We are presenting two Leber's hereditary optic neuropathy (LHON) pedigrees with abnormal magnetic resonance imaging (MRI) and proton magnetic resonance spectroscopy (H-MRS) findings but without neurological manifestation associated with LHON. The study included 14 LHON patients and 41 asymptomatic family members from 12 genealogically unrelated families. MRI showed white matter involvement and H-MRS exhibited metabolic anomalies within 12 LHON families. Main outcome measures were abnormal MRI and H-MRS findings in two pedigrees. MRI of the proband of the first pedigree showed a single demyelinating lesion in the right cerebellar hemisphere, while the proband of the second family displayed multiple supratentorial and infratentorial lesions, compatible with the demyelinating process, and both the absolute choline (Cho) concentration and Cho/creatinine ratio were increased. MRI and H-MRS profiles of both affected and unaffected mitochondrial DNA mutation carriers suggest more widespread central nervous involvement in LHON. Although even after 12 years our patients did not develop neurological symptoms, MRI could still be used to detect possible changes during the disease progression.
Cardiovascular and reproductive health of women have been going hand in hand
since the dawn of time, however, their links have been poorly studied and
once the basis of their connections started to be established in late 20th
century, it depended on local regional abilities and the level of
progressive thinking to afford comprehensive women?s care beyond the ?bikini
medicine?. Further research identified different associations rendering
more conditions sex-specific and launching therefore a slow, yet initial
turn around in clinical trials? concept as the majority of global
cardiovascular guidelines rely on the results of research conducted on a
very modest percentage of women and even less on the women of color.
Currently, the concept of women?s heart centers varies depending on the
local demographics? guided needs, available logistics driven by budgeting
and societal support of a broad-minded thinking environment, free of bias
for everyone: from young adults questioning their gender identity, via women
of reproductive age both struggling to conceive or keep working part time
when healthy and line of work permits it during pregnancy, up to aging and
the elderly. Using ?Investigate-Educate-Advocate-Legislate? as the four
pillars of advancing cardiovascular care of women, we aimed to summarize
standing of women?s health in Serbia, present ongoing projects and propose
actionable solutions for the future.
We found that 15.5% of the consecutive PD patients had RBD, and that the patients with RBD differed from the non-RBD ones regarding duration of treatment, disease and depressive symptoms severity.
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