変化する神経神経学的病変は,骨髄分裂症において起こる
JAMA
|September 25, 1987
まとめ
外部泌尿管スフィンクターの内置の変化は,ミエロディスプラジアの新生児に多く見られ,しばしば最初の1年以内に発生します. この状態のダイナミックな性質のため,継続的なモニタリングが不可欠です.
科学分野:
- 小児神経学について
- 泌尿器科 泌尿器科とは
- 発達生物学 発達生物学とは
背景:
- 骨髄分裂症は,神経の発達に影響を与える先天性疾患です.
- 神経学的および泌尿動力学的機能は,罹患した子供において,時間の経過とともに変化することがあります.
研究 の 目的:
- 新生児における外泌尿器門内膜の変化を評価する.
- リスク要因とこれらの変化のタイミングを特定する.
- 神経外科介入の影響を評価する.
主な方法:
- 連続レンツゲノグラフィック,神経学,尿動力学的評価.
- ミエロディスプラジアの79人の新生児を1.5~6年間,縦断的に追跡した.
主要な成果:
- 乳児の37%は,最初の3年間,主に最初の1年 (89.6%) の間にスフィンクターの内置に変化を示しました.
- 19%が神経神経学的悪化を経験し,18%が改善した.
- 2回目の神経外科手術では,4人の改善,2人の安定化,1人の悪化がみられた.
結論:
- 外部泌尿管門の内置の変化は,骨髄形成症のダイナミックなプロセスです.
- これらの子供の管理には,早期のおよび継続的な神経学的および泌尿学的監視が不可欠です.
関連する概念動画
Differentiation of Common Myeloid Progenitor Cells
Common myeloid progenitors (CMPs) are oligopotent cells that can differentiate into granulocytes and macrophages. Granulocytes and macrophages are essential for protecting the body against bacterial, viral, or fungal infections. They migrate from the bone marrow into the circulating blood to reach specific tissue sites where they differentiate and help in immune surveillance. However, they survive only for a few days and must be continuously made available to the organism to maintain a robust...
Bone Marrow Sampling and Transplants
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy the...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy the...
Cellular Adaptation IV: Dysplasia and Metaplasia
DysplasiaDysplasia refers to abnormal changes in the size, shape, and organization of mature cells, characterized by pleomorphism, nuclear abnormalities, and increased mitotic activity. It commonly affects epithelial tissues, including the cervix, gastrointestinal tract, respiratory mucosa, and endometrium. Although it may occur alongside hyperplasia, dysplasia is not a true adaptive response but a preneoplastic change with potential to progress to cancer.When confined above the basement...
Alzheimer Disease ll: Pathophysiology
Alzheimer disease involves structural changes in the brain that begin long before symptoms appear. The most distinctive features are extracellular neuritic plaques and intracellular neurofibrillary tangles.Neuritic plaques form in the cerebral cortex and around blood vessels. These plaques contain a dense core of beta-amyloid (Aβ)—a toxic protein fragment that clumps outside neurons. The core is surrounded by damaged neuronal extensions, as well as reactive astrocytes and microglia. Abnormal...
Parkinson Disease ll: Pathophysiology
Parkinson disease (PD) is a progressive neurodegenerative disorder primarily affecting movement, with additional non-motor features. Its pathophysiology involves complex interactions among genetic susceptibility, environmental exposures, and cellular dysfunction, including dopaminergic neuron loss, protein aggregation, and mitochondrial impairment.Selective NeurodegenerationA key feature is the degeneration of dopaminergic neurons in the substantia nigra pars compacta, leading to reduced...


