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    01 January 2014, Volume 9 Issue on line Previous Issue    Next Issue
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    Survey and analysis of peripheral nerve injuries caused by the earthquake
    Chunqing He, Lihai Zhang, Xianfei Liu, Peifu Tang
    2014, 9 (on line):  1-7. 
    Abstract ( 271 )   PDF (1310KB) ( 1151 )   Save

    Many victims of earthquakes experience nerve injury with dysfunction. To observe earthquake-caused nerve injuries and recovery after the earthquake in Wenchuan. Methods:Earthquake-caused nerve injuries were examined 5 to 16 weeks after the trauma and over 2 years for the injury course and nerve recovery. Type I injuries were nerve transection injuries, type II injuries were nerve compression injuries, and type III injuries exhibited no direct neurological dysfunction due to trauma. 31 patients had type I injuries involving 41 nerves, 419 had type II injuries involving 823 nerves, and 73 had type III injuries involving 150 nerves. Among the 22 patients with open-transection nerve injury, 13 had infections around the wound. Closednerve injury was associated with soft injury. With calf compartment syndrome, tibial nerves were compressed by the tendinous arch of the soleus. Surgical decompression favorably affected nerve recovery. Physiotherapy was effective for type I and II nerve injury but not much for type III nerve injury. Pharmacotherapy had little effect on type II and III nerve injury. The Louisiana State University Health Sciences Center (LSUHSC) score for nerve injury severity was decreased with duration of being trapped. In the first year, the LSUHSC score for grade 3 to 5 nerve injury increased from 28.2% to 81.8%. If scores were still poor (0 or 1) after 1-year treatment, further treatment was not effective. Nerve injury in victims of earthquakes is directly related to the crush and indirectly to soft-tissue damage. Targeted decompression surgery and physiotherapy is effective for nerve transection and compression injury.

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    Angioplasty and stenting for severe vertebral artery orifice stenosis: effects on cerebellar function remodeling verified by blood oxygen level-dependent functional MRI
    Bo Liu, Zhiwei Li, Peng Xie
    2014, 9 (on line):  1-7. 
    Abstract ( 152 )   PDF (842KB) ( 692 )   Save

    Vertebral artery orifice stenting may improve blood supply of the posterior circulation of the brain to regions such as the cerebellum and brainstem. However, previous studies have mainly focused on recovery of cerebral blood flow and perfusion in the posterior circulation after interventional therapy. This study examined the effects of functional recovery of local brain tissue on cerebellar function remodeling using blood oxygen level-dependent functional magnetic resonance imaging before and after interventional therapy. A total of 40 Chinese patients with severe unilateral vertebral artery orifice stenosis were enrolled in this study. Patients were equally and randomly assigned to intervention and control groups. The control group received drug treatment only. The intervention group received vertebral artery orifice angioplasty and stenting + identical drug treatment to the control group. At 13 days after treatment, the Dizziness Handicap Inventory score was compared between the intervention and control groups. Cerebellar function remodeling was observed between the two groups using blood oxygen level-dependent functional magnetic resonance imaging. The improvement in dizziness handicap and cerebellar function was more obvious in the intervention group than in the control group. Interventional therapy  for severe vertebral artery orifice stenosis may effectively promote cerebellar function remodeling and exert neuroprotective effects.

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    HSP72 confers RGCs and LGN neurons protection
    Ning Li, Yuehua Li, Xuanchu Duan
    2014, 9 (on line):  1360-1365. 
    Abstract ( 191 )   PDF (846KB) ( 927 )   Save

    PURPOSE: To investigate the dynamics of Heat Shock Protein 72 (HSP72) expression in retinal ganglion cell (RGCs) and lateral geniculate nucleus (LGN) neuron in a model of chronic ocular hypertention treated with intraperitoneal injection of zinc sulfate and quercetin and to explore the mechanism of HSP72 neuroprotection in glaucoma. METHODS: 140 male Wistar rats were used to make chronic glaucoma models. 12 others served as normal control. Chronic glaucoma models were made by cauterizing the limbal episcleral veins to block the reflux of aqueous humor by 532nm viridis-lite laser. 48 model rats were killed at different intervals after laser treatment without drug injection, which served as damage control.30 were treated with zinc sulfate injection 2 weeks posterior to laser treatment; 30 were used for quercetin administration 6 hours posterior to laser treatment and 20 were treated with sp600125 posterior to laser treatment. Treated model rats were sacrificed at designed intervals after treatment. Right eyes were enucleated immediately. The retinas and LGN were dissected for HE, immunohistochemical, FluoroGold staining and Western blot.RESULTS: No HSP72 and no SAPK/JNK activation were found in RGCs and LGN neurons of normal Wistar rats. After laser treatment, HSP72 was detected significantly expressed in RGCs and LGN neurons posterior to laser treatment in damage control group. HSP72 production in RGCs and LGN neurons of zinc sulfate group were higher than the damage control,and yet quercetin group were significantly lower at every time point. The count of RGCs both zinc sulfate group and sp600125 group were higher than the damage control at every point(p<0.05), but the number of RGCs in zinc sulfate group was lower than the sp600125 group in treated eyes (p<0.05).p-JNK and p-c-jun expressions of damage control were visible at 3 day, and reached the peak at 7 day. Zinc sulfate administration decreased p-c-jun expression significantly, which was the same as sp600125, a JNK inhibitor. Quercetin injection enhanced the p-c-jun protein level. There was no significant difference of p-JNK activation in four experimental groups at every point, including damage control, zinc sulfate, quercetin and sp600125 treatments (P>0.05). In the LGN, p-JNK and p-c-jun expressions were visible at every time. p-JNK and p-c-jun dynamic expressions reac hed the peak at 14 day, which were the same as their expressions at 7 day in retina on activation.CONCLUSIONS: HSP72 protects chronic ocular-hypertensive rat model of RGCs and LGN neurons from injury by blocking SAPK/JNK pathway activation.

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