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[染色体畸变患儿顶叶皮质的神经组织学发现]

[Neurohistological findings in the parietal cortex of children with chromosome aberrations].

作者信息

Schulz E, Scholz B

机构信息

Institut für Anatomie, Charité, Humboldt-Universität Berlin.

出版信息

J Hirnforsch. 1992;33(1):37-62.

PMID:1447516
Abstract

In Golgi-Cox impregnated parietal cortex (regio postcentralis) of two children (20 months of age or 6 years of age) with Down's syndrome the pyramidal neurons of lamina III and V were investigated qualitatively and quantitatively. Fives types of pyramidal neurons were classified and compared statistically. As parameters for characterizing pyramidal neurons served dendritic lengths for all dendritic orders, within single dendritic fields, in apical and basal parts of the dendritic tree, and of the whole neuron. Normal values obtained in brains of the same age were not available, therefore, we compared our results with those published by other authors. To study the developmental stage of the pyramidal neurons in both our cases, we compared analogue pyramid types in both brains. The pyramidal neurons showed different qualitative abnormalities in their dendritic tree configuration. The comparison of quantitative parameters suggests the pyramidal cells of the older child show more degenerative changes, concerning especially lamina III pyramids but in lamina V pyramids as well. These changes might be structural correlates of the mental retardation: the 6 year old child was strongly retarded in clinical symptoms, too. The results are discussed and critically evaluated in view of the clinical signs of Morbus Down. Finally we should await the investigations of more cases for demonstrating the normal as well as the abnormal development of the human cerebral cortex.

摘要

在两名患有唐氏综合征的儿童(分别为20个月大或6岁)经高尔基-考克斯法浸染的顶叶皮质(中央后回)中,对Ⅲ层和Ⅴ层的锥体神经元进行了定性和定量研究。对五种类型的锥体神经元进行了分类并进行统计学比较。作为表征锥体神经元的参数,采用了所有树突级别的树突长度,包括单个树突域内、树突树的顶端和基部以及整个神经元的树突长度。由于无法获取同年龄大脑的正常值,因此,我们将我们的结果与其他作者发表的结果进行了比较。为了研究我们这两个病例中锥体神经元的发育阶段,我们比较了两个大脑中的类似锥体类型。锥体神经元在其树突树构型中表现出不同的定性异常。定量参数的比较表明,年龄较大儿童的锥体细胞显示出更多的退行性变化,特别是Ⅲ层锥体,但Ⅴ层锥体也有。这些变化可能是智力迟钝的结构相关因素:6岁儿童在临床症状上也严重迟钝。鉴于唐氏病的临床体征,对结果进行了讨论并进行了批判性评估。最后,我们应该等待更多病例的研究,以证明人类大脑皮质的正常和异常发育情况。

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