few cases of NIID have been reported,and typical imaging... BACKGROUND Neuronal intranuclear inclusion disease(NIID)is a rare neurological degenerative disorder with diverse manifestations and inadequate awareness.Only a few cases of NIID have been reported,and typical imaging findings can provide certain clues for the diagnosis of the disease.Furthermore,skin biopsy and genetic testing are important to confirm the diagnosis.CASE SUMMARY An 84-year-old man presented to the Neurology Department of our hospital complaining of a progressive course of cognitive impairment and unsteady gait for 2 years.The symptoms gradually progressed and affected his daily life.The patient was initially diagnosed with Parkinson’s disease and vascular dementia.The patient did not respond to conventional treatment,such as dopasehydrazine.Therefore,magnetic resonance imaging(MRI)was performed.Based on the imaging findings,we suspected an NIID diagnosis.During the 3-year follow-up in our hospital,his clinical symptoms gradually progressed,and imaging findings became more significant.A high signal intensity along the corticomedullary junction persisted on MRI.Gene testing and skin biopsy were recommended in our hospital;however,the patient refused these procedures.NIID was also considered when he went to a superior hospital in Shanghai.The patient eventually agreed to undergo gene testing.This revealed abnormal GGC repeat expansions in the NOTCH2NLC gene.CONCLUSION The clinical manifestations of NIID are diverse.Patients with clinical manifestations similar to Parkinson’s disease and dementia may have NIID. 展开更多
关键词 GAIT Neuronal intranuclear inclusion disease Magnetic resonance imaging BIOPSY Genetics Case report
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Neuronal intranuclear inclusion disease mimicking acute cerebellitis:A case report
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作者 Jiao-Jiao Guo Zi-Yi Wang +2 位作者 Meng Wang Zong-Zhi Jiang Xue-Fan Yu 《World Journal of Clinical Cases》 SCIE 2020年第23期6122-6129,共8页
BACKGROUND Neuronal intranuclear inclusion disease(NIID)is an unusual autosomal dominant,chronic progressive neurodegenerative disease.The clinical manifestations of NIID are complex and varied,complicating its clinic... BACKGROUND Neuronal intranuclear inclusion disease(NIID)is an unusual autosomal dominant,chronic progressive neurodegenerative disease.The clinical manifestations of NIID are complex and varied,complicating its clinical diagnosis.To the best of our knowledge,this report is the first to document sporadic adult-onset NIID mimicking acute cerebellitis(AC)that was finally diagnosed by imaging studies,skin biopsy,and genetic testing.CASE SUMMARY A 63-year-old man presented with fever,gait unsteadiness,dysarthria,and an episode of convulsion.His serum levels of white blood cells and C-reactive protein were significantly elevated.T2-weighted brain magnetic resonance imaging and fluid attenuation inversion recovery sequences showed bilateral high-intensity signals in the medial part of the cerebellar hemisphere beside the vermis.While we initially considered a diagnosis of AC,the patient’s symptoms improved significantly without special treatment,prompting our consideration of NIID.Diffusion-weighted imaging showed hyperintensity in the corticomedullary junction.Skin biopsy revealed eosinophilic inclusions positive for anti-p62 in epithelial sweat-gland cells.GGC repeat expansions in the Notch 2 N-terminal like C gene confirmed the diagnosis of NIID.CONCLUSION For patients with clinical manifestations mimicking AC,the possibility of underlying NIID should be considered along with prompt rigorous examinations. 展开更多
关键词 Neuronal intranuclear inclusion disease Acute cerebellitis Skin biopsy Genetic testing Magnetic resonance imaging Case report
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人细小病毒B19感染4例报道并文献复习
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作者 郜伟峰 单志娟 +5 位作者 周一平 裴新蕊 侯艳军 杨玉 张越 周合冰 《标记免疫分析与临床》 CAS 2024年第4期781-784,共4页
人类细小病毒B19感染可诱发免疫功能低下的患者发生传染性红斑、关节痛、贫血和其他血细胞减少。本文报告4例由骨髓细胞涂片检查发现,并通过PCR方法确诊的人类细小病毒B19感染病例。
关键词 细小病毒B19 贫血 骨髓细胞形态 核内包涵体
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临床诊断神经元核内包涵体病8例的特点及文献复习
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作者 李海涛 孙金梅 +9 位作者 乔杉杉 杨毅 郭芳 易立 许春玲 杨伊姝 张伟 田园如画 王雷明 杨柳 《神经损伤与功能重建》 2024年第4期196-200,共5页
目的:研究神经元核内包涵体病(neuronal intranuclear inclusion disease,NIID)患者的临床、影像、神经病理,并总结此类疾病的临床特点。方法:报道1例我院收治的家族性NIID病例的诊疗过程;并检索我院数据库,收集另外7例NIID临床病例,对... 目的:研究神经元核内包涵体病(neuronal intranuclear inclusion disease,NIID)患者的临床、影像、神经病理,并总结此类疾病的临床特点。方法:报道1例我院收治的家族性NIID病例的诊疗过程;并检索我院数据库,收集另外7例NIID临床病例,对所有病例从临床表现、影像学表现、神经病理、基因检测等进行总结。结果:本例以“亚急性脑炎”作为起病形式,头部磁共振显示左侧颞、顶、枕叶脑组织肿胀,临床诊断不明;完善脑脊液、免疫相关等检查,行脑组织活检病理分析,同时追踪患者的家族史、全外显子组测序和动态基因突变检测。脑活检提示核内包涵体积聚,并且检测到Notch2NLC基因有异常GGC动态重复突变,结合对家系的跟踪随访及基因检测,最终诊断为家族性NIID。结论:NIID临床表现异质性大,要注意神经病理及动态突变基因检测相结合,有助于明确诊断。 展开更多
关键词 神经元核内包涵体病 神经病理 亚急性脑炎 Notch2NLC基因
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Autographa Californica Multiple Nucleopolyhedrovirus P48(Ac103) Is Required for the Efficient Formation of Virus-Induced Intranuclear Microvesicles 被引量:1
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作者 Yan Wang Qingyun Cai +4 位作者 Jiannan Chen Zhihong Huang Wenbi Wu Meijin Yuan Kai Yang 《Virologica Sinica》 SCIE CAS CSCD 2019年第6期712-721,共10页
Our previous study has shown that the Autographa californica multiple nudeopolyhedrovirus(AcMNPV)p48(acl03)gene is essential for the nuclear egress of nucleocapsids and the formation of occlusion-derived virions(ODVs)... Our previous study has shown that the Autographa californica multiple nudeopolyhedrovirus(AcMNPV)p48(acl03)gene is essential for the nuclear egress of nucleocapsids and the formation of occlusion-derived virions(ODVs).However,the exact role of p48 in the morphogenesis of ODVs remains unknown.In this study,we demonstrated that p48 was required for the efficient formation of intranuclear microvesicles.To further understand its functional role in intranuclear microvesicle formation,we characterized the distribution of the P48 protein,which was found to be associated with the nucleocapsid and envelope fractions of both budded virions and ODVs.In AcMNPV-infected cells,P48 was predominantly localized to nucleocapsids in the virogenic stroma and the nucleocapsids enveloped in ODVs,with a limited but discernible distribution in the plasma membrane,nuclear envelope,intranuclear microvesicles,and ODV envelope.Furthermore,coimmunoprecipitation assays showed that among the viral proteins required for intranuclear microvesicle formation,F48 associated with Ac93 in the absence of viral infection. 展开更多
关键词 BACULOVIRUS intranuclear microvesicle formation Protein association Ac93
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Intranuclear cardiac troponin I plays a functional role in regulating Atp2a2 expression in cardiomyocytes 被引量:1
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作者 Qian Lu Bo Pan +8 位作者 Haobo Bai Weian Zhao Lingjuan Liu Gu Li Ruimin Liu Tiewei Lv Xupei Huang Xi Li Jie Tian 《Genes & Diseases》 SCIE 2022年第6期1689-1700,共12页
In the past studies,it is shown that cardiac troponin I(cTnI,encoded by TNNI3),as a cytoplasmic protein,is an inhibitory subunit in troponin complex,and involves in cardiomyocyte diastolic regulation.Here,we assessed ... In the past studies,it is shown that cardiac troponin I(cTnI,encoded by TNNI3),as a cytoplasmic protein,is an inhibitory subunit in troponin complex,and involves in cardiomyocyte diastolic regulation.Here,we assessed a novel role of cTnI as a nucleoprotein.Firstly,the nuclear translocation of cTnI was found in mouse,human fetuses and rat heart tissues.In addition,there were differences in percentage of intranuclear cTnI in different conditions.Based on weighted gene co-expression network analyses(WGCNA)and verification in cell experiments,a strong expression correlation was found between TNNI3 and Atp2a2,which encodes sarco-endoplasmic reticulum Ca2t ATPase isoform 2a(SERCA2a),and involves in ATP hydrolysis and Ca2t transient.TNNI3 gain and loss caused Atpa2a2 increase/decrease in a dosedependent manner both in mRNA and protein levels,in vivo and in vitro.By using ChIP-sequence we demonstrated specific binding DNA sequences of cTnI were enriched in ATP2a2 promoter239we889 region and the specific binding sequence motif of cTnI was analyzed by software as"CCAT",which has been reported to be required for YY1 binding to the promoter region of YY1-related genes.Moreover,it was further verified that pcDNA3.1()-TNNI3 could express cTnI proteins and increase the promoter activity of Atp2a2 through luciferase report assay.In the end,we evaluated beat frequencies,total ATP contents,Ca2t transients in TNNI3-siRNA myocardial cells.These findings indicated,for the first time,cTnI may regulate Atp2a2 in cardiomyocytes as a co-regulatory factor and participate in the regulation of intracellular Ca ions. 展开更多
关键词 Atp2a2 Ca ions intranuclear cardiac troponin I Nuclear translocation YY1
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Intranuclear inclusions in a fragile X mosaic male
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作者 Dalyir I Pretto Michael R Hunsaker +6 位作者 Christopher L Cunningham Claudia M Greco Randi J Hagerman Stephen C Noctor Deborah A Hall Paul J Hagerman Flora Tassone 《Translational Neurodegeneration》 SCIE CAS 2013年第1期59-67,共9页
Lack of the fragile X mental retardation protein leads to Fragile X syndrome(FXS)while increased levels of FMR1 mRNA,as those observed in premutation carriers can lead to Fragile X-associated tremor ataxia syndrome(FX... Lack of the fragile X mental retardation protein leads to Fragile X syndrome(FXS)while increased levels of FMR1 mRNA,as those observed in premutation carriers can lead to Fragile X-associated tremor ataxia syndrome(FXTAS).Until recently,FXTAS had been observed only in carriers of an FMR1 premutation(55–200 CGG repeats);however the disorder has now been described in individuals carriers of an intermediate allele(45–54 CGG repeats)as well as in a subject with a full mutation with mosaicism.Here,we report on molecular and clinical data of a male FMR1 mosaic individual with full and premutation alleles.Molecular analysis of FMR1 and FMRP expression in this subject is consistent with a FXS phenotype.We observed reduced expression of FMRP in both peripheral blood and brain leading to the FXS diagnosis.In addition,a dramatic 90%depletion of both FMR1 mRNA and FMRP levels was observed in the blood,as normally observed in FXS cases,and an even greater depletion in the brain.A clinical report of this patient,at age 71,described neurodegenerative signs of parkinsonism that were likely,in retrospect,part of a FXTAS scenario as post-mortem examination shows the presence of intranuclear inclusions,the hallmark pathology of FXTAS.The findings presented in this study indicate co-morbidity for both FXS and FXTAS in this individual carrying both full and premutation FMR1 alleles.In addition,based on symptoms and pathological and molecular evidence,this report suggests the need to redefine the diagnostic criteria of FXTAS. 展开更多
关键词 intranuclear inclusions FXS FXTAS PREMUTATION
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Fluorescent Visualization of Nucleolar G-Quadruplex RNA and Dynamics of Cytoplasm and Intranuclear Viscosity
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作者 Le Yu Peter Verwilst +3 位作者 Inseob Shim Yu-Qiang Zhao Ying Zhou Jong Seung Kim 《CCS Chemistry》 CAS 2021年第11期2725-2739,共15页
The nucleolus,the locus of ribosome biogenesis,was found to be the predominant intracellular target of a new fluorescent probe,V-P1.In solution,the probe demonstrated both a selectivity to RNA G-quadruplexes and a sen... The nucleolus,the locus of ribosome biogenesis,was found to be the predominant intracellular target of a new fluorescent probe,V-P1.In solution,the probe demonstrated both a selectivity to RNA G-quadruplexes and a sensitivity to the viscosity,while G-quadruplex binding did not disturb the viscosity sensing.In cells,confocal and fluorescence lifetime imaging,combined with digestion and competition experiments,lent support to the hypothesis of an RNA-based G-quadruplex as the intracellular target,postulated to be nucleolar ribosomal RNA(rRNA).The probe demonstrated a high sensitivity to viscosity in both the cytoplasm and the nuclear compartment and was used to precisely interrogate the viscosity changes resulting from diverse stimuli,such as temperature,monensin treatment,and etoposide-induced apoptosis.Owing to the putative rRNA G-quadruplex binding in vitro and in vivo,and further combined with a relatively low degree of toxicity,the dye enabled the interrogation of cytoplasm and intranuclear viscosity changes under diverse conditions and found applications in studying the influence and significance of cytoplasm and intranuclear viscosity as well as in gaining insight into the native secondary structure of rRNA in nucleoli. 展开更多
关键词 fluorescence imaging G-quadruplex RNA intranuclear viscosity NUCLEOLI
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β-catenin in intranuclear inclusions of hepatocellular carcinoma
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作者 Suzan Schwertheim Holger Jastrow +5 位作者 Julia Kälsch Thomas Herold Sarah Theurer Saskia Ting Kurt Werner Schmid Hideo Andreas Baba 《Hepatoma Research》 2020年第7期40-53,共14页
Aim:β-catenin activation is known to promote liver regeneration and play a role in the pathogenesis of liver cancer.Recently,we detected intranuclear inclusions(NI)in hepatocellular carcinoma(HCC)containing degenerat... Aim:β-catenin activation is known to promote liver regeneration and play a role in the pathogenesis of liver cancer.Recently,we detected intranuclear inclusions(NI)in hepatocellular carcinoma(HCC)containing degenerated cell organelles and lysosomal proteins and delimited by a completely closed nuclear membrane.The presence of NI was positively associated with patient survival.The aim of the current study was to investigate a possible association between proteins of the Wnt/β-catenin pathway with NI morphology and survival.Methods:We examined NI in 72 paraffin-embedded specimens of HCC.Immunohistochemistry(IHC)and immunofluorescence(IF)were performed to investigate the content and shape of NI.β-catenin gene(CTNNB1)mutations were analyzed by next generation sequencing.Results:We detected the accumulation ofβ-catenin and glutamine synthetase(a target gene ofβ-catenin)proteins within NI.Further,we found immunopositivity for the lysine demethylase KDM2A in NI.KDM2A is known to be involved inβ-catenin degradation.We detected significant associations between the presence ofβ-catenin and autophagy-associated proteins in NI.Double-IF revealed co-localization ofβ-catenin and p62 in the same NI.Kaplan-Meier survival analysis showed that the presence of NI containing KDM2A protein accumulations displayed a significant benefit in overall survival.Conclusion:We detected accumulations ofβ-catenin and proteins associated with the Wnt/β-catenin pathway partly together with autophagy-associated proteins in the same inclusion.Our finding that KDM2A immunopositivity within NIs was associated with favorable clinical outcomes and suggests a biological significance of NI. 展开更多
关键词 Wnt/β-catenin pathway KDM2A intranuclear inclusions hepatocellular carcinoma
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神经元核内包涵体病的多模态MRI影像特征 被引量:1
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作者 田蕾 肖朝勇 柴学 《临床神经病学杂志》 CAS 2023年第4期279-282,共4页
目的探讨神经元核内包涵体病(NIID)的多模态MRI影像学特征。方法回顾性分析14例经病理证实的NIID患者的临床及影像学资料。结果本组14例中12例伴有不同部位的脑萎缩。13例头颅MRI T2WI检查示对称性脑白质高信号,3例左侧颞、顶、枕叶皮... 目的探讨神经元核内包涵体病(NIID)的多模态MRI影像学特征。方法回顾性分析14例经病理证实的NIID患者的临床及影像学资料。结果本组14例中12例伴有不同部位的脑萎缩。13例头颅MRI T2WI检查示对称性脑白质高信号,3例左侧颞、顶、枕叶皮质病变。12例DWI序列可见皮髓质交界处“飘带样”、“火焰样”高信号。8例增强后未见明显强化,1例急性发作期出现皮质及脑膜明显强化。2例行动脉自旋标记(ASL)成像检查示病变呈高灌注,1例呈稍低灌注。2例进行磁共振波谱(MRS)检查示神经元损伤。2例行磁敏感加权成像(SWI)未见明显含铁血黄素沉积。1例DTI示全脑广泛白质纤维减少。结论NIID影像学表现具有皮髓质交界处“飘带样”异常信号等特征,多模态MRI检查如ASL、MRS、SWI、DTI更加有助于NIID的诊断及病情严重程度的判断。 展开更多
关键词 神经元核内包涵体病 MRI 多模态影像分析
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成人散发型神经元核内包涵体病的MRI表现
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作者 陆丽芳 邓莹 +4 位作者 陈新悦 应洪新 肖新兰 龚良庚 唐小平 《中国临床医学影像杂志》 CAS CSCD 2023年第7期462-466,共5页
目的:探讨成人散发型神经元核内包涵体疾病(NIID)的临床及MRI影像特征。方法:回顾性分析15例成人型NIID患者的临床及MRI资料。15例均行常规MRI检查。2例加做MRS检查。3例加做ASL和DTI检查。结果:15例临床表现包括认知功能障碍、锥体外... 目的:探讨成人散发型神经元核内包涵体疾病(NIID)的临床及MRI影像特征。方法:回顾性分析15例成人型NIID患者的临床及MRI资料。15例均行常规MRI检查。2例加做MRS检查。3例加做ASL和DTI检查。结果:15例临床表现包括认知功能障碍、锥体外系症状和小脑共济失调等。15例均显示皮层下脑白质T_(2)WI/T_(2)FLAIR高信号及皮髓质交界区曲线样DWI高信号。8例DWI显示胼胝体高信号。5例T_(2)WI/T_(2)FLAIR显示双侧小脑中脚对称性斑片状高信号,5例T_(2)WI/T_(2)FLAIR显示双侧小脑半球中部蚓部旁(蚓旁区)对称性斑片状高信号。2例MRS检查示双侧大脑半球NAA峰值降低。3例ASL检查示皮质髓交界处轻度低灌注。3例DTI检查示各向异性分数(FA值)降低和白质纤维束受损,以额叶为著。结论:NIID临床表现多种多样,容易误诊或漏诊。皮髓质交界区曲线样DWI高信号是NIID的特征性影像学表现。皮层下脑白质T_(2)WI/T_(2)FLAIR高信号、胼胝体DWI高信号和小脑中脚及蚓旁区对称性T_(2)WI/T_(2)FLAIR高信号是成人型NIID的重要诊断线索。此外,功能MRI成像可以反映NIID的神经元丢失、白质微结构损伤和脑血流灌注的改变。 展开更多
关键词 核内包涵体 神经元 磁共振成像
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神经元核内包涵体病四例
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作者 刘月 刘琦 刘亚玲 《脑与神经疾病杂志》 CAS 2023年第5期265-268,共4页
目的 总结神经元核内包涵体病(NIID)患者的临床表现、影像学特点。方法 对4例NIID患者的临床资料及基因结果进行收集并分析。结果 4例患者均为女性,NOTCH2NLC基因检查GGC重复数>66次。4例患者最初均表现为发作性症状,3例为发作性脑病... 目的 总结神经元核内包涵体病(NIID)患者的临床表现、影像学特点。方法 对4例NIID患者的临床资料及基因结果进行收集并分析。结果 4例患者均为女性,NOTCH2NLC基因检查GGC重复数>66次。4例患者最初均表现为发作性症状,3例为发作性脑病、1例为发作性头痛。4例患者头颅DWI早期未见异常,头颅MRI平扫可见不同程度的脑白质病变,可累及双侧小脑中脚和蚓旁区。结论NIID患者以发作性症状为主要表现者多见,其中偏头痛为NIID罕见的临床表型。对于不明原因的脑白质病变患者,即使DWI没有皮髓交界处高信号改变,也需考虑NIID的可能。 展开更多
关键词 神经元核内包涵体病 NOTCH2NLC基因 白质病变
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散发成年型神经元核内包涵体病的临床及病理特点分析
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作者 丛璐 程敏 +3 位作者 范洋溢 洪道俊 徐燕 刘尊敬 《国际神经病学神经外科学杂志》 2023年第1期50-54,共5页
目的分析散发成年型神经元核内包涵体病(NIID)患者的临床表型、影像特点及皮肤病理改变。方法回顾性分析2018年3月至2021年3月就诊于北京大学人民医院的7例经NOTCH2NLC基因检测确诊的成年型NIID患者的临床、影像学及皮肤病理特点。结果... 目的分析散发成年型神经元核内包涵体病(NIID)患者的临床表型、影像特点及皮肤病理改变。方法回顾性分析2018年3月至2021年3月就诊于北京大学人民医院的7例经NOTCH2NLC基因检测确诊的成年型NIID患者的临床、影像学及皮肤病理特点。结果该组患者起病年龄33~73岁,平均(54.43±15.47)岁。主要临床表现除认知功能障碍、发作性脑病等核心症状外,前期发生恶心、呕吐及腹痛、腹泻等消化道症状比较突出。7例患者中,有5例患者颅脑磁共振成像显示弥散加权成像皮髓质交界区呈异常高信号。7例患者均被发现NOTCH2NLC基因非编码区中存在GGC异常重复扩增,重复扩增次数为93~177次。皮肤活检可见汗腺导管的上皮细胞和成纤维细胞中有酸性核内包涵体。免疫组织化学染色显示为p62阳性;电镜下呈不具膜结构的细丝状物质。结论散发成年型NIID具有高度临床异质性,皮肤病理检查和基因检测是明确诊断的必要手段。 展开更多
关键词 神经元核内包涵体病 NOTCH2NLC基因 消化道症状
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误诊为CIDP的神经元核内包涵体病1例报告
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作者 赖有连 黄志珍 +1 位作者 罗聪丽 林攀 《中风与神经疾病杂志》 CAS 2023年第11期1045-1047,共3页
患者,中年男性,因反复双下肢无力误诊为慢性炎性脱髓鞘性多发性神经根神经病,后因双下肢无力、反复头痛、恶心呕吐再次就诊,头部磁共振可见双侧大脑皮髓质交界区呈弥散受限高信号,免疫组织化学染色见部分汗腺细胞、脂肪细胞和纤维细胞... 患者,中年男性,因反复双下肢无力误诊为慢性炎性脱髓鞘性多发性神经根神经病,后因双下肢无力、反复头痛、恶心呕吐再次就诊,头部磁共振可见双侧大脑皮髓质交界区呈弥散受限高信号,免疫组织化学染色见部分汗腺细胞、脂肪细胞和纤维细胞的细胞核内P62、泛素抗体强阳性染色的包涵体,基因检测NOTCH2NLC基因中GGC异常扩增次数142次。诊断神经元核内包涵体病明确。该病例提示我们发现周围神经病变时,应注意中枢神经系统是否累及。 展开更多
关键词 神经元核内包涵体病 慢性炎性脱髓鞘性多发性神经根神经病 皮质下绸带征 神经变性疾病
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家族性神经元核内包涵体病的部分家系分析和文献复习
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作者 刘文宇 杜晓伟 +1 位作者 曹春艳 杜敢琴 《中风与神经疾病杂志》 CAS 2023年第2期151-153,共3页
神经元核内包涵体病(neuronal intranuclear inclusion disease,NIID)是一种进行性致命的神经退行性疾病,其嗜酸性核内包涵体广泛分布于中枢、外周神经系统及内脏器官[1]。它被认为是一种异质性疾病,发病年龄从婴儿期到成年期不等,临床... 神经元核内包涵体病(neuronal intranuclear inclusion disease,NIID)是一种进行性致命的神经退行性疾病,其嗜酸性核内包涵体广泛分布于中枢、外周神经系统及内脏器官[1]。它被认为是一种异质性疾病,发病年龄从婴儿期到成年期不等,临床表现高度可变,主要症状包括认知障碍、肌无力、行为异常、共济失调和自主神经功能障碍[2]。NIID显著临床异质性长期导致患者死前诊断困难,但特征性的头部磁共振影像学表现和皮肤活检逐渐克服了这一困难,NIID的NOTCH2NLC致病基因中GGC异常重复扩增,已成为在散发性和家族性病例中明确诊断NIID的主要依据[3]。 展开更多
关键词 神经元核内包涵体病 NOTCH2NLC基因 皮肤活检 肌无力
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伴发发作性昏睡的神经元核内包涵体病1例并文献复习
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作者 张红梅 仇露 +4 位作者 冀红 杨琼 张玲斌 吴云成 王爱菊 《中风与神经疾病杂志》 CAS 2023年第3期247-249,共3页
神经元核内包涵体病(neuronal intranuclear inclusion disease,NIID)是一种以嗜酸性透明包涵体为特征的神经退行性病变[1],核内包涵体存在于中枢、外周和自主神经系统细胞中,也存在于内脏器官细胞中,包括心肌细胞、骨骼肌细胞、平滑肌... 神经元核内包涵体病(neuronal intranuclear inclusion disease,NIID)是一种以嗜酸性透明包涵体为特征的神经退行性病变[1],核内包涵体存在于中枢、外周和自主神经系统细胞中,也存在于内脏器官细胞中,包括心肌细胞、骨骼肌细胞、平滑肌细胞、肝细胞、肾小管、肾上腺髓质和脂肪细胞等[1]。因为其高度多变的临床表现,NIID被认为是一种异质性疾病,一直很难被诊断[2]。NIID较为罕见,国内外报道的病例数有限。研究证实了皮肤活检诊断NIID的特异性[1]。目前,在确定NOTCH2NLC基因与NIID发病具有关联性后,通过基因诊断的NIID病例逐渐增多[2]。但是,NOTCH2NLC基因功能复杂,临床表型丰富,仍需积累更多表型的信息以加深对疾病的了解。本文报道象山县第一人民医院1例后期临床表现伴发发作性昏睡的NIID,分析其临床特点并结合相关文献复习总结NIID最新研究进展,旨在增加临床医生对NIID的认识。报道如下。 展开更多
关键词 神经元核内包涵体病 发作性昏睡 DWI高信号 NOTCH2NLC基因
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8例神经元核内包涵体病的临床、影像及电生理特征分析
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作者 李庆节 鲍磊 +5 位作者 张瑞雪 时宏娟 张沈阳 左丹丹 孟文晴 陈浩 《徐州医科大学学报》 CAS 2023年第3期170-175,共6页
目的 探讨神经元核内包涵体病(NIID)的临床及辅助检查特点,提高对该疾病的认识。方法 回顾性分析2020年1月至2022年1月收治于徐州医科大学附属医院神经内科的经皮肤活检和基因检测确诊的8例NIID患者的临床、影像学、电生理检查资料。结... 目的 探讨神经元核内包涵体病(NIID)的临床及辅助检查特点,提高对该疾病的认识。方法 回顾性分析2020年1月至2022年1月收治于徐州医科大学附属医院神经内科的经皮肤活检和基因检测确诊的8例NIID患者的临床、影像学、电生理检查资料。结果 8例患者被纳入分析,临床表现有认知障碍6例次、发作性精神症状1例次,肢体无力2例次、自主神经功能障碍6例次、震颤4例次、共济失调4例次。头颅磁共振(MRI)示8例患者弥散加权像(DWI)有皮髓交界区典型“绸带征”,6例有不同程度的脑萎缩。电生理检查示8例患者均存在神经传导异常,其中运动传导速度减慢8例,运动波幅降低1例、感觉传导速度减慢7例,感觉波幅降低2例;皮肤交感反射(SSR)异常7例;4例患者表现出4~7 Hz的同步性震颤。结论 NIID病患者的临床表现多样,中枢和周围神经系统均可受累。头颅MRI具有特征性皮髓交界区典型“绸带征”,电生理检查提示周围神经髓鞘损伤和自主神经损伤突出,部分患者合并有震颤。 展开更多
关键词 神经元核内包涵体病 认知障碍 自主神经功能障碍 皮肤活检 磁共振 肌电图 皮肤交感反射
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罕见视网膜病变1例
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作者 冯超逸 陈倩 +1 位作者 孙平 田国红 《中国眼耳鼻喉科杂志》 2023年第S01期1-5,共5页
患者女性,70岁,主诉双眼视物模糊7年,缓慢加重。伴夜盲、记忆力下降、认知功能障碍4年,尿潴留1年。检查发现双眼慢性进展性视网膜变性,累及内层的神经纤维层、节细胞层和外层的椭圆体带、外核层、外丛状层,同时存在瞳孔缩小、浅前房等... 患者女性,70岁,主诉双眼视物模糊7年,缓慢加重。伴夜盲、记忆力下降、认知功能障碍4年,尿潴留1年。检查发现双眼慢性进展性视网膜变性,累及内层的神经纤维层、节细胞层和外层的椭圆体带、外核层、外丛状层,同时存在瞳孔缩小、浅前房等闭角型青光眼倾向。颅脑磁共振T2 flair提示双侧脑白质高信号。皮肤活检病理显示汗腺上皮细胞胞核内的嗜酸性包涵体,且抗p62抗体免疫组化染色阳性。基因检测提示NOTCH2NLC基因三核苷酸CGG重复扩增数高达119次。最终诊断:(成人型)神经元核内包涵体病(NIID)相关视网膜病变。讨论体会:眼科医师对于NIID患者应进行细致的视网膜结构与功能检查;而对于具有典型眼底改变合并小瞳孔及全身多系统异常的患者,也应考虑NIID的可能性,以尽早明确诊断。 展开更多
关键词 神经元核内包涵体病 视网膜营养不良 光学相干层析成像
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从肝脾肾三脏论治神经元核内包涵体病
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作者 王晓旭 《中国民族民间医药》 2023年第3期16-18,共3页
神经元核内包涵体病是一种神经系统罕见疾病,病理表现为嗜酸性透明核内包涵体沉积在中枢神经、周围神经、自主神经等不同部位,临床表现各异,容易与神经系统其他变性疾病混淆。西医目前尚无有效治疗方案,当代中医医家也很少对本病有相关... 神经元核内包涵体病是一种神经系统罕见疾病,病理表现为嗜酸性透明核内包涵体沉积在中枢神经、周围神经、自主神经等不同部位,临床表现各异,容易与神经系统其他变性疾病混淆。西医目前尚无有效治疗方案,当代中医医家也很少对本病有相关论述。文章以中医基础理论为指导,传统医学辨证论治为中心,探讨了从肝脾肾三脏论治神经元核内包涵体病的理论依据和临床应用。提出肝郁、脾虚、肾损是神经元核内包涵体病发病关键所在,认为调肝、健脾、补肾为基本治疗大法,提出一诊疾病、二辨系统、三定脏腑的神经元核内包涵体病的中医诊治体系,以期为该病的中医诊治提供新的思路与方法。 展开更多
关键词 神经元核内包涵体病 中医药疗法 肝脾肾论治
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Wnt/β-连环蛋白信号通路在哺乳动物子宫发育中的调控作用及其机制 被引量:4
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作者 杨立杰 杨维仁 +3 位作者 黄丽波 冯强 姜淑贞 杨在宾 《动物营养学报》 CAS CSCD 北大核心 2016年第10期3070-3075,共6页
机体内生理活动程序化的有序运行均依赖于不同信号传导通路之间的相互协调,其中Wnt(名称来源于果蝇无翅基因Wingless和小鼠致癌基因int-1)信号通路受到学者们的广泛关注,已经成为分子生物学和细胞生物学领域的研究热点。本文研究了Wnt/... 机体内生理活动程序化的有序运行均依赖于不同信号传导通路之间的相互协调,其中Wnt(名称来源于果蝇无翅基因Wingless和小鼠致癌基因int-1)信号通路受到学者们的广泛关注,已经成为分子生物学和细胞生物学领域的研究热点。本文研究了Wnt/β-连环蛋白(β-catenin)信号通路在哺乳动物子宫发育中的调控作用及其机制,综述了糖原合酶激酶-3β(GSK-3β)、结肠腺瘤样息肉基因(APC)、支架蛋白(Axin)和成骨细胞抑制因子(Dkk)对Wnt/β-catenin信号通路的调控机制及Wnt/β-catenin信号通路的核内激活,旨在进一步揭示子宫内调节机制,并为子宫疾病的治疗提供借鉴。 展开更多
关键词 WNT/Β-CATENIN 子宫 GSK-3β/APC/Axin Dkk 核内激活
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