Dura Mater
Pia Mater
Parietal Bone
Arachnoid
Meninges
Sumatriptan
Laminectomy
Trigeminal Nerve
Subarachnoid Space
Cerebrospinal Fluid Rhinorrhea
Craniosynostoses
Creutzfeldt-Jakob Syndrome
Meningioma
Meningeal Neoplasms
Skull Base
Tissue Transplantation
Hematoma, Subdural
Frontal Bone
Pneumocephalus
Calcitonin Gene-Related Peptide
Scalp
Isoindoles
Trigeminal Ganglion
Meningitis
Trigeminal Nucleus, Spinal
Longitudinal Ligaments
Polytetrafluoroethylene
Ligamentum Flavum
Migraine Disorders
Spinal Cord Compression
Electrophysiological evidence for tetrodotoxin-resistant sodium channels in slowly conducting dural sensory fibers. (1/692)
A tetrodotoxin (TTX)-resistant sodium channel was recently identified that is expressed only in small diameter neurons of peripheral sensory ganglia. The peripheral axons of sensory neurons appear to lack this channel, but its presence has not been investigated in peripheral nerve endings, the site of sensory transduction in vivo. We investigated the effect of TTX on mechanoresponsiveness in nerve endings of sensory neurons that innervate the intracranial dura. Because the degree of TTX resistance of axonal branches could potentially be affected by factors other than channel subtype, the neurons were also tested for sensitivity to lidocaine, which blocks both TTX-sensitive and TTX-resistant sodium channels. Single-unit activity was recorded from dural afferent neurons in the trigeminal ganglion of urethan-anesthetized rats. Response thresholds to mechanical stimulation of the dura were determined with von Frey monofilaments while exposing the dura to progressively increasing concentrations of TTX or lidocaine. Neurons with slowly conducting axons were relatively resistant to TTX. Application of 1 microM TTX produced complete suppression of mechanoresponsiveness in all (11/11) fast A-delta units [conduction velocity (c.v.) 5-18 m/s] but only 50% (5/10) of slow A-delta units (1.5Cardiovascular and neuronal responses to head stimulation reflect central sensitization and cutaneous allodynia in a rat model of migraine. (2/692)
Reduction of the threshold of cardiovascular and neuronal responses to facial and intracranial stimulation reflects central sensitization and cutaneous allodynia in a rat model of migraine. Current theories propose that migraine pain is caused by chemical activation of meningeal perivascular fibers. We previously found that chemical irritation of the dura causes trigeminovascular fibers innervating the dura and central trigeminal neurons receiving convergent input from the dura and skin to respond to low-intensity mechanical and thermal stimuli that previously induced minimal or no responses. One conclusion of these studies was that when low- and high-intensity stimuli induce responses of similar magnitude in nociceptive neurons, low-intensity stimuli must be as painful as the high-intensity stimuli. The present study investigates in anesthetized rats the significance of the changes in the responses of central trigeminal neurons (i.e., in nucleus caudalis) by correlating them with the occurrence and type of the simultaneously recorded cardiovascular responses. Before chemical stimulation of the dura, simultaneous increases in neuronal firing rates and blood pressure were induced by dural indentation with forces >/= 2.35 g and by noxious cutaneous stimuli such as pinching the skin and warming > 46 degrees C. After chemical stimulation, similar neuronal responses and blood pressure increases were evoked by much smaller forces for dural indentation and by innocuous cutaneous stimuli such as brushing the skin and warming it to >/= 43 degrees C. The onsets of neuronal responses preceded the onsets of depressor responses by 1.7 s and pressor responses by 4.0 s. The duration of neuronal responses was 15 s, whereas the duration of depressor responses was shorter (5.8 s) and pressor responses longer (22.7 s) than the neuronal responses. We conclude that the facilitated cardiovascular and central trigeminal neuronal responses to innocuous stimulation of the skin indicate that when dural stimulation induces central sensitization, innocuous stimuli are as nociceptive as noxious stimuli had been before dural stimulation and that a similar process might occur during the development of cutaneous allodynia during migraine. (+info)Dural arteriovenous fistula of the cervical spine presenting with subarachnoid hemorrhage. (3/692)
We describe a case of dural arteriovenous fistula (DAVF) presenting with subarachnoid hemorrhage (SAH). The diagnosis of DAVF was based on spinal angiography. A review of the literature revealed that five of 13 previously reported DAVFs of the cervical spine were accompanied by SAH. SAH has not been observed in DAVFs involving other segments of the spinal canal. (+info)Nocardia osteomyelitis in a pachymeningitis patient: an example of a difficult case to treat with antimicrobial agents. (4/692)
Antimicrobial agents played a miraculous role in the treatment of bacterial infections until resistant bacteria became widespread. Besides antimicrobial-resistant bacteria, many factors can influence the cure of infection. Nocardia infection may be a good example which is difficult to cure with antimicrobial agents alone. A 66-year-old man developed soft tissue infection of the right buttock and thigh. He was given prednisolone and azathioprine for pachymeningitis 3 months prior to admission. Despite surgical and antimicrobial treatment (sulfamethoxazole-trimethoprim), the infection spread to the femur and osteomyelitis developed. The case showed that treatment of bacterial infection is not always as successful as was once thought because recent isolates of bacteria are more often resistant to various antimicrobial agents, intracellular parasites are difficult to eliminate even with the active drug in vitro, and infections in some sites such as bone are refractory to treatment especially when the patient is in a compromised state. In conclusion, for the treatment of infections, clinicians need to rely on laboratory tests more than before and have to consider the influence of various host factors. (+info)Ruptured aneurysm of the orbitofrontal artery associated with dural arteriovenous malformation in the anterior cranial fossa--case report. (5/692)
A 27-year-old male presented with a rare association of a ruptured orbitofrontal artery aneurysm and a dural arteriovenous malformation (DAVM) fed by both ethmoidal arteries, manifestation as severe headache, nausea, and vomiting. Computed tomography revealed a hematoma within the right frontal lobe and diffuse subarachnoid hemorrhage. The aneurysm was clipped successfully and the hematoma was evacuated. After an uneventful postoperative course, the patient was referred for gamma knife radiosurgery to treat the DAVM. In this case, the DAVM was asymptomatic and pathogenetically unrelated to the aneurysm, which demanded urgent treatment. (+info)Dural vasodilation causes a sensitization of rat caudal trigeminal neurones in vivo that is blocked by a 5-HT1B/1D agonist. (6/692)
1. Migraine headache pain is thought to result from an abnormal distention of intracranial, extracerebral blood vessels and the consequent activation of the trigeminal nervous system. Migraine is also often accompanied by extracranial sensory disturbances from facial tissues. These experiments investigate whether meningeal dilation produces central sensitization of neurones that receive convergent input from the face. 2. Single unit extracellular activity was recorded from the trigeminal nucleus caudalis of anaesthetized rats in response to either noxious stimulation of the dura mater, innocuous stimulation of the vibrissae or to a transient dilation of the meningeal vascular bed. 3. Rat alpha-CGRP (calcitonin gene-related peptide; 1 microg kg(-1), i.v.) caused a dilation of the middle meningeal artery and facilitated vibrissal responses by 36+/-7%. 4. The 5-HT1B/1D agonist, L-741,604 (3 mg kg(-1), i.v.), inhibited responses to noxious stimulation of the dura mater (16+/-7% of control) and, in a separate group of animals, blocked the CGRP-evoked facilitation of vibrissal responses. 5. L-741,604 (3 mg kg(-1), i.v.) also inhibited responses to innocuous stimulation of the vibrissa (14+/-10% of control) with neurones that received convergent input from the face and from the dura mater, but not with cells that received input only from the face (70+/-12% of control). 6. These data show that dilation of meningeal blood vessels causes a sensitization of central trigeminal neurones and a facilitation of facial sensory processing which was blocked by activation of pre-synaptic 5-HT1B/1D receptors. 7. Sustained dural blood vessel dilation during migraine may cause a sensitization of trigeminal neurones. This may underlie some of the symptoms of migraine, such as the headache pain and the extracranial allodynia. Inhibition of this central sensitization may therefore offer a novel strategy for the development of acute and/or prophylactic anti-migraine therapies. (+info)Application of a rheolytic thrombectomy device in the treatment of dural sinus thrombosis: a new technique. (7/692)
We present a novel application of a transvascular rheolytic thrombectomy system in the treatment of symptomatic dural sinus thrombosis in a 54-year-old woman with somnolence and left-sided weakness. The diagnosis of bilateral transverse and superior sagittal sinus thrombosis was made and the patient was treated with anticoagulant therapy. After an initial period of improvement, she became comatose and hemiplegic 8 days after presentation. After excluding intracerebral hemorrhage by MR imaging, we performed angiography and transfemoral venous thrombolysis with a hydrodynamic thrombectomy catheter, followed by intrasinus urokinase thrombolytic therapy over the course of 2 days. This technique resulted in dramatic sinus thrombolysis and near total neurologic recovery. Six months after treatment, the patient showed mild cognitive impairment and no focal neurologic deficit. Our preliminary experience suggests that this technique may play a significant role in the endovascular treatment of this potentially devastating disease. (+info)MR of CNS sarcoidosis: correlation of imaging features to clinical symptoms and response to treatment. (8/692)
BACKGROUND AND PURPOSE: Sarcoidosis is an idiopathic systemic granulomatous disease, recognized in a patient when clinical and radiologic findings are confirmed by histopathologic analysis. The objective was to identify a relationship between MR imaging and clinical findings in CNS sarcoidosis. METHODS: The clinical charts of 461 patients with biopsy-proved sarcoidosis were reviewed retrospectively. Criteria for including patients in the study included those with symptoms referable to the CNS, excluding those with another explanation for their symptoms, those with headaches or other subjective complaints without accompanying objective findings, and those with peripheral neuropathy other than cranial nerve involvement or myopathy without CNS manifestations. Thirty-four of 38 patients whose conditions met the criteria for CNS sarcoidosis underwent a total of 82 MR examinations. The positive imaging findings were divided into categories as follows: pachymeningeal, leptomeningeal, nonenhancing brain parenchymal, enhancing brain parenchymal, cranial nerve, and spinal cord and nerve root involvement. Treatment response, clinical symptomatology, and any available histopathologic studies were analyzed with respect to imaging manifestations in each of the categories. RESULTS: Eighty-two percent of the patients with sarcoidosis with neurologic symptoms referable to the CNS had findings revealed by MR imaging. However, eight (40%) of 20 cranial nerve deficits seen at clinical examination of 13 patients were not seen at contrast-enhanced MR imaging, and 50% of the patients with symptoms referable to the pituitary axis had no abnormal findings on routine contrast-enhanced MR images. In contradistinction, 44% of 18 cranial nerves in nine patients with MR evidence of involvement had no symptoms referable to the involved cranial nerve. Clinical and radiologic deterioration occurred more commonly with leptomeningeal and enhancing brain parenchymal lesions. CONCLUSION: MR imaging can be used to confirm clinical suspicion and to show subclinical disease and the response of pathologic lesions to treatment. (+info)Dura Mater is the thickest and outermost of the three membranes (meninges) that cover the brain and spinal cord. It provides protection and support to these delicate structures. The other two layers are called the Arachnoid Mater and the Pia Mater, which are thinner and more delicate than the Dura Mater. Together, these three layers form a protective barrier around the central nervous system.
Pia Mater is the inner-most layer of the meninges, which are the protective coverings of the brain and spinal cord. It is a very thin and highly vascularized (rich in blood vessels) membrane that closely adheres to the surface of the brain. The name "Pia Mater" comes from Latin, meaning "tender mother." This layer provides nutrition and protection to the brain, and it also allows for the movement and flexibility of the brain within the skull.
The parietal bone is one of the four flat bones that form the skull's cranial vault, which protects the brain. There are two parietal bones in the skull, one on each side, located posterior to the frontal bone and temporal bone, and anterior to the occipital bone. Each parietal bone has a squamous part, which forms the roof and sides of the skull, and a smaller, wing-like portion called the mastoid process. The parietal bones contribute to the formation of the coronal and lambdoid sutures, which are fibrous joints that connect the bones in the skull.
The arachnoid is one of the three membranes that cover the brain and the spinal cord, known as the meninges. It is located between the dura mater (the outermost layer) and the pia mater (the innermost layer). The arachnoid is a thin, delicate membrane that is filled with cerebrospinal fluid, which provides protection and nutrition to the central nervous system.
The arachnoid has a spider-web like appearance, hence its name, and it is composed of several layers of collagen fibers and elastic tissue. It is highly vascularized, meaning that it contains many blood vessels, and it plays an important role in regulating the flow of cerebrospinal fluid around the brain and spinal cord.
In some cases, the arachnoid can become inflamed or irritated, leading to a condition called arachnoiditis. This can cause a range of symptoms, including pain, muscle weakness, and sensory changes, and it may require medical treatment to manage.
Meningeal arteries refer to the branches of the major cerebral arteries that supply blood to the meninges, which are the protective membranes covering the brain and spinal cord. These arteries include:
1. The middle meningeal artery, a branch of the maxillary artery, which supplies the dura mater in the cranial cavity.
2. The anterior and posterior meningeal arteries, branches of the internal carotid and vertebral arteries, respectively, that supply blood to the dura mater in the anterior and posterior cranial fossae.
3. The vasorum nervorum, small arteries that arise from the spinal branch of the ascending cervical artery and supply the spinal meninges.
These arteries play a crucial role in maintaining the health and integrity of the meninges and the central nervous system they protect.
Cranial sutures are the fibrous joints that connect and hold together the bones of the skull (cranium) in humans and other animals. These sutures provide flexibility for the skull during childbirth and growth, allowing the skull to expand as the brain grows in size, especially during infancy and early childhood.
There are several cranial sutures in the human skull, including:
1. The sagittal suture, which runs along the midline of the skull, connecting the two parietal bones.
2. The coronal suture, which connects the frontal bone to the two parietal bones.
3. The lambdoid suture, which connects the occipital bone to the two parietal bones.
4. The squamosal suture, which connects the temporal bone to the parietal bone.
5. The frontosphenoidal and sphenoethmoidal sutures, which connect the frontal bone, sphenoid bone, and ethmoid bone in the anterior cranial fossa.
These sutures are typically made up of a specialized type of connective tissue called Sharpey's fibers, which interdigitate with each other to form a strong yet flexible joint. Over time, as the skull bones fully fuse together, these sutures become less prominent and eventually ossify (turn into bone). In some cases, abnormalities in cranial suture development or fusion can lead to medical conditions such as craniosynostosis.
The meninges are the protective membranes that cover the brain and spinal cord. They consist of three layers: the dura mater (the outermost, toughest layer), the arachnoid mater (middle layer), and the pia mater (the innermost, delicate layer). These membranes provide protection and support to the central nervous system, and contain blood vessels that supply nutrients and remove waste products. Inflammation or infection of the meninges is called meningitis, which can be a serious medical condition requiring prompt treatment.
Sumatriptan is a selective serotonin receptor agonist, specifically targeting the 5-HT1D and 5-HT1B receptors. It is primarily used to treat migraines and cluster headaches. Sumatriptan works by narrowing blood vessels around the brain and reducing inflammation that leads to migraine symptoms.
The medication comes in various forms, including tablets, injectables, and nasal sprays. Common side effects of sumatriptan include feelings of warmth or hotness, tingling, tightness, pressure, heaviness, pain, or burning in the neck, throat, jaw, chest, or arms.
It is important to note that sumatriptan should not be used if a patient has a history of heart disease, stroke, or uncontrolled high blood pressure. Additionally, it should not be taken within 24 hours of using another migraine medication containing ergotamine or similar drugs such as dihydroergotamine, methysergide, or caffeine-containing analgesics.
A craniotomy is a surgical procedure where a bone flap is temporarily removed from the skull to access the brain. This procedure is typically performed to treat various neurological conditions, such as brain tumors, aneurysms, arteriovenous malformations, or traumatic brain injuries. After the underlying brain condition is addressed, the bone flap is usually replaced and secured back in place with plates and screws. The purpose of a craniotomy is to provide access to the brain for diagnostic or therapeutic interventions while minimizing potential damage to surrounding tissues.
A laminectomy is a surgical procedure that involves the removal of the lamina, which is the back part of the vertebra that covers the spinal canal. This procedure is often performed to relieve pressure on the spinal cord or nerves caused by conditions such as herniated discs, spinal stenosis, or tumors. By removing the lamina, the surgeon can access the affected area and alleviate the compression on the spinal cord or nerves, thereby reducing pain, numbness, or weakness in the back, legs, or arms.
Laminectomy may be performed as a standalone procedure or in combination with other surgical techniques such as discectomy, foraminotomy, or spinal fusion. The specific approach and extent of the surgery will depend on the patient's individual condition and symptoms.
The trigeminal nerve, also known as the fifth cranial nerve or CNV, is a paired nerve that carries both sensory and motor information. It has three major branches: ophthalmic (V1), maxillary (V2), and mandibular (V3). The ophthalmic branch provides sensation to the forehead, eyes, and upper portion of the nose; the maxillary branch supplies sensation to the lower eyelid, cheek, nasal cavity, and upper lip; and the mandibular branch is responsible for sensation in the lower lip, chin, and parts of the oral cavity, as well as motor function to the muscles involved in chewing. The trigeminal nerve plays a crucial role in sensations of touch, pain, temperature, and pressure in the face and mouth, and it also contributes to biting, chewing, and swallowing functions.
The epidural space is the potential space located outside the dura mater, which is the outermost of the three membranes covering the brain and spinal cord (the meninges). This space runs the entire length of the spinal canal and contains fatty tissue, blood vessels, and nerve roots. It is often used as a route for administering anesthesia during childbirth or surgery, as well as for pain management in certain medical conditions. The injection of medications into this space is called an epidural block.
The subarachnoid space is the area between the arachnoid mater and pia mater, which are two of the three membranes covering the brain and spinal cord (the third one being the dura mater). This space is filled with cerebrospinal fluid (CSF), which provides protection and cushioning to the central nervous system. The subarachnoid space also contains blood vessels that supply the brain and spinal cord with oxygen and nutrients. It's important to note that subarachnoid hemorrhage, a type of stroke, can occur when there is bleeding into this space.
Cerebrospinal fluid (CSF) rhinorrhea is a condition where the cerebrospinal fluid, which surrounds and protects the brain and spinal cord, leaks through the nasal cavity. This occurs due to a defect or opening in the skull base or the thin bone that separates the brain from the nasal cavity, known as the cribriform plate.
CSF rhinorrhea can result from trauma, surgery, or spontaneously due to increased pressure in the brain. It is important to diagnose and treat this condition promptly because it increases the risk of meningitis, an infection of the membranes covering the brain and spinal cord. Treatment options include bed rest, hydration, stool softeners, and sometimes surgical repair of the defect.
Craniosynostosis is a medical condition that affects the skull of a developing fetus or infant. It is characterized by the premature closure of one or more of the fibrous sutures between the bones of the skull (cranial sutures). These sutures typically remain open during infancy to allow for the growth and development of the brain.
When a suture closes too early, it can restrict the growth of the surrounding bones and cause an abnormal shape of the head. The severity of craniosynostosis can vary depending on the number of sutures involved and the extent of the premature closure. In some cases, craniosynostosis can also lead to increased pressure on the brain, which can cause a range of neurological symptoms.
There are several types of craniosynostoses, including:
1. Sagittal synostosis: This is the most common type and involves the premature closure of the sagittal suture, which runs from front to back along the top of the head. This can cause the skull to grow long and narrow, a condition known as scaphocephaly.
2. Coronal synostosis: This type involves the premature closure of one or both of the coronal sutures, which run from the temples to the front of the head. When one suture is affected, it can cause the forehead to bulge and the eye socket on that side to sink in (anterior plagiocephaly). When both sutures are affected, it can cause a flattened appearance of the forehead and a prominent back of the head (brachycephaly).
3. Metopic synostosis: This type involves the premature closure of the metopic suture, which runs from the top of the forehead to the bridge of the nose. It can cause a triangular shape of the forehead and a prominent ridge along the midline of the skull (trigonocephaly).
4. Lambdoid synostosis: This is the least common type and involves the premature closure of the lambdoid suture, which runs along the back of the head. It can cause an asymmetrical appearance of the head and face, as well as possible neurological symptoms.
In some cases, multiple sutures may be affected, leading to more complex craniofacial abnormalities. Treatment for craniosynostosis typically involves surgery to release the fused suture(s) and reshape the skull. The timing of the surgery depends on the type and severity of the condition but is usually performed within the first year of life. Early intervention can help prevent further complications, such as increased intracranial pressure and developmental delays.
Creutzfeldt-Jakob syndrome (CJD) is a rare, degenerative, and fatal brain disorder. It is caused by an abnormal form of protein called prion that can cause normal proteins in the brain to fold into abnormal shapes and accumulate, leading to damage and death of brain cells.
The symptoms of CJD usually develop over a period of several months and include rapidly progressing dementia, memory loss, confusion, coordination problems, muscle stiffness, twitching, and shaking. Some people may also experience visual hallucinations, changes in personality, or depression.
There are three main types of CJD: sporadic, inherited, and acquired. Sporadic CJD is the most common form and accounts for about 85% of all cases. It occurs spontaneously with no known cause. Inherited CJD is caused by a genetic mutation that is passed down from parents to their children. Acquired CJD is caused by exposure to contaminated tissue or bodily fluids, such as through a medical procedure or eating contaminated beef (variant CJD).
There is no cure for Creutzfeldt-Jakob syndrome and it is fatal, usually within a year of onset of symptoms. Treatment focuses on managing the symptoms and making the patient as comfortable as possible.
The skull is the bony structure that encloses and protects the brain, the eyes, and the ears. It is composed of two main parts: the cranium, which contains the brain, and the facial bones. The cranium is made up of several fused flat bones, while the facial bones include the upper jaw (maxilla), lower jaw (mandible), cheekbones, nose bones, and eye sockets (orbits).
The skull also provides attachment points for various muscles that control chewing, moving the head, and facial expressions. Additionally, it contains openings for blood vessels, nerves, and the spinal cord to pass through. The skull's primary function is to protect the delicate and vital structures within it from injury and trauma.
A meningioma is a type of slow-growing tumor that forms on the membranes (meninges) surrounding the brain and spinal cord. It's usually benign, meaning it doesn't spread to other parts of the body, but it can still cause serious problems if it grows and presses on nearby tissues.
Meningiomas most commonly occur in adults, and are more common in women than men. They can cause various symptoms depending on their location and size, including headaches, seizures, vision or hearing problems, memory loss, and changes in personality or behavior. In some cases, they may not cause any symptoms at all and are discovered only during imaging tests for other conditions.
Treatment options for meningiomas include monitoring with regular imaging scans, surgery to remove the tumor, and radiation therapy to shrink or kill the tumor cells. The best treatment approach depends on factors such as the size and location of the tumor, the patient's age and overall health, and their personal preferences.
Meningeal neoplasms, also known as malignant meningitis or leptomeningeal carcinomatosis, refer to cancerous tumors that originate in the meninges, which are the membranes covering the brain and spinal cord. These tumors can arise primarily from the meningeal cells themselves, although they more commonly result from the spread (metastasis) of cancer cells from other parts of the body, such as breast, lung, or melanoma.
Meningeal neoplasms can cause a variety of symptoms, including headaches, nausea and vomiting, mental status changes, seizures, and focal neurological deficits. Diagnosis typically involves imaging studies (such as MRI) and analysis of cerebrospinal fluid obtained through a spinal tap. Treatment options may include radiation therapy, chemotherapy, or surgery, depending on the type and extent of the tumor. The prognosis for patients with meningeal neoplasms is generally poor, with a median survival time of several months to a year.
The skull base is the lower part of the skull that forms the floor of the cranial cavity and the roof of the facial skeleton. It is a complex anatomical region composed of several bones, including the frontal, sphenoid, temporal, occipital, and ethmoid bones. The skull base supports the brain and contains openings for blood vessels and nerves that travel between the brain and the face or neck. The skull base can be divided into three regions: the anterior cranial fossa, middle cranial fossa, and posterior cranial fossa, which house different parts of the brain.
Tissue transplantation is a medical procedure where tissues from one part of the body or from another individual's body are removed and implanted in a recipient to replace damaged, diseased, or missing tissues. The tissues may include skin, bone, tendons, ligaments, heart valves, corneas, or even entire organs such as hearts, lungs, livers, and kidneys.
The donor tissue must be compatible with the recipient's body to reduce the risk of rejection, which is the immune system attacking and destroying the transplanted tissue. This often requires matching certain proteins called human leukocyte antigens (HLAs) found on the surface of most cells in the body.
Tissue transplantation can significantly improve a patient's quality of life or, in some cases, save their life. However, it does carry risks such as infection, bleeding, and rejection, which require careful monitoring and management.
A subdural hematoma is a type of hematoma (a collection of blood) that occurs between the dura mater, which is the outermost protective covering of the brain, and the brain itself. It is usually caused by bleeding from the veins located in this potential space, often as a result of a head injury or trauma.
Subdural hematomas can be classified as acute, subacute, or chronic based on their rate of symptom progression and the time course of their appearance on imaging studies. Acute subdural hematomas typically develop and cause symptoms rapidly, often within hours of the head injury. Subacute subdural hematomas have a more gradual onset of symptoms, which can occur over several days to a week after the trauma. Chronic subdural hematomas may take weeks to months to develop and are often seen in older adults or individuals with chronic alcohol abuse, even after minor head injuries.
Symptoms of a subdural hematoma can vary widely depending on the size and location of the hematoma, as well as the patient's age and overall health. Common symptoms include headache, altered mental status, confusion, memory loss, weakness or numbness, seizures, and in severe cases, coma or even death. Treatment typically involves surgical evacuation of the hematoma, along with management of any underlying conditions that may have contributed to its development.
The frontal bone is the bone that forms the forehead and the upper part of the eye sockets (orbits) in the skull. It is a single, flat bone that has a prominent ridge in the middle called the superior sagittal sinus, which contains venous blood. The frontal bone articulates with several other bones, including the parietal bones at the sides and back, the nasal bones in the center of the face, and the zygomatic (cheek) bones at the lower sides of the orbits.
The foramen magnum is the largest opening in the human skull, located at the base of the skull, through which the spinal cord connects to the brain. It is a crucial structure for the transmission of nerve impulses between the brain and the rest of the body. The foramen magnum also provides passage for blood vessels that supply the brainstem and upper spinal cord.
Pneumocephalus is a medical condition characterized by the presence of air or gas within the intracranial cavity, specifically within the cranial vault (the space enclosed by the skull and containing the brain). This can occur due to various reasons such as trauma, neurosurgical procedures, tumors, or infection. The accumulation of air in the cranium can lead to symptoms like headache, altered mental status, nausea, vomiting, and neurological deficits. It is essential to diagnose and treat pneumocephalus promptly to prevent further complications, such as meningitis or brain abscess. Treatment options may include surgery, bed rest with head elevation, or administration of oxygen to facilitate the reabsorption of air.
Neurosurgical procedures are operations that are performed on the brain, spinal cord, and peripheral nerves. These procedures are typically carried out by neurosurgeons, who are medical doctors with specialized training in the diagnosis and treatment of disorders of the nervous system. Neurosurgical procedures can be used to treat a wide range of conditions, including traumatic injuries, tumors, aneurysms, vascular malformations, infections, degenerative diseases, and congenital abnormalities.
Some common types of neurosurgical procedures include:
* Craniotomy: A procedure in which a bone flap is temporarily removed from the skull to gain access to the brain. This type of procedure may be performed to remove a tumor, repair a blood vessel, or relieve pressure on the brain.
* Spinal fusion: A procedure in which two or more vertebrae in the spine are fused together using bone grafts and metal hardware. This is often done to stabilize the spine and alleviate pain caused by degenerative conditions or spinal deformities.
* Microvascular decompression: A procedure in which a blood vessel that is causing pressure on a nerve is repositioned or removed. This type of procedure is often used to treat trigeminal neuralgia, a condition that causes severe facial pain.
* Deep brain stimulation: A procedure in which electrodes are implanted in specific areas of the brain and connected to a battery-operated device called a neurostimulator. The neurostimulator sends electrical impulses to the brain to help alleviate symptoms of movement disorders such as Parkinson's disease or dystonia.
* Stereotactic radiosurgery: A non-invasive procedure that uses focused beams of radiation to treat tumors, vascular malformations, and other abnormalities in the brain or spine. This type of procedure is often used for patients who are not good candidates for traditional surgery due to age, health status, or location of the lesion.
Neurosurgical procedures can be complex and require a high degree of skill and expertise. Patients considering neurosurgical treatment should consult with a qualified neurosurgeon to discuss their options and determine the best course of action for their individual situation.
The spinal canal is the bony, protective channel within the vertebral column that contains and houses the spinal cord. It extends from the foramen magnum at the base of the skull to the sacrum, where the spinal cord ends and forms the cauda equina. The spinal canal is formed by a series of vertebral bodies stacked on top of each other, intervertebral discs in between them, and the laminae and spinous processes that form the posterior elements of the vertebrae. The spinal canal provides protection to the spinal cord from external trauma and contains cerebrospinal fluid (CSF) that circulates around the cord, providing nutrients and cushioning. Any narrowing or compression of the spinal canal, known as spinal stenosis, can cause various neurological symptoms due to pressure on the spinal cord or nerve roots.
Calcitonin gene-related peptide (CGRP) is a neurotransmitter and vasodilator peptide that is widely distributed in the nervous system. It is encoded by the calcitonin gene, which also encodes calcitonin and catestatin. CGRP is produced and released by sensory nerves and plays important roles in pain transmission, modulation of inflammation, and regulation of blood flow.
CGRP exists as two forms, α-CGRP and β-CGRP, which differ slightly in their amino acid sequences but have similar biological activities. α-CGRP is found primarily in the central and peripheral nervous systems, while β-CGRP is expressed mainly in the gastrointestinal tract.
CGRP exerts its effects by binding to specific G protein-coupled receptors, which are widely distributed in various tissues, including blood vessels, smooth muscles, and sensory neurons. Activation of CGRP receptors leads to increased intracellular cyclic AMP levels, activation of protein kinase A, and subsequent relaxation of vascular smooth muscle, resulting in vasodilation.
CGRP has been implicated in several clinical conditions, including migraine, cluster headache, and inflammatory pain. Inhibition of CGRP signaling has emerged as a promising therapeutic strategy for the treatment of these disorders.
The scalp is the anatomical region located at the upper part of the human head, covering the skull except for the face and the ears. It is made up of several layers: the skin, the connective tissue, the galea aponeurotica (a strong, flat, tendinous sheet), loose areolar tissue, and the periosteum (the highly vascularized innermost layer that attaches directly to the skull bones). The scalp has a rich blood supply and is home to numerous sensory receptors, including those for touch, pain, and temperature. It also contains hair follicles, sebaceous glands, and sweat glands.
Isoindoles are not typically considered in the context of medical definitions, as they are organic compounds that do not have direct relevance to medical terminology or human disease. However, isoindole is a heterocyclic compound that contains two nitrogen atoms in its structure and can be found in some naturally occurring substances and synthetic drugs.
Isoindoles are aromatic compounds, which means they have a stable ring structure with delocalized electrons. They can form the core structure of various bioactive molecules, including alkaloids, which are nitrogen-containing compounds that occur naturally in plants and animals and can have various pharmacological activities.
Some isoindole derivatives have been synthesized and studied for their potential medicinal properties, such as anti-inflammatory, antiviral, and anticancer activities. However, these compounds are still in the early stages of research and development and have not yet been approved for medical use.
Therefore, while isoindoles themselves do not have a specific medical definition, they can be relevant to the study of medicinal chemistry and drug discovery.
The trigeminal ganglion, also known as the semilunar or Gasserian ganglion, is a sensory ganglion (a cluster of nerve cell bodies) located near the base of the skull. It is a part of the trigeminal nerve (the fifth cranial nerve), which is responsible for sensation in the face and motor functions such as biting and chewing.
The trigeminal ganglion contains the cell bodies of sensory neurons that carry information from three major branches of the trigeminal nerve: the ophthalmic, maxillary, and mandibular divisions. These divisions provide sensation to different areas of the face, head, and oral cavity, including the skin, mucous membranes, muscles, and teeth.
Damage to the trigeminal ganglion or its nerve branches can result in various sensory disturbances, such as pain, numbness, or tingling in the affected areas. Conditions like trigeminal neuralgia, a disorder characterized by intense, stabbing facial pain, may involve the trigeminal ganglion and its associated nerves.
A cadaver is a deceased body that is used for medical research or education. In the field of medicine, cadavers are often used in anatomy lessons, surgical training, and other forms of medical research. The use of cadavers allows medical professionals to gain a deeper understanding of the human body and its various systems without causing harm to living subjects. Cadavers may be donated to medical schools or obtained through other means, such as through consent of the deceased or their next of kin. It is important to handle and treat cadavers with respect and dignity, as they were once living individuals who deserve to be treated with care even in death.
Meningitis is a medical condition characterized by the inflammation of the meninges, which are the membranes that cover the brain and spinal cord. This inflammation can be caused by various infectious agents, such as bacteria, viruses, fungi, or parasites, or by non-infectious causes like autoimmune diseases, cancer, or certain medications.
The symptoms of meningitis may include fever, headache, stiff neck, nausea, vomiting, confusion, and sensitivity to light. In severe cases, it can lead to seizures, coma, or even death if not treated promptly and effectively. Bacterial meningitis is usually more severe and requires immediate medical attention, while viral meningitis is often less severe and may resolve on its own without specific treatment.
It's important to note that meningitis can be a serious and life-threatening condition, so if you suspect that you or someone else has symptoms of meningitis, you should seek medical attention immediately.
The spinal trigeminal nucleus is a component of the trigeminal nerve sensory nuclear complex located in the brainstem. It is responsible for receiving and processing pain, temperature, and tactile discrimination sensations from the face and head, particularly from the areas of the face that are more sensitive to pain and temperature (the forehead, eyes, nose, and mouth). The spinal trigeminal nucleus is divided into three subnuclei: pars oralis, pars interpolaris, and pars caudalis. These subnuclei extend from the pons to the upper part of the medulla oblongata.
Longitudinal ligaments, in the context of anatomy, refer to the fibrous bands that run lengthwise along the spine. They are named as such because they extend in the same direction as the long axis of the body. The main function of these ligaments is to provide stability and limit excessive movement in the spinal column.
There are three layers of longitudinal ligaments in the spine:
1. Anterior Longitudinal Ligament (ALL): This ligament runs down the front of the vertebral bodies, attached to their anterior aspects. It helps to prevent hyperextension of the spine.
2. Posterior Longitudinal Ligament (PLL): The PLL is located on the posterior side of the vertebral bodies and extends from the axis (C2) to the sacrum. Its primary function is to limit hyperflexion of the spine.
3. Ligamentum Flavum: Although not strictly a 'longitudinal' ligament, it is often grouped with them due to its longitudinal orientation. The ligamentum flavum is a pair of elastic bands that connect adjacent laminae (posterior bony parts) of the vertebral arch in the spine. Its main function is to maintain tension and stability while allowing slight movement between the vertebrae.
These longitudinal ligaments play an essential role in maintaining spinal alignment, protecting the spinal cord, and facilitating controlled movements within the spine.
Polytetrafluoroethylene (PTFE) is not inherently a medical term, but it is a chemical compound with significant uses in the medical field. Medically, PTFE is often referred to by its brand name, Teflon. It is a synthetic fluoropolymer used in various medical applications due to its unique properties such as high resistance to heat, electrical and chemical interaction, and exceptional non-reactivity with body tissues.
PTFE can be found in medical devices like catheters, where it reduces friction, making insertion easier and minimizing trauma. It is also used in orthopedic and dental implants, drug delivery systems, and sutures due to its biocompatibility and non-adhesive nature.
The ligamentum flavum is a pair of elastic bands of tissue located in the spine. They connect the laminae, which are parts of the vertebral arch, from one vertebra to the next in the spine. These ligaments help maintain the stability and alignment of the vertebral column, allowing for a limited range of movement while preventing excessive motion that could cause injury. The elasticity of the ligamentum flavum also facilitates the return of the spinal column to its normal position after flexion.
These ligaments are named "flavum" because they have a yellowish color due to their high elastin content. They play an essential role in protecting the spinal cord and nerve roots from damage during movements of the spine. Any degeneration, thickening, or calcification of the ligamentum flavum may lead to conditions such as spinal stenosis, which can cause pain, numbness, or weakness in the back, legs, or arms.
A migraine disorder is a neurological condition characterized by recurrent headaches that often involve one side of the head and are accompanied by various symptoms such as nausea, vomiting, sensitivity to light and sound, and visual disturbances. Migraines can last from several hours to days and can be severely debilitating. The exact cause of migraines is not fully understood, but they are believed to result from a combination of genetic and environmental factors that affect the brain and blood vessels. There are different types of migraines, including migraine without aura, migraine with aura, chronic migraine, and others, each with its own specific set of symptoms and diagnostic criteria. Treatment typically involves a combination of lifestyle changes, medications, and behavioral therapies to manage symptoms and prevent future attacks.
Spinal cord compression is a medical condition that refers to the narrowing of the spinal canal, which puts pressure on the spinal cord and the nerves that branch out from it. This can occur due to various reasons such as degenerative changes in the spine, herniated discs, bone spurs, tumors, or fractures. The compression can lead to a range of symptoms including pain, numbness, tingling, weakness, or loss of bladder and bowel control. In severe cases, it can cause paralysis. Treatment options depend on the underlying cause and may include physical therapy, medication, surgery, or radiation therapy.
Myelography is a medical imaging technique used to examine the spinal cord and surrounding structures, such as the spinal nerves, intervertebral discs, and the spinal column. This procedure involves the injection of a contrast dye into the subarachnoid space, which is the area surrounding the spinal cord filled with cerebrospinal fluid (CSF). The dye outlines the spinal structures, making them visible on X-ray or CT scan images.
The primary purpose of myelography is to diagnose various spinal conditions, including herniated discs, spinal stenosis, tumors, infection, and traumatic injuries. It can help identify any compression or irritation of the spinal cord or nerves that may be causing pain, numbness, weakness, or other neurological symptoms.
The procedure typically requires the patient to lie flat on their stomach or side while the radiologist inserts a thin needle into the subarachnoid space, usually at the lower lumbar level. Once the contrast dye is injected, the patient will be repositioned for various X-ray views or undergo a CT scan to capture detailed images of the spine. After the procedure, patients may experience headaches, nausea, or discomfort at the injection site, but these symptoms usually resolve within a few days.
Dura mater
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Spinal tumor
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Meningitis
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Dura mater - Wikipedia
Sinus thrombophlebitis; infammatory diseases of the venous sinuses of the dura mater., by Alfred Braun | The Online Books Page
dura mater meaning latin
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The first two patients with dura mater associated Creutzfeldt-Jakob disease in the Netherlands. - Oxford Big Data Institute
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A systematic review of the soft-tissue connections between neck muscles and dura mater - Physiospot - Physiotherapy and...
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Cerebrospinal4
- It envelops the arachnoid mater, which is responsible for keeping in the cerebrospinal fluid. (wikipedia.org)
- Along with the arachnoid layer and the cerebrospinal fluid (CSF), the dura and pia membranes help cushion, protect, and nourish the brain and spinal cord. (puertopenasco.rentals)
- From a clinical perspective, it would be helpful to identify potential commonalities between gene expression profiles in accessible tissue (such as blood) versus more inaccessible tissue (brain, dura mater, cerebrospinal fluid) as this information could lead to the development of biomarkers for human diseases. (biomedcentral.com)
- A right frontotemporal craniotomy was performed for spontaneous cerebrospinal fluid rhinorrhea, and the defective dura mater region was patched with temporal fascia. (medscape.com)
Epidural space1
- A meningeal route that begins within the space surrounding the dura mater within the epidural space. (cdc.gov)
Arachnoid mater4
- The other two meningeal layers are the arachnoid mater and the pia mater. (wikipedia.org)
- The dura mater is a membrane that envelops the arachnoid mater. (wikipedia.org)
- Arachnoid villi, which are outgrowths of the arachnoid mater (the middle meningeal layer), extend into the dural venous sinuses to drain CSF. (wikipedia.org)
- Both the pia and arachnoid mater are derivatives of the neural crest while the dura is derived from embryonic mesoderm. (puertopenasco.rentals)
Cervical7
- The innervation for the infratentorial dura mater are via upper cervical nerves and the meningeal branch of the vagus nerve. (wikipedia.org)
- In 2011, researchers discovered a connective tissue bridge from the rectus capitis posterior major to the cervical dura mater. (wikipedia.org)
- Various clinical manifestations may be linked to this anatomical relationship such as headaches, trigeminal neuralgia and other symptoms that involved the cervical dura. (wikipedia.org)
- The dura-muscular, dura-ligamentous connections in the upper cervical spine and occipital areas may provide anatomic and physiologic answers to the cause of the cervicogenic headache. (wikipedia.org)
- In this interview, Dr. Scali discusses with me the upper cervical spine and myodural bridge (connective tissue between suboccipital muscles and the cervical spinal dura mater). (chiropracticscience.com)
- The objective of this systematic review was to elucidate the existence of soft-tissue connections between the neck muscles and cervical dura mater. (physiospot.com)
- Studies reporting original data regarding the continuity of non post-surgical soft tissue between the cervical muscles and dura mater were reviewed. (physiospot.com)
Outermost1
- The pia mater is the innermost one while the dura mater is the outermost layer. (medicalnewstoday.com)
Membrane8
- In neuroanatomy, dura mater is a thick membrane made of dense irregular connective tissue that surrounds the brain and spinal cord. (wikipedia.org)
- The supratentorial dura mater membrane is supplied by small meningeal branches of the trigeminal nerve (V1, V2 and V3). (wikipedia.org)
- The dura mater ("hard mother" in Latin) is a very tough and inflexible membrane that is composed of a superficial periosteal layer and a deep meningeal layer. (puertopenasco.rentals)
- Named after the 'dura mater' - meaning tough mother - Latin for the membrane that protects the brain. (puertopenasco.rentals)
- A delicate vascular membrane, the pia mater attaches directly to the surface of the brain. (3d4medical.com)
- The bleeding in subarachnoid hemorrhage occurs in the arteries just below the arachnoid membrane and above the pia mater. (medicalnewstoday.com)
- It is placed through the membrane that protects the brain and spinal cord (dura mater). (medlineplus.gov)
- The center layer is the arachnoid membrane and the thin innermost layer is the pia mater . (rxlist.com)
Cranial4
- Cranial dura mater has two layers called lamellae, a superficial layer (also called the periosteal layer), which serves as the skull's inner periosteum, called the endocranium and a deep layer called the meningeal layer. (wikipedia.org)
- Unlike cranial dura mater, spinal dura mater only has one layer, known as the meningeal layer. (wikipedia.org)
- The dura separates into two layers at dural reflections (also known as dural folds), places where the inner dural layer is reflected as sheet-like protrusions into the cranial cavity. (wikipedia.org)
- Dura mater tissue likely interacts with cranial bone growth and thus may play a role in the etiology of Chiari Type I Malformation (CMI) and related conditions, but it is often inaccessible and its gene expression has not been well studied. (biomedcentral.com)
Grafts1
- Several synthetic dura mater grafts have been approved by the FDA for marketing in the United States. (citizen.org)
Membranes1
- The three membranes (the dura mater, arachnoid, and pia mater) that line the skull and vertebral canal and enclose the brain and spinal cord. (puertopenasco.rentals)
Brain and spinal cord1
- Middle English, from Medieval Latin dūra māter (cerebrī), hard mother (of the brain), dura mater (translation of Arabic 'umm ad-dimāġ aṣ-ṣāfigah, the dense mother of the brain, matrix of the brain) … The pia mater is thinner and more delicate than the dura mater, and is in direct contact with the neural tissue of the brain and spinal cord. (puertopenasco.rentals)
Spinal cord2
- Spinal cord, spinal nerves and dura mater, shown in isolation, in 3 numbered illustrations. (utoronto.ca)
- Spinal cord and nerves shown in isolation, with dura mater divided and reflected, and with portion of the cerebellum. (utoronto.ca)
Rectus2
- Anatomical connection between the rectus capitis posterior major and the dura mater. (chiropracticscience.com)
- Finally, there is limited evidence about the existence of a soft-tissue connection between rectus capitis anterior muscle and the dura mater. (physiospot.com)
Meningeal2
- Meningeal veins, which course through the dura mater, and bridging veins, which drain the underlying neural tissue and puncture the dura mater, empty into these dural sinuses. (wikipedia.org)
- The dura mater is made up of 2 dural layers, the periosteal and meningeal layer. (3d4medical.com)
Fibrous1
- Several fibrous strands (10) pass from the lower part of the dura to the sacrum. (stanford.edu)
Superficial layer2
- Examples of in a sentence As regards the inner ear, the endolymphatic duct ends in a closed saccus, imbedded in the dura mater … The superficial layer serves as the internal periosteum of the cranium. (puertopenasco.rentals)
- a superficial layer and the deeper dura mater proper. (puertopenasco.rentals)
Bridging veins1
- A subdural hematoma occurs when there is an abnormal collection of blood between the dura and the arachnoid, usually as a result of torn bridging veins secondary to head trauma. (wikipedia.org)
Meninx1
- The outside meninx is called the dura mater, and is the most resilient of the three. (rxlist.com)
Lumbar1
- The purpose of this study was to evaluate consecutive changes in apparent diffusion coefficient (ADC) and fractional anisotropy (FA) values of normal lumbar nerve roots from the junction of the dura mater. (tokushima-u.ac.jp)
Rupture1
- Pneumocephalus consists of an accumulation of air inside the intracranial cavity, and may or may not be associated with the rupture of the dura mater. (bvsalud.org)
Tissues3
- A joint-tissue analysis identified 239 eQTLs in either dura or blood, with 79% of these eQTLs shared by both tissues. (biomedcentral.com)
- Despite strong overall heterogeneity in expression levels between blood and dura, the majority of cis-eQTLs are shared by both tissues. (biomedcentral.com)
- In this study, we present tissue-by-tissue analysis of eQTLs separately for blood and dura mater tissue, and a joint analysis across the two tissues simultaneously. (biomedcentral.com)
Rapidly2
- With a rat model, it was previously demonstrated that immature dura mater proliferates more rapidly and produces more osteogenic cytokines and marker of osteoblast differentiation than does mature dura mater. (syr.edu)
- Surprisingly, scalp cells did proliferate more and grew more rapidly than dura mater cells. (livescience.com)
Nerves1
- ADC and FA values at all consecutive points along the L4, L5 and S1 nerves were quantified on every 1.5 mm slice from the junction of the dura mater using short fiber tracking. (tokushima-u.ac.jp)
Upper1
- Controversy exists about the possible communication between the dura mater and the upper trapezius, rhomboideus minor, serratus posterior superior and splenius capitis by means of the ligamentum nuchae. (physiospot.com)
Trigeminal1
- Intradural procedures, such as removal of a brain tumour or treatment of trigeminal neuralgia via a microvascular decompression, require that an incision is made to the dura mater. (wikipedia.org)
Transplantation1
- Creutzfeldt-Jakob disease (CJD) can be transmitted through human growth hormone or gonadotrophin administration, dura mater or cornea transplantation, depth EEG monitoring and the use of contaminated neurosurgical instruments. (ox.ac.uk)
Torn1
- Repair of a torn dura mater (brain lining). (oncolink.org)
Definition1
- What is the definition of dura mater? (puertopenasco.rentals)
Roots1
- Results: ADC values of all L4, 5, and S1 nerve roots decreased linearly up to 15 mm from the dura junction and was constant distally afterward. (tokushima-u.ac.jp)
Blood6
- An epidural hematoma is a collection of blood between the dura and the inner surface of the skull, and is usually due to arterial bleeding. (wikipedia.org)
- The American Red Cross and some other agencies accepting blood donations consider dura mater transplants, along with receipt of pituitary-derived growth hormone, a risk factor due to concerns about Creutzfeldt-Jakob disease. (wikipedia.org)
- We present an assessment of eQTLs for whole blood and dura mater tissue from individuals with CMI. (biomedcentral.com)
- This article describes the detection of eQTLs for both blood and dura mater tissue for 43 individuals with Chiari type 1 malformation (CMI). (biomedcentral.com)
- This Axis Scientific 3-Part Human Skull with Dura Mater, Blood Vessel Pathways, and Sinus Cavities model is life-sized and medically detailed in structure. (anatomywarehouse.com)
- It receives blood from a vein in the nasal cavity, runs backwards, and gradually increases in size as blood drains from veins of the brain and the DURA MATER. (bvsalud.org)
Growth4
- This growth generates tensile strain in the overlying dura mater and neurocranium. (syr.edu)
- It was therefore hypothesized that mechanical strain generated by the growing brain induces immature dura mater proliferation and increases osteogenic cytokine expression necessary for growth and healing of the overlying calvaria. (syr.edu)
- With the use of a three-parameter monomolecular growth curve, it was calculated that rat dura mater experiences daily equibiaxial strains of at most 9.7 percent and 0.1 percent at birth (day 0) and 60 days of age, respectively. (syr.edu)
- These findings suggest that mechanical strain can induce changes in dura mater biological processes and gene expression that may play important roles in coordinating the growth and healing of the neonatal calvaria. (syr.edu)
Human1
- In a petition filed with the FDA, Public Citizen called on the agency to ban the sale of all human cadaveric dura mater and recall all such tissue not yet used in surgery because the tissue has caused at least 114 cases of always-fatal CJD. (citizen.org)
Cases1
- We describe the first two dura mater associated CJD cases in the Netherlands. (ox.ac.uk)
Page1
- dura mater This page was last edited on 19 November 2020, at 04:37. (puertopenasco.rentals)
Soft1
- Dura is the Latin word for hard, while pia in Latin means soft. (puertopenasco.rentals)
Repair1
- To achieve a watertight repair and avoid potential post-operative complications, the dura is typically closed with sutures. (wikipedia.org)
Light2
- Findings are discussed in light of the growing epidemic of CJD among dura mater recipients. (ox.ac.uk)
- The FDA?s unwillingness to ban cadaveric dura mater is unacceptable in light of the availability of acceptable substitutes, Public Citizen said. (citizen.org)
Portion1
- Conclusion: Our study demonstrated that ADC and FA values of each L4, 5, and S1 at the proximal portion from the junction of the dura matter changed linearly. (tokushima-u.ac.jp)