scholarly journals Method of Macromicroscopic Preparation for Determination of Fetal Anatomical Variability of the Thoracic Part of the Aorta

2021 ◽  
Vol 6 (4) ◽  
pp. 50-57
Author(s):  
G. Ya. Stelmakh ◽  
◽  
T. V. Khmara ◽  
O. F. Marchuk ◽  
I. D. Kiiun ◽  
...  
Keyword(s):  
Vagus Nerve ◽  
Thoracic Aorta ◽  
Posterior Mediastinum ◽  
Sympathetic Trunk ◽  
Human Fetuses ◽  
Age Related ◽  
Macroscopic Structure ◽  
Literary Sources ◽  
Thoracic Part ◽  
The Right

To obtain data about the formation of fetal macroscopic structure and topography of the thoracic part of the aorta, which can be used for age-related mapping, it is necessary to determine a standard sequence of steps during the preparation of these structures. The purpose of the study was to determine the method of the best rational sequence of actions during the preparation of areas of the posterior mediastinum in human fetuses to obtain standard results, useful for comparing in the age aspect. Materials and methods. The study was performed on 35 human fetuses of 4-10 months by macromicroscopic preparation of organs, vessels, and nerves of the posterior mediastinum. Results and discussion. In the study of fetal anatomical variability of branches and nerves of the thoracic aorta in the age aspect, the algorithm of anatomical preparation of the posterior mediastinum becomes a priority. However, in the literary sources available to us, we did not find information about the sequence of actions during the preparation of the posterior mediastinum, including the thoracic aorta in human fetuses. The innervation of the thoracic part of aorta on both sides mainly involves the branches of the II-VI thoracic nodes of the sympathetic trunk, the great visceral nerve, and the branch of the vagus nerve. Adherence to the following sequence of actions during the preparation of the posterior mediastinum, and in particular, the branches and nerves of the thoracic aorta, in human fetuses, provides not only the scientific value of the results but also the rational use of biological material. Conclusion. The proposed and tested method of dissection of nerves, visceral and parietal branches of the thoracic aorta in human fetuses provides a standard for obtaining data about their typical, individual, and age anatomical variability. The innervation of the thoracic aorta mainly involves the branches of the II-VI thoracic nodes of the sympathetic trunk, the great visceral nerve, and the branch of the vagus nerve. Nerve branches leading to the thoracic aorta from various sources enter its wall either together with blood vessels or in isolation. In human fetuses, between the right and left sympathetic trunks and the thoracic part of the aorta, in addition to the intermediate plexus or collateral trunk, a paraaortic plexus is found, the branches of which participate in the innervation of the thoracic aorta. Bilateral asymmetry of the structure and topography of the plexuses of the thoracic aorta was detected. The sequence of actions used during the preparation of the thoracic aorta in human fetuses preserves the natural appearance and relationships between the branches and nerves of the object of the study

Age related gross morphological studies on the thymus in postnatal Surti goat (Capra hircus)

2018 ◽  
Author(s):  
Shailendra Chaurasia ◽  
Kantichandra N Vyas ◽  
R Menaka ◽  
Kantilal M ◽  
Thakur Krishna Shankar Rao
Keyword(s):  
Adipose Tissue ◽  
Negative Correlation ◽  
Relative Weight ◽  
Capra Hircus ◽  
Morphological Studies ◽  
Age Related ◽  
Left Limb ◽  
Thoracic Part ◽  
The Right

The gross studies were conducted on the thymus of 18 postnatal Surti goats. Three distinct parts of thymus were recognized viz., unpaired thoracic part, caudally situated paired body (cervical part) and right and left cranial parts from day old kid to 9 months. The cranial parts were not observed from the age of 12 months onwards. The caudal cervical part of thymus was gradually replaced by adipose tissue between 14 to 48 months, however, traces of thymus embedded within the adipose tissue was observed in cranial mediastinum even at the age of 48 months. The right limb of cervical thymus was slightly longer than the left limb in postnatal Surti goats. The maximum mean weight (26.850 ± 2.885 g) and volume (22.333 ± 2.275 cc) of thymus was recorded between 4 to 9 months. Relative weight of thymus was 0.39% in neonatal kids, which was much higher as compared to 0.015 % in adult Surti goats. Negative correlation was observed between age and weight of thymus during 12 to 48 months.

Preferential Ductus Venosus Streaming Toward the Right Heart Is Associated with Left Heart Underdevelopment and Aortic Arch Hypoplasia in Human Fetuses

2011 ◽  
Vol 32 (S 02) ◽  
pp. E115-E121
Author(s):  
R. Stressig ◽  
R. Axt-Fliedner ◽  
U. Gembruch ◽  
T. Kohl
Keyword(s):  
Aortic Arch ◽  
Diaphragmatic Hernia ◽  
Pulmonary Vein Stenosis ◽  
Ductus Venosus ◽  
Human Fetuses ◽  
Left Heart ◽  
Caval Vein ◽  
Age Related ◽  
The Right ◽  
Aortic Arch Hypoplasia

Abstract Purpose: Preferential left heart underdevelopment in human fetuses with diaphragmatic hernia is almost uniformly associated with preferential streaming of the ductus venosus toward the right side of the heart. The purpose of our study was to examine whether this flow anomaly might also be present in other fetuses with hypoplasia of left-sided cardiovascular structures. Materials and Methods: We studied 32 fetuses with left heart hypoplasia as defined by gestational age-related Z-scores by echocardiography. Apart from defining cardiovascular morphology as detailed as possible, particular focus was put on the presence or absence of preferential streaming of the ductus venosus and inferior caval vein toward the right side of the heart. Results: 8 of 32 fetuses with hypoplasia of one or more left-sided cardiovascular structures exhibited preferential streaming of the ductus venosus toward the right side of the heart. In all eight fetuses, this finding was associated with additional cardiovascular anomalies like aortic valve stenosis, ventricular septal defect, left superior caval vein-to-coronary sinus, pulmonary vein stenosis and/or aortic arch hypoplasia. Conclusion: As in human fetuses with left diaphragmatic hernia, preferential ductus venosus streaming toward the right side of the heart can be found in a subgroup of fetuses with hypoplasia of left-sided cardiovascular structures.

scholarly journals AGE RELATED MORPHOLOGICAL FEATURES OF THE THORACIC PART OF THE SYMPATHETIC TRUNK OF THE DOG

2016 ◽  
Vol 38 (2) ◽  
pp. 64-68
Author(s):  
S.N. Khokhlova ◽  
◽  
M.A. Bogdanova ◽  
N.G. Simanova ◽  
◽  
...  
Keyword(s):  
Morphological Features ◽  
Sympathetic Trunk ◽  
Age Related ◽  
Thoracic Part

362: The right and the left Testis Migrates at the same time? Analisys in 144 human fetuses

2007 ◽  
Vol 177 (4S) ◽  
pp. 121-121
Author(s):  
Luciano A. Favorito ◽  
Francisco J.B. Sampaio
Keyword(s):  
Human Fetuses ◽  
Left Testis ◽  
The Right

scholarly journals Development of central auditory processes in Polish children and adolescents at the age from 7 to 16 years

2021 ◽  
Author(s):  
Monika Lewandowska ◽  
Rafał Milner ◽  
Małgorzata Ganc ◽  
Elżbieta Włodarczyk ◽  
Joanna Dołżycka ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
School Students ◽  
Frequency Pattern ◽  
Speech In Noise ◽  
Age Related ◽  
Right Ear Advantage ◽  
The Right ◽  
Almost All ◽  
Test Retest Reliability ◽  
Auditory Processes

AbstractThere are discrepancies in the literature regarding the course of central auditory processes (CAP) maturation in typically developing children and adolescents. The purpose of the study was to provide an overview of age – related improvement in CAP in Polish primary and secondary school students aged 7–16 years. 180 children/adolescents, subdivided into 9 age categories, and 20 adults (aged 18–24 years) performed the Dichotic Digit Test (DDT), Duration Pattern Test (DPT), Frequency Pattern Test (FPT), Gap Detection Test (GDT) and adaptive Speech-in-Noise (aSpN). The 12-year-olds was retested after w week. We found the age effects only for the DDT, DPT and FPT. In the right ear DDT the 7-year-olds performed more poorly than all groups ≥12. In the left ear DDT both 7- and 8-year-olds achieved less correct responses compared with the 13-, 14-, 15-year-olds and with the adults. The right ear advantage was greater in the 7-year-olds than in the 15-year-olds and adult group. At the age of 7 there was lower DPT and FPT scores than in all participants ≥13 whereas the 8-year-olds obtained less correct responses in the FPT than all age categories ≥12. Almost all groups (except for the 7-year-olds) performed better in the DPT than FPT. The test-retest reliability for all tests was satisfactory. The study demonstrated that different CAP have their own patterns of improvement with age and some of them are specific for the Polish population. The psychoacoustic battery may be useful in screening for CAP disorders in Poland.

scholarly journals Vagus Nerve Stimulation Ameliorates Cognitive Impairment and Increased Hippocampal Astrocytes in a Mouse Model of Gulf War Illness

2021 ◽  
Vol 16 ◽  
pp. 263310552110184
Author(s):  
Lavanya Venkatasamy ◽  
Damir Nizamutdinov ◽  
Jaclyn Jenkins ◽  
Lee A Shapiro
Keyword(s):  
Vagus Nerve ◽  
Nerve Stimulation ◽  
Vagus Nerve Stimulation ◽  
Gulf War ◽  
Gulf War Illness ◽  
Related Factors ◽  
Cytokines And Chemokines ◽  
Age Related ◽  
Hippocampal Astrocytes ◽  
Emotional Deficits

Gulf war illness (GWI), is a chronic multi-symptom illness that has impacted approximately one-third of the veterans who served in the 1990 to 1991 Gulf War. GWI symptoms include cognitive impairments (eg, memory and concentration problems), headaches, migraines, fatigue, gastrointestinal and respiratory issues, as well as emotional deficits. The exposure to neurological chemicals such as the anti-nerve gas drug, pyridostigmine bromide (PB), and the insecticide permethrin (PER), may contribute to the etiologically related factors of GWI. Various studies utilizing mouse models of GWI have reported the interplay of these chemical agents in increasing neuroinflammation and cognitive dysfunction. Astrocytes are involved in the secretion of neuroinflammatory cytokines and chemokines in pathological conditions and have been implicated in GWI symptomology. We hypothesized that exposure to PB and PER causes lasting changes to hippocampal astrocytes, concurrent with chronic cognitive deficits that can be reversed by cervical vagus nerve stimulation (VNS). GWI was induced in CD1 mice by injecting the mixture of PER (200 mg/kg) and PB (2 mg/kg), i.p. for 10 consecutive days. VNS stimulators were implanted at 33 weeks after GWI induction. The results show age-related cognitive alterations at approximately 9 months after exposure to PB and PER. The results also showed an increased number of GFAP-labeled astrocytes in the hippocampus and dentate gyrus that was ameliorated by VNS.

scholarly journals Hyperthermia in a pediatric patient with neuroblastoma during anesthesia: a case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chuan Wang ◽  
Wenqiong Xin ◽  
Yi Ji
Keyword(s):  
Tumor Resection ◽  
Neuron Specific Enolase ◽  
Tracheal Extubation ◽  
Posterior Mediastinum ◽  
Gas Analysis ◽  
Vanillylmandelic Acid ◽  
Management Options ◽  
Paravertebral Space ◽  
Tissue Mass ◽  
The Right

Abstract Background Neuroblastoma is the most common malignant extracranial solid tumor in pediatrics patients. Intraoperative hyperthermia is extremely rare in patients with neuroblastoma and can cause a series of complications. Here, we represent a case of neuroblastoma accompanied by hyperthermia during anesthesia, and propose a rational explanation and management options. Case presentation The patient had gait disturbance and sitting-related pain without fever. Magnetic resonance imaging revealed a soft tissue mass located in the right posterior mediastinum, paravertebral space and canalis vertebralis. Serum tumor marker screening showed that the patient had increased epinephrine, norepinephrine and neuron specific enolase levels, with an increased 24 hour urine vanillylmandelic acid level. Intraspinal tumor resection was conducted. The temperature of the patient rapidly arose to 40.1 °C over 10 minutes when waiting for tracheal extubation. The arterial gas analysis results indicated malignant hyperthermia was less likely, and dantrolene was not administered. Physical cooling methods were used, and the temperature dropped to 38.6 ℃. The trachea was successfully extubated. Histological results confirmed the diagnosis of neuroblastoma. Conclusions Hyperthermia during anesthesia is a serious adverse event. Catecholamines secreted from neuroblatoma cells can lead to hypermetabolism and hyperthermia. Surgeons and anesthesiologists should be aware of the possibility of hyperthermia in patients with neuroblastoma.

scholarly journals Mediastinal anatomical landmarks, their variants and tips for video-assisted thoracoscopic navigation during oesophageal extirpation

2021 ◽  
Author(s):  
Sergey Dydykin ◽  
Friedrich Paulsen ◽  
Tatyana Khorobykh ◽  
Natalya Mishchenko ◽  
Marina Kapitonova ◽  
...  
Keyword(s):  
Prone Position ◽  
Anatomical Study ◽  
Structural Features ◽  
Posterior Mediastinum ◽  
Visual Navigation ◽  
Anatomical Landmarks ◽  
Video Assisted ◽  
Before And After ◽  
Human Cadavers ◽  
The Right

Abstract Purpose There is no systematic description of primary anatomical landmarks that allow a surgeon to reliably and safely navigate the superior and posterior mediastinum’s fat tissue spaces near large vessels and nerves during video-assisted endothoracoscopic interventions in the prone position of a patient. Our aim was to develop an algorithm of sequential visual navigation during thoracoscopic extirpation of the esophagus and determine the most permanent topographic and anatomical landmarks allowing safe thoracoscopic dissection of the esophagus in the prone position. Methods The anatomical study of the mediastinal structural features was carried out on 30 human cadavers before and after opening the right pleural cavity. Results For thoracoscopic extirpation of the esophagus in the prone position, anatomical landmarks are defined, their variants are assessed, and an algorithm for their selection is developed, allowing their direct visualization before and after opening the mediastinal pleura. Conclusion The proposed algorithm for topographic and anatomical navigation based on the key anatomical landmarks in the posterior mediastinum provides safe performance of the video-assisted thoracoscopic extirpation of the esophagus in the prone position.

scholarly journals Cervical Sympathetic Trunk-Centered Inflammatory Myofibroblastic Tumor Complicated with Postoperative First Bite Syndrome

2021 ◽  
Author(s):  
Liu Yang ◽  
Wen Li
Keyword(s):  
Neck Region ◽  
Sympathetic Trunk ◽  
Cervical Sympathetic Trunk ◽  
First Line Therapy ◽  
Normal Limits ◽  
Serum Igg4 ◽  
Postoperative Serum ◽  
Cervical Sympathetic ◽  
The Right ◽  
First Bite Syndrome

AbstractInflammatory myofibroblastic tumors (IMTs) in the head and neck region are common, but those with sympathetic trunk involvement are extremely rare. Here we present a case of cervical sympathetic trunk-centered IMT which is also accompanied by ipsilateral carotid artery, internal jugular vein, and vagus nerve involvement. The patient initially complained of an episodic painful swelling on the right side of the neck and underwent surgery. Preoperative and postoperative serum IgG4 level during 3-year follow-up time is within normal limits. Immunohistochemical study of the tumor has also revealed negativity to IgG4. Postoperative first bite syndrome (FBS) was observed. Surgery seems to be first-line therapy in the patient with IgG4-negative IMT.

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