Objective This study aims to analyze metabolites in the cerebrospinal fluid(CSF)of neurosyphilis patients to identify potential diagnostic markers.Methods Untargeted metabolomics by liquid chromatography-mass spectrom...Objective This study aims to analyze metabolites in the cerebrospinal fluid(CSF)of neurosyphilis patients to identify potential diagnostic markers.Methods Untargeted metabolomics by liquid chromatography-mass spectrometry was used to analyze metabolites in CSF samples from five neurosyphilis and five syphilis/non-neurosyphilis patients.After quality control and normalization,data analyses(principal component analysis,orthogonal partial least squares-discriminant analysis,hierarchical clustering)were conducted to identify differential metabolites.Results The content of metabolites(Pro-leu,nudifloramide,N-oleoyl glycine,DMP 777,(±)-propionylcarnitine,and 3β-hydroxy-5-cholenoic acid)in neurosyphilis patients was 1.7-to 4.5-fold of that in the non-neurosyphilis patients.Conclusions The metabolites,particularly nudifloramide and N-oleoyl glycine,which have been implicated in other neurological disorders,warrant further investigation into their roles in the pathogenesis of neurosyphilis.展开更多
Objective To study the changes of biomarkers in cerebrospinal fluid(CSF) in cerebral amyloid angiopathy(CAA) dementia and Alzheimer's disease.Methods Levels of amyloid protein β(Aβ42,Aβ40) and phosphorylated Ta...Objective To study the changes of biomarkers in cerebrospinal fluid(CSF) in cerebral amyloid angiopathy(CAA) dementia and Alzheimer's disease.Methods Levels of amyloid protein β(Aβ42,Aβ40) and phosphorylated Tau-protein(P-tau) in CSF and ratio of Aβ42/Aβ40 were tested in 5 cases with CAA dementia and 20 cases with Alzheimer's disease collected at Peking Union Medical College Hospital from December 2001 to March 2011.Results The levels of Aβ42,Aβ40,and P-tau in CSF and ratio of Aβ42/Aβ40 were(660.4±265.2) ng/L,(7111.0±1033.4) ng/L,(71.8±51.5) ng/L,and 0.077±0.033,respectively in CAA dementia and(663.6±365.6) ng/L,(5115.0±2931.1) ng/L,(47.7±38.8) ng/L,and 0.192±0.140,respectively in Alzheimer's disease patients.There were no statistically significant differences between CAA dementia and Alzheimer's disease in terms of these CSF biomarkers(all P>0.05).Conclusion Measurements of CSF biomarkers may not be helpful in differential diagnosis of CAA and Alzheimer's disease.展开更多
Objective To investigate the management and outcome of cerebrospinal fluid leakage(CSFL)after cervical surgery.Methods Medical records of 642 patients who underwent cervical surgery between December 1999 and December ...Objective To investigate the management and outcome of cerebrospinal fluid leakage(CSFL)after cervical surgery.Methods Medical records of 642 patients who underwent cervical surgery between December 1999 and December 2005 at our hospital were retrospectively reviewed.Five patients complicated by CSFL after surgery were enrolled,of which 4 cases were complicated after ossified posterior longitudinal ligament or posterior vertebral osteophyte resection directly injuring the dura,and 1 case after posterior cervical double-door laminoplasty without observed dural injury during surgery.Of the 5 CSFL cases,4 cases occurred at 1-3 days after operation and 1 case at 9 days after operation.All 5 postoperative CSFL cases were treated through wound drainage removal,wound sutures,prophylactic antibiotics,and continuous subarachnoid drainage in the elevated head position.Results All 5 CSFL cases experienced leakage cessation within 1-3 days and wound healing within 4-8 days,and subarachnoid drainage lasted 11-16 days with an average volume of 320 mL(range,150-410 mL).Four cases experienced headache,nausea and vomiting,1 case suffered from somnolence and hyponatremia,and symptoms subsided after symptomatic treatment and intravenous fluid administration.All patients were followed up for an average of 32 months(range,22-50 months).No occurrence of cerebrospinal fluid cyst or wound infection was observed.CSFL produced no significant negative effects upon neuromuscular function recovery.Conclusion Continuous subarachnoid cavity drainage in combination with elevated head position is a simple and safe non-surgical method in treatment of CSFL following cervical surgery.展开更多
To elucidate the correlation between excitatory amino acids (EAA) and spinal cord injury, we investigat-ed the dynamic changes in excitatory amino acids, aspartate (Asp) and glutamate (Gin ) contents in cerebrospinalf...To elucidate the correlation between excitatory amino acids (EAA) and spinal cord injury, we investigat-ed the dynamic changes in excitatory amino acids, aspartate (Asp) and glutamate (Gin ) contents in cerebrospinalfluid (CSF) of 26 patients with acute spinal cord injury by amino acids autoanalyzer. The results showed that con-tent of glutanlate and aspartate was renlarkably elevated in 24 h after trauma and was related to the seventy of injury. The more severe the spinal cord injured, the more remarkable the content of Asp and Gin in CSF increased.The more pronounced the content of EAA in CSF increased, the worse the patient’s prognosis was. Content of EAA in CSF after spinal cord injury may be an indicator to judge injury extent and prognosis. and provide further support for a potential pathophysiological role of EAA in spinal cord injury.展开更多
The difference of composition in extracellular fluid in brain parenchyma and CSF suggests that CSF-brain barrier(CBB)is objective,which is necessary to maintain the stability of their internal environment.However,the ...The difference of composition in extracellular fluid in brain parenchyma and CSF suggests that CSF-brain barrier(CBB)is objective,which is necessary to maintain the stability of their internal environment.However,the information exchange between brain and CSF is also objective.For example,CSF is changes during diseases,the application of drugs(such as lumbar anesthesia)or tissue transplantation via the CSF pathway may also produce central(cerebral)effects.Who breaks through the barrier and mediates brain-CSF communication?Since 1992,we have found that the peripheral nerve tracer CB-HRP injected into the lateral ventricle of mice,rats and macaques is blocked in the ventricle wall and can only run in CSF,but a large number of CB-HRP-positive labeled neurons can be seen in specific parts of the brain stem parenchyma.Understandably,these neurons touch markers in CSF.Otherwise,they cannot be tagged.展开更多
在CFD平台软件OpenFOAM上,用数值模拟的方法分析了变截面毛细流道中的毛细流动行为。该数值方法利用流体体积比函数(volume of fluid,VOF)来跟踪流体流动前沿界面,再用连续表面张力模型(continue surface force,CSF)来描述毛细驱动力。...在CFD平台软件OpenFOAM上,用数值模拟的方法分析了变截面毛细流道中的毛细流动行为。该数值方法利用流体体积比函数(volume of fluid,VOF)来跟踪流体流动前沿界面,再用连续表面张力模型(continue surface force,CSF)来描述毛细驱动力。VOF和CSF方法的结合使得毛细驱动力的求解能适应截面的变化。分别用该数值方法和解析方法对变间距平行平板间毛细流动进行了分析,发现两者的分析结果一致性较好。基于VOF和CSF的数值方法有望进一步应用于更复杂流场中的毛细流动分析。展开更多
采用层析荧光改良法对84例脑血管病（CVD）和颅内肿瘤（ICT）患者脑脊液（CSF）中脑型肌酸激酶同功酶（Brain Type Creatine Kinase Isoenzyme,CK-BB）活性作了测定。结果表明,在CVD急性期和ICT患者的CSF-CK-BB活性均有明显升高,且以出...采用层析荧光改良法对84例脑血管病（CVD）和颅内肿瘤（ICT）患者脑脊液（CSF）中脑型肌酸激酶同功酶（Brain Type Creatine Kinase Isoenzyme,CK-BB）活性作了测定。结果表明,在CVD急性期和ICT患者的CSF-CK-BB活性均有明显升高,且以出血性卒中（HCVD）的升高最为显著,其次为ICT,而缺血性卒中（ICVD）的升高则相对较低;同时CSF-CK-BB活性升高与CVD和ICT患者脑损伤的程度、范围和预后相关,而与ICT的病理性质及瘤腔内坏死范围无关。展开更多
文摘Objective This study aims to analyze metabolites in the cerebrospinal fluid(CSF)of neurosyphilis patients to identify potential diagnostic markers.Methods Untargeted metabolomics by liquid chromatography-mass spectrometry was used to analyze metabolites in CSF samples from five neurosyphilis and five syphilis/non-neurosyphilis patients.After quality control and normalization,data analyses(principal component analysis,orthogonal partial least squares-discriminant analysis,hierarchical clustering)were conducted to identify differential metabolites.Results The content of metabolites(Pro-leu,nudifloramide,N-oleoyl glycine,DMP 777,(±)-propionylcarnitine,and 3β-hydroxy-5-cholenoic acid)in neurosyphilis patients was 1.7-to 4.5-fold of that in the non-neurosyphilis patients.Conclusions The metabolites,particularly nudifloramide and N-oleoyl glycine,which have been implicated in other neurological disorders,warrant further investigation into their roles in the pathogenesis of neurosyphilis.
文摘Objective To study the changes of biomarkers in cerebrospinal fluid(CSF) in cerebral amyloid angiopathy(CAA) dementia and Alzheimer's disease.Methods Levels of amyloid protein β(Aβ42,Aβ40) and phosphorylated Tau-protein(P-tau) in CSF and ratio of Aβ42/Aβ40 were tested in 5 cases with CAA dementia and 20 cases with Alzheimer's disease collected at Peking Union Medical College Hospital from December 2001 to March 2011.Results The levels of Aβ42,Aβ40,and P-tau in CSF and ratio of Aβ42/Aβ40 were(660.4±265.2) ng/L,(7111.0±1033.4) ng/L,(71.8±51.5) ng/L,and 0.077±0.033,respectively in CAA dementia and(663.6±365.6) ng/L,(5115.0±2931.1) ng/L,(47.7±38.8) ng/L,and 0.192±0.140,respectively in Alzheimer's disease patients.There were no statistically significant differences between CAA dementia and Alzheimer's disease in terms of these CSF biomarkers(all P>0.05).Conclusion Measurements of CSF biomarkers may not be helpful in differential diagnosis of CAA and Alzheimer's disease.
文摘Objective To investigate the management and outcome of cerebrospinal fluid leakage(CSFL)after cervical surgery.Methods Medical records of 642 patients who underwent cervical surgery between December 1999 and December 2005 at our hospital were retrospectively reviewed.Five patients complicated by CSFL after surgery were enrolled,of which 4 cases were complicated after ossified posterior longitudinal ligament or posterior vertebral osteophyte resection directly injuring the dura,and 1 case after posterior cervical double-door laminoplasty without observed dural injury during surgery.Of the 5 CSFL cases,4 cases occurred at 1-3 days after operation and 1 case at 9 days after operation.All 5 postoperative CSFL cases were treated through wound drainage removal,wound sutures,prophylactic antibiotics,and continuous subarachnoid drainage in the elevated head position.Results All 5 CSFL cases experienced leakage cessation within 1-3 days and wound healing within 4-8 days,and subarachnoid drainage lasted 11-16 days with an average volume of 320 mL(range,150-410 mL).Four cases experienced headache,nausea and vomiting,1 case suffered from somnolence and hyponatremia,and symptoms subsided after symptomatic treatment and intravenous fluid administration.All patients were followed up for an average of 32 months(range,22-50 months).No occurrence of cerebrospinal fluid cyst or wound infection was observed.CSFL produced no significant negative effects upon neuromuscular function recovery.Conclusion Continuous subarachnoid cavity drainage in combination with elevated head position is a simple and safe non-surgical method in treatment of CSFL following cervical surgery.
文摘To elucidate the correlation between excitatory amino acids (EAA) and spinal cord injury, we investigat-ed the dynamic changes in excitatory amino acids, aspartate (Asp) and glutamate (Gin ) contents in cerebrospinalfluid (CSF) of 26 patients with acute spinal cord injury by amino acids autoanalyzer. The results showed that con-tent of glutanlate and aspartate was renlarkably elevated in 24 h after trauma and was related to the seventy of injury. The more severe the spinal cord injured, the more remarkable the content of Asp and Gin in CSF increased.The more pronounced the content of EAA in CSF increased, the worse the patient’s prognosis was. Content of EAA in CSF after spinal cord injury may be an indicator to judge injury extent and prognosis. and provide further support for a potential pathophysiological role of EAA in spinal cord injury.
文摘The difference of composition in extracellular fluid in brain parenchyma and CSF suggests that CSF-brain barrier(CBB)is objective,which is necessary to maintain the stability of their internal environment.However,the information exchange between brain and CSF is also objective.For example,CSF is changes during diseases,the application of drugs(such as lumbar anesthesia)or tissue transplantation via the CSF pathway may also produce central(cerebral)effects.Who breaks through the barrier and mediates brain-CSF communication?Since 1992,we have found that the peripheral nerve tracer CB-HRP injected into the lateral ventricle of mice,rats and macaques is blocked in the ventricle wall and can only run in CSF,but a large number of CB-HRP-positive labeled neurons can be seen in specific parts of the brain stem parenchyma.Understandably,these neurons touch markers in CSF.Otherwise,they cannot be tagged.
文摘在CFD平台软件OpenFOAM上,用数值模拟的方法分析了变截面毛细流道中的毛细流动行为。该数值方法利用流体体积比函数(volume of fluid,VOF)来跟踪流体流动前沿界面,再用连续表面张力模型(continue surface force,CSF)来描述毛细驱动力。VOF和CSF方法的结合使得毛细驱动力的求解能适应截面的变化。分别用该数值方法和解析方法对变间距平行平板间毛细流动进行了分析,发现两者的分析结果一致性较好。基于VOF和CSF的数值方法有望进一步应用于更复杂流场中的毛细流动分析。
文摘采用层析荧光改良法对84例脑血管病（CVD）和颅内肿瘤（ICT）患者脑脊液（CSF）中脑型肌酸激酶同功酶（Brain Type Creatine Kinase Isoenzyme,CK-BB）活性作了测定。结果表明,在CVD急性期和ICT患者的CSF-CK-BB活性均有明显升高,且以出血性卒中（HCVD）的升高最为显著,其次为ICT,而缺血性卒中（ICVD）的升高则相对较低;同时CSF-CK-BB活性升高与CVD和ICT患者脑损伤的程度、范围和预后相关,而与ICT的病理性质及瘤腔内坏死范围无关。
