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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Journal of neurology 243 (1996), S. 121-125 
    ISSN: 1432-1459
    Keywords: Vertebral artery dissection ; Cervical nerve root compression ; Nuchal pain ; Colour-coded Duplex sonography ; Magnetic resonance imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Vertebral artery dissection may cause upper limb peripheral motor deficit. We report three young patients presenting with nuchal pain followed by a nearly painless proximal paresis of the arm several days later. The cause, as detected by colour-coded Duplex sonography and MRI, was an extracranial dissection of the vertebral artery. The proximity of the intervertebral segment to the vertebral artery and the nerve roots indicated that compression by an intramural haematoma was the likely cause of the disorder. Subsequent examinations during anticoagulation treatment showed almost complete disappearance of the intramural haematoma and of the neurological deficits within a few weeks. We believe that the occurrence of an upper limb peripheral motor deficit should be added to the spectrum of potentially misleading signs of vertebral artery dissection.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 0749-1581
    Keywords: 1,6-Anhydro-β-D-hexopyranoses ; 17O NMR ; γ- and δ-effects ; Chemistry ; Analytical Chemistry and Spectroscopy
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: Well resolved natural-abundance 17O NMR spectra of the eight 1,6-anhydro-β-D-hexopyranoses and three deoxy model compounds were recorded in aqueous solution at 90°C. The assignment of the resonances was obtained by chemical shift comparison, O-acetylation, lanthanide shift reagents (Eu3+) and, more generally applicable, by a computational search for the minimum of the sum of the squared deviations between the observed and calculated shifts. The 17O chemical shifts were evaluated depending on the orientation of the hydroxyl groups, expressed in terms of additive γ- and δ-interactions between the hydroxyl and ring ether groups. The γ-gauche effects were dominant in a range between -7 and -20 ppm. No appreciable effects have been detected of anti-periplanar hydroxyl groups on the 17O chemical shifts. The syn-diaxial δ-interaction was deshielding between hydroxyl groups, but shielding between a hydroxyl group and the bridge-ether oxygen. A new type of interaction, a δ-effect between equatorial hydroxyl oxygens in a planar zig-zag arrangement, was detected. Arguments are presented suggesting that γ-gauche effects between oxygens are not related to steric compression.
    Additional Material: 4 Ill.
    Type of Medium: Electronic Resource
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