Summary
Electron microscopic post mortem examination of the lenticular nuclei of two human cases who died in hepatogenic coma is reported. Lesions were found to be swelling and vacuolation of astrocytes. In addition an excess of lipofuscin and lipid like substances were present in the same cells. No changes were found in myelinated fibres, neurons and small blood vessels.
Zusammenfassung
Elektronenmikroskopische Autopsieuntersuchung des Linsenkernes von 2 menschlichen Fällen, die im Leberkoma starben. Als Veränderungen fanden sich Schwellung und Vakuolisierung der Astrocyten. Außerdem waren Lipofuscin- und Lipid-ähnliche Substanzen in den gleichen Zellen vermehrt vorhanden. An den Markfasern, Neuronen und kleinen Blutgefäßen fanden sich keine Veränderungen.
References
Adams, R. D., andJ. M. Foley: The neurological disorder associated with liver disease. Res. Publ. Ass. nerv. ment. Dis.32, 198–237 (1953).
Baker, A. B.: The central nervous system in hepatic disease J. Neuropath. exp. Neurol8, 283–294 (1949).
Cameron, G. R., andP. C. How: Billiary cirrhosis. Pathological monograph No. 1 Eds. SirRoy Cameron andG. P. Wright. Edinburgh: Oliver and Boyd.
Fawcett, D. W.: The cell its organelles and inclusions. Philadelphia-London: W. B. Sauders 1966.
Gibson, J. B.: Encephalopathy after portocaval shunt. Brit. med. J.1963, 1652–1655.
Gonatas, N. K., R. D. Terry, andM. Weiss: Electronmicroscopic study in two cases of Jakob-Creutzfeldt disease. J. Neuropath. exp. Neurol.24, 575–598 (1965).
Korenke, H. D.: Über die Leukoenzephalopatie bei Lebererkrankungen Zbl. allg. Path. path. Anat.107, 73–74 (1965).
Lumsden, C. E.: The cytology and cell physiology of the neuroglia and of the connective tissue in the brain with reference to the blood — brain barrier, Proceedings, Second International Congress on Neuropathology, London. Excerpta Medica Foundation. Amsterdam, pp. 373–376 1955.
Marin, O., andJ. D. Vial: Neuropathological and Ultra-structural findings in two cases of subacute spongiform encephalopathy. Acta neuropath. (Berl.)4, 218–229 (1964).
Muehrcke, R. C., andS. Rosen: Hypokalemic nephropathy in rat and man. A light and electron microscopic study. Lab. Invest.13, 1359–1373 (1964).
Steiner, J. W., J. S. Carruthers, andS. R. Kalifat: Disturbances of hydration of cells of rat liver in extrahepatic cholestasis. Virchows Arch. path. Anat.336, 99–114 (1962).
—,M. J. Philips, andC. M. Baglio: Electron microscopy of the excretory pathways in the liver in alphanaphthyl isothiocyanate intoxication. A study of intrahepatic cholestasis. Amer. J. Path.43, 677–696 (1963).
Trelles, J. O., Gastelimendi, M., Burstein, L. A., Puparelli yL. Palomino: Lesiones del sistema nervioso central en el coma hepatico. Rev. Neuro-psiquiat.25, 351–383 (1962).
Author information
Authors and Affiliations
Additional information
This study was supported by CIC 80 from Universidad de Concepción.
Rights and permissions
About this article
Cite this article
Martinez, A. Electron microscopy in human hepatic encephalopathy. Acta Neuropathol 11, 82–86 (1968). https://doi.org/10.1007/BF00692797
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00692797