Background
Limb shaking Transient Ischemic Attack is a rare manifestation of carotid-occlusive disease. The symptoms usually point towards a seizure like activity and misdiagnosed as focal seizures. On careful history the rhythmic seizure like activity reveals no Jacksonian march mainly precipitated by maneuvers which lead to carotid compression. We here present a case of an elderly gentleman who was initially worked up as suffering from epileptic discharge and then later on found to have carotid occlusion. 相似文献Background
Parkinson's disease (PD) is the most common neurodegenerative movement disorder, characterized clinically by resting tremor, bradykinesia, postural instability and rigidity. The prevalence of PD is approximately 2% of the population over 65 years of age and 1.7 million PD patients (age ≥ 55 years) live in China. Recently, a common LRRK2 variant Gly2385Arg was reported in ethnic Chinese PD population in Taiwan. We analyzed the frequency of this variant in our independent PD case-control population of Han Chinese from Taiwan.Methods
305 patients and 176 genetically unrelated healthy controls were examined by neurologists and the diagnosis of PD was based on the published criteria. The region of interest was amplified with standard polymerase chain reaction (PCR). PCR fragments then were directly sequenced in both forward and reverse directions. Differences in genotype frequencies between groups were assessed by the X 2 test, while X 2 analysis was used to test for the Hardy-Weinberg equilibrium.Results
Of the 305 patients screened we identified 27 (9%) with heterozygous G2385R variant. This mutation was only found in 1 (0.5%) in our healthy control samples (odds ratio = 16.99, 95% CI: 2.29 to 126.21, p = 0.0002). Sequencing of the entire open reading frame of LRRK2 in G2385R carriers revealed no other variants.Conclusion
These data suggest that the G2385R variant contributes significantly to the etiology of PD in ethnic Han Chinese individuals. With consideration of the enormous and expanding aging Chinese population in mainland China and in Taiwan, this variant is probably the most common known genetic factor for PD worldwide. 相似文献The two-dimensional (2D) atomic localization is theoretically investigated via tunable surface plasmon polaritons (SPPs), generated on the metal (Ag) surface coupled to a quantum coherent three-level \(\lambda\)-type medium (\(^{87}\)Rb) embedded as a dielectric host. Such a useful scheme for highly precise atomic localization is reported by using the absorption spectrum of SPPs. Owing to space-dependent light–matter interaction, the sharp localized peaks are observed in a single wavelength domain of 2D space with maximum probability. By properly varying the system parameters, the precision and numbers of the localized peaks are controlled. Consequently, highly efficient and high-resolution atomic localization can be achieved in a region smaller than \(\lambda /20\times \lambda /20\). The spatial resolution of atomic localization is greatly improved as compared to the previously studied cases. These results may have potential useful applications in the fields of quantum nanoplasmonics, nanolithography, and nanophotonics.
相似文献