Spectrum of imaging findings on axial T2-weighted fat-saturated imaging of the lumbar spine.

Axial T2-weighted fat-saturated imaging provides information not readily available from routine lumbar spine magnetic resonance imaging (MRI) protocols and routine inclusion of this sequence in place of axial T1-weighted imaging provides additional diagnostic information that can be obtained without increasing examination time or cost. The purpose of this review is to highlight the value of axial T2-weighted fat-saturated imaging as part of a routine lumbar spine MRI protocol.

Cochlear implantation after selective vestibular nerve section.

INTRODUCTION: Vestibular nerve section is a highly effective procedure for the control of vertigo in patients with Ménière's disease. However, hearing loss is a possible complication. If hearing loss occurs after vestibular nerve section, magnetic resonance imaging should make it possible to establish the presence or absence of an intact cochlear nerve. METHOD: Case report and review of the world literature concerning cochlear implantation after vestibular nerve section. CASE REPORT: We present a patient who developed subtotal hearing loss after vestibular nerve section. Magnetic resonance imaging was used to verify the presence of an intact cochlear nerve, enabling successful cochlear implantation. CONCLUSION: To our knowledge, this is the first reported case of cochlear implantation carried out after selective vestibular nerve section. Given recent advances in cochlear implantation, this case indicates that it is essential to make every effort to spare the cochlear nerve if vestibular nerve section is required. If hearing loss occurs after vestibular nerve section, magnetic resonance imaging should be undertaken to establish whether the cochlear nerve is intact.

SCL, GATA-2 and Lmo2 expression in neurogenesis.

SCL, Lmo2 and GATA factors form common transcription complexes during hematopoietic differentiation. The overlapping expression of SCL with GATA-2 and GATA-3 in the developing brain indicated that these factors might collaborate also in the course of neural tissue differentiation. The expression pattern of Lmo2 in the developing CNS, however, is not well understood. Here, we show that neural cells in the early embryonic chick mid- and hindbrain express SCL and GATA-2, while Lmo2 is expressed only in vascular elements. The lack of Lmo2 transcripts in neural cells demonstrated that SCL and GATA-2 cannot form common complexes with Lmo2 in the developing brain. In the course of neural tissue genesis, GATA-2 mRNA appeared prior to the SCL transcript. While GATA-2 expression decreased with maturation, SCL expression persisted at a high level also in post-neurogenic periods. The temporal pattern of SCL and GATA-2/3 expression was investigated also in vitro, in the course of induced neurogenesis by NE-4C neural stem cells. While GATA-2 expression increased from the very beginning of differentiation, SCL expression appeared only in more differentiated cells expressing proneural genes. GATA-3 expression, on the other hand, was detected only in advanced stages of the neuronal maturation, which were characterised by the activation of the Math2 neuronal gene. Similarly to the hematopoietic differentiation, GATA-2 expression precedes the activation of both SCL and GATA-3, and may play roles in the activation of the SCL gene in neuronal development. In contrast to hematopoietic differentiation, however, our results failed to demonstrate co-assembling of GATA factors or SCL with Lmo2. While overlapping expression of GATA-2/3 and SCL was detected, Lmo2 activation could not be demonstrated in neural cells in the investigated period of neuronal development.

Abundance and location of DARPP-32 in striato-tegmental circuits of domestic chicks.

The striatum is reciprocally connected to the brainstem dopaminergic nuclei and receives a strong dopaminergic input. In the present study the spatial relation between the dopaminergic and dopaminoceptive structures of the avian medial striatum (formerly: lobus parolfactorius) was observed by confocal laser scanning microscope in the domestic chick (Gallus domesticus). We also analysed the connections in the area ventralis tegmentalis and the substantia nigra. To label the dopaminergic structures, anti-tyrosine hydroxylase was used and DARPP-32 (dopamine and cAMP regulated phosphoprotein) was a marker of dopaminoceptive elements. The tyrosine hydroxylase positive fibres formed baskets of juxtapositions around the DARPP-32 containing cells of the medial striatum. However, such baskets were also observed to juxtapose DARPP-32 immunonegative cells. In the tegmentum, DARPP-32 was observed in axons descending from the telencephalon via the ansa lenticularis. These varicose fibers innervated the ventral tegmental area and substantia nigra and were often juxtaposed to dopaminergic neurons and dendrites. Approximately 40% of the striatal projection neurons targeting the ventral tegmentum, and 60% of striatal projection neurons targeting the nigra were immunoreactive to DARPP-32, as revealed by retrograde pathway tracing with Fast Blue. Endogenous dopamine may exert a retrograde synaptic effect on the afferent striato-tegmental fibers, apart from the reported extrasynaptic action. The abundance of juxtapositions observed in the avian brainstem and medial striatum corroborates the possibility of reciprocal striato-tegmental circuits, relevant to the reinforcement of behaviour.

Evidence for a role of GABA interneurones in the cortical modulation of midbrain 5-hydroxytryptamine neurones.

Recent electrophysiological studies demonstrate that the ventral medial prefrontal cortex has a powerful inhibitory influence on 5-hydroxytryptamine (5-HT) neurones in the dorsal raphe nucleus. Here we utilised a combination of anatomical and electrophysiological methods to characterise the cellular substrate underlying this effect.Anterograde tracing (Phaseolus vulgaris leucoagglutinin) using electron microscopy demonstrated a pathway from the ventral medial prefrontal cortex that makes neuronal contacts throughout the dorsal raphe nucleus. These contacts were predominantly asymmetrical synapses adjoining GABA immunoreactive dendrites and spines. In vivo extracellular recordings were made in the dorsal raphe nucleus of the anaesthetised rat from a subpopulation of non-5-HT neurones. These neurones were fast-firing, irregular and with short spike width, properties strongly reminiscent of immunochemically identified GABA interneurones in other brain regions. Recordings of classical 5-HT neurones were also included. Electrical stimulation of the ventral medial prefrontal cortex elicited a rapid onset (16 ms latency), orthodromic excitation of the non-5-HT neurones (13/25 neurones). This stimulation also caused a pronounced inhibition of most 5-HT neurones tested, with a longer latency (30 ms), and this was partially blocked by locally applied bicuculline. These data provide the first evidence that the ventral medial prefrontal cortex influences the activity of large numbers of raphe 5-HT neurones by targeting a local network of GABA neurones. This circuitry predicts that physiological and pathological changes in the ventral medial prefrontal cortex will impact on significant parts of the forebrain 5-HT system.

Methamphetamine-induced stereotypies in newly-hatched decerebrated domestic chicks.

Metamphetamine in high dose has been reported to induce stereotypic behavior of abnormal form in the pigeon and domestic chick. A number of reports suggested that the target of metamphetamine was the paleostriatal complex, the highest motor center of the avian brain. The present study tested this hypothesis by treating newly-hatched domestic chicks with high dose of metamphetamine (10 mg/kg b.w.) after complete decerebration or sham operation. Stereotypic mandibulations were observed both in sham-operated and in decerebrated birds in similar form following methamphetamine treatment. The results suggested that brainstem pattern generators remain responsive to dopaminergic stimuli in the absence of the main telencephalic (striatal) targets.

Changes in binding to muscarinic and nicotinic cholinergic receptors in the chick telencephalon, following passive avoidance learning.

Changes in nicotinic and muscarinic cholinergic receptors 30 min after one-trial passive avoidance training were studied in day-old chicks (Gallus domesticus), by quantitative receptor autoradiography. [3H]-alpha-bungarotoxin (alpha-BgT) and [3H]-quinuclidinyl benzilate (QNB) were used to monitor changes in 15 forebrain regions for nicotinic and muscarinic receptors, respectively. A significant increase occurred bilaterally in the quantity of bound alpha-BgT in the lobus parolfactorius, while the amount of bound QNB decreased significantly, and bilaterally, in the hippocampus, hyperstriatum ventrale, lobus parolfactorius and posterolateral telencephalon, pars dorsalis. The data support an involvement of cholinergic receptor types in the neural mechanisms underlying passive avoidance learning.

Striato-telencephalic and striato-tegmental circuits: relevance to learning in domestic chicks.

Memory formation for a passive avoidance task in the domestic chick is likely to involve a hyperstriatum ventrale (IMHV)-archistriatum-lobus parolfactorius (LPO) arc. The present study summarises previous findings, relevant to this neural system, and is also supplemented with some recent data from our laboratory. Projections from the IMHV on the archistriatum, as well as from the archistriatum on the LPO, have been characterised using a combination of anterograde pathway tracing (Phaseolus lectin), and post-embedding GABA and glutamate immunocytochemistry. The majority of IMHV efferents have been found to synapse with dendritic spine heads and necks of densely spiny projection neurons of the ventral archistriatum, and the ultrastructure of synapses suggested a potent excitatory input. Similar synaptic connections of the excitatory type were ultrastructurally verified between ventral archistriatal afferent terminals and dendrites or spines of the LPO, suggesting an involvement of the medium sized spiny neurons, which are typical of the striatum. Although some of the IMHV boutons terminating in the archistriatum were immunoreactive to glutamate, this was not observed in the archistriatal-LPO pathway. Tegmental connections of the basal ganglia, in particular LPO, are also likely to play a role in processing of the avoidance response. We have demonstrated reciprocal connections between the LPO and dopaminergic (TH-positive) neurons of the substantia nigra and ventral tegmentum. Dopamine D1 receptors were upregulated bilaterally in the LPO following avoidance learning and this response was not accompanied by significant changes in the level of dopamine or its metabolites (HVA, DOPAC), as revealed by HPLC chromatography of brain samples dissected from the LPO of control and trained chicks. The dopamine receptor-related phosphoprotein DARPP-32 was localised in dendritic elements of the LPO, often forming asymmetric synapses with glutamate immunoreactive axon terminals. The findings are consistent with a scenario in which the striatum acts as a suppressor of natural pecking behaviour. Learned visual association with the target (bead) occurs in the IMHV and is relayed to the basal ganglia via the limbic archistriatum (amygdala equivalent), the latter introducing a motivational element (aversion, fear). Suppression of a brainstem pecking centre is likely to involve activation of the nigrostriatal (tegmentostriatal) dopaminergic circuit.

Distribution of glial fibrillary acidic protein and vimentin-immunopositive elements in the developing chicken brain from hatch to adulthood.

The present study describes the distribution of glial fibrillary acidic protein (GFAP) and vimentin-immunopositive structures in the brain of the domestic chicken (Gallus domesticus) from hatching to maturity. The telencephalon is penetrated by a vimentin-immunopositive radial fibre system, representing a modified form of radial glia, in day-old chicks. Numerous fibres of this system persist until adulthood, mainly in the lobus parolfactorius, lamina medullaris dorsalis and lamina frontalis superior. GFAP immunoreactivity also appears in the course of development in these fibres. The distribution of GFAP-immunopositive astrocytes in the post-hatch telencephalon is like that found in adult chicken, except for the ectostriatum, in which an adult-like GFAP-immunostaining only develops during week three. This delay may be associated with a relatively slow maturation of this visual centre. In the diencephalon and in the mesencephalic tegmentum of day-old chicks GFAP-immunopositive astrocytes are confined to the border zone of several nuclei. In these areas as well as in the pons most GFAP positive astrocytes only appear gradually during the first two post-hatch weeks, although radial fibres occur only sparsely at hatch. Summarizing these results, a gradual replacement of radial fibres by astrocytes, typical of mammals, cannot be found in chicken. In the nucleus laminaris we observed a characteristic palisade of non-ependymal glia, reactive to GFAP but not to vimentin, which almost completely disappears by adulthood. We suggest that this glial system is instrumental in the development of the dendritic organisation of this nucleus. The optic tectum displays a dense array of GFAP-immunopositive radial glia at hatching, similar in this to the situation found in reptiles. However, in the tectum of reptiles this radial glia persists for the lifetime, whereas in the chick it disappears from the superficial tectal layers. This phenomenon may reflect the fact that there is no replacement of tectal cells or regeneration of retinotectal pathways in the chicken. In the early stage, the large cerebral tracts were found to contain dense accumulations of GFAP-positive cells, with peculiarly long outgrowths accompanying nerve fibres. No vimentin-immunopositivity was found in these glial elements; however vimentin was present in the glia situated at the optic chiasm, the anterior commissure and at other decussations. These structures, as well as the raphe, displayed the most intense vimentin-immunopositivity in the post-hatch chicken. This characteristic glial population may represent glial elements that have been reported to regulate fibre-crossing at the midline.

Nitric oxide synthase containing nerves in the cat and dog dental pulp and gingiva.

In a previous study we found that nitric oxide (NO) plays an essential role in the hemodynamic regulation of the feline dental pulp. However, no evidence for the presence of nicotinamide adenine dinucleotide phosphate-diaphorase (NADPH-d) containing nerve fibers was found in the rat and cat dental pulps. In the present study, we are first to report the presence of a small number of NADPH-d positive and/or NO synthase immunoreactive perivascular and solitary varicose axons in the dental pulp and abundant number of similar axons in the gingiva of cats and dogs. These fibres may travel within the inferior alveolar nerve and might participate in sensory (i.e. pain) as well as in autonomic (i.e. regulation of blood flow) innervation of the dental pulp and gingiva.

Synaptic terminals immunolabelled against glutamate in the lobus parolfactorius of domestic chicks (Gallus domesticus) in relation to afferents from the archistriatum.

The lobus parolfactorius (LPO) has been implicated in memory formation associated with passive avoidance training of young posthatch domestic chicks. The anatomical circuitry underlying memory formation in the chick is likely to involve the intermediate medial hyperstriatum ventrale-archistriatum-LPO arc. In the present work, we attempted to combine an ultrastructural characterisation of archistriatal afferent terminals in LPO with a description of the synaptic structure of LPO, in particular those elements that are immunoreactive to glutamate and GABA. Ventral archistriatal regions of 7-day-old domestic chicks were iontophoretically injected with Phaseolus vulgaris leucoagglutinin and the anterograde transport of the tracer was detected in the LPO. Selected samples from these birds, and also from other day-old chicks, were resin-embedded and reacted for L-glutamate or GABA, using the postembedding immunocytochemical method. Glutamate was abundant in the neuropil of LPO and typically seen in axodendritic or axospinous terminals with asymmetrical junctions, often multiple or perforated postsynaptic appositions. Conversely, GABA was often present in aspinous dendrites, probably representing GABAergic local circuit neurons or (putative striatonigral) projection neurons. Archistriatal efferents terminating in LPO formed small en passant or terminal varicosities, with infrequent asymmetrical axospinous synapses. Glutamate was not detected in these boutons. The findings imply that the functional state of LPO, based on powerful glutamatergic excitation, may be modified by a non-glutamatergic archistriatal input.

Efferent connections of the domestic chick archistriatum: a phaseolus lectin anterograde tracing study.

The archistriatum of the domestic chick has been implicated in both fear behaviour and learning. However, relatively little is known about its organisation. The efferent connections of discrete anatomical regions of the chick archistriatum were therefore investigated by iontophoresis of the anterograde tracer Phaseolus vulgaris leucoagglutinin into its anterior, dorsal intermediate, ventral intermediate, medial, and posterior parts. The results of this study suggest that the chick archistriatum can be divided into two basic divisions according to whether they project to the following limbic structures: the hippocampal formation, septal areas, lobus parolfactorius, nucleus accumbens, ventral paleostriatum, and dorsomedial thalamus. The limbic archistriatum includes the posterior archistriatum and extends rostrally through the ventral intermediate archistriatum into the anterior archistriatum. The non-limbic archistriatum comprises the dorsal intermediate and medial archistriatum and largely gives rise to specific sensory, somatosensory, and motor telencephalofugal efferents. There may not be distinct borders between these two divisions of the chick archistriatum.

A central giant cell granuloma influenced by pregnancy.

A case of a 17-year-old patient with exacerbation of a central giant cell granuloma of the mandible during pregnancy is reported. The possible relationship of the giant cell lesion to a pre-existing fibrous dysplasia is considered although there was lack of histological evidence.

Comparative distribution of NADPH-diaphorase activity and tyrosine hydroxylase immunoreactivity in the diencephalon and mesencephalon of the domestic chicken (Gallus domesticus).

We described the distribution of NADPH-diaphorase-containing neurons in relation to tyrosine hydroxylase immunoreactivity in the diencephalon and mesencephalon of the chicken. In the diencephalon, both markers were found in the lateral hypothalamus, dorsal hypothalamic area, hypothalamic periventricular nucleus, paraventricular nucleus and mamillary area. A close examination showed that the fine distribution of these markers differed slightly, so that they were never observed in the same neurons. In the mesencephalon, NADPH-diaphorase and tyrosine hydroxylase immunoreactivity were found in the ventral pedunculopontine area (nucleus tegmenti pedunculopontinus pars compacta, adjacent areas surrounding the quintofrontal tract and the nucleus mesencephalicus profundus ventralis), the coeruleus complex (locus coeruleus, ventral and dorsal subcoeruleus nuclei), the ventral tegmental area and the central gray. The majority of these neurons contained either diaphorase or tyrosine hydroxylase. Nevertheless, in a few cases both markers appeared to colocalize in the same neuron, typically in large perikarya of the ventral pedunculopontine area.

The involvement of dopamine in the striatum in passive avoidance training in the chick.

Quantitative receptor autoradiography was used to investigate the distribution of binding of [3H]SCH 23390 to dopamine (D1) and [3H]spiroperone to D2 receptors in regions of the forebrain of the one-day-old domestic chick (Gallus domesticus). High levels of specific binding of the D1 and D2 ligands were found in the striatal regions (paleostriatum augmentatum and lobus parolfactorius) of the one-day-old chick, as reported previously in the pigeon, turtle and rat, whilst binding levels were considerably lower in the pallidum (paleostriatum primitivum), hippocampus and hyperstriatum ventrale. The proportions of D1 and D2 receptor binding in the chick were relatively similar in the striatum and pallidum, apart from the paleostriatum augmentatum, where D2 receptors outnumber those of D1 by a factor of two. Binding of the D1 and D2 ligands to forebrain regions was also investigated 30 min after one-trial passive avoidance training of one-day-old chicks in which the aversive stimulus was a bead coated with a bitter tasting substance, methyl anthranilate. These experiments demonstrated a large and highly significant bilateral increase (compared to control birds) in binding to D1 (but not D2) receptors in the lobus parolfactorius. In this striatal region, equivalent to the caudate-putamen of mammals, previous studies have shown that synaptic and dendritic alterations occur following avoidance training. It is concluded that alterations in dopamine binding may be involved in processes that result in modification of the pecking response in chicks after avoidance training.

Effects of diencephalic lesions on approach responses and color preferences in quail.

The effects of stereotaxic radio-frequency lesions on artificially selected approach responses and artificially selected or imprinted red or blue preferences were studied in Japanese quail chicks. No effects were found from lesions in anterior preoptic or pretectal areas and only slight attenuation of red preferences by lesions in nucleus rotundus, opticus principalis thalami and geniculatus lateralis pars ventralis. Extensive lesions in medial diencephalic and bordering areas of telencephalon, ansa lenticularis, lateral and medial forebrain bundle diminished approach tendencies and greatly attenuated the genetically influenced red preferences. Medial diencephalic lesions confined to the dorsomedial thalamic complex and lateral hypothalamus left approach tendencies intact but similarly attenuated only red preferences. Imprinted red or blue preferences of a highly imprintable quail line were also attenuated; red preference strongly, blue preference moderately. The data indicate differential diencephalic mediation of the quail's genetically distinct color preferences and suggest diverse subtelencephalic channels for mediation of approach responses and stimulus preferences. The results also suggest common neural mediation of genetically determined and acquired stimulus preferences.

Postsynaptic and extrasynaptic localization of kappa-opioid receptor in selected brain areas of young rat and chick using an anti-receptor monoclonal antibody.

kappa-opioid receptors were visualized by light and electron microscopical immunohistochemistry in young rat and chick brains, using a monoclonal antibody KA8 (IgG1, kappa) raised against a kappa-opioid receptor preparation from frog brain, which recognizes selectively the kappa-type receptor with preference for the kappa-2 subtype. The most pronounced kappa-opioid receptor-like immunoreactivity was observed in the hypothalamic nuclei of the rat brain and in the chick optic tectum, in regions where the functional significance of kappa-opioid receptors is well documented. Both neurons and glia were stained, the former on both somata and dendrites. At the ultrastructural level, the receptor-like immunoreactivity was similar in both species. Immunoprecipitate decorated the inner surface of the plasma membrane of glial cells, neuronal somata and dendrites, in a discontinuous arrangement. In the cytoplasm, labelling was associated with ribosomes, polyribosomes and rough endoplasmic reticulum membranes but not with Golgi cisternae. In the neuropil, the immunoprecipitate was observed along the dendritic microtubules and was also associated with postsynaptic sites. Nuclei and axons were devoid of label and immunoreactivity was never visible presynaptically. Our findings indicate that the antibody used in the present study marks various forms of the kappa-opioid receptor protein including those synthesised in ribosomes, transported along dendritic microtubules and incorporated into postsynaptic and non-synaptic membranes. The antibody also recognizes glial opioid receptors. The observed subcellular distribution appears to be conserved in phylogenetically distant species.

The remote astroglial response (RAR): a holistic approach for evaluating the effects of lesions of the central nervous system.

The right dorsal lateral geniculate nucleus was stereotaxically destroyed in adult albino rats. After 3 to 150 days of survival the visual cortices from both hemispheres were processed for semithin histology, electron microscopy, GFAP immunohistochemistry and immunoblotting. In visual cortices with histologically disclosed degeneration of the geniculo-cortical tract, a hypertrophy of astrocytes without change in their total numbers was seen from postoperative day 3. From day 7, a rise in GFAP immunoreactivity was observed, reaching its peak between days 11-14, after which a decrease occurred. Observations were confirmed by computer-assisted image analysis of immunohistochemical preparations. Using the immunoblot technique, relative GFAP levels were found to change in a fashion similar to immunohistochemical findings. This showed that synaptic degeneration triggered an up-regulation of GFAP synthesis in the perisynaptic astrocyte processes as a second, cytoskeletal phase of the astrocyte reaction. The phenomenon is denoted as the remote astroglial response (RAR) and is thought to be a marker of synapse removal during plastic changes either related to function or induced by lesions. An extrapolation is made to the possible significance of whole-brain GFAP levels in assessing the effects of focal CNS lesions.

Biliary dilatation in asymptomatic AIDS patients.

Cytomegalovirus (CMV) is a recognized cause of biliary abnormalities in acquired immune deficiency syndrome (AIDS) patients. In a prospective trial, two of 25 (8%) of AIDS patients on treatment for CMV related infections without biliary symptoms were found to have biliary dilatation on ultrasound. The study confirms previous findings of the poor correlation of sonographic findings with clinical status and biochemical profiles, and demonstrates that biliary tree dilatation in this group of patients may not per se warrant further invasive investigation.