Modeling Cortical Folding Patterns on a Growing Oblate Spheroid Domain Raymond Morie

Total Page:16

File Type:pdf, Size:1020Kb

Modeling Cortical Folding Patterns on a Growing Oblate Spheroid Domain Raymond Morie Florida State University Libraries 2017 Modeling Cortical Folding Patterns on a Growing Oblate Spheroid Domain Raymond Morie Follow this and additional works at the FSU Digital Library. For more information, please contact [email protected] FLORIDA STATE UNIVERSITY COLLEGE OF ARTS AND SCIENCES MODELING CORTICAL FOLDING PATTERNS ON A GROWING OBLATE SPHEROID DOMAIN By RAYMOND MORIE A Thesis submitted to the Department of Mathematics in partial fulfillment of the requirements for graduation with Honors in the Major Degree Awarded: Spring 2017 The members of the Defense Committee approve the thesis of Raymond Morie defended on April 26th, 2017. Monica K. Hurdal Thesis Director Eric Klassen Committee Member James Justus Outside Committee Member Richard Bertram Committee Member ii TABLE OF CONTENTS Abstract............................................. ... iv 1 Introduction 1 2 Biology and Models of the Cerebral Cortex 3 2.1 Neuroanatomy and Development . 3 2.1.1 Three- and Five-Vesicle Stages of Development . 5 2.2 Biological Theories of Development . 6 2.2.1 The Radial Unit Hypothesis . 6 2.2.2 Intermediate Progenitor Hypothesis . 7 2.2.3 Intermediate Progenitor Model . 7 2.2.4 Axonal Tension Hypothesis . 8 2.3 Holoprosencephaly and Ventriculomegaly . 9 2.3.1 Characteristics and Development of Ventriculomegaly . 9 2.3.2 Characteristics and Development of Holoprosencephaly . 10 2.4 Mathematical Models of Cortical Folding . 11 2.4.1 StaticModels.................................... 11 2.4.2 Growing Prolate Spheroid . 11 2.5 Conclusions........................................ 12 3 Turing Systems 13 3.1 StaticDomains ....................................... 13 3.2 Kinetics ......................................... 14 3.3 Growing Oblate Spheroid Coordinates . 14 3.4 ExponentialGrowth .................................. 15 3.5 LogisticGrowth...................................... 17 3.6 Conclusions........................................ 18 4 Results 19 4.1 Exponentially Growing Oblate Spheroid Simulations . 20 4.1.1 Comparison to Static and Growing Prolate Spheroid Domain . 20 4.2 Logistically Growing Oblate Spheroid Simulations . 21 5 Conclusions and Future Directions 33 Bibliography .......................................... 35 iii ABSTRACT Many of the mechanisms involved in brain development are not definitively understood. This in- cludes the mechanism by which the folds of the cerebral cortex, called gyri and sulci, are formed. This research adopts the Intermediate Progenitor Model, which emphasizes genetic chemical fac- tor control. This model is based on a hypothesis that activation of radial glial cells produces intermediate progenitor cells that in turn correspond to gyral wall formation. In previous work, Toole and Hurdal developed two biomathematical models that use a Turing reaction-diffusion system on a prolate spheroid domain. These models examined the effect that different domain growth functions had on cortical folding pattern formation. In this research, we modify those models to utilize an oblate spheroid domain. By analyzing the role of various parameters, we seek to use this modified domain to model diseases such as holoprosencephaly and ventriculomegaly, which alter the shape of the lateral ventricle. iv CHAPTER 1 INTRODUCTION Fundamental to the human experience is our ability to discern and model patterns found in our environment. This includes modeling the various phenomena that occur in our body. Fascinated by the way a homogeneous group of cells could differentiate into the various structures of the embryo, Alan Turing developed a system of differential equations capable of producing a variety of patterns formed in nature in his 1952 paper The Chemical Basis of Morphogenesis[19]. In this thesis, we utilize a Turing system to model the folding patterns of the cerebral cortex [17]. Previous work done by Toole and Hurdal created a model of cortical folding on a growing domain. A prolate spheroid, or an ellipsoid created by rotating an ellipse about its major axis, was used as the domain to model the shape the lateral ventricle. The model investigated the role of growth on cortical pattern formation and this was applied to simulate various diseases related to cortical folding. For the purposes of this thesis, we want to further investigate the role of domain shape in cortical pattern formation by using an oblate spheroid, or an ellipse rotating about its minor axis, as our domain. This allows us to model diseases that distort the shape of the lateral ventricles and cerebral cortex. In Chapter 2, we discuss the various structures of neuroanatomy and what is known about the developmental process of the nervous system. We present a number of hypotheses that describe a plausible genetic chemically-driven mechanism for which cortical folds are formed, and a competing hypothesis that emphasizes physical tension. We also present three previous models of cortical folding to illustrate the necessity of this new model. In Chapter 3, Turing systems are discussed in more detail. We consider the effects of domain growth versus the static domain case. Oblate spheroidal coordinates were derived from previous equations utilizing prolate spheroid coordiates. Lastly, two domain growth functions, an exponential function and a logistic function, are presented. The Turing pattern generating capabilities are examined and the connections to biological systems are explained. 1 Chapter 4 presents the simulation results of the two models presented in Chapter 3 and discusses the findings with respect to the results of previous models. The parameters utilized and altered are given. Finally, Chapter 5 presents the conclusions to the investigation on domain shape on growing domains. Future directions for models utilizing Turing systems are discussed. 2 CHAPTER 2 BIOLOGY AND MODELS OF THE CEREBRAL CORTEX In order to understand the cortical folding patterns of the cerebral cortex, it is imperative to understand the key structures that are associated with cortical development. In this section, the central nervous system, the ventricular system, the germinal matrix, brain cells and structures and different theories of cortical development will be defined and discussed. In addition, the diseases ventriculomegaly and holoprocencephaly will be considered with respect to their influence on brain size and shape. 2.1 Neuroanatomy and Development The major features of the brain on a macroscopic level are the cerebrum, cerebellum, and brain stem. The cerebrum is separated into two hemispheres (left and right), which are connected by a structure called the corpus callosum [13]. Each hemisphere is made up of four lobes: Frontal, parietal, occipital, and temporal based on their different functions and locations associated to each lobe. The ventricular system is made up of four ventricles. The first two ventricles are called the lateral ventricles, and there is one in each hemisphere. During development the lateral ventricles are shaped approximately like a prolate spheroid, a three-dimensional shape of revolution formed by rotating an ellipse about its major axis. In maturity, these lateral ventricles are c-shaped with posterior horns that extend backwards towards the occipital lobe. These lateral ventricles are attached to a third ventricle by the interventricular formina. The third ventricle is connected to a fourth ventricle which is located in the brainstem by the cerebral aqueduct. The ventricular system produces an iron-rich fluid called cerebral spinal fluid, which brings in nutrients, removes toxins and creates a physical cushion between the brain and the skull. Lining the walls of the lateral ventricles are the ventricular zone and the subventricular zone. These are layers of proliferative cells that are involved in cortical development. Passing from the ventricular 3 Figure 2.1: Major structures of the brain, figure adapted from [20]. zone to the subventricular zone involves continuing radially outward from the inside of one of the lateral ventricles. At about seven weeks gestational age, the subventricular zone produces a structure called the germinal matrix. This term has been used in literature to refer to both the part of the subventricular zone located ventrolateral to the lateral ventricle and extending along its lateral wall [8], and as a synonym for both the ventricular zone and the subventricular zone, referring to the collection of germ cells that are precursors to neurons in the cortex [3]. For the purposes of this thesis, the former definition is used. Through magnetic resonance imaging (MRI) data and computational reconstruction of 3- dimensional images, the growth of the germinal matrix has been examined [8]. The volume of the germinal matrix is found to increase exponentially from 11 − 23 weeks gestational age, and rapidly decrease from 25-28 weeks gestational age. Though there is some discrepancy in the liter- ature on when exactly cortical folding is considered to begin, it is clear that it and other crucial events related to cortical folding development coincide with the period of exponential germinal matrix growth. The two types of cells in the central nervous system are neurons and glial cells, with glial cells accounting for 90% of the total amount. Glial cells support neuron structure and provide insulation 4 which helps messages to be transmitted more efficiently, whereas neurons encode information by electrical impulses called action potentials that are transmitted in between them. The major components of a neuron are the soma (cell body), dendrites,
Recommended publications
  • Apparent Atypical Callosal Dysgenesis: Analysis of MR Findings in Six Cases and Their Relationship to Holoprosencephaly
    333 Apparent Atypical Callosal Dysgenesis: Analysis of MR Findings in Six Cases and Their Relationship to Holoprosencephaly A. James Barkovich 1 The MR scans of six pediatric patients with apparent atypical callosal dysgenesis (presence of the dorsal corpus callosum in the absence of a rostral corpus callosum) were critically analyzed and correlated with developmental information in order to assess the anatomic, embryologic, and developmental implications of this unusual anomaly. Four patients had semilobar holoprosencephaly; the dorsal interhemispheric commis­ sure in these four infants resembled a true callosal splenium. All patients in this group had severe developmental delay. The other two patients had complete callosal agenesis with an enlarged hippocampal commissure mimicking a callosal splenium; both were developmentally and neurologically normal. The embryologic implications of the pres­ ence of these atypical interhemispheric connections are discussed. Differentiation between semilobar holoprosencephaly and agenesis of the corpus callosum with enlarged hippocampal commissure-two types of apparent atypical callosal dysgenesis-can be made by obtaining coronal, short TR/TE MR images through the frontal lobes. Such differentiation has critical prognostic implications. AJNR 11:333-339, March{Apri11990 Abnormalities of the corpus callosum are frequently seen in patients with con­ genital brain malformations [1-5); a recent publication [5) reports an incidence of 47%. The corpus callosum normally develops in an anterior to posterior direction. The genu forms first, followed by the body, splenium, and rostrum. Dysgenesis of the corpus callosum is manifested by the presence of the earlier-formed segments (genu , body) and absence of the later-formed segments (splenium, rostrum) [4-6]. We have recently encountered six patients with findings suggestive of atypical callosal dysgenesis in whom there was apparent formation of the callosal splenium in the absence of the genu and body.
    [Show full text]
  • CONGENITAL ABNORMALITIES of the CENTRAL NERVOUS SYSTEM Christopher Verity, Helen Firth, Charles Ffrench-Constant *I3
    J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.74.suppl_1.i3 on 1 March 2003. Downloaded from CONGENITAL ABNORMALITIES OF THE CENTRAL NERVOUS SYSTEM Christopher Verity, Helen Firth, Charles ffrench-Constant *i3 J Neurol Neurosurg Psychiatry 2003;74(Suppl I):i3–i8 dvances in genetics and molecular biology have led to a better understanding of the control of central nervous system (CNS) development. It is possible to classify CNS abnormalities Aaccording to the developmental stages at which they occur, as is shown below. The careful assessment of patients with these abnormalities is important in order to provide an accurate prog- nosis and genetic counselling. c NORMAL DEVELOPMENT OF THE CNS Before we review the various abnormalities that can affect the CNS, a brief overview of the normal development of the CNS is appropriate. c Induction—After development of the three cell layers of the early embryo (ectoderm, mesoderm, and endoderm), the underlying mesoderm (the “inducer”) sends signals to a region of the ecto- derm (the “induced tissue”), instructing it to develop into neural tissue. c Neural tube formation—The neural ectoderm folds to form a tube, which runs for most of the length of the embryo. c Regionalisation and specification—Specification of different regions and individual cells within the neural tube occurs in both the rostral/caudal and dorsal/ventral axis. The three basic regions of copyright. the CNS (forebrain, midbrain, and hindbrain) develop at the rostral end of the tube, with the spinal cord more caudally. Within the developing spinal cord specification of the different popu- lations of neural precursors (neural crest, sensory neurones, interneurones, glial cells, and motor neurones) is observed in progressively more ventral locations.
    [Show full text]
  • Germinal Matrix-Intraventricular Hemorrhage: a Tale of Preterm Infants
    Hindawi International Journal of Pediatrics Volume 2021, Article ID 6622598, 14 pages https://doi.org/10.1155/2021/6622598 Review Article Germinal Matrix-Intraventricular Hemorrhage: A Tale of Preterm Infants Walufu Ivan Egesa ,1 Simon Odoch,1 Richard Justin Odong,1 Gloria Nakalema,1 Daniel Asiimwe ,2 Eddymond Ekuk,3 Sabinah Twesigemukama,1 Munanura Turyasiima ,1 Rachel Kwambele Lokengama,1 William Mugowa Waibi ,1 Said Abdirashid,1 Dickson Kajoba,1 and Patrick Kumbowi Kumbakulu1 1Department of Paediatrics and Child Health, Faculty of Clinical Medicine and Dentistry, Kampala International University, Uganda 2Department of Surgery, Faculty of Clinical Medicine and Dentistry, Kampala International University, Uganda 3Department of Surgery, Faculty of Medicine, Mbarara University of Science and Technology, Uganda Correspondence should be addressed to Walufu Ivan Egesa; [email protected] Received 20 December 2020; Accepted 26 February 2021; Published 16 March 2021 Academic Editor: Somashekhar Marutirao Nimbalkar Copyright © 2021 Walufu Ivan Egesa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Germinal matrix-intraventricular hemorrhage (GM-IVH) is a common intracranial complication in preterm infants, especially those born before 32 weeks of gestation and very-low-birth-weight infants. Hemorrhage originates in the fragile capillary network of the subependymal germinal matrix of the developing brain and may disrupt the ependymal lining and progress into the lateral cerebral ventricle. GM-IVH is associated with increased mortality and abnormal neurodevelopmental outcomes such as posthemorrhagic hydrocephalus, cerebral palsy, epilepsy, severe cognitive impairment, and visual and hearing impairment.
    [Show full text]
  • Sonic Hedgehog Regulates Proliferation and Inhibits Differentiation of CNS Precursor Cells
    The Journal of Neuroscience, October 15, 1999, 19(20):8954–8965 Sonic hedgehog Regulates Proliferation and Inhibits Differentiation of CNS Precursor Cells David H. Rowitch,1,2 Benoit St.-Jacques,1 Scott M. K. Lee,1 Jonathon D. Flax,2 Evan Y. Snyder,2 and Andrew P. McMahon1 1Department of Molecular and Cellular Biology, Harvard University, Cambridge, Massachusetts 02138, and 2Division of Newborn Medicine, Department of Pediatrics, Harvard Medical School, Boston, Massachusetts 02115 Activation of the Sonic hedgehog (Shh) signal transduction Shh-responsive but postmitotic were present in persistent pathway is essential for normal pattern formation and cellular structures reminiscent of the ventricular zone germinal matrix. differentiation in the developing CNS. However, it is also This tissue remained blocked in an undifferentiated state. These thought to be etiological in primitive neuroectodermal tumors. results indicate that cellular competence restricts the prolifera- We adapted GAL4/UAS methodology to ectopically express tive response to Shh in vivo and provide evidence that prolifer- full-length Shh in the dorsal neural tube of transgenic mouse ation and differentiation can be regulated separately in precur- embryos commencing at 10 d postcoitum (dpc), beyond the sor cells of the spinal cord. Thus, Hedgehog signaling may period of primary dorsal–ventral pattern formation and floor- contribute to CNS tumorigenesis by directly enhancing prolif- plate induction. Expression of Shh was maintained until birth, eration and preventing neural differentiation in selected precur- permitting us to investigate effects of ongoing exposure to Shh sor cells. on CNS precursors in vivo. Proliferative rates of spinal cord Key words: Sonic hedgehog; tumorigenesis; GAL4; central precursors were twice that of wild-type littermates at 12.5 dpc.
    [Show full text]
  • Development of the Skin and Its Derivatives
    Development of the skin and its derivatives Resources: http://php.med.unsw.edu.au/embryology/ Larsen’s Human Embryology – Chapter 7 The Developing Human: Clinically Oriented Embryology Dr Annemiek Beverdam – School of Medical Sciences, UNSW Wallace Wurth Building Room 234 – [email protected] Lecture overview Skin function and anatomy Skin origins Development of the overlying epidermis Development of epidermal appendages: Hair follicles Glands Nails Teeth Development of melanocytes Development of the Dermis Resources: http://php.med.unsw.edu.au/embryology/ Larsen’s Human Embryology – Chapter 7 The Developing Human: Clinically Oriented Embryology Dr Annemiek Beverdam – School of Medical Sciences, UNSW Wallace Wurth Building Room 234 – [email protected] Skin Function and Anatomy Largest organ of our body Protects inner body from outside world (pathogens, water, sun) Thermoregulation Diverse: thick vs thin skin, scalp skin vs face skin, etc Consists of: - Overlying epidermis - Epidermal appendages: - Hair follicles, - Glands: sebaceous, sweat, apocrine, mammary - Nails - Teeth - Melanocytes - (Merkel Cells - Langerhans cells) - Dermis - Hypodermis Skin origins Trilaminar embryo Ectoderm (Neural crest) brain, spinal cord, eyes, peripheral nervous system epidermis of skin and associated structures, melanocytes, cranial connective tissues (dermis) Mesoderm musculo-skeletal system, limbs connective tissue of skin and organs urogenital system, heart, blood cells Endoderm epithelial linings of gastrointestinal and respiratory tracts Ectoderm
    [Show full text]
  • Moderate-Grade Germinal Matrix Haemorrhage Activates Cell Division in the 1 Neonatal Mouse Subventricular Zone. 2 3 William J Da
    1 Moderate-grade germinal matrix haemorrhage activates cell division in the 2 neonatal mouse subventricular zone. 3 4 William J Dawes1*, Xinyu Zhang1, Stephen P.J. Fancy2, David Rowitch2 and Silvia 5 Marino1* 6 7 1 Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen 8 Mary University of London, 4 Newark Street, London E1 2AT, UK 9 2 Departments of Pediatrics and Neurosurgery, Eli and Edythe Broad Institute for 10 Stem Cell Research and Regeneration Medicine and Howard Hughes Medical 11 Institute, University of California San Francisco, 513 Parnassus Avenue, San 12 Francisco, CA, 94143, USA 13 * Corresponding authors 14 William J Dawes and Silvia Marino 15 Blizard Institute, 4 Newark Street, London E1 2AT 16 Tel +44 207 882 2585, 17 Fax +44 207 882 2180, 18 Email: [email protected] 19 20 Running title: Neural stem cells and neonatal brain haemorrhage 21 22 Abstract 23 Precise temporal and spatial control of the neural stem progenitor cells within the 24 subventricular zone germinal matrix of the brain is important for normal development 25 in the third trimester and early postnatal period. High metabolic demands of 26 proliferating germinal matrix precursors, coupled with the flimsy structure of the 27 germinal matrix cerebral vasculature, are thought to account for high rates of 28 haemorrhage in extremely- and very-low birth weight preterm infants. Germinal 29 matrix haemorrhage can commonly extend to intraventricular haemorrhage. Because 30 neural stem progenitor cells are sensitive to micro-environmental cues from the 31 ventricular, intermediate and basal domains within the germinal matrix, haemorrhage 32 has been postulated to impact neurological outcome through aberration of normal 33 neural stem/progenitor cells behaviour 34 35 We have developed an animal model of neonatal germinal matrix haemorrhage using 36 stereotactic injection of autologous blood into the mouse neonatal germinal matrix.
    [Show full text]
  • Diencephalic–Mesencephalic Junction Dysplasia: a Novel Recessive Brain Malformation
    doi:10.1093/brain/aws162 Brain 2012: 135; 2416–2427 | 2416 BRAIN A JOURNAL OF NEUROLOGY Diencephalic–mesencephalic junction dysplasia: a novel recessive brain malformation Maha S. Zaki,1 Sahar N. Saleem,2 William B. Dobyns,3 A. James Barkovich,4 Hauke Bartsch,5 Anders M. Dale,5 Manzar Ashtari,6,7 Naiara Akizu,8 Joseph G. Gleeson8 and Ana Maria Grijalvo-Perez8 1 Department of Clinical Genetics, Division of Human Genetics and Genome Research, National Research Centre, Cairo 12311, Egypt 2 Department of Radiology, Cairo University, Cairo, Egypt 3 Department of Paediatrics, Seattle Children’s Research Institute, Seattle, WA 98195-6320, USA 4 Department of Radiology and Biomedical Imaging, University of California, San Francisco, 94143, USA 5 Multimodal Imaging Laboratory (MMIL), Departments of Radiology and Neurosciences, University of California, San Diego, 92093 USA 6 Diffusion Tensor Image Analyses and Brain Morphometry Centre, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USA 7 Department of Radiology, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USA 8 Neurogenetics Laboratory, Howard Hughes Medical Institute, Department of Neurosciences and Paediatrics, Rady Children’s Hospital, University of California, San Diego, 92093 USA Correspondence to: Dr Maha S. Zaki, Department of Clinical Genetics, Division of Human Genetics and Genome Research, National Research Centre, El-Tahrir Street, Dokki, Cairo 12311, Egypt E-mail: [email protected] or [email protected] We describe six cases from three unrelated consanguineous Egyptian families with a novel characteristic brain malformation at the level of the diencephalic–mesencephalic junction. Brain magnetic resonance imaging demonstrated a dysplasia of the diencephalic–mesencephalic junction with a characteristic ‘butterfly’-like contour of the midbrain on axial sections.
    [Show full text]
  • Pericytes in Microvessels: from “Mural” Function to Brain and Retina Regeneration
    International Journal of Molecular Sciences Review Pericytes in Microvessels: From “Mural” Function to Brain and Retina Regeneration 1, 2, 2 3 Nunzia Caporarello y, Floriana D’Angeli y, Maria Teresa Cambria , Saverio Candido , Cesarina Giallongo 4, Mario Salmeri 5, Cinzia Lombardo 5, Anna Longo 2, Giovanni Giurdanella 2, Carmelina Daniela Anfuso 2,* and Gabriella Lupo 2,* 1 Department of Physiology & Biomedical Engineering, Mayo Clinic, Rochester, MN 55905, USA; [email protected] 2 Section of Medical Biochemistry, Department of Biomedical and Biotechnological Sciences, School of Medicine, University of Catania, 95123 Catania, Italy; fl[email protected] (F.D.); [email protected] (M.T.C.); [email protected] (A.L.); [email protected] (G.G.) 3 Section of General and Clinical Pathology and Oncology, Department of Biomedical and Biotechnological Sciences, School of Medicine, University of Catania, 95123 Catania, Italy; [email protected] 4 Section of Haematology, Department of General Surgery and Medical-Surgical Specialties, University of Catania, 95123 Catania, Italy; [email protected] 5 Section of Microbiology, Department of Biomedical and Biotechnological Sciences, School of Medicine, University of Catania, 95123 Catania, Italy; [email protected] (M.S.); [email protected] (C.L.) * Correspondence: [email protected] (G.L.); [email protected] (C.D.A.); Tel.: +39-095-4781158 (G.L.); +39-095-4781170 (C.D.A.) These authors contributed equally to this work. y Received: 31 October 2019; Accepted: 14 December 2019; Published: 17 December 2019 Abstract: Pericytes are branched cells located in the wall of capillary blood vessels that are found throughout the body, embedded within the microvascular basement membrane and wrapping endothelial cells, with which they establish a strong physical contact.
    [Show full text]
  • Ultrasound Findings in Neonatal Meningitis—A Pictorial Review
    Review Article Neonatal cranial sonography: ultrasound findings in neonatal meningitis—a pictorial review Nishant Gupta1, Hemal Grover2, Itisha Bansal3, Kusum Hooda4, Joshua M. Sapire5, Rama Anand6, Yogesh Kumar7 1Department of Radiology, Saint Vincent’s Medical Center, Bridgeport, CT, USA; 2Department of Neuroradiology, NYU Lagone Medical Center, New York, NY, USA; 3Department of Anesthesiology, New York Methodist Hospital, Brooklyn, New York, USA; 4Department of Radiology, Yale New Haven Health at Bridgeport Hospital, Bridgeport, CT, USA; 5Department of Neuroradiology, Saint Vincent’s Medical Center, Bridgeport, CT, USA; 6Department of Pediatric Radiology, Kalawati Saran Children Hospital, Shaheed Bhagat Singh Marg, New Delhi, India; 7Department of Neuroradiology, Yale New Haven Health at Bridgeport Hospital, Bridgeport, CT, USA Correspondence to: Nishant Gupta, MD, PDCC. Department of Radiology and Imaging, Saint Vincent’s Medical Center, 2800 Main Street, Bridgeport, CT 06606, USA. Email: [email protected]. Abstract: Neonatal bacterial meningitis is a common manifestation of late onset neonatal sepsis. Cranial sonography (CRS) has a crucial role in assessment of infants with clinical suspicion of bacterial meningitis as well as follows up of its complications. CRS is performed with high frequency transducer through anterior fontanelle in both coronal and sagittal planes. Various sonographic findings range from echogenic and widened sulci, ventriculomegaly, ventriculitis, hydrocephalus, extra-axial fluid collections, cerebritis
    [Show full text]
  • Cognitive Impairment and Brain and Peripheral Alterations in a Murine Model of Intraventricular Hemorrhage in the Preterm Newborn
    Mol Neurobiol DOI 10.1007/s12035-017-0693-1 Cognitive Impairment and Brain and Peripheral Alterations in a Murine Model of Intraventricular Hemorrhage in the Preterm Newborn Antonio Segado-Arenas1 & Carmen Infante-Garcia2,3 & Isabel Benavente-Fernandez1 & Daniel Sanchez-Sotano1,2 & Juan Jose Ramos-Rodriguez2,3 & Almudena Alonso-Ojembarrena1 & Simon Lubian-Lopez1,4 & Monica Garcia-Alloza2 Received: 9 March 2017 /Accepted: 14 July 2017 # Springer Science+Business Media, LLC 2017 Abstract Germinal matrix hemorrhage-intraventricular hem- newborns, reduced gelsolin levels and increased ubiquitin orrhage (GMH-IVH) remains a serious complication in the carboxy-terminal hydrolase L1 and tau levels were detected preterm newborn. The significant increase of survival rates in GMH-IVH patients at birth. A similar profile was observed in extremelye preterm newborns has also contributed to in- in our mouse model after hemorrhage. Interestingly, early crease the absolute number of patients developing GMH- changes in gelsolin and carboxy-terminal hydrolase L1 levels IVH. However, there are relatively few available animal significantly correlated with the hemorrhage grade in new- models to understand the underlying mechanisms and periph- borns. Altogether, our data support the utility of this animal eral markers or prognostic tools. In order to further character- model to reproduce the central complications and peripheral ize central complications and evolution of GMH-IVH, we changes observed in the clinic, and support the consideration injected collagenase intraventricularly to P7 CD1 mice and of gelsolin, carboxy-terminal hydrolase L1, and tau as feasible assessed them in the short (P14) and the long term (P70). biomarkers to predict the development of GMH-IVH.
    [Show full text]
  • Ventriculomegaly
    Great Ormond Street Hospital for Children NHS Foundation Trust: Information for Families Ventriculomegaly This information sheet from Great Ormond Street Hospital (GOSH) explains the causes, symptoms and treatment of ventriculomegaly and hydrocephalus and where to get help. Ventricles are cavities within the brain filled Without signs of increased pressure in the with cerebro-spinal fluid (CSF) acting as a brain (hydrocephalus), ventriculomegaly most ‘cushion’. CSF also supplies nutrients to the likely will not cause any problems. However, brain. The brain has four ventricles: two it can be linked with hydrocephalus and other lateral ventricles, the third ventricle and the problems. Ventriculomegaly can be diagnosed fourth ventricle. during pregnancy and occurs in around two CSF is created within the brain and flows from per cent of all pregnancies. the lateral ventricles into the third ventricle. It then flows through a narrow tube (the What causes cerebral aqueduct) into the fourth ventricle which lies towards the base of the brain. From ventriculomegaly? the fourth ventricle, it flows around the spinal In many cases, we do not know what causes cord and over the surface of the brain before ventriculomegaly (in the absence of any raised being re-absorbed. CSF pressure) but it can occur if there has been Ventriculomegaly is the medical term used to brain damage for any reason leading to loss describe enlargement of the ventricles of the of brain tissue. Often however it is a “chance” brain. Hydrocephalus is the term used when finding and when the ventricles are only a enlargement of the ventricles has been caused little enlarged of little significance.
    [Show full text]
  • CT Based Study of Frontal Horn Ratio and Ventricular Index in South Indian Population
    IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 16, Issue 7 Ver. VI (July. 2017), PP 55-59 www.iosrjournals.org CT Based Study of Frontal Horn Ratio And Ventricular Index in South Indian Population *Dr.Arun Kumar S. MD1, Dr.S.MeenaKumari DMRD.,DNB.2, 3 4 Dr.A.Pavithra DNB. ,Dr.R.Saraswathy DMRD. 1(Associate Professor, Department of Radiology, Karpagam Faculty of Medical Sciences and Research, India) 2(Consultant Radiologist, Department of Radiology, Karpagam Faculty of Medical Sciences and Research, India) 3(Consultant Radiologist, Department of Radiology, Karpagam Faculty of Medical Sciences and Research, India) 4(Consultant Radiologist, Department of Radiology, Karpagam Faculty of Medical Sciences and Research, India) Corresponding author: *Dr. S.MeenaKumari DMRD.,DNB., Abstract: Introduction: Assessment of ventricular morphology and dimensions plays a crucial role in a wide range of clinical conditions associated with ventricular enlargement such as CNS infections, meningitis, and brain tumors . Of all the ventricular dimensions, linear ratios of lateral ventricles are the simplest to enumerate and also to reproduce. Objective: The aim of our study is to establish standard reference values for Frontal Horn Ratio (FHR) and Bicaudate - Frontal Index or Ventricular index using Computed Tomogram (CT) for normal South Indian population. Materials And Methods: One hundred subjects, with normal CT brain, were analyzed for this study retrospectively. Plain CT brain of all the patients was performed in Siemens Somatom Scope Multislice CT scanner. Results: In our study there was no statistically significant difference in mean FHR and ventricular index between genders.
    [Show full text]