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EFFECT OF ACUPUNCTURE ON BRAIN ACTIVATION: A fMRI STUDY
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作者 Jen-Chuen HSIEH 《神经解剖学杂志》 CAS CSCD 北大核心 2001年第B07期70-71,共2页
Functional brain mapping in motor task and somatosensory stimulation using echo planar MRI Functional brain mapping was performed with a 1.5T clinical MRI apparatus. Single shot gradient echo echo-planar imaging (EPI)... Functional brain mapping in motor task and somatosensory stimulation using echo planar MRI Functional brain mapping was performed with a 1.5T clinical MRI apparatus. Single shot gradient echo echo-planar imaging (EPI) sequence was employed. Normal volunteers were studied with the task of grasping hand or opposition of fingers at the frequency of 3 Hz, median nerve electro-stimulation, pure 展开更多
关键词 针刺 大脑激活区 FMRI研究 电刺激
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神经内科急诊室急性头晕/眩晕临床特征及病因分析 被引量:10
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作者 姜睿璇 吕肖玉 +3 位作者 曹振汤 朱翠婷 鞠奕 赵性泉 《中国卒中杂志》 2021年第9期909-914,共6页
目的探讨急诊室就诊的急性头晕/眩晕患者的临床特征及病因分布,比较前庭中枢性和前庭周围性疾病所致头晕/眩晕的临床特点差异,以更有效地区别急性头晕/眩晕的前庭中枢性和周围性病因。方法前瞻性连续收集2017年1月-2018年12月神经内科... 目的探讨急诊室就诊的急性头晕/眩晕患者的临床特征及病因分布,比较前庭中枢性和前庭周围性疾病所致头晕/眩晕的临床特点差异,以更有效地区别急性头晕/眩晕的前庭中枢性和周围性病因。方法前瞻性连续收集2017年1月-2018年12月神经内科急诊以急性头晕/眩晕为主诉就诊患者,记录基线人口学信息、现病史和既往史、神经系统查体和前庭功能床旁查体,并随访影像学信息、前庭功能检查和最终诊断等。根据患者病因,将患者分组为前庭中枢性(central vestibular system,CVS)和前庭周围性(peripheral vestibular system,PVS)疾病组,比较不同组别的人口学信息和临床特点等。结果最终共纳入660例急性头晕/眩晕患者。男性多于女性,50~69岁为高发年龄,春季和冬季为高发季节。按病因分组,CVS组共422例,PVS组共238例。CVS组男性(70.1%vs 42.4%,P<0.001)、吸烟(30.3%vs 9.2%,P<0.001)、饮酒(27.3%vs 5.5%,P<0.001)比例,既往高血压(59.7%vs 42.9%,P<0.001)、脂代谢紊乱(18.5%vs 12.2%,P=0.035)、脑血管病(20.9%vs 10.9%,P=0.001)、周围血管病(7.3%vs 1.3%,P=0.001)和心血管病史(5.5%vs 0.8%,P=0.003)发生率高于PVS组。PVS组的平均年龄(60.19±12.77岁vs 57.44±12.73岁,P=0.008)、既往有内耳疾病(5.9%vs 0.5%,P<0.001)的比例高于CVS组。病因诊断方面,CVS组最终诊断后循环梗死256例(60.7%),脑出血87例(20.6%),蛛网膜下腔出血34例(8.1%),前庭性偏头痛13例(3.1%),TIA 13例(3.1%),海绵状血管瘤9例(2.1%),肿瘤8例(1.9%),小脑扁桃体下疝畸形1例(0.2%)和多发性硬化1例(0.2%);PVS组中良性阵发性位置性眩晕121例(50.8%),梅尼埃病38例(16.0%),前庭神经炎14例(5.9%),突发性聋伴眩晕3例(1.3%),不确定病因为62例(26.1%,排除中枢性病因)。结论神经内科急诊室表现为急性头晕/眩晕患者中,最常见的前庭周围性疾病为良性阵发性位置性眩晕,最常见的前庭中枢性疾病为后循环梗死,前庭中枢性疾病患者更可能合并有血管危险因素如高血压、脂代谢紊乱、吸烟、饮酒等。 展开更多
关键词 头晕 眩晕 前庭疾病 脑血管病
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Electroconvulsive therapy and/or plasmapheresis in autoimmune encephalitis? 被引量:8
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作者 Jessica L Gough Jan Coebergh +1 位作者 Brunda Chandra Ramin Nilforooshan 《World Journal of Clinical Cases》 SCIE 2016年第8期223-228,共6页
Autoimmune encephalitis is a poorly understood condition that can present with a combination of neurological and psychiatric symptoms, either of which may predominate. There are many autoantibodies associated with a v... Autoimmune encephalitis is a poorly understood condition that can present with a combination of neurological and psychiatric symptoms, either of which may predominate. There are many autoantibodies associated with a variety of clinical syndromes-anti-N-Methyl-D-Aspartate receptor(NMDAR) is the commonest. Currently, the most widely used therapy is prompt plasmapheresis and steroid treatment(and tumour resection if indicated), followed by second line immunosuppression if this fails. Given the growing awareness of autoimmune encephalitis as an entity, it is increasingly important that we consider it as a potential diagnosis in order to provide timely, effective treatment. We discuss several previously published case reports and one new case. These reports examined the effects of electroconvulsive therapy(ECT) on patients with autoimmune encephalitis, particularly those in whom psychiatric symptoms are especially debilitating and refractory to standard treatment. We also discuss factors predicting good outcome and possible mechanisms by which ECT may be effective. Numerous cases, such as those presented by Wingfield, Tsutsui, Florance, Sansing, Braakman and Matsumoto, demonstrate effective use of ECT in anti-NMDAR encephalitis patients with severe psychiatric symptoms such as catatonia, psychosis, narcolepsy and stupor who had failed to respond to standard treatments alone. We also present a new case of a 71-year-old female who presented to a psychiatric unit initially with depression, which escalated to catatonia, delusions, nihilism and auditory hallucinations. After anti-NMDAR antibodies were isolated, she was treated by the neurology team with plasmapheresis and steroids, with a partial response. She received multiple sessions of ECT and her psychiatric symptoms completely resolved and she returned to her premorbid state. For this reason, we suggest that ECT should be considered, particularly in those patients who are non-responders to standard therapies. 展开更多
关键词 AUTOIMMUNE ENCEPHALITIS Electroconvulsive THERAPIES AUTOANTIBODIES PLASMAPHERESIS
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A novel method for evaluating microglial activation using ionized calcium-binding adaptor protein-1 staining:cell body to cell size ratio 被引量:2
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作者 Iris Bertha Hovens Csaba Nyakas Regien Geertruida Schoemaker 《Neuroimmunology and Neuroinflammation》 2014年第1期82-88,共7页
Aim:The aim was to validate a newly developed methodology of semi-automatic image analysis to analyze microglial morphology as marker for microglial activation in ionized calcium-binding adaptor protein-1(IBA-1)staine... Aim:The aim was to validate a newly developed methodology of semi-automatic image analysis to analyze microglial morphology as marker for microglial activation in ionized calcium-binding adaptor protein-1(IBA-1)stained brain sections.Methods:The novel method was compared to currently used analysis methods,visual characterization of activation stage and optical density measurement,in brain sections of young and aged rats that had undergone surgery or remained naïve.Results:The cell body to cell size ratio of microglia was strongly correlated to the visual characterization activation stage.In addition,we observed specific surgery and age-related changes in cell body size,size of the dendritic processes and cell body to cell size ratio.Conclusion:The novel analysis method provides a sensitive marker for microglial activation in the rat brain,which is quick and easy to perform and provides additional information about microglial morphology. 展开更多
关键词 Image analysis immunohistochemistry ionized calcium-binding adaptor protein-1 MICROGLIA NEUROINFLAMMATION
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What interests them in the pictures? — Differences in eyetracking between rhesus monkeys and humans 被引量:2
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作者 Ying-Zhou Hu Hui-Hui Jiang +11 位作者 Ci-Rong Liu Jian-Hong Wang Cheng-Yang Yu Synnve Carlson Shang-Chuan Yang Veli-Matti Saarinen Joshua D Rizak Xiao-Guang Tian Hen Tan Zhu-Yue Chen Yuan-Ye Ma Xin-Tian Hu 《Neuroscience Bulletin》 SCIE CAS CSCD 2013年第5期553-564,共12页
Studies estimating eye movements have demonstrated that non-human primates have fixation patterns similar to humans at the first sight of a picture.In the current study,three sets of pictures containing monkeys,humans... Studies estimating eye movements have demonstrated that non-human primates have fixation patterns similar to humans at the first sight of a picture.In the current study,three sets of pictures containing monkeys,humans or both were presented to rhesus monkeys and humans.The eye movements on these pictures by the two species were recorded using a Tobii eye-tracking system.We found that monkeys paid more attention to the head and body in pictures containing monkeys,whereas both monkeys and humans paid more attention to the head in pictures containing humans.The humans always concentrated on the eyes and head in all the pictures,indicating the social role of facial cues in society.Although humans paid more attention to the hands than monkeys,both monkeys and humans were interested in the hands and what was being done with them in the pictures.This may suggest the importance and necessity of hands for survival.Finally,monkeys scored lower in eye-tracking when fixating on the pictures,as if they were less interested in looking at the screen than humans.The locations of fixation in monkeys may provide insight into the role of eye movements in an evolutionary context. 展开更多
关键词 eye-tracking rhesus monkey fixation gaze
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