Protocol of a prospective study on the diagnostic value of transcranial duplex scanning of the substantia nigra in patients with parkinsonian symptoms

Background  

Parkinson's disease (PD) is the second most common neurodegenerative disorder. As there is no definitive diagnostic test, its diagnosis is based on clinical criteria. Recently transcranial duplex scanning (TCD) of the substantia nigra in the brainstem has been proposed as an instrument to diagnose PD. We and others have found that TCD scanning of substantia nigra duplex is a relatively accurate diagnostic instrument in patients with parkinsonian symptoms. However, all studies on TCD so far have involved well-defined, later-stage PD patients, which will obviously lead to an overestimate of the diagnostic accuracy of TCD.     

THE AXIAL SKELETON OF THE DINOSAUR SUUWASSEA EMILIEAE (SAUROPODA: FLAGELLICAUDATA) FROM THE UPPER JURASSIC MORRISON FORMATION OF MONTANA, USA

Abstract:  Vertebrae of Suuwassea demonstrate an interesting combination of plesiomorphies and autapomorphies among known members of the Flagellicaudata. The cranial cervical vertebrae have proportions close to Diplodocus but resemble those of Apatosaurus except by having greatly reduced cranial and caudal spinozygapophyseal laminae. As a result, they have craniocaudally compressed, caudally positioned spinous processes excavated on all sides by fossae. The cranial thoracic vertebrae are again similarly proportioned as those of Diplodocus but are morphologically similar to those of Apatosaurus . The most distinguishing feature of Suuwassea caudal vertebrae are the short, amphiplatyan, distalmost 'whiplash' caudal vertebrae. These may be either a retention of or a reversal to the plesiomorphic sauropod condition because classic flagellicaudatan, biconvex distalmost caudals occur in the Middle Jurassic of England.