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Biomedical subjects

J Spacek

Publications and source records attributed to J Spacek.

At least 19 recordsLinked to original sources

Dynamics of Golgi impregnation in neurons.

This paper describes the early stages of impregnation by the Golgi rapid method in sections and blocks of brain tissue. Aldehyde-fixed and potassium dichromate-treated sections of cerebral cortex were placed on glass slides and coverslipped. The dichromate solution was then replaced by a silver nitrate solution, and events taking place in the section were monitored and time-lapse recorded until the impregnation was interrupted and the sections subsequently prepared for electron microscopy. The tissue blocks, fixed and chromated in the same way, were placed into a silver nitrate solution for 30 min to 24 h and the progress of impregnation compared with the results obtained in the sections on the glass slides. Two basic modes of impregnation were observed, apparently in direct relation to the process of crystallization of silver chromate: crystals of silver chromate growing directly from the surface of the tissue into the nerve cell via its transected plasma membranes, and microcrystalline precipitate of silver chromate spreading into the nerve cell from nucleation centres dispersed in the tissue. The precipitate grows inside the cell as in a preformed channel until the cell has been filled. If the nucleation begins extracellularly, the precipitate extends into the narrow intercellular gaps. Electron microscopy showed that the crystalline precipitate consisted of multilamellar formations containing dense coalesced granules that did not cross plasma or endocellular membrane boundaries.

Animals

Benign cyst of the paramedian pontine tegmentum.

A benign ovoid cyst, without an epithelial lining, localized in the paramedian pontine tegmentum, was examined by computed tomography (CT) and magnetic resonance imaging (MRI) (25 x 15 x 15 mm) and successfully operated upon. The one-and-a-half syndrome (horizontal gaze palsy to the right and paralysis of adduction of the right eye) and ipsilateral "peripheral" VII nerve palsy dominated the clinical picture. Fenestration, 5 mm in diameter, of the cyst wall through the floor of the IV ventricle was performed and 2.6 ml of clear, colorless fluid was evacuated. Inspection of the cyst, using the operating microscope, revealed a smooth, white, glistening cavity with no evidence of other pathological tissue. Duraplasty was performed with allogenic pericardium. Neurological symptoms improved immediately after surgery. Light and electron microscopy of the cyst wall revealed a fibrillar astroglial network and fragments of ependyma at the ventricular side of the biopsy.

Adolescent

Pulmonary and dermal manifestations of myelosarcoma with delayed onset of acute myeloid leukemia.

An unusual case of illness of a 49 year old woman who suffered from inexpressive skin rash for three years is described. Repeated biopsies did not bring an unequivocal result. Then an illness followed with a short term fever, prolonged cough, and progressing dissemination of tiny focal shadows of infiltration character in both lungs. Simultaneous biopsies of the skin and excised pulmonal tissue revealed histiocytolymphocytic infiltrations of an identical character. Atypical cells which were difficult to classify were present. Dermal and pulmonal infiltrations disappeared after chemotherapy. Eruption occurred again after a year and hasty development of acute myeloid leukemia started. It was a case of prodromal myelosarcoma stage with skin and pulmonal infiltration by quite undifferentiated reticulohistiocytic elements of the myeloid line, which ended as acute myeloid leukemia after 4 years.

Acute Disease

[Repair of the dura mater in children using xenogenic pericardium].

The authors report their five-year experience with the use of xenogenic calf pericardium for plastic operations of the cerebral and spinal dura mater which they introduced into neurosurgical practice in 1983. Of 165 grafts they selected 50 which they used in children for the plastic operation of the dura mater above the posterior cranial fossa, above the convexity of the brain and at the skull base. The xenogenic pericardium proved successful and resolved also the shortage of allogenic collagenous tissues (fascia lata, dura mater) used for plastic operations of the dura mater. Moreover, due to its resistance it achieved priority in some indications and localizations. When used, certain conditions must be met to ensure satisfactory incorporation (suitable size, intradural submersion, careful suture).

Bioprosthesis

Dynamics of the Golgi method: a time-lapse study of the early stages of impregnation in single sections.

This paper describes the early stages of impregnation by the Golgi method. Sections of aldehyde-fixed and potassium dichromate-treated cerebral cortex were mounted on glass slides and cover slipped. The dichromate solution was replaced by silver nitrate solution and events in the section were followed and recorded by time lapse microphotography and video recording until stopped by replacement of silver nitrate solution by glycerol. The sections were subsequently prepared for electron microscopy (EM) study. In sections about 2 x 2 mm and 100 microns thick a fine, dark granular precipitate formed at the edges within the first minutes of exposure to silver nitrate and a wave of brownish colouration spread to a depth of about 0.3 mm. After approximately 7 min, shrub-like focal precipitates (nucleation centres) appeared in the sections. From these nucleation centres (but also from the section edges) thread-like 'outgrowths', usually identified as dendrites, spread into somata. Sometimes impregnation began within the soma and spread into dendrites. The rate of impregnation (i.e., of silver chromate deposition within dendrites) was typically 1-7 microns min-1, faster in the earlier stages (up to 3 microns s-1) and very slow after 30 min, by which time many neurons were more or less fully impregnated. The dimensions of the section, the width of an agar frame around the sections, and the frequency with which the silver nitrate in the sections was replenished all affected the extent and time course of the impregnation. By EM the earliest intracellular deposits consisted of tubulolamellar formations which did not cross plasma or endocellular membrane boundaries and which contained irregularly shaped and scattered granules, initially about 10 nm in diameter. The latter progressively enlarged and coalesced as the tubulolamellar formations extended, eventually to fill the cross-sectional area of neuronal processes and cell bodies. These observations shed light on why so few neurons become impregnated with the Golgi method. Impregnation occurred only in those cells a part of which was within a nucleation centre.

Animals

Xenogeneic pericardium as a dural substitute in reconstruction of suboccipital dura mater in children.

A 5-year experience with the glutaraldehyde-stabilized freeze-dried radiation-sterilized calf pericardium used as a dural substitute is reported. The structure of pericardium xenograft is compared with other collagenous materials used for duraplasty (allogeneic fascia lata and dura mater) by light and electron microscopy. The special neurosurgical techniques involved in using pericardium xenografts in the reconstruction of suboccipital dura mater in children are presented in detail.

Animals

[Developmental cysts in the area of the quadrigeminal plate in children].

The authors describe three cases of operated developmental cysts in the area of the laminae quadrigeminae in children. The performed multiple fenestrations or excision of the wall of the cyst and effective communication with the subarachnoid or ventricular system, as well as a plastic operation of the dura mater with collagen tissue from a Tissue bank. By means of light microscopy the walls of two cysts were examined (one arachnoid and one glioependymal), one cyst was examined by electron microscopy (glioependymal). The authors supplemented by their own cases the number of hitherto described cysts in the collicular region to 56.

Arachnoid

Computer-aided three-dimensional reconstructions of biological objects using simple facilities.

An analysis of serial sections is an important method applied in all fields of biology studying objects divided into sections, especially at light and electron microscopy levels. It affords a qualitative and quantitative information on spatial organization of tissues, cells and organelles. This study describes simple and cheap ways of obtaining computer-aided three-dimensional reconstructions of biological objects from serial sections.

Computer Graphics

[Eosinophilic leukemia].

On the example of a patients with eosinophil leukaemia, which at first was manifested as eosinophilia in the peripheral blood stream and bone marrow without involvement of other organs and only after three years acquired the character of malignant growth, the authors draw attention to difficulties in the differential diagnosis of hypereosinophil syndrome. At the same time the authors review briefly views on the origin of eosinophil leukaemia, morphological and cytogenetic findings considered useful as evidence of this rare type of leukaemia.

Adult

Personal microcomputer-aided three-dimensional reconstructions.

A fast, cheap and simple method is described which enables three-dimensional reconstructions to be produced from short series of sections. The reconstruction is formed and displayed either as a full line or hidden line diagram or shaded model. It may be rotated, magnified or reduced, all with the aid of a personal microcomputer, peripherals and software, the total cost of which does not exceed several hundreds of US dollars.

Animals

Ultrastructural pathology of dendritic spines in epitumorous human cerebral cortex.

Ultrastructural changes in the human epitumorous cerebral cortex were examined. A swelling of nerve cell perikarya, dendrites and axon terminals, and an occasional hyperplasia and disarray of microtubules and neurofilaments were observed. Accumulations of lysosomes, tubuloreticular structures and intracytoplasmic or intramitochondrial crystalloid inclusions were also found. Some myelinated axons were degenerated. Astrocytes and their processes were focally swollen. A mild swelling was found also in microgliocytes. Oligodendrocytes occasionally contained accumulations of dense bodies. Special attention was paid to dendritic spines. The spine surface morphology changed distinctly on swollen dendritic segments. The necks of most spines were short and wide, and numerous sessile forms were present in this location. The spine apparatus was often hypertrophied and disorganized. Smoothing out of spines on swollen dendrites is described and a possible functional significance of the observed changes in the symptomatology of brain tumors is hypothesized.

Animals

Melanotic neuroectodermal neurocranial tumor of infancy of extra-intra-and subdural right temporal location: CT examination, surgical treatment, literature review.

A melanotic neuroectodermal neurocranial tumor of infancy of extra-intra-subdural right temporal location, examined by CT and successfully operated in a 33-month-old boy is reported in context with the literature. Out of 30 cases (including our case) of melanotic neuroectodermal neurocranial and intracranial tumors (MNNIT) 18 were located in the neurocranium (MNNT) and 12 intracranially, i.e. in the brain and cerebellum (MNIT). 23 tumors were located medially (11 at the anterior fontanel, one at the posterior fontanel, one in the 3rd ventricle, one in the sella turcica, one in the pineal region, 8 in the cerebellar vermis) and 7 laterally (five involved the temporal bone, one of which with intracranial propagation (our case), one in the temporal lobe of the brain, one in the skull posterior to the mastoid process). Twenty-eight cases were children (16 boys, 8 girls, four not stated), two adults. The location is important in respect to biology and surgery: MNNIT can be grouped as to its relation to the arachnoid barrier layer into malignant and benign. MNIT localised medially subarachnoidally are malignant. MNNT of small dimensions localised medially and laterally extraarachnoidally are benign. MNNT of extreme dimensions localised medially extra-intradurally are also benign, but difficult to treat. In the MNNT when diagnosed early and operated radically, the mortality can be lowered. Our case, presented on CT (1978) as first case of combined extra-intra-subdural location, represents the 173rd MNT and the 18th related to neurocranium.

Brain Neoplasms

Three-dimensional analysis of dendritic spines. II. Spine apparatus and other cytoplasmic components.

A total of 342 dendritic spines (193 from the visual and 149 from the cerebellar cortex of the mouse) were analyzed in serial and several hundred of thousands of them in single sections, with respect to the presence and organization of the spine apparatus and other cytoplasmic components. The continuity of the spine apparatus with the smooth endoplasmic reticulum of the dendritic trunk was shown in three-dimensional reconstructions. The dense material of the spine apparatus was divided into "inner dense plate" and "outer dense plate". The close relationship between the outer dense plate and the postsynaptic density suggests that the spine apparatus functions as a postsynaptic protein synthesizing centre. The material from the outer dense plate could be used for a dynamic extension of the synaptic active zone. An extraspinous spine apparatus of the axon initial segment was partially reconstructed. Polyribosomes were found in all large spines of the visual cortex but were not so frequent in small spines and in Purkinje cell dendritic spines. Microfilamentous network and intermediate filaments occurred in the spines. The smooth endoplasmic reticulum of Purkinje cell dendritic spines was reconstructed. No spine apparatus and dense material were present in these spines.

Animals

Three-dimensional analysis of dendritic spines. III. Glial sheath.

The glial envelope of dendritic spines in the visual and cerebellar cortices was evaluated by analysis of serial sections. Three-dimensional reconstructions of the protoplasmic astrocyte processes were made and the quantitative proportions of the glial cover on dendritic spines were measured and compared. Whereas dendritic spines on spiny branchlets of Purkinje cells are, with the exception of afferent axon terminals, completely covered by the glial sheath (74.44%), dendritic spines of pyramidal cells are only partially covered (28.89%), so that spine stalks and even synaptic clefts frequently lack glial isolation. A new, relatively frequent configuration of subsurface cistern--astrocyte process--dendritic spine is described. A possible functional significance of the differences in the glial ensheathment of dendritic spines in visual and cerebellar cortices is discussed.

Animals