We examined whether or not high signal intensity change on magnetic resonance imaging of the spinal cord of patients with cervical myelopathy is related to the clinical symptoms and prognosis. Twenty-five patients with cervical myelopathy were treated by decompressive surgery which involved laminoplasty or decompressive anterior interbody fusion. The pathological conditions were cervical disc herniation (n = 8), ossification of the posterior longitudinal ligament in the cervical spine (n = 7), and cervical spondylotic myelopathy (n = 10). The spinal cord compression and the intramedullary signal intensity at the site of maximum compression were evaluated pre- and postoperatively using T1- and T2-weighted images. There was no significant relationship between spinal cord compressive change and clinical symptoms. Patients in whom the high signal change of the spinal cord on T2-weighted sequence recovered after decompressive surgery had better recovery from clinical symptoms, but a statistical significance was not found. We suggest that signal changes on T2-weighted images may reflect pathological changes but cannot be used to predict prognosis at present.
Cytoplasmic filaments of the endothelial cells of sheathed capillaries in the pig spleen were identified and their ultrastructure was studied. Two types of cytoplasmic filaments were found: intermediate filaments (diameter: 10 nm) which filled most of the interior of the cells, and thin filaments (diameter: 5 nm) which were located just beneath the cell membrane and filled the lateral cytoplasmic processes. In immunocytochemical preparations, the intermediate filaments were positive for vimentin and desmin, and were negative for keratin. Staining of the thin filaments with heavy meromyosin resulted in arrowhead formations. These observations suggest that the intermediate filaments maintain the cytoarchitecture, possibly protecting the cell from structural alterations induced by blood pressure changes. Concurrently, thin filaments may facilitate the passage of red blood cells and blood platelets through the interendothelial fenestrae of the sheathed endothelial cell to the reticular meshwork in the capillary sheath.
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