Assuntos
Aneurisma , Doenças das Artérias Carótidas , Doenças do Nervo Hipoglosso , Doenças do Nervo Vago , Humanos , Nervo Hipoglosso , Artéria Carótida Interna/diagnóstico por imagem , Doenças das Artérias Carótidas/complicações , Doenças das Artérias Carótidas/diagnóstico por imagem , Paralisia , Nervo Vago , Doenças do Nervo Hipoglosso/diagnóstico por imagem , Doenças do Nervo Hipoglosso/etiologiaRESUMO
Hyperthyroidism may cause cognitive decline and increases the risk of Alzheimer's disease (AD), the major form of dementia; however, the underlying mechanism of this relationship is unclear. AD is associated with increased serum levels of tau. In this study, we investigated the relationship between serum thyroid hormones (THs) and tau. Fifty participants diagnosed with hyperthyroidism and fifty euthyroid counterparts were included and received clinical examinations. Serum concentrations of thyroid-stimulating hormone (TSH), free thyroxine (FT4), free triiodothyronine (FT3) and tau protein were assessed. The total tau protein level was significantly higher in hyperthyroidism participants than in their euthyroid counterparts. The level of circulating total tau had a significant positive association with the serum concentrations of FT3 and FT4. Total tau level was increased in the low TSH group and the serum THs decreased with the increase of age. These findings reveal that peripheral THs are associated with the serum concentration of tau, which may be involved in the pathogenesis of AD, suggesting a potential therapeutic target of AD via hyperthyroidism therapy.
Assuntos
Doença de Alzheimer/sangue , Doença de Alzheimer/patologia , Disfunção Cognitiva/sangue , Hipertireoidismo/sangue , Tireotropina/sangue , Adulto , Disfunção Cognitiva/diagnóstico , Feminino , Humanos , Hipertireoidismo/diagnóstico , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Tiroxina/sangue , Tri-Iodotironina/sangueRESUMO
OBJECTIVES: This study explored the clinical characteristics of vestibular migraine in Chinese subjects and performed a field test of the criteria of the International Classification of Headache Disorders 3rd edition beta version. METHODS: Consecutive patients with vestibular migraine were surveyed and registered in a headache clinic during the study period. The diagnosis of vestibular migraine was made according to International Classification of Headache Disorders 3rd edition beta version. Assessments included standardized neuro-otology bedside examination, pure-tone audiogram, bithermal caloric testing, neurological imaging, cervical X-ray or magnetic resonance imaging, Doppler ultrasound of cerebral arteries and laboratory tests. RESULTS: A total of 67 patients (62 female/five male, 47.8 ± 10.3 years old) were enrolled in this study. The mean ages of migraine and vertigo onset were 32.2 ± 11.5 and 37.9 ± 10.1 years, respectively. The most common migraine subtype was migraine without aura (79%), followed by migraine with aura (12%) and chronic migraine (9%). The duration of vertigo attacks varied from seconds to days and 25% of patients had attacks that lasted less than 5 minutes. Among the patients with short-lasting attacks, 75% of these patients had ≥5 attacks per day within 72 hours. Auditory symptoms were reported in 36% of the patients. Migraine prophylactic treatments were effective in 77% of the patients. CONCLUSIONS: Our study showed that the clinical features of vestibular migraine in China were similar to those of Western studies. The definition of vertigo episodes and migraine subtypes of vestibular migraine in International Classification of Headache Disorders 3rd edition beta version might be modified further. More than five vertigo attacks per day within 72 hours might be helpful as far as identifying vestibular migraine patients with short-lasting attacks.
Assuntos
Classificação Internacional de Doenças , Transtornos de Enxaqueca/classificação , Transtornos de Enxaqueca/diagnóstico , Vertigem/classificação , Vertigem/diagnóstico , China , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Exame NeurológicoRESUMO
Room to breathe: An efficient method for the synthesis of zeolitic imidazolate framework-7 (ZIF-7) in ethanol/water at room temperature is reported. The ZIF-7 undergoes a reverse-phase transition from large pore (lp)-phase to narrow pore (np)-phase under heat treatment and from np-phase back to lp-phase in ethanol solution.