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Biomedical subjects

G G Striph

Publications and source records attributed to G G Striph.

7 recordsLinked to original sources

Altered gene expression after optic nerve transection: reduced neurofilament expression as a general response to axonal injury.

Previous studies have shown that axonal injury (axotomy) in neurons of the mammalian peripheral nervous system (PNS) results in a recapitulation of the developmental program for cytoskeletal gene expression; these changes include the increased expression of a developmentally regulated isotype of beta-tubulin (class II) and reduced neurofilament (NF) expression. In the present study we examined the abundance of mRNAs encoding the low-molecular-weight NF protein (NF-L) and class II beta-tubulin in RNA purified from the retinae of newborn rats, from the retinae of adult rats at 2, 7, and 14 days after intracranial transection of the ipsilateral optic nerve, and from contralateral control retinae. In order to facilitate comparison with representative PNS neurons, parallel analyses were carried out in axotomized dorsal root ganglion (DRG) sensory neurons. Since NF-L and class II beta-tubulin are neuron-specific proteins, axotomy-induced alterations in the levels of retinal mRNAs encoding these proteins largely reflect corresponding changes in expression by retinal ganglion cell neurons. Comparison of retinal RNA from newborn and adult (70-day-old) animals demonstrated a postnatal increase in NF-L and a decline in class II beta-tubulin mRNAs comparable to those previously described in DRG neurons. Reductions in NF-L mRNA levels were noted in retina at 2, 7, and 14 days after axotomy and in DRG neurons at 7 and 14 days after axotomy. The abundance of class II beta-tubulin mRNAs increased after axotomy in DRG neurons, but not in retina.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Consecutive oculomotor nerve palsy from a de novo cerebral aneurysm.

A 26-year-old woman presented with a partial left oculomotor nerve palsy and an acute subarachnoid hemorrhage. Bilateral angiography showed a left posterior communicating artery aneurysm and a normal right anterior circulation. The aneurysm was successfully clipped. At 4 1/2 years later, she had an acute, nearly complete, right oculomotor nerve palsy. Repeat bilateral angiography showed a right posterior communicating artery aneurysm, in a previously angiographically normal region, and continued closure of the original left-sided aneurysm. New aneurysms may develop from angiographically normal locations. It is possible that certain patients are more susceptible than average to aneurysm formation or that aneurysm repair leads to a higher rate of new aneurysm occurrence. The previous cases of de novo aneurysms are summarized and the implications for repeat aneurysm screening, using current technology, are discussed.

Adult↗

Visual recovery in patients with optic neuritis and visual loss to no light perception.

We reviewed the records of 151 patients with optic neuritis examined over an eight-year period. Of these patients, 12 developed visual acuity of no light perception during the first episode of optic neuritis in the affected eye. Eight of the 12 patients recovered visual acuity of 20/40 or better. Of these, five patients had visual acuity of 20/20 or better, one had visual acuity of 20/25, one had visual acuity of 20/30, and one had visual acuity of 20/40. Four of the 12 patients recovered peripheral visual fields but had dense central scotomas and visual acuity of less than 20/400. Dyschromatopsia persisted after visual recovery in 11 of 12 patients.

Adolescent↗

Modified grid laser photocoagulation for diabetic macular edema. The effect on the central visual field.

Modified grid laser photocoagulation has been shown to stabilize visual acuity in patients with diabetic macular edema, but the effect on extrafoveal visual function is uncertain. Automated static threshold perimetry was performed on 64 eyes of 36 patients before and after modified grid therapy with the argon green or krypton red laser. Twenty-eight eyes underwent two grid treatments for persistent macular edema. For all eyes tested, average threshold sensitivity in the central 5 degrees dropped 3.44 dB (standard deviation [SD], 3.79 dB) after the first treatment and 6.86 dB (SD, 5.02 dB) cumulatively after the second treatment. Qualitatively, the grayscale displays of the central visual field were darker after treatment, but the scotomata from laser photocoagulation could not be distinguished from those due to macular edema. The foveal threshold showed no significant change. In a subgroup of patients tested, color vision was not significantly improved and nearly all patients exhibited a tritan defect before and after treatment. No difference was detected between the argon and krypton groups. This suggests that with modified grid laser photocoagulation visual acuity and foveal threshold are preserved at the expense of generalized loss of threshold sensitivity across the central 10 degrees of the visual field.

Color Perception↗

Abducens nerve palsy and Horner's syndrome revisited.

Sympathetic fibers destined for the eye join the abducens nerve for a short distance within the cavernous sinus; thus, a unilateral sixth nerve palsy with an ipsilateral Horner's syndrome is of significant localizing value. We report two cases of cavernous sinus lesions producing an ipsilateral abducens palsy and Horner's syndrome: one case due to an intrinsic and the other to an extrinsic lesion of the sinus region.

Abducens Nerve↗

Visual recovery following prolonged amaurosis due to compressive optic neuropathy.

A 25-year-old white man presented with gradual right-sided visual loss over a 3-week period resulting in a visual acuity of "no light perception" in the affected eye for 5 days prior to presentation. Visual-evoked potential testing showed no response to light with the right eye and normal response with the left eye. Evaluation revealed an anterior communicating artery aneurysm compressing the right optic nerve. Eleven days following surgical decompression, 20/200 vision was noted in the right eye; 2 months later, vision had improved to 20/30. Visual-evoked response testing postoperatively showed nearly complete return of function in comparison with the normal left eye. We believe this to be the first report of visual recovery following a prolonged absence of any "light perception" in a patient with compressive optic neuropathy.

Adult↗