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Introduction: There is no uniformity in published works regarding the presence of sexual dimorphism in themorphology of the Corpus Callosum (CC), specifically splenium.Objective: The present study was conducted on formalin fixed preserved brains to get comprehensive dataregarding gender related differences of CC.Materials and Methods: 50 formalin fixed human brains without apparent neuropathology were cut in themidsagittal plane. The various morphometric features of CC were measured and recorded on these midsagittalsections.The diameters measured were: (i) length of CC (AB), (ii) Width of body of CC at mid point (WBM), (iii) Maximumwidth of genu (AE), (iv) Maximum width of splenium (BD).Results: Mean values of two parameters (AB and AE) were greater in male than in female. However, 2 parameters(WMB and BD) had greater value in female than male. Only two parameters (AB and BD) showed statisticallysignificant (p value < 0.05) gender differences.Conclusion:significant sexual dimorphism was observed in the longitudinal length of the CC, including morphologyof the splenium. However, these gender related differences are more likely due to individual differences regardlessof sex
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Objective: Psychiatric disorders following cerebrovascular accidents are common. Post-stroke depression is the most common of these disorders, and post-stroke mania has been reported on rare occasions. Methods: We report a case of a 65 year-old elderly male who developed mania secondary to a left sided cerebral infarction in the territory of the middle cerebral artery. Discussion: It has been theorized that lesions in the cerebral hemisphere and limbic structures may produce symptoms suggestive of mania. Emotional and behavioral disorders after stroke negatively impact rehabilitation, cognition, and long-term recovery. Conclusion: Post-stroke mania is a rare medical condition that may occur after neurological deficits.
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Objective To investigate the relationship between the advantage ear (brain hemisphere) of Span-ish-speaking Mexican Chinese learners and category's perception of the Chinese aspirated and unaspirated pho-nemes .Methods Chinese aspirated and unaspirated syllables were used as experimental materials with dichotic lis-tening technology to test the Spanish -speaking Mexican Chinese learners .Results Mexican Chinese learners had studied Chinese 25~30 hours firstly showed percept unaspirated affricates and aspirated stops didn't appear left and right ear advantage .Mexican Chinese learners had studied Chinese 50~60 hours showed that percept aspirated affri-cates appeared right ear advantage(P<0 .05) ,and percept unaspirated affricates appeared left ear advantage (P<0 . 05) .Conclusion The conformation of Mexican Chinese learners’ advantage ear (brain hemisphere) is a continuous process ,relating to Chinese aspirated and unaspirated’s category building .
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Se realizó un estudio descriptivo y prospectivo de 116 pacientes con hemorragia cerebral intraparenquimatosa, comprobada a través de la tomografía axial computarizada, con vistas a precisar los factores pronósticos predeterminados y su influencia sobre la mortalidad en la casuística. Entre los principales resultados sobresalió el predominio de los grupos de 41-50 y 51-60 años (57,7 % entre ambos), la hipertensión arterial como antecedente patológico personal (79,3 %), así como la ocurrencia de hemorragias en los hemisferios cerebrales (45,6 %). En la serie, 49,1 % de sus integrantes presentaban hematomas con volumen de hasta 30 mL y 7,7 % con el doble de ese contenido. Se observó una relación directa entre el volumen de sangre en el parénquima cerebral por encima de 60 mL y el pronóstico final de los afectados.
A descriptive and prospective study of 116 patients with cerebral intraparenchymal hemorrhage, shown through the computerized axial tomography (CAT) was carried out, aimed at specifying the predetermined prognosis factors and their influence on the mortality in the case material. Among the main results there were: the prevalence of the 41-50 and 51-60 year groups (57,7 % between both), hypertension as personal pathological history (79,3%), as well as the occurrence of hemorrhages in the cerebral hemispheres (45,6 %). In the series, 49,1 % of the patients presented haematomas with volume of up to 30 mL and 7,7 % with the double of that content. A direct relation was observed between the blood volume in the cerebral parenchyma above 60 mL and the final prognosis of those affected.
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Objective To explore mood disorders after left and right cerebral hemisphere injury,to search for possible mechanisms and to provide the basis for designing rehabilitation protocols and assessing prognosis.Methods Fifty-one cases with brain injury were recruited from a rehabilitation center and divided into left and right hemisphere injury groups with 26 and 25 cases,respectively.Hamilton rating scale for depression (HRSD) scores were analyzed. Results The left hemisphere patients had significantly higher HRSD total scores and higher scores indicating 15 kinds of mood disorders (depression,feelings of guilt,suicidal thoughts etc.).Right hemisphere injury patients had significantly higher diurnal variation,depersonalization or derealization and paranoid symptoms. Conclusions The lateralization of the cerebral hemispheres may display itself in mood and emotion.After left or right hemisphere injury,the depression presentation is different,so treatment,prognosis assessment and psychological intervention should be different for left and right hemisphere injuries.
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Objective To investigate the gradient changes of bilateral cerebral hemisphere pressure after lateral hemisphere injury and observe their effects on craniotomy. Methods Twenty-four patients with cerebral contusion and subdural intracerebral hematoma were included in this study. All patients received brain parenehyma pressure (BPP) monitoring by introducing optic fibro sensor into each cerebral hemisphere via the frontal lobe. All patients underwent surgical craniotomy for evacuation of space occupying lesions such as cerebral hemisphere contusion, subdural and/or intracerebral hematoma.Preoperative and postoperative BPP data at different time points were recorded and analyzed. Results Preoperative BPP value of the injured hemispheres was significantly higher than that of the other hemisphere (P ＜ 0. 01 ). There was no significant statistical difference upon BPP value at 0, 24 and 48 hours after operation between both hemispheres ( P ＞ 0.05 ). The postoperative BPP value of bilateral hemispheres was lower than the preoperative one. Conclusions BPP monitoring sensors should be introduced into the injured hemisphere so that the valuable information can be timely showed. When the cerebral hemisphere has lesions after brain injury, such lesion becomes the source of elevated intracranial pressure and can result in bilateral hemisphere pressure gradient. Craniotomy can not only effectively lower the intracranial pressure, but also eliminate the BPP gradient, which contritbutes to reposition of the oppressed brain tissue.
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In this study, cerebral functional laterality patterns of medical students in the year 2005 were compared with those in the year 1995. Questionnaires on the behavior patterns were asked, and the laterality patterns were classified as right hemispheric (R)-balanced hemispheric (B)-left hemispheric (L). 385 students were studied (210 male and 175 female). Of the 3 categories, male students showed the patterns of R (42.8%), B (31.9%) and L (25.3%). Female students showed R (45.2%), B (30.9%) and L (23.9%). As the above result shows, laterality patterns of male and female were similar. The above data were compared with the another data in the article reported in 1995. Previous report showed that R (63.5%), B (24.9%) and L (11.6%) in the male students, and R (49.0%), B (22.4%) and L (28.6%) in female students, respectively. From the above results, It was suggested that cerebral laterality patterns of medical students in the year 2005 shifted toward left, but it still remained 42~45% in right hemispheric as contrast to 24~25% in left hemispheric. Hemispheric shift was interpreted as that, it may be the result of student's adaptative or competitive activities in the fast changing social environment.
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Female , Humans , Male , Cerebrum , Functional Laterality , Surveys and Questionnaires , Social Environment , Students, MedicalABSTRACT
@#ObjectiveTo investigate the clinical features, mechanism and cerebral functional correlation of hemianopic anosognosia.Methods16 patients with homonymous visual field defects due to ischemic infarcts were examined on visual field and MMSE. The neuropsychological tests were administered such as hemianopic awareness and visual neglect. The facts were analyzed with the location of ischemic infarct documented by MRI or CT. Results10 of 16 patients with hemianopia had anosognosia of their visual deficit. 8 of 13 right side lesion patients had hemianopic anosognosia. 2 of 3 left side lesion patients had hemianopia anosognosia. 3 of 6 awareness hemianopia patients had visual hemineglect. 7 of 10 hemianopic anosognosia patients had larger infarction of middle cerebral artery. 3 else had smaller infarction in the occipital lobe or in the connective area between the occipital and temporal lobes.ConclusionsThere is no specific cortical area for conscious visual perception. Visual awareness is processed by a distributed network including multiple cortices and subcortices. Both hemispheres are involved in visual processing and conscious awareness.
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Objective:TO provide theoretic evidence for Chinese rehabilitation training to study the characteristics of right hemisphere in recognizing Chinese and association between left and right cerebral hemispheres.Methods:102 cases up to the qualification,including 41 patients with right-hemisphere-lesion(RHL)、 31 patients with left-hemisphere-lesion(LHL) and 30 healthy individuals as control,were collected and tested with The Standardized Aphasia Battery in Chinese(ABC)、Writing-scopy of Chinese Character and Visual Spatial Structure-scopy.Results:14 aphasic patients,including 1 RHL and 13 LHLs,were found 11 of 72 patients had apparent reading disorder,including 7 LHLs with language reading disorder and 4 RHLs with neglect reading disorder;and 29 of 72 patients had apparent writing disorder,including 13 LHLs with language writing disorder and 16 RHLs among whom 9 cases had visual space writing disorder and 7 cases had language writing disorder;RHLs showed lighter listenning comprehension disorder than that of LHLs in the test.Conclusion:Right hemisphere is mainly involved in Chinese written language recognition and processing,and one of the most important reasons of reading and writing disorder is left side neglect、visual consciousness and spatial analysis dysfunction due to RHL.
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Objective To study the sequence of learning and memory loss in the rat after hemispheric irradiation. Methods After Sprague Dawly(SD) female rats were anaesthetized with chloral hydrate, their cerebral hemispheres were irradiated with a single dose of 5,15 or 30?Gy by 4?MeV electron. On D3,D7,D30 and D60, the learning and memorizing ability was measured with the Y maze test. Results On D3 and D7, the learning ability of SD rats was impaired most but partly restored in 1 to 2 months. In observation of memory loss, the intensity of cerebral function damage was in direct proportion to the increase of radiation dose.Conclusion The learning and memorizing ability of rats can be damage by hemispheric irradiation with the severity of impairment and possibility of recruitment depending on the dose.
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A 46 year-old male with drowsy mentality and left hemiparesis had been treated. Right carotid angiogram showed a mass effect on the posterior temporal region. Preoperative CT brain scan revealed two separated hypodense masses with ring enhancement on the each hemisphere. The right-sided mass was totally removed and there was no invasion into the ventricle and meninges. The histological diagnosis was a glioblastoma multiforme. The left-sided mass was followed with the repeated CT scan, which showed the similar CT findings of a glioblastoma multiforme, and there was no evidence of commiccural extension. The above findings were consistent with the criteria of multicentric tumor.
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Humans , Male , Middle Aged , Brain , Diagnosis , Glioblastoma , Meninges , Paresis , Tomography, X-Ray ComputedABSTRACT
The craniopagus twins to be described were admitted to SNUH on 20 Nov, 1981. Their mother was a healthy woman of 32 and Caesarean Section was performed at the 38th week at a local clinic. Their combined weight was 4.75kg and their subsequent progress was satisfactory. They were grown at the nursery of SNUH. Twin B had anemia and congestive heart failure. On the 181th day of life, twin B developed sudden respiratory arrest. About 25 minutes after death of twin B, we performed emergent operation to separate them for survival of twin A. We obtained the interesting findings as followings;A dural shelf was present on one side of junction, a leptomeningeal coverage on the other. Cerebral hemisphere was interdigitated on the side of leptomeningeal coverage. Pons were interconnected by nervous band.