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Morphological and functional studies on the lateral joints of the first and second cervical vertebrae in man.

The articular surfaces of the lateral atlanto-axial joints in man were analyzed with respect to their biomechanical aspects. The joint surfaces were investigated macroscopically, and the texture of the tangential fiber layer of the articular cartilage was studied with the aid of the split-line method. Furthermore, the thickness of cartilage was measured. From the results obtained the authors draw the conclusion that especially the mode of rotational movement between C1 and C2 changes within a life time. As a consequence, the distribution of stress in the lateral atlanto-axial joint is modified.

Adolescent↗

Functional anatomy of the lateral collateral ligament complex of the elbow.

Postero-lateral instability of the elbow joint is a rare clinical condition, commonly related to a disruption of the lateral collateral ligament complex of the elbow. Twenty elbow joint specimens were studied in order to describe the morphologic characteristics of this complex, and to determine the role of its different components in the stability of the elbow. After a morphologic and morphometric investigation, serial divisions of the medial bundle of the lateral collateral ligament were performed, with or without section of the annular ligament and the anterior bundle of the lateral collateral ligament. The anterior and medial bundles of the lateral collateral ligament had close relationships with the annular ligament and a common proximal course. Isolated section of the medial bundle of the lateral collateral ligament induced only minor laxity of the elbow joint. Combined divisions of the medial and the anterior bundles at their humeral insertion, or the medial bundle and the annular ligament at their ulnar insertion resulted in a reproducible subluxation of the ulno-humeral joint. Thus, postero-lateral rotatory stability of the elbow joint is largely maintained by the lateral collateral ligament complex, composed of three elements: the anterior and medial bundles of the lateral collateral ligament, and the annular ligament. In clinical practice, chronic postero-lateral instability is best treated by a ligamentous reconstruction, that must take into account all these anatomic considerations. We report here a new technique of ligamentoplasty using the fascia of the extensor carpi ulnaris muscle.

Aged↗

Optimising the detection of upper motor neuron function dysfunction in amyotrophic lateral sclerosis--a transcranial magnetic stimulation study.

Evidence of upper motor neuron (UMN) dysfunction is essential in making the diagnosis of amyotrophic lateral sclerosis (ALS). Central motor conduction (CMC) abnormalities detected using transcranial magnetic stimulation (TMS) are presumed to reflect UMN dysfunction. CMC is, however, often normal in patients with classical sporadic ALS. The aim of the study was to determine whether the utility of the CMC measure in ALS could be enhanced. We measured CMC to four pairs of muscles (abductor digiti minimi (ADM), biceps, vastus medialis (VM) and abductor hallucis (AH) in 20 controls and 25 ALS patients. The commonest abnormality detected in the ALS patients was an absent MEP, found in 11 patients (44 %) and in 25 of 200 muscles examined. Studying a minimum of three muscles increased the probability of detecting UMN dysfunction. Weakness in the muscle as well as selecting a distal rather than a proximal muscle was significantly associated with an abnormal CMC. Interside differences in CMC were significantly more pronounced in the patient group. In 30% of patients a significant interside difference in AH CMC time was the sole abnormality, suggesting mild UMN dysfunction on the side with the longer CMC.

Adult↗

Dependence of visual cell properties on intracortical synapses among hypercolumns: analysis by a computer model.

The role of intracortical synapses in affecting the property of visual cells is investigated by means of an original mathematical model of cortical circuitry in V1. The model represents a compromise between computational simplicity and physiological reliability. The model incorporates four different inputs into a cortical cell: thalamic input from the lateral geniculate nucleus, according to an even Gabor function; short-range inhibition confined within the hypercolumn; a long-range excitation, which emphasizes the properties of the input; and a long-range inhibition. In the model we assume that all cells receive a similar thalamic input, which differs simply according to its position in the retina and orientation preference. Simulations were performed, with different parameter values, to assess the main characteristics of cell response (i.e., the width and locations of subregions in the receptive field (RF), orientation tuning curve, and response to drifting and counterphase gratings) as a function of the strength and extension of intracortical excitatory synapses. Results suggest that, if intracortical excitation is confined within the hypercolumn, the cells exhibit the same properties as simple cells, both with regards to the width and shape of the RF, orientation tuning curve, and response to drifting and counterphase gratings. By contrast, if excitatory synapses extend beyond the hypercolumn with sufficient strength, the cells exhibit the typical characteristics of complex cells. A progressive shift from complex to simple cells can be realized with a monotonic variation in parameters. Simulations are also performed with a hierarchical model, to suggest possible experiments able to discriminate the present recurrent mechanism from the classical hierarchical one. Results support the assumptions of previous simpler models (Chance et al., 1999) and may help to understand and assess the role of intracortical synapses in rigorous quantitative terms.

Algorithms↗

In your right mind: right hemisphere contributions to language processing and production.

The verbal/nonverbal account of left and right hemisphere functionality is the prevailing dichotomy describing the cerebral lateralization of function. Yet the fact that the left hemisphere is the superior language processor does not necessarily imply that the right hemisphere is completely lacking linguistic ability. This paper reviews the growing body of research demonstrating that, far from being nonverbal, the right hemisphere has significant language processing strength. From prosodic and paralinguistic aspects of speech production, reception, and interpretation, to prelexical, lexical and postlexical components of visual word recognition; strong involvement of the right hemisphere is implicated. The evidence reviewed challenges the notion that language is solely a function of the "verbal" left hemisphere, indicating that the right cerebral hemisphere makes significant and meaningful contributions to normal language processing as well.

Dominance, Cerebral↗

Hypertension and coronary heart disease: cause and consequence or associated diseases?

Numerous epidemiologic and experimental studies have shown that increased arterial pressure accelerates atherosclerotic disease including coronary heart disease. Left ventricular hypertrophy also develops along with the development of hypertension. In uncomplicated stages of hypertension, left ventricular hypertrophy may enable the heart to maintain its performance against an increased afterload. Development of coronary heart disease in hypertensive heart disease could be one of the factors that impairs cardiac function in later stages of the disease so that the function of the heart can no longer match the increased afterload. It can also be argued that atherosclerotic disease commonly contributes to an increase in systolic blood pressure. Short-term increases in arterial pressure due to angina pectoris or other stressful events may trigger permanent hypertension; this is an interesting alternative that is yet to be investigated. Thus, it is possible that a cause/consequence relationship is involved between hypertension and coronary heart disease as opposed to a simple association. Furthermore, this cause/consequence relationship could sometimes be bidirectional.

Animals↗

Hemispheric asymmetry in the effects of cerebral cortical ablations on mitogen-induced lymphoproliferation and plasma prolactin levels in female rats.

Female rats were subjected to unilateral left or right, bilateral, or sham ablation of the cerebral cortex. Eight weeks after surgery, the rats were sacrificed by decapitation and spleen cells were grown in culture for 96 h in the presence or absence of the T-cell mitogen concanavalin A or the B-cell mitogen lipopolysaccharide. Mitogenesis was determined by the addition of [3H]thymidine 24 h prior to harvesting. Both T- and B-cell mitogenesis were significantly depressed in subjects bearing cortical ablations in the right hemisphere, whereas left hemisphere ablation was without reliable effect. Prolactin in plasma collected at sacrifice was elevated in rats bearing right but not left hemisphere ablation and was significantly negatively correlated with both T- and B-cell immune responses. These results demonstrate a lateralized modulatory influence of cerebral cortex on immune function in female rats and they implicate elevated prolactin levels as a possible mediator of this effect.

Animals↗

Visual function in the ventral lateral geniculate nucleus of the cat.

The visual receptive fields of 293 single units in the ventral lateral geniculate nucleus of the cat were studied. In addition to the wide variety of types described by others, a group of units responding differentially to color was identified that included units responding particularly to blue and others with opponent color properties. Some units with spontaneous firing and without definite visual receptive fields were inhibited by stimulation of the optic chiasm (OX). A study of latency of firing to OX stimulation suggested that these cells were driven by retinal ganglion cells of the W type. One-third of all units studied were binocularly driven.

Afferent Pathways↗

Individual variability in cortical organization: its relationship to brain laterality and implications to function.

The human brain and the brains of most mammals studied for this purpose demonstrate hemispheric asymmetry of gross anatomical landmarks and/or architectonic cortical subdivisions. The magnitude as well as the direction of these cortical asymmetries vary among individuals, and in some species there exist significant population directional biases. The magnitude, if not the direction, of cortical asymmetry is found to predict for relative numbers of neurons comprising a given pair of hemispheric architectonic homologues such that the more asymmetric the region is, the smaller the number of neurons. Similarly, the more asymmetric a region is, the smaller the density of interhemispheric connections and (probably) the greater the density of intrahemispheric connections. Developmentally, the decrease in the number of neurons characterizing the more asymmetrical regions appears to reflect mainly increased unilateral ontogenetic cell loss, and diminished callosal connectivity might signify increased developmental axonal pruning. These relationships between cell numbers, callosal connections, and presumed intrahemispheric relationships can be entertained to explain variability in anatomo-clinical correlations for language function and aphasia between left- and right-handers and men and women.

Animals↗

The functional relevance of the lateral parabrachial nucleus in lithium chloride-induced aversion learning.

Lesions to the lateral parabrachial nucleus (PBN), one of the subnuclei that make up the pontine parabrachial complex, impairs the acquisition of taste aversion learning (TAL) with LiCl as the toxic stimulus. In this experiment, PBNl-lesioned and control rats were trained to learn a delayed task with a 15-min interval between presentation of the gustatory and the aversive stimulus. The impairment in learning observed after lesions of the PBNl is discussed in terms of disruption of the transmission of toxic stimuli (LiCl) processed by the humoral pathway and the area postrema (AP).

Afferent Pathways↗

Lateral asymmetry of eye movements in temporal lobe epileptic patients with unilateral foci.

Eye movements in response to visual stimuli (Benton Visual Retention Test) were examined in 22 temporal lobe epileptics (TLEs), 10 primary generalized epileptics (PGEs), and 20 normal controls. In the normal controls, the percent fixation time on the left peripheral figure was higher than that on the right peripheral figure, a tendency also found in the PGEs. In TLEs with right-sided foci, the percent fixation time on the left peripheral figure was higher than that on the right peripheral figure, the direction of asymmetry found in the normal controls and PGEs. However, when calculated as laterality indices (the degree of asymmetry) TLEs with right-sided foci were significantly more negative than those of both the normal controls and PGEs. In TLEs with left sided foci, the percent fixation time on the right peripheral figure tended to be higher than that on the left peripheral figure, an asymmetry which differed significantly from the normal controls, PGEs and the TLEs with right-sided foci. The results here showed that TLEs with unilateral foci had distinct eye movements which varied with the laterality of the lesion in the direction of functional overactivation of the epileptogenic hemisphere.

Epilepsy, Generalized↗

Dichhaptic laterality and field dependence.

Relationships among laterality, field dependence, and sex were investigated using right handed subjects. Dichhaptic measures of laterality showed a significant left-hand advantage for the discrimination of irregular shapes. No significant relationships were found between laterality and sex or sex role perceptions nor between laterality and field dependence. A modality of response effect on the laterality task was interpreted in terms of the functional cerebral space principle.

Cerebral Cortex↗

Adult living donor liver transplantation using the right lobe.

BACKGROUND: This article reviewed our experience with right lobe donor hepatectomy in living donor liver transplantations (LDLT), particularly in the context of preserving donor safety. MATERIALS AND METHODS: From January 2000 to August 2005, we performed 206 adult LDLT operations using the right lobe. The donor characteristics, operative findings, postoperative results including the peak values of liver enzymes (aspartate transferase [AST], alanine transferase [ALT], and bilirubin) and regeneration volumes, as evaluated by computed tomography volumetry, were reviewed at 1 week, as well as 3 and 6 months after surgery. The effects of three risk factors on donor safety were analyzed: age (<55 years, > or =55 years): fatty change in the donor liver (<10%, > or =10%); and remnant volume (<35%, > or =35%). RESULTS: The liver enzymes and regeneration volumes showed no significant difference according to age, only ALT was significant increased associated with the severity of fatty change (P < .05). There were significant differences in postoperative AST, ALT, and regeneration volume between the group with <35% and the group with > or =35% remnant liver volume (P < .05). Upon further analysis with combinations of two out of three risk factors, the group according to remnant volume and fatty change was meaningful. Follow-up data on donor ALT showed a return normal levels and after postoperative 3 months there was regeneration of the remnant liver to more than 70% of the whole liver preoperatively. There was no donor mortality, but postoperative complications were observed in 39 patients (39/206, 18.9%). Biliary complications were encountered in 24 patients: one bile duct injury, 22 bile leakages, and one bile duct stricture. Other complications consisted of pleural effusion (n = 8), delayed gastric emptying (n = 6), atelectasis (n = 1), and hepatic encephalopathy (n = 1). CONCLUSION: In cases of careful donor selection, a right lobectomy can be performed safely with minimal risks when the remnant liver volume exceeds 35% of the total liver volume and shows less than 10% fatty changes.

Adult↗