ABSTRACT
Tactile agnosia has been described after lesions of the primary sensory cortex but the exact location and extension of those lesions is not clear. We report the clinical features and imaging findings in a patient with an acute ischemic stroke restricted to the primary sensory area (S1). A 73-year-old man had a sudden onset of a left alien hand, without left hemiparesis. Neurological examination showed intact primary sensory functions, but impaired recognition of shape, size (macrogeometrical) and texture (microgeometrical) of objects; damage confined to the post-central gyrus, sparing the posterior parietal cortex was demonstrated on MRI. An embolic occlusion of the anterior parietal artery was suspected as mechanism of stroke. Tactile agnosia with impaired microgeometrical and macrogeometrical features' recognition can result from a single lesion in the primary sensory cortex (S1) in the right parietal hemisphere, sparing other regions of the cerebral cortex which presumably participate in tactile object recognition.
Subject(s)
Aged , Agnosia/etiology , Brain Ischemia/complications , Humans , Magnetic Resonance Imaging , Male , Neurologic Examination , Somatosensory Cortex/pathology , Stroke/complicationsABSTRACT
La cipermetrina es un pesticida ampliamente utilizado en agricultura y en salud pública. Sus efectos histopatológicos a nivel de sistema nervioso central han sido poco estudiados, aún cuando se han demostrado casos de intoxicación en humanos, con importante compromiso neurológico. El propósito de este trabajo es conocer los efectos de una dosis única intraperitoneal de cipermetrina sobre la morfología neuronal de corteza somatosensorial (láminas superficiales y profundas) de ratones CF-1. 35 ratones fueron separados en tres grupos: control (n=5), control vehículo (n=15) y experimental (n=15); los dos últimos grupos sacrificados los días 1, 8, 18, 26 y 35, en grupos de a tres. Los encéfalos fueron removidos, fijados, y procesados con técnica de rutina, para un análisis morfométrico. Análisis estadístico con Kruskal Walli's test. Fueron evidenciadas alteraciones morfológicas correspondientes a muerte neuronal en todas las láminas estudiadas, a los distintos intervalos de tiempo.
The cypermethrin is a pesticide widely used in agriculture and public health. Their histopathological effects at central nervous system level, little have been studied, even though has demonstrated cases of poisoning in humans with important neurological commitment. The aim of this work is to know the effects a intraperitoneal single dose of cypermethrin on neuronal morphology of somatosensory cortex (superficial and deep laminae) of mice CF-1. 35 mice were separated in three groups: control (n=5), control vehicle (n=15) and experimental (n=15); the two last sacrificed groups 1, 8, 18, 26 and 35 days, three animals per group. The brain were removed, fixed, and process with routine technique, for a morphometric analysis. Statistical analysis with Kruskal Wallís test. We demonstrated corresponding morphologic alterations until death neuronal, in all studied laminae, at the different time intervals.