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Mugurel Constantin Rusu

Publications and source records attributed to Mugurel Constantin Rusu.

3 recordsLinked to original sources

Considerations on the phrenic ganglia.

UNLABELLED: The phrenic ganglion is described as a small ganglion located at the junction of the right phrenic nerve and branches of the celiac plexus, on the diaphragm. The descriptions of this ganglion are few and incomplete and justify the present study which has been performed macroscopically by dissection and microscopically using silver stained (the method of Bielschowsky) drawn pieces. Dissections of 10 human adult specimens showed one or more ganglia located at the level of the terminal division of the right diaphragmatic artery; these ganglia belong to a trunk linking the right phrenic nerve and the celiac ganglion. In some specimens that nervous trunk was replaced by a ganglionated plexus. That trunk--the diaphragmatic nerve--attaches to a distinctive projection of the celiac ganglion; it may be double, but there is one ganglionated component. No left phrenic ganglia were detected. The macroscopic phrenic ganglia are distributed as follows: the lower to the adrenal gland and the upper to the diaphragm. Microscopically, the ganglia had autonomic characteristics; intrinsic microganglia were also detected within the diaphragmatic nerve. Moreover, periadventitial nervous cells were detected on the right inferior phrenic artery. IN CONCLUSION: (1) the phrenic ganglia seem to be constant structures on the right-hand side; (2) their number is variable--it may be the result of individual fragmentation or coalescence during development; (3) these ganglia may be either adrenal vasomotor or diaphragmatic vasomotor, and functionally belong to the celiac plexus; (4) intrinsic neural and periarterial locations are also possible for macroscopically undetectable populations of autonomic nervous cells.

Adult↗

Bilateral alar thoracic artery.

During a routine dissection a superficial artery was observed coursing subcutaneously at the anterior border of the axillary base towards the thoracic wall and bilaterally at the lower border of the pectoralis major muscle. On the right side it originated from the 3rd part of the axillary artery but on the opposite side the origin was from the first centimetre of a left radial artery originating directly from the axillary artery together with the left brachial artery. Apart from the bilateral absence of the deep brachial artery, no other anomalies were identified at this level. This variant corresponds to the alar thoracic artery, an unusual and rarely reported artery. The literature on the subject contains no reference either to the bilateral evidence for the alar thoracic artery or to the possibility of an origin from a high radial artery. The presence of such an alar thoracic artery may interfere with surgical access within the axillary fossa and should be taken into consideration.

Cadaver↗

The spinal trigeminal nucleus--considerations on the structure of the nucleus caudalis.

The caudal part (nucleus caudalis) of the spinal trigeminal nucleus is considered to be the site of the second order neurons of the nociceptive pathways of the face. Recent studies have supported the co-participation in these circuits of the oral part of the same nucleus (nucleus oralis). The aims of the present study are: 1) to determine the morphology of the nucleus caudalis in human preparates; 2) to consider whether there is any structural basis for the pathways of signal transmission observed in animal experiments; 3) to provide evidence-based support for further consideration on the orofacial pathways. The studies were made using the Bielschowsky silver staining technique (on blocks) applied to drawn pieces of brainstems from human cadavers. On the sections the outer laminae of the nucleus are distinguishable, while the inner part hardly exposes any laminar configuration on transverse cuts. A marginal plexus with small polygonal or rounded small cells appears configured in 3 parts, namely dorsal, intermediate and ventral. Outer to the marginal plexus a clear band marks it off from the interstitial plexus, which appears more delicate. Within the marginal plexus is substantia gelatinosa with rare randomly distributed small or medium-sized cells. The inner magnocellular layers consist of clusters of small cells specifically allocated to fibre bundles, isolated small cells and large cells, pear-shaped or fusiform, appearing either bipolar or multipolar. The marginal and interstitial plexuses can represent the framework for modulation and vertical signal transmission within the spinal trigeminal nucleus, while the magnocellular layers seem to be mainly responsible for contralateral projection. It seems that the outer laminae of the spinal trigeminal nucleus may represent the receiver and the inner laminae the transmitter of the signal on the trigeminal pathway at brainstem level.

Animals↗