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  • 1
    ISSN: 1432-2102
    Schlagwort(e): Schlüsselwörter Spondylitis ; Spondylodiszitis ; Wirbelkörper ; Bandscheibe ; Kernspintomographie ; Key words Spondylitis ; Spondylodiscitis ; Spine ; Intervertebral disc ; Magnetic resonance imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Summary Aim and methods: The aim of the present study was to evaluate the MRI criteria of infectious spondylitis (spondylodiscitis). The MR images of 23 patients suffering from spondylodiscitis (78 % unspecific, 22 % specific) were retrospectively analyzed. Results: The height of the intervertebral discs involved was normal in 40 %, reduced in 43 % and increased in 17 % of the cases. The most common findings can be summarized in an MR triad: 1) The vertebral bodies involved are hypointense in T1-weighted images (100 %) with a lack of delineation of the intervertebral discs (53 %). 2) The injection of Gd-DTPA yields an enhancement of the vertebral bodies involved and intervertebral discs (95 % and 74 % respectively). 3) The vertebral bodies and intervertebral discs are hyperintense in T2-weighted sequences (76 % and 90 % respectively). When present, a paravertebral or intraspinal extension of the infection was isointense compared with the adjacent involved vertebral body in the majority of the patients. A differentiation between unspecific and specific etiology based on the MR images was not possible. Conclusions: The vertebral bodies affected were usually hypointense in T1-W with enhancement after the administration of Gd-DTPA and hyperintense in T2-W. The discs involved were usually hyperintense in T2-W and demonstrated an inhomogeneous enhancement.
    Notizen: Zusammenfassung Um die kernspintomographischen Merkmale der Spondylitis zu überprüfen, wurden die MRT-Bilder von 23 Patienten mit einer Spondylitis (78 % unspezifisch, 22 % spezifisch) retrospektiv analysiert; 40 % der befallenen Bandscheiben zeigten eine normale Höhe, 43 % waren verschmälert und 17 % zeigten eine Höhenzunahme. Die häufigsten Veränderungen lassen sich in einer MRT-Trias zusammenfassen: 1. In T1-gewichteten Sequenzen sind die befallenen Wirbelkörper hypointens (100 %) und die Bandscheiben nicht abgrenzbar (53 %). 2. Wirbelkörper und Bandscheiben nehmen Kontrastmittel auf (95 bzw. 74 %). 3. Wirbelkörper und Bandscheiben sind in T2-gewichteten Sequenzen hyperintens (76 bzw. 90 %). Dabei stellt sich ein paravertebraler Weichteilbefall in allen Sequenzen isointens zum befallenen Wirbelkörper dar. Eine Differenzierung zwischen unspezifischer und spezifischer Ätiologie war kernspintomographisch nicht möglich.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    ISSN: 1432-0878
    Schlagwort(e): Paraganglia ; Neuropeptide ; Immunocyto chemistry ; Noradrenaline ; Dopamine ; Cholecystokinin ; Calcitonin gene-related peptide ; Vasoactive intestinal polypeptide ; Guinea pig ; Pig
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Biologie , Medizin
    Notizen: Summary The occurrence and distribution of several neuropeptides and transmitter enzymes have been investigated by means of indirect immunofluorescence histochemistry in preaortal and carotid body-like paraganglia of the fetal guinea pig and the newborn pig. Preaortal paraganglia from the celiac and inferior mesenteric ganglion regions in fetal guinea pigs showed cell bodies immunoreactive (IR) for tyrosine hydroxylase (TH), dopamine β-hydroxylase (DBH), neuropeptide Y (NPY), galanin (GAL) and metenkephalin (ENK). Almost all cells were IR for TH and DBH, whereas NPY-like immunoreactivity (-LI), GAL-LI and ENK-LI occurred less frequently. Direct double-labeling revealed the coexistence of NPY/GAL, NPY/ENK and GAL/ENK in paraganglion cells from the celiac and inferior mesenteric region. Nerve fibers and terminals were IR for ENK; fibers IR for calcitonin-gene-related peptide (CGRP) were present in the inferior mesenteric ganglion region. Preaortal paraganglia cells from the newborn pig showed TH-LI, DBH-LI, GAL-LI and ENK-LI, the distribution pattern being similar to that seen in the guinea pig; however, NPY-LI was absent. Carotid-body-like paraganglia from the newborn pig showed cell bodies IR to TH, GAL and ENK. Few cells were seen with DBH-LI. A rich supply of nerve fibers with CGRP-LI was present; some fibers exhibited ENK-LI and CCK-LI. In the adjacent superior cervical ganglion, ganglion cell bodies showed immunoreactivity to TH, DBH and NPY. A small number of cells were positive for GAL, CGRP and vasoactive intestinal polypeptide (VIP). Physiological activation of the paraganglia, leading to release or increase in catecholamines, may also change the content of the neuropeptides present in the paraganglia.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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