Summary: Purpose: To describe the semiological features of auditory aura and to assess their possible lateralizing value in partial epilepsy.Methods: Out of a series of 8,000 patients with epilepsy, we investigated 121 cases with partial seizures in whom auditory features were the first ictal symptom. According to the dominant type of aura, patients were divided into four subgroups-1A (67 cases), 1B (22 cases), 2A (14 cases), and 2B (18 cases)-corresponding to the presence of simple or complex hallucinations and positive or negative illusions, respectively. The side of the epileptic zone (EZ) was defined based on available data: surgical/presurgical study or presence of a neuroradiological lesion, corresponding interictal epileptiform EEG and ictal semiology (level 1); a left EZ was also hypothesized in right-handed patients with ictal aphasia plus a left neuroradiological lesion or a left interictal EEG focus (level 2).Results: Forty-five patients (37%) described the aura as unilateral. The side of epileptogenic zone (EZ) was definable in 36 patients (level 1: 24; level 2: 12). Overall, a unilateral auditory aura was contralateral to the EZ in half of the cases (8/16), but always contralateral in patients studied for presurgical evaluation (4/4). Simple hallucinations lateralized seizure onset on the right side in nine cases, on the left in 12. Among 1B patients (either musical and verbal contents), the EZ was on the left side in all cases (5/5). Positive illusions were associated with right foci in two cases, and left foci in two. Negative illusions always lateralized seizure onset to the dominant hemisphere (6/6).Conclusions: Auditory aura is a rare symptom in partial epilepsy. The perception of the auditory sensation referred to one ear is not a unique lateralizing sign for the contralateral temporal neocortex. Complex hallucinations with verbal content and negative illusion may lateralize seizure onset in the dominant hemisphere. The role of laterality for musical hallucinations remains unclear as it depends on individual musical ability and hemispheric dominance for music.
Tendon injuries, degenerative tendinopathies, and overuse tendinitis are common in races horses. Novel therapies aim to restore tendon functionality by means of cell-based therapy, growth factor delivery, and tissue engineering approaches. This study examined the use of autologous mesenchymal stromal cells derived from peripheral blood (PB-MSCs), platelet-rich plasma (PRP) and a combination of both for ameliorating experimental lesions on deep digital flexor tendons (DDFT) of Bergamasca sheep. In particular, testing the combination of blood-derived MSCs and PRP in an experimental animal model represents one of the few studies exploring a putative synergistic action of these treatments. Effectiveness of treatments was evaluated at 30 and 120 days comparing clinical, ultrasonographic, and histological features together with immunohistochemical expression of collagen types 1 and 3, and cartilage oligomeric matrix protein (COMP). Significant differences were found between treated groups and their corresponding controls (placebo) regarding tendon morphology and extracellular matrix (ECM) composition. However, our results indicate that the combined use of PRP and MSCs did not produce an additive or synergistic regenerative response and highlighted the predominant effect of MSCs on tendon healing, enhanced tissue remodeling and improved structural organization. ß
Oxidative stress may be important in early lactation cows due to high metabolic demands. Modifying dietary starch may alter glucose utilization, modify oxidative metabolism and, consequently, increase oxidative stress. To test this hypothesis, early lactation primiparous cows underwent a short-term dietary starch restriction followed by realimentation. At calving, 10 Friesian primiparous cows were randomly assigned to two groups and given a basal starch diet (BSD, 249 g/kg of starch dry matter (DM)) in the form of a total mixed ration until 42 days in milk (DIM). Afterwards, five cows (CTR) continued to receive the same diet and five cows (EXP) were allotted to experimental diets: low starch diet (LSD, 210 g/kg starch DM) from 43 to 65 DIM followed by high starch diet (HSD, 283 g/kg starch DM) from 66 to 85 DIM and BSD from 86 to 94 DIM. Blood samples were collected at 37, 50, 60, 70, 80, and 94 DIM to measure total plasma glutathione (GSH), thiobarbituric acid reactive substances (TBARS), and erythrocyte glutathione peroxidase (GPx) activity as indicators of oxidative stress, N-acetyl-ß-D glucosaminidase (NAGase), lysosyme, and white blood cell counts as indicators of immune response. Metabolic adaptations were evaluated by glucose, non-esterified fatty acids (NEFA), beta-hydroxy-butyrate (BOHB), insulin, and GH concentrations, and the acid/base balance. Milk yield was not significantly different between groups throughout the experiment and was correlated with TBARS (r 0·284; P 0·05) and GSH (r = 0·294; P 0·05). Estimated energy intake was significantly higher in the EXP group at 70 DIM only (P 0·05). Plasma glucose was significantly lower in the EXP group at 50, 60 (P 0·001) and 80 DIM (P 0·05), and was correlated with GSH (r = 0·348; P 0·01) and TBARS (r = 0·367; P 0·01). Plasma NEFA decreased overall in both groups (P 0·01). EXP was lower than CTR in concentrations of plasma BOHB at 70 DIM (P 0·05) and plasma insulin at 60 (P 0·001), 80 and 94 (P 0·05) DIM. Plasma TBARS, GSH and GPx increased throughout (P 0·01) in both groups. This was delayed in the EXP group following introduction of LSD; significant differences between groups at 60 (P 0·01), 80 and 95 (P 0·05) DIM for TBARS, and at 70 (P 0·01) and 80 (P 0·05) DIM for GPx. Indicators of immune response and plasma bicarbonates did not differ between groups. Blood pH was significantly lower in the EXP group at 80 and 94 DIM (P 0·001). Blood pCO2 was significantly lower at 80 and 94 DIM (P 0·05) in the CTR group. While recovering from the negative energy balance, cellular metabolism probably shifted towards oxidative phosphorylation, with a consequent oxidative stress increase. LSD delayed this recovery in the EXP group and thus reduced GSH synthesis. In conclusion, the diet starch content may alter the control of oxidative stress and expose animals to oxidative injuries.
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