ABSTRACT
@#AIM: To evaluate effects of Qing Mang Yi Hao in the treatment of toxic optic atrophy.<p>METHODS: A retrospective analysis of 7 patients(13 eyes)suffered from toxic optic atrophy in Department of Ophthalmology, Dongfang Hospital Beijing University of Chinese Medicine, who were diagnosed as liver stagnation and blood deficiency and treated with Qing Mang Yi Hao formula. The formula treatments patients received were varying from 1 to 12 courses, and the clinical follow-up unequally lasted from 6-24mo. Then the formula clinical efficacy was comprehensively evaluated by comparing their visual acuity, visual field, visual evoked potential(VEP)and retinal nerve fiber layer(RNFL)thickness before and after treatment.<p>RESULTS: Seven cases(13 eyes)consisted of 5 ethambutol-induced optic neuropathy cases(10 eyes), 1 alcohol toxic neuropathy case(1 eye)and 1 rabies vaccine toxic neuropathy case(2 eyes). OCT showed the RNFL thicknesses on nasal and temporal quadrants were significantly thin at their first visits and the tendency of decreasing was noticed on each quadrant of RNFL thickness at the last follow-up. However, the visual acuity of 7 cases(13 eyes)had varying improvements: ≥0.1 4 eyes(31%), 0.06-<0.1 2 eyes(15%), 0.04-<0.06 1 eyes(8%), 0.01-<0.04 4 eyes(31%), no improvements 2 eyes(15%). The total efficacy rate of Qing Mang Yi Hao formula was 64%(27% significant).<p>CONCLUSION: Qing Mang Yi Hao could improve visual function, delay the progressive optic atrophy of TON, thus plays a significant role in optic neuroprotection.
ABSTRACT
The author reports a case of blindness occurred after three scorpion stings in a young woman from the region Ouargla, Algeria. The absence of signs of neurological and cardiovascular envenomation and the functional examinations of eyes is likely to be the consequence of a toxic neuropathy. Two months later, blindness persists and functional prognosis remains reserved.(AU)
Subject(s)
Humans , Poisoning/diagnosis , Prognosis , Blindness , Scorpion Stings , Research Report , Toxic Optic NeuropathyABSTRACT
São relatados a epidemiologia, os sinais clínicos e aspectos macro e microscópicos de casos de harpejamento ocorridos de 2000 a 2005 em eqüinos de oito propriedades rurais de seis municípios do Rio Grande do Sul. Pelo menos 10 eqüinos foram afetados, com idades variando entre 1 e 13 anos (média de 6,2 anos) e 1-2 eqüinos foram afetados por propriedade. Dentre os fatores que podem ter influenciado o aparecimento da doença está incluída a escassez de forragem devido à seca. A presença da planta Hypochaeris radicata, freqüentemente implicada como causa de harpejamento em eqüinos, foi observada na pastagem de três entre cinco propriedades onde a ocorrência dessa planta foi investigada; em seis dessas propriedades a forragem era pouca devido à falta de chuva. A morbidade foi estimada em 17,3 por cento e a letalidade foi perto de zero, embora dois eqüinos tenham sido submetidos à eutanásia para serem necropsiados. Os sinais clínicos característicos incluiam hiperflexão dos membros pélvicos, dificuldade de caminhar e andar com saltos tipo pulos de coelho. Foi feita uma graduação da intensidade dos sinais clínicos em um escore de números de 1 a 5, os números mais altos indicando um grau de intensidade maior. Três eqüinos foram graduados como 1, um eqüino como 2, três eqüinos como 3, um eqüino como 4 e dois eqüinos como 5. O tratamento com fenitoína em dois eqüinos e com fenitoína associada a tenectomia em um outro não resultou em melhora do quadro clínico. Quatro dos 10 cavalos com harpejamento examinados clinicamente se recuperaram sem tratamento após uma doença clínica com evolução de 2-4 meses e quatro cavalos não se recuperaram mesmo após 9-17 meses de doença clínica, quando foram examinados pela última vez. Os achados de necropsia incluíam atrofia dos músculos esqueléticos das grandes massas musculares, confirmada histologicamente. A avaliação histológica dos nervos periféricos de um eqüino afetado submetido à eutanásia revelou redução ou ausência ...
The epidemiology, clinical, gross and histological findings of cases of stringhalt occurring in horses from eight farms in six counties in the State of Rio Grande do Sul, Brazil from 2000-2005 are reported. At least 10 horses were affected. Ages of affected horses were 1-13 years (average 6.2 years) and 1-2 horses were affected in each farm. Factors that might have influenced the appearance of the disease included dearth of forage due to insufficient rainfall. The presence of the plant Hypochaeris radicata, often implicated as a cause of stringhalt in horses, was observed in the pasture of three out of five evaluated farms and in six of these farms the pasture was poor due to scarse precipitation. Estimated morbidity was 17.3 percent and lethality was close to zero although two horses were euthanatized for necropsy. Characteristic clinical signs included excessive flexion of the stifle and hock joints, impaired ambulation and bunny hop-type of gait. Clinical disease was graded by number scores from 1-5, higher numbers indicating increasing severity. Three horses were graded as 1, one horse as 2, three horses as 3, one horse as 4 and two horses as 5. Treatment with phenytoin in two horses and with phenytoin and tenectomy in another one did not result in amelioration of the clinical signs. Four out of ten clinical examined horses with stringhalt recovered with no treatment within 2-4 months of clinical disease and four affected horses did not recover even after 9-17 months of clinical disease, when they were lastly examined. Necropsy findings included atrophy of skeletal muscle of the large muscular groups which was confirmed histologically. Histological evaluation of peripheral nerves of one of the euthanatized horses revealed reduction or absence of myelinated fibers. Ultrastructural findings included signs of demyelination, regeneration and remyelination of peripheral nerves.
Subject(s)
Animals , Equidae , Plants, Toxic/adverse effects , Peripheral Nervous System/pathologyABSTRACT
OBJECTIVES: We report a case of n-hexane-induced occupational peripheral polyneuropathy. The patient had been cleaning mobile phone cases using n-hexane for 3 years without proper protection in the workplace. Method : Physical examinations, detailed history taking, laboratory studies and electrophysiological study were done. The n-hexane concentration in the ambient air of the workplace was analysed. RESULTS: The findings of the electrophysiological study revealed that the worker's neurologic symptoms were due to peripheral polyneuropathy. The average n-hexane concentration in the ambient air sampled at the workplace for 59 minutes was 1411.24ppm, from which the 8 hour time-weighted-average(TWA) was estimated as 882ppm. Because other alternative causes for peripheral polyneuropathy were ruled out by laboratory findings and detailed history taking, this TWA level strongly suggested that the disease was caused by n-hexane exposure. Conclusion : Although the neuro-toxicity of n-hexane is relatively well known, many problems have been identified in the management of this toxic material in terms of preventing toxic diseases in the workplace. We expect that this case will help in the planning of health management strategies for using n-hexane in the workplace.
Subject(s)
Humans , Cell Phone , Neurologic Manifestations , Physical Examination , PolyneuropathiesABSTRACT
Objective To clarify the role of protein kinase A (PKA),protein kinase C (PKC) and cyclin dependent kinase5 (CDK5) in the alterations of neurofialments (NFs) in 2,5-hexanedione (HD) induced toxic peripheral neuropathies. Methods HD was administrated to male Wistar rats by intraperitoneal injection at doses of 200 or 400 mg/kg,once a day,for 8 consecutive weeks. The relative contents of PKA,PKC,p35 precursor and CDK5 in spinal cord were determined by using SDS-PAGE and Western Blotting. Results In the cytosolic fraction of spinal cord,the levels of PKA and PKC in 400 mg/kg group significantly increased (P