2.Clinical Analysis of 100 Low Vision Patients.
Journal of the Korean Ophthalmological Society 1997;38(1):141-148
One-hundred patients with low vison caused by various ophthalmic pathologies were evaluated retrospectively. Ophtic atrophy was the most common etiology for low vision. For the low vision patients, hand-help magnifiers, stand magnifiers, telecopes and spectacle-mounted magnifiers were used as optical low vision aid(LVA)s. Typoscopes, visors, absorptive lenses, reading stands were used as non-optical LVAs. Closed circuit television was used as an electrical LVA. Majority of patients(82%) benefited from being prescribed low vision aids Therefore, it was suggested that all patients having low vision should receive a low vision assessment.
Atrophy
;
Humans
;
Pathology
;
Retrospective Studies
;
Television
;
Vision, Low*
3.Clinical Measurement of the Distal Thigh Atrophy
Dong Bae SHIN ; Young Kyu LEE ; Jang Yeob AHN ; Jun Sik LEE
The Journal of the Korean Orthopaedic Association 1994;29(2):585-590
The distal thigh atrophy is a frequently associated sigh in the presence of knee pathology, and it is usually proved by the difference of the distal thigh circumference using tapeline measurement. But the proper position of measurement is known at this moment. From January of 1988 to December of 1991, we have 320 patients who had knee problems. Among them, 50 patients were selected as a sample of this study. We measured distal thigh circumference of normal and abnormal side by patella and also real circumference and area by taking cross sectional C-T image at each point of measurement. The obtained data are analysed by SPSS for statistical treatment. And the results are as follows: 1) We notice the largest difference on the point of 10cm above superior pole of patella. 2) The vastus medialis is the most conspicuously atrophied muscle among quadriceps and the atrophy of hamstring is minimal. 3) We have experienced the largest difference in cruciate ligament injury but a little difference in meniscus pathology. 4) There is no significantly difference between tapeline measurement and real circumference. As a conclusion of study, The position of 10cm above from the patella upper pole is the best site of clinical measurement of distal thigh circumference, and the muscle mainly associated with artophy is vastus medialis.
Atrophy
;
Humans
;
Knee
;
Ligaments
;
Patella
;
Pathology
;
Quadriceps Muscle
;
Thigh
4.A case of multiple system atrophy: onset with the cold hands sign.
Zhen-fu WANG ; Qiong WANG ; Wei-ping WU
Chinese Medical Journal 2011;124(11):1719-1719
5.Congenital neuromuscular disease with uniform type 1 fiber complicated by brain atrophy: a case report.
Xi-Hua LI ; Jing ZHANG ; Xue-E CUI
Chinese Journal of Contemporary Pediatrics 2010;12(6):496-498
Atrophy
;
Brain
;
pathology
;
Child
;
Female
;
Humans
;
Muscle Fibers, Slow-Twitch
;
pathology
;
Neuromuscular Diseases
;
congenital
;
pathology
7.Kearns-Sayre Syndrome: 3 Case Reports and Review of Clinical Feature.
Seong Bae PARK ; Kyoung Tak MA ; Koung Hun KOOK ; Sang Yeul LEE
Yonsei Medical Journal 2004;45(4):727-735
Kearns-Sayre syndrome, first described by Kearns and Sayre in 1958, is a rare disorder consisting of ptosis, limited movement of both eyes and atypical retinal pigmentary change (salt-pepper like appearance). Most cases have shown an increase in the concentration of mitochondria and ragged-red fiber under Gomori-trichrome staining on muscle biopsy. Occasionally, it is combined with other neurologic and endocrinologic symptoms such as ataxia, dementia, diabetes, and hyperaldosteronism. We recently experienced three cases of male teenaged patients who expressed the clinical features of Kearns-Sayre syndrome.
Adolescent
;
Adult
;
Atrophy
;
Biopsy
;
Blepharoptosis/*pathology
;
Electrooculography
;
Humans
;
Kearns-Sayer Syndrome/*pathology
;
Male
;
Muscle, Skeletal/*pathology
;
Ophthalmoscopes
;
Retina/*pathology
8.Congenital Atrophoderma of Pasini and Pierini.
Sung Kwon KIM ; Seung Ho RHEE ; You Chan KIM ; Eun So LEE ; Hee Young KANG
Journal of Korean Medical Science 2006;21(1):169-171
Idiopathic atrophoderma of Pasini and Pierini is a form of dermal atrophy of unknown etiology, usually affecting women during their adolescence and young adulthood. A 2-yr-old girl was presented with erythematous atrophic lesion on the right shoulder, which appeared from birth. The histologic findings were consistent with atrophoderma. This patient, to the best of our knowledge, is the first case of atrophoderma with an onset since birth.
Atrophy/congenital/metabolism
;
Biopsy
;
Child, Preschool
;
Collagen/metabolism
;
Erythema/pathology
;
Female
;
Humans
;
Skin/*pathology
9.Role of autophagy in the maintenance of skeletal muscle mass.
A-Ying LIU ; Quan-Bing ZHANG ; Yun ZHOU ; Feng WANG
China Journal of Orthopaedics and Traumatology 2022;35(4):374-378
As an important exercise and energy metabolism organ of the human body, the normal maintenance of skeletal muscle mass is essential for the body to perform normal physiological functions. The autophagy-lysosome (AL) pathway is a physiological or pathological mechanism that is ubiquitous in normal and diseased cells. It plays a key role in the maintaining of protein balance, removing damaged organelles, and the stability of internal environment. The smooth progress of the autophagy process needs to go through multiple steps, which are completed under the coordinated action of multiple factors. Autophagy maintains the muscle homeostasis of a healthy body by removing cell components such as damaged myofibrils and isolated cytoplasmic proteins. Autophagy could also provide the initial energy required for cell proliferation, promote muscle regeneration and remodeling after injury. At the same time, autophagy disorder is also an important cause of age-related skeletal muscle atrophy. Autophagy could affect the response of skeletal muscle to exercise, and increasing the level of basic autophagy is beneficial to improve the adaptive response of skeletal muscle to exercise. This article summarizes the role and pathways of autophagy in the maintenance of skeletal muscle quality, in order to provide effective rehabilitation strategies for clinical prevention and treatment of muscle atrophy.
Autophagy/physiology*
;
Exercise/physiology*
;
Humans
;
Muscle, Skeletal/pathology*
;
Muscular Atrophy/pathology*
;
Signal Transduction
10.Magnetic resonance imaging features of cerebellar atrophy pattern after epilepsy.
Ximei FENG ; Qian WANG ; Hong JIN ; Shuai YANG ; Wu XING
Journal of Central South University(Medical Sciences) 2023;48(5):691-697
OBJECTIVES:
Clinically, it has been found that some patients with epilepsy are accompanied by cerebellar atrophy that is inconsistent with symptoms, but the pattern of cerebellar atrophy after epilepsy and the role of cerebellar atrophy in the mechanism of epilepsy have not been elucidated. This study aims to explore the specific pattern of cerebellar atrophy after epilepsy via analyzing magnetic resonance images in patients with postepileptic cerebellar atrophy.
METHODS:
A total of 41 patients with epilepsy, who received the treatment in Xiangya Hospital of Central South University from January 2017 to January 2022 and underwent cranial MRI examination, were selected as the case group. The results of cranial MRI examination of all patients showed cerebellar atrophy. In the same period, 41 cases of physical examination were selected as the control group. General clinical data and cranial MRI results of the 2 groups were collected. The maximum area and signal of dentate nucleus, the maximum width of the brachium pontis, the maximum anterior-posterior diameter of the pontine, and the maximum transverse area of the fourth ventricle were compared between the 2 groups. The indexes with difference were further subjected to logistic regression analysis to clarify the characteristic imaging changes in patients with cerebellar atrophy after epilepsy.
RESULTS:
Compared with the control group, the maximum width of the brachium pontis and the maximum anterior-posterior diameter of the pontine were decreased significantly, the maximum transverse area of the fourth ventricle was increased significantly in the case group (all P<0.05). The difference in distribution of the low, equal, and high signal in dentate nucleus between the 2 groups was statistically significant (χ2=43.114, P<0.001), and the difference in the maximum area of dentate nucleus between the 2 groups was not significant (P>0.05). The maximum width of the brachium pontis [odds ratio (OR)=3.327, 95% CI 1.454 to 7.615, P=0.004] and the maximum transverse area of the fourth ventricle (OR=0.987, 95% CI 0.979 to 0.995, P=0.002) were independent factors that distinguished cerebellar atrophy after epilepsy from the normal control, while the anterior-posterior diameter of pontine (OR=1.456, 95% CI 0.906 to 2.339, P>0.05) was not an independent factor that distinguished them.
CONCLUSIONS
In MRI imaging, cerebellar atrophy after epilepsy is manifested as significant atrophy of the brachium pontis, significant enlargement of the fourth ventricle, and increased dentate nucleus signaling while insignificant dentate nucleus atrophy. This particular pattern may be associated with seizures and exacerbated pathological processes.
Humans
;
Magnetic Resonance Imaging
;
Pons
;
Epilepsy/diagnostic imaging*
;
Atrophy/pathology*
;
Cerebellum/pathology*