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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of neurochemistry 62 (1994), S. 0 
    ISSN: 1471-4159
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Human cerebral cortical slices preincubated with [3H]GABA, [3H]noradrenaline, or 5-[3H]hydroxytryptamine and superfused with Krebs solution or Mg2+-free Krebs solution were used to investigate the influence of increased D-glucose concentrations on the release of these [3H]-neurotransmitters evoked by high K+ content or NMDA receptor activation, respectively. An increase in level of D-glucose (normal content, 11.1 mM) by 32, 60, and/or 100 mM (a range characteristic for hyperosmolar diabetic coma) increased the [3H]GABA release and inhibited the [3H]noradrenaline release evoked by both methods of stimulation. The K+-induced 5-[3H]hydroxytryptamine release was also inhibited by high D-glucose content. Blockade of GABAB receptors by p-(3-aminopropyl)-p-diethoxymethylphosphinic acid (CGP 35348) attenuated the inhibitory effect of high D-glucose content on the K+-evoked release of [3H]noradrenaline and 5-[3H]hydroxy-tryptamine, suggesting that the effect on monoamine release is, at least to a major part, the result of the increased GABA release and, as a consequence, of an increased GABA concentration at inhibitory GABAB receptors. The membrane-impermeable sorbitol mimicked the increasing effect of D-glucose on [3H]GABA release and its inhibitory effect on 5-[3H]hydroxytryptamine release. However, dimethyl sulfoxide, which is known to permeate rapidly through biological membranes, had no effect at concentrations equiosmolar to D-glucose. It is concluded that a reduction in brain cell volume caused by increased extracellular, compared with cytoplasmic, osmolarity is crucial for the changes in neuronal function observed at high D- glucose and sorbitol content, In view of the fact that GABA is the main inhibitory neurotransmitter in the brain, the increased GABA release may be assumed to contribute to the pathogenesis of hyperosmolar diabetic coma.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 356 (1997), S. 583-589 
    ISSN: 1432-1912
    Keywords: Key words Cannabinoid CB1 receptors ; Human ; hippocampus ; Guinea-pig hippocampus ; Noradrenaline release ; Presynaptic receptors ; cAMP accumulation ; WIN 55 ; 212-2 ; SR 141716
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We examined the question of whether cannabinoid receptors modulating noradrenaline release are detectable in the brain of humans and experimental animals. For this purpose, hippocampal slices from humans, guinea-pigs, rats and mice and cerebellar, cerebrocortical and hypothalamic slices from guinea-pigs were incubated with [3H]noradrenaline and then superfused. Tritium overflow was evoked either electrically (0.3 or 1Hz) or by introduction of Ca2+ ions (1.3μM) into Ca2+-free, K+-rich medium (25μM) containing tetrodotoxin 1μM. Furthermore, the cAMP accumulation stimulated by forskolin 10μM was determined in guinea-pig hippocampal membranes. We used the following drugs: the cannabinoid receptor agonists (–)-cis-3-[2-hydroxy-4-(1,1-dimethylheptyl)phenyl]-trans-4-(3-hydroxypropyl)cyclohexanol (CP-55,940) and R(+)-[2,3-dihydro-5-methyl-3-[(morpholinyl)methyl]pyrrolo[1,2,3-de]-1,4-benzoxazin-yl]-(1-naphthalenyl)methanone (WIN 55,212-2), the inactive S(–)-enantiomer of the latter (WIN 55,212-3) and the CB1 receptor antagonist N-piperidino-5-(4-chlorophenyl)-1-(2,4-dichlorophenyl)-4-methyl-3-pyrazole-carboxamide (SR 141716). The electrically evoked tritium overflow from guinea-pig hippocampal slices was reduced by WIN 55,212-2 (pIC30% 6.5) but not affected by WIN 55,212-3 up to 10μM. The concentration-response curve of WIN 55,212-2 was shifted to the right by SR 141716 (0.032μM) (apparent pA2 8.2), which by itself did not affect the evoked overflow. WIN 55,212-2 1μM also inhibited the Ca2+-evoked tritium overflow in guinea-pig hippocampal slices and the electrically evoked overflow in guinea-pig cerebellar, cerebrocortical and hypothalamic slices as well as in human hippocampal slices but not in rat and mouse hippocampal slices. SR 141716 (0.32μM) markedly attenuated the WIN 55,212-2-induced inhibition in guinea-pig and human brain slices. SR 141716 0.32μM by itself increased the electrically evoked tritium overflow in guinea-pig hippocampal slices but failed to do so in slices from the other brain regions of the guinea-pig and in human hippocampal slices. The cAMP accumulation stimulated by forskolin was reduced by CP-55,940 and WIN 55,212-2. The concentration-response curve of CP 55,940 was shifted to the right by SR 141716 (0.1μM; apparent pA2 8.3), which by itself did not affect cAMP accumulation. In conclusion, cannabinoid receptors of the CB1 subtype occur in the human hippocampus, where they may contribute to the psychotropic effects of cannabis, and in the guinea-pig hippocampus, cerebellum, cerebral cortex and hypothalamus. The CB1 receptor in the guinea-pig hippocampus is located presynaptically, is activated by endogenous cannabinoids and may be negatively coupled to adenylyl cyclase.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 354 (1996), S. 393-396 
    ISSN: 1432-1912
    Keywords: Key words Human hippocampus ; Serotoninergic ; neurones ; 5-Hydroxytryptamine release ; Methiothepin ; Presynaptic autoreceptors ; Superfusion experiments
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Hippocampal slices were prepared from brain tissue of patients undergoing neurosurgery for epilepsy. The slices were incubated with 3H-serotonin (3H-5-HT) and then superfused with physiological salt solution containing 6-nitroquipazine. Tritium overflow was evoked either electrically (3 Hz) or by K+ 25 mM. The electrically evoked overflow of tritium was almost abolished by tetrodotoxin or by omission of Ca2+ ions. 5-HT 0.1 and 1 μM reduced the evoked overflow by 38 and 55%, respectively. The effect of 5-HT 1 μM was abolished by the 5-HT1/2 receptor antagonist methiothepin 1 μM, which, by itself, increased the evoked overflow by 59%. Tritium overflow evoked by high K+ in slices superfused with medium containing tetrodotoxin was reduced by 5-HT 1 μM by 49%. This effect was markedly attenuated by methiothepin 0.32 μM, which, by itself, tended to increase the evoked overflow. The results show that the serotoninergic neurones of the human hippocampus are endowed with presynaptic inhibitory autoreceptors.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1432-1912
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 354 (1996), S. 393-396 
    ISSN: 1432-1912
    Keywords: Human hippocampus ; Serotoninergic neurones ; 5-Hydroxytryptamine release ; Methiothepin Presynaptic autoreceptors ; Superfusion experiments
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Hippocampal slices were prepared from brain tissue of patients undergoing neurosurgery for epilepsy. The slices were incubated with 3H-serotonin (3H-5-HT) and then superfused with physiological salt solution containing 6-nitroquipazine. Tritium overflow was evoked either electrically (3 Hz) or by K+ 25 mM. The electrically evoked overflow of tritium was almost abolished by tetrodotoxin or by omission of Ca2+, ions. 5-HT 0.1 and 1 μM reduced the evoked overflow by 38 and 55%, respectively. The effect of 5-HT 1 μM was abolished by the $${\text{5 - HT}}_{{\raise0.5ex\hbox{$\scriptstyle {\text{1}}$}\kern-0.1em/\kern-0.15em\lower0.25ex\hbox{$\scriptstyle {\text{2}}$}}} $$ receptor antagonist methiothepin 1 μM, which, by itself, increased the evoked overflow by 59%. Tritium overflow evoked by high K+ in slices superfused with medium containing tetrodotoxin was reduced by 5-HT 1 μM by 49%. This effect was markedly attenuated by methiothepin 0.32 µM, which, by itself, tended to increase the evoked overflow. The results show that the serotoninergic neurones of the human hippocampus are endowed with presynaptic inhibitory autoreceptors.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1432-1920
    Keywords: Ophthalmic artery ; Developmental abnormality
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A 7-year old male child with an abnormal ophthalmic artery arising from the A1 segment of the anterior cerebral artery is described. The patient suffered growth inhibition which was thought to be caused by a craniobasal cystic lesion affecting the hypothalamus. Preoperative angiograms revealed no vascular abnormalities. The right ophthalmic artery, however, could not be identified. During resection of a large arachnoid cyst the ophthalmic artery was found to arise from the A1 segment of the anterior cerebral artery. To the best of our knowledge, this exact anomaly has not previously been reported. The clinical, neuroradiological and intraoperative findings are presented.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Neuroradiology 40 (1998), S. 6-10 
    ISSN: 1432-1920
    Keywords: Key words Subarachnoid haemorrhage ; Angiography ; Computed tomography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This study was designed to assess the necessity for a second angiogram study in patients in whom initial angiography after primary subarachnoid haemorrhage (SAH) was negative. During a 12-year period, 122 of 694 patients (17.5 %) had negative initial angiograms. CT, available for 98 patients, showed a preponderance of subarachnoid blood in the perimesencephalic cisterns in 50 of 73 patients (68.5 %) in whom blood was visible on CT. Angiography, repeated in 67 patients, revealed an aneurysm in 4 (6 %): 2 had an aneurysm of the anterior communicating artery, 1 of the posterior inferior cerebellar artery, and 1 of the P2 segment of the posterior cerebral artery. CT showed subarachnoid blood in the interpeduncular and ambient cisterns in this last case, and a preponderance of subarachnoid blood outside the perimesencephalic cisterns in the remaining 3 patients.
    Type of Medium: Electronic Resource
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  • 8
    ISSN: 1432-1920
    Keywords: Key words Sarcoidosis ; Magnetic resonance imaging ; Brain neoplasm
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Sarcoidosis may also present as an extra- or intra-axial mass involving the central nervous system. These lesions are sometimes operated upon, because a neoplasm is suspected. We report two cases of unusual tumour-like extra- and intra-axial sarcoidosis. The extra-axial mass was just medial to the jugular foramen. Its morphology and signal characteristics differed from the more common lesions in this area. The intra-axial mass was in the temporal lobe, with only minor leptomeningeal involvement. Extra-axial sarcoidosis can be confused with a meningioma because these lesions can give relatively low signal on T2-weighted images. Intra-axial masses are presumed to represent a propagation and fusion of multiple leptomeningeal granulomas through the Virchow-Robin spaces in the brain; this pattern can be sought on contrast-enhanced T1-weighted images.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Neuroradiology 30 (1988), S. 252-255 
    ISSN: 1432-1920
    Keywords: Motor evoked potentials ; Interventional neuroradiology ; Therapeutic embolization
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Following transcranial electrical cortex stimulation motor evoked potentials (MEP) were monitored in 4 patients during 2 angiographic examinations and 4 therapeutic embolization procedures. Changes of MEP were observed in all 4 patients. Temporary decrease of MEP amplitudes as found in two patients was not followed by any additional postoperative neurological deficits. Incomplete recovery of amplitudes in one case associated with a corresponding hemiparesis post-angiographically. In the last patient amplitude reduction was found one week after the second embolization of an av-angioma. Consequently, an angiographic control was performed early, showing a partial revascularisation by newly opened fistulae which needed to be embolized again. In our opinion, monitoring of MEP during interventional neuroradiology is a sensitive method for early detection of impending neurological deficits. The use of MEP monitoring is discussed with respect to the advantages and limitations of conventional SEP monitoring. Because of the discomfort associated with electrical stimulation a magnetic stimulator may be used.
    Type of Medium: Electronic Resource
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  • 10
    ISSN: 1432-1459
    Keywords: CSF cytology ; Nerve cells ; Brain death ; Respirator syndrome
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Bei der zytologischen Untersuchung des Liquor cerebrospinalis (Sedimentkammerverfahren) fanden sich in fünf Fällen mit intravitalem Hirntod unter Respiratorbehandlung spezifische pathologische Zellbildveränderungen: Das gemeinsame zytologische Merkmal bestand im Auftreten von Nervenzellen (meist Purkinje-Zellen), in einer massiven Pleozytose mit vielen polymorphkernigen Leukozyten und einer extremen Makrophagenreaktion mit Phagozyten, die Erythrozyten, Leukozyten, Fetttröpfchen sowie Hämosiderin enthielten. Es fanden sich auch Bindegewebsstücke mit gut erhaltenen Kapillaren, daneben Detritus, der nicht mehr näher zu identifizieren war. Die neuropathologische Untersuchung von vier Fällen zeigte eine fortgeschrittene Autolyse des Hirngewebes und in den Subarachnoidalraum des Rückenmarks verlagertes erweichtes Hirngewebe. Alle fünf Patienten waren unter den klinischen Zeichen des Hirntodes unterschiedlich lange am Respirator angeschlossen gewesen. Die beschriebenen zytologischen Befunde im Liquor bei den klinischen Zeichen des Hirntodes weisen als morphologisches Äquivalent — intra vitam — auf die Erweichung von Hirngewebe hin.
    Notes: Summary Cytological examination of the cerebrospinal fluid (CSF) in 5 cases of the brain death syndrome treated on a respirator revealed the presence of nerve cells (mostly Purkinje cells), massive pleocytosis with many polymorphonuclear leukocytes, and numerous macrophages containing erythrocytes, leukocytes, lipid droplets, and hemosiderin. Portions of connective tissue with well preserved capillaries, and debris which could not be more closely identified, were also found. Neuropathological examination in 4 cases revealed progressive autolysis of brain tissue and displacement of the autolyzed tissue into the subarachnoid space of the spinal canal, partly due to tonsillar herniation. All five patients exhibited clinical signs of brain death and had been placed on respirators for various periods of time. The cytological findings in the CSF, together with the clinical signs of brain death, constitute an intravital morphological indication of brain tissue autolysis.
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