Multiple cerebellar infarction due to vertebral artery obstruction and bulbar symptoms associated with vertical subluxation and atlanto-occipital subluxation in ankylosing spondylitis

Ankylosing spondylitis (AS) results in disease-specific inflammation at the site of ligamentous insertion into the bone. Atlantoaxial joint subluxation and vertical subluxation of the axis may occur as a consequence of instability resulting from the inflammatory process. Spontaneous anterior atlantoaxial subluxation is a well recognized complication in about 2% of patients with AS, and presents with or without signs of spinal cord compression. Vertical subluxation may follow anterior or posterior subluxation. It was noted in 3-8% of patients with rheumatoid arthritis, but is an exceedingly rare complication of AS. Moreover, it has never been reported that multiple cerebellar infarction and bulbar symptoms developed spontaneously due to atlanto-occipital subluxation and vertical subluxation in a patient with a long [corrected] history of AS. We describe a man with AS who developed multiple cerebellar infarction due to vertebral artery obstruction and bulbar symptoms associated with atlanto-occipital subluxation and vertical subluxation.     

The thermal reactions of montmorillonite studied by high-resolution solid-state29Si and27Al NMR

Only very slight changes are observed in the²⁹Si and²⁷Al solid-sate magic-angle spinning NMR spectra of a montmorillonite containing almost equal numbers of octahedral aluminium and magnesium ions when its interlayer water is driven off by heating. The²⁹Si NMR spectra are unaffected by dehydroxylation which begins at 450° C, but the²⁷Al spectra show a decrease in total intensity, possibly due to the formation of 5-coordinated aluminium, with a slight increase in the intensity of the tetrahedral aluminium resonance. On the basis of these results, a structural model is proposed for the dehydroxylate phase and its formation mechanism is discussed. The destruction of the dehydroxylate X-ray pattern at 850° C and the subsequent recrystallization of the high-temperature products (-quartz, enstatite and high-cordierite at 1100° C;-cristobalite, enstatite and sapphirine at 1200° C) is accompanied by changes in the silicon and aluminium NMR spectra and in the⁵⁷Fe Mbssbauer spectra which are fully consistent with the known structural features of these phases.     

Structural evolution in gel-derived mullite precursors

The evolution of mullite from organo-metal gel precursors above 700 °C is found to be strongly influenced in both gel pieces and powdered samples by the thermal pretreatment at lower temperatures. Under the present conditions, the optimum preheating temperature was found to be 350 °C, at which temperature an anomalously high concentration was found of an Al species with a characteristic ²⁷Al magic-angle spinning NMR resonance at about 30 ppm. Such Al sites are often described as pentaco-ordinated, but an alternative assignment is considered. The optimum temperature for the formation of this Al site is also optimal for the catalytic formation of aromatic molecules from the residual organic fragments and/or solvent present. Mass spectrometry shows that under the present reaction conditions, these aromatics are thermally stable up to at least 900 °C in air, and the prolonged presence of their decomposition products (CO and water) could facilitate the transformation of the gel to crystalline mullite. The ²⁹Si NMR spectra indicate at least three different Si environments, including one which may arise from the formation of silicon oxycarbide glasses in these gels.     

Effect of ortho- and pyrophosphates on dissolution of Fe,Al, Si,Ca, and organic C in three soils

Phosphate application changes chemical properties of surface soils, consequently influencing crop nutrient availability and pedological process. Sodium ortho- (OP) or pyrophosphate (PP) was equilibrated with three Quebec soils: an Uplands sand (Orthic-Podzol), a St. Bernard loam (Eutric-Cambisol), and a Dalhousie clay (Humic Gleysol) in 0.03 M KClO₄ solution at an initial pH 6.0. Both autoclaved and nonautoclaved soils were used, and dissolution of Fe, Al, Si, Ca and organic C was studied.Concentrations of Fe and Al in OP equilibrated solutions were not detectable. Ca solubility was reduced while dissolution of Si and organic C was increased in the presence of OP. These changes were possibly due to P—Ca precipitates or increased Ca sorption by P, and competition between OP and Si or organic materials for sorption sites. PP enhanced dissolution of Fe, Al, Si and organic C but reduced solubility of Ca. Comparisons showed that PP added to autoclaved soils had greater effects on increasing dissolutions of Fe, Al, Si and organic C and on reducing Ca solubility than OP in both autoclaved and nonautoclaved soils. Autoclaving resulted in greater dissolution of organic C. Dissolved Si with added OP was greater with nonautoclaved soils probably due to more P sorption in the nonautoclaved system, compared with autoclaved soil. Added PP dissolved Fe and Al ions which may ultimately enhance P precipitation by forming less soluble compounds upon hydrolysis of PP to OP.     

Sex attractants for Geometrid and Noctuid moths

Male moths belonging to 17 species of Geometridae and nine species of Noctuidae were captured in traps baited with synthetic chemicals as part of a field screening program. The compounds tested were the C₁₈-C₂₂ homologs of: (1) (3Z,6Z,9Z)-triene hydrocarbons; (2) mixtures containing equal quantities of (3Z,6Z)-cis-9,10-expoxydienes, (3Z,92Z)-cis-6,7-epoxydienes, and (6Z,9Z)-cis-3,4-epoxydienes; (3) (3Z,6Z)-9S,10R-epoxydienes; (4) (3Z,6Z)-9R,10S-epoxydienes; and (5) (3Z,6Z,9Z,11E)-nonadecatetraene. Field captures and electroantennographic assays revealed a high degree of specificity in the responses of many species to the synthetic chemicals. In several species the ability of males to discriminate between the 9S,10R and 9R,10S enantiomers of the monoepoxydiene isomers was clearly shown. Synergists and inhibitors were discovered for several of the reported attractants, some of which were not previously known to have semiochemical activity. The geometrid moths captured includedEpirrhoe sperryi (Herbulot),Mesoleuca ruficillata (Guenée),Triphosa haesitata (Guenée),Metanema inatomaria (Guenée),Prochoerodes transversata (Drury),Cabera erythemaria (Guenée),Synaxis jubararia (Hulst),Dysstroma brunneata ethela (Hulst),Eulithes testata (Linnaeus),Sicya macularia (Harris),Xanthorhoe iduata (Guenée),X. abrasaria aquilonaria (Herrich-Schäffer),X. munitata (Hübner),Itame loricaria (Eversmann),Eupithecia annulata (Hulst),E. rovocastaliata (Packard) andE. satyrata dodata (Taylor). The noctuid moths captured includedBleptina caradrinalis (Guenée),Idia américalis (Guenée),I. aemula (Hübner),Rivula propinqualis (Guenée),Lomanaltes eductalis (Walker),Spargaloma sexpunctata (Grote),Caenurgina distincta (Neumuller),Euclidia cuspidea (Hübner), andZale duplicata (Bethune). Six of the nine noctuid species captured belong to three subfamilies for which sex attractants had not been reported previously. Details for the stereospecific synthesis of (3Z,6Z)-cis-9,10-epoxydienes are also reported.Issued as NRCC No. 24314.     

Axonal regeneration and physiological activity following transection and immunological disruption of myelin within the hatchling chick spinal cord

Transections of the chicken spinal cord after the developmental onset of myelination at embryonic day (E) 13 results in little or no functional regeneration. However, intraspinal injection of serum complement proteins with complement-binding GalC or 04 antibodies between E9-E12 results in a delay of the onset of myelination until E17. A subsequent transection of the spinal cord as late as E15 (i.e., during the normal restrictive period for repair) results in neuroanatomical regeneration and functional recovery. Utilizing a similar immunological protocol, we evoked a transient alteration of myelin structure in the posthatching (P) chicken spinal cord, characterized by widespread "unravelling" of myelin sheaths and a loss of MBP immunoreactivity (myelin disruption). Myelin repair began within 7 d of cessation of the myelin disruption protocol. Long term disruption of thoracic spinal cord myelin was initiated after a P2-P10 thoracic transection and maintained for > 14 d by intra-spinal infusion of serum complement proteins plus complement-binding GalC or 04 antibodies. Fourteen to 28 d later, retrograde tract tracing experiments, including double-labeling protocols, indicated that approximately 6-19% of the brainstem-spinal projections had regenerated across the transection site to lumbar levels. Even though voluntary locomotion was not observed after recovery, focal electrical stimulation of identified brainstem locomotor regions evoked peripheral nerve activity in paralyzed preparations, as well as leg muscle activity patterns typical of stepping in unparalyzed animals. This indicated that a transient alteration of myelin structure in the injured adult avian spinal cord facilitated brainstem-spinal axonal regrowth resulting in functional synaptogenesis with target neurons.     

Gains and losses of the XII-VII component of the "baby-sitter" procedure: a morphometric analysis

The classic hypoglossal transfer to the facial nerve is invariably followed by complications caused by tongue atrophy. In 1984, Terzis introduced the "baby-sitter" procedure which involved a formal cross-facial procedure, in addition to partial neurectomy of the hypoglossal nerve, and an end-to-side coaptation with the ipsilateral facial nerve. This reported study provides, for the first time, quantification of the number of hypoglossal motor fibers needed to successfully restore eye sphincter function, using an end-to-side coaptation with preservation of the tongue. Thirty adult Sprague-Dawley rats were divided into six groups: control, denervated, perineurial window, 20 percent partial neurectomy (PN), 40 percent PN, and 80 percent PN. The procedure involves interposing a nerve graft (saphenous) between the partially severed XII nerve and the upper zygomatic branch of the facial nerve. Evaluation of the behavioral data (blink reflex) revealed good-to-superb return of the blinking mechanism in the 40 percent group, without significant tongue atrophy. Electrophysiologic data in the 40 percent neurectomy group demonstrated superiority to the other groups. Quantitative axonal morphometry of the coaptation sites and graft, as well as motor end-plates of the orbicularis oculi muscle and tongue showed the 40 percent partial neurectomy group to be the optimal group.     

Exploring the genetic and environmental etiology of high general cognitive ability in fourteen- to thirty-six-month-old twins

Two definitions of normality ("isolated" or "correlated") are considered. The boundaries of "isolated" normality were determined by a statistical procedure, whereas the "correlated" approach was related to a clinical or predictive definition. In the latter case, the biological variations were considered abnormal if they implied a hazard with some significant future ailment as a risk factor. In this pragmatic approach, the upper limit of normal/abnormal variations is the point beyond which medical strategy is related to the most expected benefit when applied to a definite population or to an individual patient. The capacity of a diagnostic test to discriminate between patients with a defined risk and those without risk depends strictly on the value of the parameter chosen. In medical care for the prevention of vascular complications in diabetic patients or with foetal risks in pregnant women, the limits of the so-called normal range of glycaemia and other parameters should be determined according to the objective of the preventive and/or therapeutic measures to be prescribed.