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 Structure and Development of the Thallus in the British Species of Gelidium and Pterocladia

The apical structure and the development of the thalli of allthe British species of Gelidium and Pterocladia have been investigated;the development of G. pulchellum is described in detail. Eachaxis is terminated by one or more apical cells, which by theirsegmentation form the tissues of the thallus. An axial filamentis distinct for a short distance behind each apical cell, butsecondary pit-connexions develop rapidly so that in sectionthe mature axis has the appearance of a multi-axial structure. Lateral branches of the frond develop by the segmentation ofthe lateral branch apical cells, which are formed by the transformationof superficial cortical cells, either in the meristematic ormature parts of the axes. The extreme variability of externalappearance is due principally to the indeterminate origin ofall lateral branches. The thallus in the British species of Gelidium and Pterocladiaconsists of erect fronds borne on creeping axes. The relativeproportions of the frond and creeping axes in various speciesand their survival through adverse conditions are discussed.