42 research outputs found
Nutritional impact on brain function: Food for thought, emotions and wellbeing
The rate of cognitive and emotional dysfunction is increasing in the modern society, therefore nutritional impact on the
brain functioning is receiving higher attention in science and practice. In order to summarize the latest scientific knowledge
concerning nutritional impact on the nervous system and particularly on the brain functioning we performed literature search and
analysis. Increasing number of scientific data show that macronutrients and micronutrients (vitamins and minerals) affect multiple
brain processes through control of diverse mechanisms as: synaptic transmission, neurotransmitter pathways, signal-transduction
pathways, membrane fluidity, epigenetic changes, etc. Impact of specific macronutrients and micronutrients in brain functioning and
their food source is presented in details. We believe that these data might be of interest to wide spectrum of professionals as:
physicians, nutritionists, psychologists, neuroscientists etc
Nutritional impact on brain function: Food for thought, emotions and wellbeing
The rate of cognitive and emotional dysfunction is increasing in the modern society, therefore nutritional impact on the
brain functioning is receiving higher attention in science and practice. In order to summarize the latest scientific knowledge
concerning nutritional impact on the nervous system and particularly on the brain functioning we performed literature search and
analysis. Increasing number of scientific data show that macronutrients and micronutrients (vitamins and minerals) affect multiple
brain processes through control of diverse mechanisms as: synaptic transmission, neurotransmitter pathways, signal-transduction
pathways, membrane fluidity, epigenetic changes, etc. Impact of specific macronutrients and micronutrients in brain functioning and
their food source is presented in details. We believe that these data might be of interest to wide spectrum of professionals as:
physicians, nutritionists, psychologists, neuroscientists etc
Nutritional impact on brain function: Food for thought, emotions and wellbeing
The rate of cognitive and emotional dysfunction is increasing in the modern society, therefore nutritional impact on the
brain functioning is receiving higher attention in science and practice. In order to summarize the latest scientific knowledge
concerning nutritional impact on the nervous system and particularly on the brain functioning we performed literature search and
analysis. Increasing number of scientific data show that macronutrients and micronutrients (vitamins and minerals) affect multiple
brain processes through control of diverse mechanisms as: synaptic transmission, neurotransmitter pathways, signal-transduction
pathways, membrane fluidity, epigenetic changes, etc. Impact of specific macronutrients and micronutrients in brain functioning and
their food source is presented in details. We believe that these data might be of interest to wide spectrum of professionals as:
physicians, nutritionists, psychologists, neuroscientists etc
Nutritional impact on brain function: Food for thought, emotions and wellbeing
The rate of cognitive and emotional dysfunction is increasing in the modern society, therefore nutritional impact on the
brain functioning is receiving higher attention in science and practice. In order to summarize the latest scientific knowledge
concerning nutritional impact on the nervous system and particularly on the brain functioning we performed literature search and
analysis. Increasing number of scientific data show that macronutrients and micronutrients (vitamins and minerals) affect multiple
brain processes through control of diverse mechanisms as: synaptic transmission, neurotransmitter pathways, signal-transduction
pathways, membrane fluidity, epigenetic changes, etc. Impact of specific macronutrients and micronutrients in brain functioning and
their food source is presented in details. We believe that these data might be of interest to wide spectrum of professionals as:
physicians, nutritionists, psychologists, neuroscientists etc
ΠΠΎΡΠ΅Π½ΡΠΈΡΠ°Π»Π½Π° ΠΏΡΠΈΠΌΠ΅Π½Π° Π³Π΅Π½Π΅ΡΡΠΊΠΈ ΠΌΠΎΠ΄ΠΈΡΠΈΠΊΠΎΠ²Π°Π½ΠΈΡ ΠΎΡΠ³Π°Π½ΠΈΠ·Π°ΠΌΠ° Ρ Π·Π°ΡΡΠΈΡΠΈ ΠΆΠΈΠ²ΠΎΡΠ½Π΅ ΡΡΠ΅Π΄ΠΈΠ½Π΅
OΠ΄ ΡΠ²ΠΎΠ³ ΡΡΠ΅ΠΌΠ΅ΡΠ΅ΡΠ° Ρ ΡΠ΅Π΄Π°ΠΌΠ΄Π΅ΡΠ΅ΡΠΈΠΌ Π³ΠΎΠ΄ΠΈΠ½Π°ΠΌΠ° Π΄Π²Π°Π΄Π΅ΡΠ΅ΡΠΎΠ³ Π²Π΅ΠΊΠ° Π΄ΠΎ Π΄Π°Π½Π°Ρ, ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ° Π³Π΅Π½Π΅ΡΠΈΡΠΊΠΎΠ³ ΠΈΠ½ΠΆΠ΅ΡΠ΅ΡΡΡΠ²Π° ΠΎΡΠ²ΠΎΡΠΈΠ»Π° ΡΠ΅ ΡΠΈΡΠΎΠΊ Π½ΠΈΠ· ΠΏΡΠΈΠΌΠ΅Π½Π° ΠΏΡΠ΅ ΡΠ²Π΅Π³Π° Ρ Π½Π°ΡΡΠΈ, ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄ΡΠΈ Π»Π΅ΠΊΠΎΠ²Π°, ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΠΈ ΠΈ ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄ΡΠΈ Ρ
ΡΠ°Π½Π΅. Π£ΠΏΠΎΡΡΠ΅Π±Π° Π³Π΅Π½Π΅ΡΡΠΊΠΈ ΠΌΠΎΠ΄ΠΈΡΠΈΠΊΠΎΠ²Π°Π½ΠΈΡ
ΠΎΡΠ³Π°Π½ΠΈΠ·Π°ΠΌΠ° Ρ ΠΎΠ²ΠΈΠΌ Π΄Π΅Π»Π°ΡΠ½ΠΎΡΡΠΈΠΌΠ° ΡΠ΅Π΄Π½ΠΎ ΡΠ΅ ΠΎΠ΄ Π½Π°ΡΠ°ΠΊΡΡΠ΅Π»Π½ΠΈΡΠΈΡ
ΠΏΠΈΡΠ°ΡΠ° Π΄Π°Π½Π°ΡΡΠΈΡΠ΅ Π½Π° ΠΊΠΎΡΠ΅ ΡΠ΅ΠΊ ΡΡΠ΅Π±Π° Π΄Π° ΡΠ΅ Π΄Π΅ΡΠΈΠ½ΠΈΡΡ ΠΎΠ΄Π³ΠΎΠ²ΠΎΡΠΈ. ΠΠ΄ ΡΠ²ΠΈΡ
Π°ΠΊΡΡΠ΅Π»Π½ΠΈΡ
ΡΠ΅ΠΌΠ° ΠΈΠ· ΠΎΠ²Π΅ ΠΎΠ±Π»Π°ΡΡΠΈ Π½Π°ΡΠΌΠ°ΡΠ΅ ΡΠ΅ ΠΏΠ°ΠΆΡΠ΅ ΠΏΠΎΡΠ²Π΅ΡΠ΅Π½ΠΎ ΠΏΠΎΡΠ΅Π½ΡΠΈΡΠ°Π»Π½ΠΎΡ ΠΏΡΠΈΠΌΠ΅Π½ΠΈ Π³Π΅Π½Π΅ΡΡΠΊΠΈ ΠΌΠΎΠ΄ΠΈΡΠΈΠΊΠΎΠ²Π°Π½ΠΈΡ
ΠΎΡΠ³Π°Π½ΠΈΠ·Π°ΠΌΠ° Ρ Π·Π°ΡΡΠΈΡΠΈ ΠΆΠΈΠ²ΠΎΡΠ½Π΅ ΡΡΠ΅Π΄ΠΈΠ½Π΅. Π£Π·Π΅Π²ΡΠΈ Ρ ΠΎΠ±Π·ΠΈΡ Π΄Π° ΡΠ΅ ΠΏΠΈΡΠ°ΡΠ΅ Π·Π°ΡΡΠΈΡΠ΅ ΠΆΠΈΠ²ΠΎΡΠ½Π΅ ΡΡΠ΅Π΄ΠΈΠ½Π΅ ΡΠ΅Π΄Π½ΠΎ ΠΎΠ΄ Π½Π°ΡΠ°ΠΊΡΡΠ΅Π»Π½ΠΈΡΠΈΡ
ΠΏΠΈΡΠ°ΡΠ° Π΄Π°Π½Π°ΡΡΠΈΡΠ΅, Ρ ΠΎΠ²ΠΎΠΌ ΡΠ°Π΄Ρ ΠΏΡΠ΅Π·Π΅Π½ΡΠΎΠ²Π°Π»ΠΈ ΡΠΌΠΎ ΠΏΠΎΡΠ΅Π΄ΠΈΠ½Π΅ ΠΏΡΠΈΠΌΠ΅ΡΠ΅ ΡΠΏΠΎΡΡΠ΅Π±Π΅ Π³Π΅Π½Π΅ΡΡΠΊΠΈ ΠΌΠΎΠ΄ΠΈΡΠΈΠΊΠΎΠ²Π°Π½ΠΈΡ
ΠΌΠΈΠΊΡΠΎΠΎΡΠ³Π°Π½ΠΈΠ·Π°ΠΌΠ°, Π³Π΅Π½Π΅ΡΡΠΊΠΈ ΠΌΠΎΠ΄ΠΈΡΠΈΠΊΠΎΠ²Π°Π½ΠΈΡ
Π±ΠΈΡΠ°ΠΊΠ° ΠΈ Π³Π΅Π½Π΅ΡΡΠΊΠΈ ΠΌΠΎΠ΄ΠΈΡΠΈΠΊΠΎΠ²Π°Π½ΠΈΡ
ΠΆΠΈΠ²ΠΎΡΠΈΡΠ° ΠΊΠ°ΠΎ ΠΏΠΎΡΠ΅Π½ΡΠΈΡΠ°Π»Π½ΠΈΡ
ΡΠ΅ΡΠ΅ΡΠ° ΠΎΠ²ΠΎΠ³ Π³ΠΎΡΡΡΠ΅Π³ ΠΏΡΠΎΠ±Π»Π΅ΠΌΠ°. Π‘ ΠΎΠ±Π·ΠΈΡΠΎΠΌ Π΄Π° ΡΠ΅ Ρ ΡΠ°Π²Π½ΠΎΡΡΠΈ ΠΏΠΎΡΠ»Π΅Π΄ΡΠΈΡ
Π½Π΅ΠΊΠΎΠ»ΠΈΠΊΠΎ Π³ΠΎΠ΄ΠΈΠ½Π° Π²ΠΎΠ΄Π΅ ΠΎΡΡΡΠ΅ ΠΏΠΎΠ»Π΅ΠΌΠΈΠΊΠ΅ ΠΎΠΊΠΎ Π΄Π°ΡΠ΅ ΠΏΡΠΈΠΌΠ΅Π½Π΅ ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ Π³Π΅Π½Π΅ΡΠΈΡΠΊΠΎΠ³ ΠΈΠ½ΠΆΠ΅ΡΠ΅ΡΡΡΠ²Π°, ΡΠ°ΡΠ½ΠΎ ΡΠ΅ Π΄Π° ΡΠΌΠΎ Π΄Π°Π»Π΅ΠΊΠΎ ΠΎΠ΄ ΠΊΠΎΠ½Π°ΡΠ½Π΅ ΠΎΠ΄Π»ΡΠΊΠ΅. ΠΠ²ΠΈΠ΄Π΅Π½ΡΠ½ΠΎ ΡΠ΅ Π΄Π° Π½Π°Ρ Ρ Π΄Π°ΡΠΈΠΌ ΠΊΠΎΡΠ°ΡΠΈΠΌΠ° ΠΌΠΎΡΠ° Π²ΠΎΠ΄ΠΈΡΠΈ ΠΎΠΏΡΠ΅Π· ΠΈ Π°Π½Π°Π»ΠΈΠ·Π° ΠΏΠΎΡΡΠΎΡΠ΅ΡΠΈΡ
ΠΈ Π±ΡΠ΄ΡΡΠΈΡ
Π½Π°ΡΡΠ½ΠΈΡ
ΠΈΡΡΡΠ°ΠΆΠΈΠ²Π°ΡΠ° Π½Π° ΡΠ΅ΠΌΡ Π±Π΅Π·Π±Π΅Π΄Π½ΠΎΡΡΠΈ ΠΎΠ²Π΅ ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅
ΠΠΎΡΠ΅Π½ΡΠΈΡΠ°Π»Π½Π° ΠΏΡΠΈΠΌΠ΅Π½Π° Π³Π΅Π½Π΅ΡΡΠΊΠΈ ΠΌΠΎΠ΄ΠΈΡΠΈΠΊΠΎΠ²Π°Π½ΠΈΡ ΠΎΡΠ³Π°Π½ΠΈΠ·Π°ΠΌΠ° Ρ Π·Π°ΡΡΠΈΡΠΈ ΠΆΠΈΠ²ΠΎΡΠ½Π΅ ΡΡΠ΅Π΄ΠΈΠ½Π΅
OΠ΄ ΡΠ²ΠΎΠ³ ΡΡΠ΅ΠΌΠ΅ΡΠ΅ΡΠ° Ρ ΡΠ΅Π΄Π°ΠΌΠ΄Π΅ΡΠ΅ΡΠΈΠΌ Π³ΠΎΠ΄ΠΈΠ½Π°ΠΌΠ° Π΄Π²Π°Π΄Π΅ΡΠ΅ΡΠΎΠ³ Π²Π΅ΠΊΠ° Π΄ΠΎ Π΄Π°Π½Π°Ρ, ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ° Π³Π΅Π½Π΅ΡΠΈΡΠΊΠΎΠ³ ΠΈΠ½ΠΆΠ΅ΡΠ΅ΡΡΡΠ²Π° ΠΎΡΠ²ΠΎΡΠΈΠ»Π° ΡΠ΅ ΡΠΈΡΠΎΠΊ Π½ΠΈΠ· ΠΏΡΠΈΠΌΠ΅Π½Π° ΠΏΡΠ΅ ΡΠ²Π΅Π³Π° Ρ Π½Π°ΡΡΠΈ, ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄ΡΠΈ Π»Π΅ΠΊΠΎΠ²Π°, ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΠΈ ΠΈ ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄ΡΠΈ Ρ
ΡΠ°Π½Π΅. Π£ΠΏΠΎΡΡΠ΅Π±Π° Π³Π΅Π½Π΅ΡΡΠΊΠΈ ΠΌΠΎΠ΄ΠΈΡΠΈΠΊΠΎΠ²Π°Π½ΠΈΡ
ΠΎΡΠ³Π°Π½ΠΈΠ·Π°ΠΌΠ° Ρ ΠΎΠ²ΠΈΠΌ Π΄Π΅Π»Π°ΡΠ½ΠΎΡΡΠΈΠΌΠ° ΡΠ΅Π΄Π½ΠΎ ΡΠ΅ ΠΎΠ΄ Π½Π°ΡΠ°ΠΊΡΡΠ΅Π»Π½ΠΈΡΠΈΡ
ΠΏΠΈΡΠ°ΡΠ° Π΄Π°Π½Π°ΡΡΠΈΡΠ΅ Π½Π° ΠΊΠΎΡΠ΅ ΡΠ΅ΠΊ ΡΡΠ΅Π±Π° Π΄Π° ΡΠ΅ Π΄Π΅ΡΠΈΠ½ΠΈΡΡ ΠΎΠ΄Π³ΠΎΠ²ΠΎΡΠΈ. ΠΠ΄ ΡΠ²ΠΈΡ
Π°ΠΊΡΡΠ΅Π»Π½ΠΈΡ
ΡΠ΅ΠΌΠ° ΠΈΠ· ΠΎΠ²Π΅ ΠΎΠ±Π»Π°ΡΡΠΈ Π½Π°ΡΠΌΠ°ΡΠ΅ ΡΠ΅ ΠΏΠ°ΠΆΡΠ΅ ΠΏΠΎΡΠ²Π΅ΡΠ΅Π½ΠΎ ΠΏΠΎΡΠ΅Π½ΡΠΈΡΠ°Π»Π½ΠΎΡ ΠΏΡΠΈΠΌΠ΅Π½ΠΈ Π³Π΅Π½Π΅ΡΡΠΊΠΈ ΠΌΠΎΠ΄ΠΈΡΠΈΠΊΠΎΠ²Π°Π½ΠΈΡ
ΠΎΡΠ³Π°Π½ΠΈΠ·Π°ΠΌΠ° Ρ Π·Π°ΡΡΠΈΡΠΈ ΠΆΠΈΠ²ΠΎΡΠ½Π΅ ΡΡΠ΅Π΄ΠΈΠ½Π΅. Π£Π·Π΅Π²ΡΠΈ Ρ ΠΎΠ±Π·ΠΈΡ Π΄Π° ΡΠ΅ ΠΏΠΈΡΠ°ΡΠ΅ Π·Π°ΡΡΠΈΡΠ΅ ΠΆΠΈΠ²ΠΎΡΠ½Π΅ ΡΡΠ΅Π΄ΠΈΠ½Π΅ ΡΠ΅Π΄Π½ΠΎ ΠΎΠ΄ Π½Π°ΡΠ°ΠΊΡΡΠ΅Π»Π½ΠΈΡΠΈΡ
ΠΏΠΈΡΠ°ΡΠ° Π΄Π°Π½Π°ΡΡΠΈΡΠ΅, Ρ ΠΎΠ²ΠΎΠΌ ΡΠ°Π΄Ρ ΠΏΡΠ΅Π·Π΅Π½ΡΠΎΠ²Π°Π»ΠΈ ΡΠΌΠΎ ΠΏΠΎΡΠ΅Π΄ΠΈΠ½Π΅ ΠΏΡΠΈΠΌΠ΅ΡΠ΅ ΡΠΏΠΎΡΡΠ΅Π±Π΅ Π³Π΅Π½Π΅ΡΡΠΊΠΈ ΠΌΠΎΠ΄ΠΈΡΠΈΠΊΠΎΠ²Π°Π½ΠΈΡ
ΠΌΠΈΠΊΡΠΎΠΎΡΠ³Π°Π½ΠΈΠ·Π°ΠΌΠ°, Π³Π΅Π½Π΅ΡΡΠΊΠΈ ΠΌΠΎΠ΄ΠΈΡΠΈΠΊΠΎΠ²Π°Π½ΠΈΡ
Π±ΠΈΡΠ°ΠΊΠ° ΠΈ Π³Π΅Π½Π΅ΡΡΠΊΠΈ ΠΌΠΎΠ΄ΠΈΡΠΈΠΊΠΎΠ²Π°Π½ΠΈΡ
ΠΆΠΈΠ²ΠΎΡΠΈΡΠ° ΠΊΠ°ΠΎ ΠΏΠΎΡΠ΅Π½ΡΠΈΡΠ°Π»Π½ΠΈΡ
ΡΠ΅ΡΠ΅ΡΠ° ΠΎΠ²ΠΎΠ³ Π³ΠΎΡΡΡΠ΅Π³ ΠΏΡΠΎΠ±Π»Π΅ΠΌΠ°. Π‘ ΠΎΠ±Π·ΠΈΡΠΎΠΌ Π΄Π° ΡΠ΅ Ρ ΡΠ°Π²Π½ΠΎΡΡΠΈ ΠΏΠΎΡΠ»Π΅Π΄ΡΠΈΡ
Π½Π΅ΠΊΠΎΠ»ΠΈΠΊΠΎ Π³ΠΎΠ΄ΠΈΠ½Π° Π²ΠΎΠ΄Π΅ ΠΎΡΡΡΠ΅ ΠΏΠΎΠ»Π΅ΠΌΠΈΠΊΠ΅ ΠΎΠΊΠΎ Π΄Π°ΡΠ΅ ΠΏΡΠΈΠΌΠ΅Π½Π΅ ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ Π³Π΅Π½Π΅ΡΠΈΡΠΊΠΎΠ³ ΠΈΠ½ΠΆΠ΅ΡΠ΅ΡΡΡΠ²Π°, ΡΠ°ΡΠ½ΠΎ ΡΠ΅ Π΄Π° ΡΠΌΠΎ Π΄Π°Π»Π΅ΠΊΠΎ ΠΎΠ΄ ΠΊΠΎΠ½Π°ΡΠ½Π΅ ΠΎΠ΄Π»ΡΠΊΠ΅. ΠΠ²ΠΈΠ΄Π΅Π½ΡΠ½ΠΎ ΡΠ΅ Π΄Π° Π½Π°Ρ Ρ Π΄Π°ΡΠΈΠΌ ΠΊΠΎΡΠ°ΡΠΈΠΌΠ° ΠΌΠΎΡΠ° Π²ΠΎΠ΄ΠΈΡΠΈ ΠΎΠΏΡΠ΅Π· ΠΈ Π°Π½Π°Π»ΠΈΠ·Π° ΠΏΠΎΡΡΠΎΡΠ΅ΡΠΈΡ
ΠΈ Π±ΡΠ΄ΡΡΠΈΡ
Π½Π°ΡΡΠ½ΠΈΡ
ΠΈΡΡΡΠ°ΠΆΠΈΠ²Π°ΡΠ° Π½Π° ΡΠ΅ΠΌΡ Π±Π΅Π·Π±Π΅Π΄Π½ΠΎΡΡΠΈ ΠΎΠ²Π΅ ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅
B Cellβspecific Transgenic Expression of Bcl2 Rescues Early B Lymphopoiesis but Not B Cell Responses in BOB.1/OBF.1-deficient Mice
Mice deficient for the transcriptional coactivator BOB.1/OBF.1 show several defects in B cell differentiation. Numbers of immature transitional B cells in the bone marrow are reduced and fewer B cells reach the periphery. Furthermore, germinal center B cells are absent and marginal zone (MZ) B lymphocytes are markedly reduced. Increased levels of B cell apoptosis in these mice prompted us to analyze expression and function of antiapoptotic proteins. Bcl2 expression is strongly reduced in BOB.1/OBF.1-deficient preβB cells. When BOB.1/OBF.1-deficient mice were crossed with Bcl2-transgenic mice, B cell development in the bone marrow and numbers of B cells in peripheral lymphoid organs were normalized. However, neither germinal center B cells nor MZ B cells were rescued. Additionally, Bcl2 did not rescue the defects in signaling and affinity maturation found in BOB.1/OBF.1-deficient mice. Interestingly, Bcl2-transgenic mice by themselves show an MZ B cell defect. Virtually no functional MZ B cells were detected in these mice. In contrast, mice deficient for Bcl2 show a relative increase in MZ B cell numbers, indicating a previously undetected function of Bcl2 for this B cell compartment
Anatomic and MRI bases for pontine infarctions with patients presentation
Objectives: There are scarce data regarding pontine arteries anatomy, which is the basis for ischemic lesions following their occlusion. The aim of this study was to examine pontine vasculature and its relationships with the radiologic and neuro-logic features of pontine infarctions. Materials and methods: Branches of eight basilar arteries and their twigs, including the larger intrapontine branches, were microdis-sected following an injection of a 10% mixture of India ink and gelatin. Two addi-tional brain stems were prepared for microscopic examination after being stained with luxol fast blue and cresyl violet. Finally, 30 patients with pontine infarctions underwent magnetic resonance imaging (MRI) in order to determine the position and size of the infarctions. Results: The perforating arteries, which averaged 5.8 in number and 0.39 mm in diameter, gave rise to paramedian and anteromedial branches, and also to anterolateral twigs (62.5%). The longer leptomeningeal and cere-bellar arteries occasionally gave off perforating and anterolateral twigs, and either the lateral or posterior branches. Occlusion of some of these vessels resulted in the para-median (30%), anterolateral (26.7%), lateral (20%), and combined infarctions (23.3%), which were most often isolated and unilateral, and rarely bilateral (10%). They were located in the lower pons (23.3%), middle (10%) or rostral (26.7%), or in two or three portions (40%). Each type of infarction usually produced characteristic neurologic signs. The clinical significance of the anatomic findings was discussed. Conclusions: There was a good correlation between the intrapontine vascular territories, the position, size and shape of the infarctions, and the type of neurologic manifestations. (c) 2022 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)Peer reviewe
Anatomic and MRI bases for medullary infarctions with patients' presentation
Objective: There is a low incidence of the medullary infarctions and sparse data about the vascular territories, as well as a correlation among the anatomic, magnetic resonance imaging (MRI) and neurologic signs. Materials and methods: Arteries of the 10 right and left sides of the brain stem were injected with India ink, fixed in formalin and microdissected. The enrolled 34 patients with medullary infarctions underwent a neurologic, MRI and Doppler examination. Results: Four types of the infarctions were distinguished according to the involved vascular territories. The isolated medial medullary infarctions (MMIs) were present in 14.7%. The complete MMIs comprised one bilateral infarction (2.9%), whilst the incomplete and partial MMIs were observed in 5.9% and 8.9%, respectively. The anterolateral infarctions (ALMIs) were very rare (2.9%). The complete and incomplete lateral infarctions (LMIs), noted in 35.3%, comprised 11.8% and 23.6%, respectively, that is, the anterior (5.9%), posterior (8.9%), deep (2.9%), and peripheral (5.9%). Dorsal ischemic lesions (DMIs) occurred in 11.8%, either as a complete (2.9%), or isolated lateral (5.9%) or medial infarctions (2.9%). The remaining ischemic regions belonged to various combined infarctions of the MMI, ALMI, LMI and DMI (35.3%). The infarctions most often affected the upper medulla (47.1%), middle (11.8%), or both (29.5%). Several motor and sensory signs were manifested following infarctions, including vestibular, cerebellar, ocular, sympathetic, respiratory and auditory symptoms. Conclusions: There was a good correlation among the vascular territories, MRI ischemia features, and neurologic findings regarding the medullary infarctions.Peer reviewe