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OBJECTIVE: To observe the intervention effect of acupuncture at the anterior oblique parietotemporal line on gray matter remodeling in patients with hemiplegia of cerebral infarction based on voxel-based morphology (VBM), and to reveal the advantages and central effect sites of scalp acupuncture for hemiplegia of cerebral infarction. METHODS: A total of 18 patients with hemiplegia of cerebral infarction in the right basal ganglia and 18 healthy subjects were enrolled and T1 structural scan was performed. The patients were randomly divided into scalp acupuncture group and non-scalp acupuncture group, with 9 patients in each group. SPSS20.0 was used to analyze the degree of neurological deficit (NIHSS) before and after treatment, and SPM8 software package was used to compare the change in gray matter after treatment between the two groups, the difference in gray matter between patients and healthy subjects. RESULTS: After treatment, the scalp acupuncture group had a significant reduction in NIHSS (P0.05); the scalp acupuncture group had a significantly lower NIHSS than the non-scalp acupuncture group after treatment (P<0.05). Compared with the healthy subjects, the patients with cerebral infarction had a voxel increase of gray matter in the bilateral cerebellum; after 2 weeks of treatment, the scalp acupuncture group had a voxel increase of gray matter in the motor-related cortex (such as the cerebellum, the anterior cingulate, the basal nucleus, and the medial frontal gyrus) and some parts of the sensory cortex, while the non-scalp acupuncture group had a slight voxel increase of gray matter in few brain regions which were not associated with motor. After treatment, the scalp acupuncture group had a voxel increase in the brain regions of the basal ganglia, mainly the lenticular nucleus and the claustrum. Compared with the non-scalp acupuncture group after treatment, the scalp acupuncture group had a greater gray matter increase in the brain regions mainly in the bilateral cerebellar cortex. CONCLUSION: Acupuncture at the anterior oblique parietotemporal line can promote neurological function recovery in patients with hemiplegia, possibly by promoting gray matter remodeling in the motor centers of the extrapyramidal system (mainly the bilateral cerebellum and the contralateral basal ganglia) and some parts of the sensory cortex and inducing functional compensation in corresponding brain regions.
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Background: Sutural bones are supranumary bones occurring along the sutures and completely surrounded bysutures of the skull. Their number, morphology and location in skull vary in skulls. The knowledge of these bonesis imperative in surgery, medicolegal cases involving child abuse or fracture of skulls and for anthropologicidentification of human populations. This study was undertaken to examine incidence and pattern of distributionof sutural bones in dry skulls from Eastern India and compare the findings with similar studies across the world.Materials and Method: 180 dry crania were identified as male or female skulls and studied for the incidence andpattern of distribution of sutural bones. Also the Cephalic Index was measured for finding its correlation withthe number of sutural bones appearing in a skull.Results: 124 skulls were identified as male and 56 as female skulls. Overall incidence of sutural bone occurrencewas found to be 72.28% which was essentially similar across sexes. The most common sites for sutural bones,in descending order of occurrence, were found to be parieto-occipital suture, asterion, pterion and lambda.Bregma was the least common site where no sutural bone was encountered. A highly statistically significantfinding was in regard to laterality of sutural bone occurrence. Sutural bones occurring along coronal, parietotemporal, parieto-mastoid, occipito-mastoid sutures and pterion exhibited more than 80% tendency towardsunilateral occurrence while those occurring at asterion exhibited around 70% tendency towards unilateraloccurrence. All these findings, although displayed variable degree of sexual dimorphism, were statisticallyinsignificant for variation among sexes. No correlation between the number of sutural bones with cephalic indexwas found.Conclusion: The findings of this study are in agreement with the findings of many similar suitably poweredstudies across the world.
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Head injury is a serious health problem throughout the world. Increasing vehicles on roads work as catalyst for high incidence of casualties especially of Cranio-cerebral injuries. This is an autopsy based study of head injury cases, conducted in the Department of Forensic Medicine, S.N. Medical College Agra in year 2009-2010 for their demographic and etiological profile. Majority of the victims of head injury are male (76%) and of 3rd – 4th decade of life (54.4%). 66.4% head injury cases due to accident, Road traffic accident is the single largest cause i.e. 59.2%; out of which two wheelers are responsible for one-third (33%) of the casualties. Most common external injury is laceration of the scalp with or without contusion. Fracture of skull bones (97.2% cases; mostly fissured and comminuted fracture of parietal & temporal) and intracranial hemorrhages (96.4%) are seen in almost all the cases. Contre-coup injuries seen in about 2.8% cases, contre-coup haemorrhage observe mostly fronto-temporal area. Majority of the victim died on the spot or in the way to hospital without any medical assistance where the Cause of death mostly haemorrhage and shock.