Reduction of congenital nystagmus in a patient after smoking cannabis.

INTRODUCTION: Smoking cannabis has been described to reduce acquired pendular nystagmus in MS, but its effect on congenital nystagmus is not known. PURPOSE: To report the effect of smoking cannabis in a case of congenital nystagmus. METHODS: A 19-year-old male with congenital horizontal nystagmus presented to the clinic after smoking 10 mg of cannabis. He claimed that the main reason for smoking cannabis was to improve his vision. At the next clinic appointment, he had not smoked cannabis for 3weeks. Full ophthalmologic examination and eye movement recordings were performed at each visit. RESULTS: Visual acuity improved by 3 logMar lines in the left eye and by 2 logMar lines in the right eye after smoking cannabis. The nystagmus intensities were reduced by 30% in primary position and 44%, 11%, 10% and 40% at 20-degree eccentricity to the right, left, elevation and depression, respectively, after smoking cannabis. CONCLUSION: Cannabis may be beneficial in the treatment of congenital idiopathic nystagmus (CIN). Further research to clarify the safety and efficacy of cannabis in patients with CIN, administered for example by capsules or spray, would be important.

Evaluation of the response of Lactobacillus rhamnosus VTT E-97800 to sucrose-induced osmotic stress.

Environmental osmotic changes are one of the stresses live probiotics may encounter either in their natural habitats or as a result of usage in food formulations and processing. Response to osmotic stress, induced by sucrose, of the probiotic strain Lactobacillus rhamnosus VTT E-97800 (E800) was investigated. The fluorescence-based approach used, by combined staining with caboxyfluorescein (cFDA) and propidium iodide (PI) could give insights on the osmotic-induced changes of microbial esterase activity and membrane integrity; also the extrusion of intracellular accumulated carboxyfluorescein (cF) upon energizing with glucose. Comparison of the flowcytometric viability assessment with the conventional culture techniques revealed that sucrose-stressed cells had a slight loss of culturability (logN/N(0) approximately -0.3) at 1.2 and 1.5M sucrose concentration though they could perform an enzymatic conversion of cFDA into cF. The presence of such metabolically active bacteria in food might be critical as they may excrete toxic or food spoilage metabolites. Moreover, the perturbation of cF extrusion activities became a limiting factor for reproductive capacities. There was no change in the cell morphology. These results proved the ability of the strain of study to tolerate sucrose, even at extreme concentrations and these must be taken into consideration for its usage in the formulation/processing of sugar-based foods, e.g. jams, candies, etc.