Hippocampal but not amygdalar volume loss in narcolepsy with cataplexy.

Objective: Narcolepsy with cataplexy (NC) and narcolepsy without cataplexy (NwoC) are lifelong neurological disorders characterized primarily by excessive daytime sleepiness. Emotional events such as laughter are a trigger of cataplexy in NC.

Methods: We compared the volumes of key limbic structures, the amygdala and hippocampus, in 53 NC, 23 NwoC and 37 control subjects.

Volume of the amygdala is reduced in patients with narcolepsy - a structural MRI study.

Objective: Based on the clinical observation that patients suffering from narcolepsy with cataplexy (NC) have cataplectic attacks when they experience positive emotions, it is therefore hypothesised that the abnormal processing of external emotional input through the limbic system, or motor dysregulation induced by emotions, takes place during these episodes. To date, imaging studies have failed to reveal consistent brain abnormalities in NC patients.

Methods: Considering the discrepancies in reported structural or functional abnormalities of the hypothalamus, amygdala, and nucleus accumbens, we used the MRI volumetry to determine the volumes of the amygdala and nucleus accumbens in a group of eleven patients with NC (5 males and 6 females, mean age 41.

Volumetry of the human amygdala - an anatomical study.

A striking feature of the studies that have addressed the measurement of the amygdala is the wide range of volumes encountered, with reports of volumes ranging from 1 to almost 4 cm(3). Another striking feature is the number of discrepancies in the landmarks adopted for manual tracing in magnetic resonance imaging (MRI). The goal of our study was to assess the anatomical volume of the amygdala on the basis of its cytoarchitecture while comparing the differences in age and sex.

An anatomical and radiological study of the high jugular bulb on high-resolution CT scans and alcohol-fixed skulls of adults.

Although many reports mention a "high jugular bulb" (HJB), it is often not clearly defined. We examined the relationship between the jugular bulb (JB) and the internal auditory canal (IAC) in 200 temporal bones on high resolution CT scans and alcohol-fixed skull bases of adults. The average distance (+/-standard deviation) between the IAC and the JB was 7.

Validity of primary motor area localization with fMRI versus electric cortical stimulation: a comparative study.

Background: Functional magnetic resonance imaging (fMRI) is a widely used method for research and visualization of the brain function. However, its clinical use is still limited. Our objective was to study fMRI reliability in localizing the primary hand motor cortex (M1) under pathological conditions caused by the proximity of a brain tumour.

Post-mortem magnetic resonance imaging and its irreplaceable role in determining CNS malformation (hydranencephaly)--case report.

Post-mortem magnetic resonance appears to be a method supplementary to classic pathological-anatomical autopsy in determining foetal abnormalities. Frequently, it plays a key role, primarily where autopsy options are in some way limited (developed autolysis, dilatation of the ventricular system). This case report demonstrates that post-mortem magnetic resonance imaging can precisely determine the type of congenital malformation (hydranencephaly), by contrast to ultrasound, with which alobar holoprosencephaly has been described, often presenting a differential diagnosis problem.

Amygdalar volume and psychiatric symptoms in Alzheimer's disease: an MRI analysis.

Objectives: We measured the volumes of the amygdala to test the hypothesis that the reduction of amygdalar volume may be associated with psychiatric symptoms in Alzheimer's disease.

Materials And Methods: Twenty-seven patients underwent neuropsychological investigation including the assessment of general clinical severity by the Mini-Mental State Examination (MMSE) and Neuropsychiatric Inventory (NPI). All patients underwent magnetic resonance imaging (MRI) of the head, from which the volumes of the amygdalae were measured.

Biological properties of copolymer of 2-hydroxyethyl methacrylate with sulfopropyl methacrylate.

Interaction of organism with non-toxic implanted polymers depends on the physicochemical properties of the implant surface, which influence the adsorption of bioactive proteins and subsequently adhesion and growth of cells. The synthetic hydrogels are known as poorly adhesive surfaces. In this study we demonstrated the adsorption of albumin, fibrinogen, fibronectin, basic fibroblast growth factor, heparin-binding epidermal growth factor-like growth factor and epidermal growth factor to poly(2-hydroxyethyl methacrylate) (pHEMA) and copolymer of 2-hydroxyethyl methacrylate (HEMA) and potassium salt of 3-sulfopropyl methacrylate (SPMAK).

Evaluation of biocompatibility of the copolymer of 2-hydroxyethyl methacrylate with 2-(methylsulfanyl)ethyl methacrylate.

This study compares subcutaneous and intracerebral biocompatibilty of two hydrogels: copolymer of 2-hydroxyethyl methacrylate with 2-(methylsulfanyl)ethyl methacrylate and poly(2-hydroxyethyl methacrylate) as reference polymer. The experimental copolymer was more biologically inert than poly(2-hydroxyethyl methacrylate) in both the studied parameters, hence the former material is a suitable candidate for biomedical application.

Brain lesion-induced alteration of selected phenotypic properties of spleen macrophages and their partial restoration in the course of foreign body reaction against intraperitoneally implanted polymers.

A lesion in the dorsoposterior part of the rat brain septum is known to exert an inhibitory effect on the delayed skin hypersensitivity and incorporation of radiolabeled thymidine into the lymphoid organs. To determine whether distinct properties of macrophages will also be modulated by this type of injury, we have focused upon the monitoring of expression of sugar receptors (lectins). In this study we show a reduction in the number of macrophages expressing carbohydrate-binding sites for asialoglycoproteins (beta-D-galactoside), alpha-D-mannoside and alpha-D-mannoside-6-phosphate in spleen macrophages after the lesion of the dorsoposterior septum of the brain in the rat.

Volumetry of striatum and pallidum in man--anatomy, cytoarchitecture, connections, MRI and aging.

Background: For comparing of the pathological and normal healthy state it is essential to obtain sufficient amount of the volumetric data. Nevertheless most of the publicized works use only few healthy controls opposite to the patients for the measuring of the basal ganglia volume. Further essential condition is to take into account the effect of age to the basal ganglia volume in such analysis.

Neuroendocrine immune interactions in health and disease.

The purpose of this paper is to review ways in which the neurohormonal system can interact with the immune system and to outline the main mechanisms which are involved in this interaction. Experimental as well as clinical evidence is presented to support the existence of a close interaction and bi-directional communication between the central nervous and immune systems. The role of major endocrine mechanisms and hormones is discussed.

Structures and pathways of the central nervous system are potentially involved in the serotonergic modulation of gastrointestinal activity.

The supposed involvement of rat brain regions in the modulation of rat small intestine serotonergic activity was investigated. Small electrolytic lesions were placed in the areas of medulla oblongata and pons Varoli; one week later, changes in the serotonergic response of the intestine were detected. The contractions mediated by the activation of 5-HT2 receptors in the proximal ileum were investigated.

Differences in the NADPH-diaphorase positivity of the cholinergic brain stem neurons following damage of their thalamic termination field.

Following electrolesions of the anteroventral thalamic nucleus (the target structure for the NADPH-diaphorase positive axons of the cholinergic mesopontine cells, e.g. laterodorsal, pedunculopontine and lateral parabrachial nucleus) the intensity of NADPH-diaphorase staining changed drastically, but unlikely in each nucleus: it increased in the cells of the laterodorsal nucleus on the side of the lesion and decreased on the contralateral nucleus, whereas the staining intensity of the pedunculopontine and parabrachial cells remained unchanged bilaterally.

The brain lesion influences the numbers of peripheral blood leukocytes in the rat.

The mutual relationship between the central nervous and immune system are intensively studied. The lesion of distinct structures of the rat brain such as septum influence the model immune response such as lymphocyte proliferation and delayed skin hypersensitivity. Employing the model of the damage of septum in the rat brain by electrolesion we demonstrated the decrease of the number of peripheral blood leukocytes, mainly cells exhibiting CD25 and CD45RA antigens in the rat.

Experimental lesion of medial frontal cortex mediates inhibition of expression of carbohydrate-binding sites in the spleen macrophages in rat.

The fundamental concept of a neuroimmunological network is well appreciated although detailed description of the individual mechanisms has not yet been attained. In an effort to close this gap, the effect of electrolesion of the frontal medial cortex, a structure with the known "immunoreactivity", on selected phenotypic features of spleen macrophages was studied. Since sugar receptors (lectins) are pivotal for recognition, custom-made tools termed neoglycoproteins were employed to delineate any injury-induced changes of their expression.

The effect of electrolytic thalamic lesions on the NADPH-diaphorase activity of neurons of the laterodorsal tegmental and pedunculopontine nuclei in rats.

Cholinergic neurons of the mesopontine complex have extensive ascending projections to the forebrain: the laterodorsal tegmental nucleus extensively innervates the anterior thalamus, the anteroventral nucleus in particular, whereas the pedunculopontine nucleus has widespread projections to both the thalamus and extrapyramidal structures. Most of their neurons express nitric oxide synthase (NOS) activity. Following electrolytic lesions of the anteroventral thalamic nucleus, nicotinamide adenine dinucleotide phosphate-diaphorase (NADPHd) activity in neurons of the laterodorsal tegmental nucleus changed drastically.

Past, present and future of psychoneuroimmunology.

Psychoneuroimmunology was for the first time comprehensively described about 20 years ago. The influence of mental status on the course and outcome of a number of diseases, however, was suspected a long time before. Also the links between mental affective disorders and the immune status were repeatedly suggested.

Nitric oxide synthase (NADPH-diaphorase) content in brain neurons of neonatal rats after inhibitory learning and intervention into nitric oxide metabolism.

Four-day-old rat pups were taught to avoid an electrified grid under the influence of increased nitric oxide availability in brain (by a nitric oxide substrate L-arginine) that alleviated learning or decreased nitric oxide (due to the action of a blocker of nitric oxide synthase nitro-L-arginine) that impaired learning. Three hours after criteria meeting, the pups were killed for analysis of nicotinamide adenine dinucleotide phosphate (NADPH)-diaphorase content in brain cells and neuropil. In the cingulate gyrus, NADPH-diaphorase-positive staining was increased after L-arginine, but an opposite picture was observed in hippocampus and basal ganglia, i.

Morphological and pharmacological evidence for the existence of brain regulatory circuits in the immune response.

Muramyl dipeptide (MDP) has a variety of biological effects including the effect on CNS, such a promotion of sleep, fever, analgesic effect or some behavioural changes and of course a very potent effect on immune system. The latter effect is at least partly mediated through the structure in CNS. With the small electrolytic lesions which were placed in brain from the spinal cord through the brain stem up to the cerebral cortex we have identified a number of structures such as medial frontal cortex (area Cg1-Cg3), subnucleus basomedialis and centralis of amygdala, subnucleus medialis and dorsolateralis of nucleus parabrachialis, lateral part of reticular formation (monoaminergic groups A1-7) and the part of the reticular formation (serotonergic groups B6-B8) which are evidently involved in the immunomodulatory and immunoadjuvant effect of muramyl dipeptide.

The dorsal tegmentum of the pontomesencephalic junction of the rat--immunohistochemistry (choline acetyltransferase, tyrosine hydroxylase, substance P) and NADPH-diaphorase histochemistry in frontal and horizontal sections.

37 complete frontal and horizontal series of rat brain were studied to compare the distribution of choline acetyltransferase- (ChAT), tyrosine hydroxylase- (TH), substance P- (SP), calbindin D- (Calb) and NADPH-diaphorase (NADPH-d)-positive cells within the cytoarchitectonic borders of the latero-dorsal tegmental nucleus (L-D) and its neighbourhood. We found the same distribution, number and morphology of NADPH-d-positive cells and ChAT-positive cells. Rostrally, there are no borders between NADPH-d-positive cells of L-D and NADPH-d-positive cells of the lateral part of the dorsal raphe nucleus.

The effect of protoporphyrinogen oxidase inhibitors on microsomal and mitochondrial cytochromes.

Neurological dysfunction is a characteristic feature of acute porphyrias, unexplained until now. One of the possible explanations is a deficiency of heme in the central nervous system, caused by a block in porphyrin biosynthesis. To test this possibility, the content of brain mitochondrial cytochrome a3 was determined after intracerebroventricular administration of the protoporphyrinogen oxidase-inhibiting herbicide fomesafen.

Topographical organization of NADPH-diaphorase positive neurons and fibres in dorsal ponto-mesencephalic tegmentum in the rat brain.

20 complete series of the rat brain, stained with cresylviolet or with the NADPH-diaphorase positive neurons demonstration method were used to compare the topographical organization of the borders of the dorsal mesopontine tegmental nuclei (latero-dorsal tegmental nucleus, dorsal and ventral tegmental nuclei of Gudden, dorsal raphe nucleus and substantia grisea centralis pontis) and to describe in detail NADPH-d positive cells and fibres in this area. We have found that topography of the cells and the borders of the nuclei were similar by the both methods, but NADPH-d histochemistry has shown the extension of NADPH-d positive cells to neighbouring structures and we would divide some nuclei into independent parts (e.g.

Brain regulatory system for the immune response: immunopharmacology and morphology.

On the basis of our previous investigations concerning the influence of some central nervous system structures on the immune reaction, we have shown the existence of a brain regulatory system for immune response (BRSIR). We have investigated this BRSIR using small electrolytic lesions placed in different brain areas of male rats, followed by two methods to evaluate the effect of the lesions on the immune response, the method of delayed skin hypersensitivity and the method of utilization of 3H-thymidine for synthesis of DNA after injection of muramyl dipeptide, a very potent immunostimulating compound. The experiments were performed on rats of the Wistar strain.

SYNTHETIC POLYMER MATRICES FOR NEURAL CELL TRANSPLANTATION.

This study proposes a strategy to promote the integration of a neural graft into the host brain tissue. It involves the attachment of donor cells to a polymeric matrix, and the implantation of this cell-polymer matrix. We have synthesized hydrogels based on N-(2-hydroxypropyl)-methacrylamide (HPMA) to produce highly porous matrices.