This study examines spatial and temporal variation in the forest structure of the Kibale National Park, Uganda by contrasting tree density, tree size, and forest composition among four areas each separated by less than 15 km, and by quantifying changes in the composition of one of these forests over a 20‐year period. Densities of some tree species differed markedly between sites, and some species common at one location were absent at others. Monthly phenological monitoring demonstrated that it was not uncommon for phenological patterns to differ between the forests. To examine temporal variation in the tree composition over a 20‐year period, a sampling regime that was carried out in the early 1970s was replicated on the floristic composition of one of these sites, using identical methods in the same sampling areas. While no form of human intervention occurred in this area between the early 1970s and 1992, there were marked changes in the densities of some tree species. Twenty‐seven percent of the identified species increased in abundance, 33% decreased, and 40% remained relatively unchanged. The observed spatial and temporal variation in forest composition could be the result of abiotic factors, such as altitude or rainfall, or biotic factors such as elephant and/or human influences on ecosystem dynamics; the implications of this variation for frugivores are discussed.

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Sturge-Weber syndrome is characterized by the presence of a port-wine nevus, epilepsy, stroke-like episodes, headache, and developmental delay. We studied 20 cases to test the hypothesis that decreased cerebral blood flow alters neurologic function by affecting cellular glucose metabolism. Group A consisted of 10 patients with a mean age of 1.75 years and early seizure onset (6.8 months), whereas group B was composed of older patients (mean age, 15.3 years) with later onset of seizures (3.7 years). Neurologic disease was more severe in group A, but group B had more widespread structural brain defects - shown on computed tomographic scans and magnetic resonance imaging - and metabolic brain defects shown on hexamethylpropyleneamine oxime and [18F] fluorodeoxyglucose single photon emission computed tomographic scans. Six group A cases had hypoperfusion at baseline and five of nine had worsening of perfusion and glucose metabolism 1 year later. A total of 119 stroke-like episodes occurred in six group A cases and eight group B cases; there were 65% fewer strokes in children treated with aspirin. The data suggest that progressive hypoperfusion and glucose hypometabolism are associated with neurologic deterioration in Sturge-Weber syndrome. Longitudinal studies are needed to better define the natural history of disease and to evaluate the safety and efficacy of aspirin therapy.

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