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Biomedical subjects

H Budka

Publications and source records attributed to H Budka.

At least 199 records · Page 11Linked to original sources
PubMed1983

Brain tissue immunoglobulins in adrenoleukodystrophy: a comparison with multiple sclerosis and systemic lupus erythematosus.

Immunoglobulin (Ig) concentrations were investigated in white matter samples of two adrenoleukodystrophy (ALD), three multiple sclerosis (MS), two systemic lupus erythematosus (SLE), one rheumatoid arthritis, and three control brains obtained at autopsy. "Free" Igs were extracted at pH 7.4; subsequently, bound Igs were extracted at pH 2.5 and 10.8, respectively. Igs were quantified by radial immunodiffusion. In ALD material there was an increase of free IgG and IgA, in one sample also of IgM, as compared to controls. No significant amounts of Igs were detected in the pH 2.5 and 10.8 extracts of ALD brain. Similarly to ALD, an increase of free IgG and IgA was a characteristic finding in MS brain; in contrast to ALD and control material, significant amounts of bound Igs (IgG) extractable at acid or alkaline pH, respectively, were present in MS tissue. In both SLE brains increase of free IgM was conspicuous. Preliminary studies on binding of Igs extracted at pH 7.4 from brain to frozen sections of normal human and bovine brain tissue revealed different binding properties of Igs from ALD, MS, SLE, and control brains. Immunochemical findings in ALD indicating pathologic accumulation of Igs in brain tissue were paralleled by immunocytochemical observations demonstrating accumulation of lymphoid cells staining for IgG, IgA, and IgM, respectively, mainly in areas of recent demyelination. Participation of Igs in the pathogenesis of ALD lesions may be considered but needs further confirmation.

Adolescent↗
PubMed1983

Supratentorial lobar ependymomas: reports on the grading and survival periods in 80 cases, including 46 recurrences.

We report 80 supratentorial lobar ependymomas, including 46 recurrences. All underwent operation. In the total collection 34.5% survived for more than 5 years. The behaviour of children and adults was nearly identical. Based on a histological grading into three steps of malignancy (E1, E2, E3), the ependymomas in low grade 1 showed a 5 years' survival time of 41.5%. Compared to a 28.5% survival in group E2 at the same time. Results in group E3, which histologically resembled malignant glioma or glioblastoma, are not relevant because of the small number of cases. More than 50% of the E1 recurrences showed transformation to E2. No transformation into a lower grade of malignancy has been observed.

Adolescent↗
PubMed1983

Immunohistological demonstration of serum proteins and structural and viral antigens in paraffin sections of nervous tissues.

A brief outline is given of applications of immunohistological techniques to the study of normal and diseased nervous tissue. Protease treatment of paraffin sections usually enhances sensitivity and reliability both of IF and PAP techniques. Sensitivity of immunohistological examination of paraffin sections is comparable to that of virus detection by normal virological techniques in animal rabies and slightly superior to EM search for virions in SSPE and PML. Immunostaining for MBP appears to be the most sensitive method for myelin, especially for demonstration of very thin myelin sheaths, which are important in studies of myelogenesis and cortical myeloarchitecture. Prolonged fixation in formalin clearly diminishes or abolishes immunoreactivity. Compacted myelin stains less well for MBP than preparative myelin artefacts and the surface of myelinated fibers. GFAP production is enhanced when glioma cells invade surrounding mesenchymal structures. The chance finding of GFAP-like immunoreactivity in a cancer metastasis casts doubt on the astroglial specificity of GFAP.

Animals↗
PubMed1983

Papovavirus antigens in paraffin sections of PML brains.

Brain tissue of 36 patients with definite PML (showing histologically the pathognomonic "PML cells") and of 12 cases with possible PML (showing patchy demyelination without PML cells) were studied for the presence of papovavirus antigens. A cross-reactive genus-specific serum and a serum raised against JCV were used in the peroxidase-antiperoxidase technique on formalin-fixed paraffin sections of autopsy brain. There was some variability in intensity of staining between the cases and between the sera. Papovavirus antigen-containing cells--mainly PML cells--were found in 35 definite and in one possible PML case. Twenty-nine of these brains reacted with anti-JCV serum. In five brains, antigen deposits were prominent in cytoplasm and processes of astrocytes in some areas of PML lesions. Giant astrocytes demonstrated viral antigens in six cases, indicating that these cells are indeed infected in PML. There was no staining of nerve cells or endothelial cells.

Adolescent↗
PubMed1982

Neurochemical investigations of aged human brain cortex.

Neurochemical investigation of FC and TC of 10 brains of old age and 10 controls did not reveal significant differences of total ganglioside, DNA, protein, and lipid levels. With regard to individual gangliosides there was a significant decrease of the percentage of GM1 in the FC and a significant decrease of GM1, GD1a, GM2 as well as a significant increase of GD1b and GD3 in the TC of the aged brains. Our results present some neurochemical evidence for regionally different changes in neuronal processes in the aged human brain, whereas neuronal cell loss might play only a minor role in this condition.

Adolescent↗
PubMed1982

Hyaline inclusions (Pseudopsammoma bodies) in meningiomas: immunocytochemical demonstration of epithel-like secretion of secretory component and immunoglobulins A and M.

Three meningotheliomatous meningiomas showed prominent formation of hyaline inclusions (pseudopsammoma bodies). Immunocytochemical examination by means of indirect immunofluorescence and PAP techniques demonstrated strong labeling of these inclusions by antisera to human secretory component (SC), immunoglobulin (Ig) A and IgM. A similar staining pattern was found in intracytoplasmic globules of a metastatic carcinoma. Hyaline structures of various types in atypical, psammomatous, and hemangiopericytic meningiomas were not stained with the antisera employed. By histochemical, immunocytochemical, and ultrastructural criteria, pseudopsammoma bodies in meningiomas are identical with intracytoplasmic inclusions of some epithelial neoplasms, especially of mammary and gastric carcinomas. Our study strongly corroborates Kepes' (1961, 1975) concept of secretory differentiation in meningiomas, and demonstrates an epithelial character at least of some meningiomas.

Adult↗
PubMed1981

Inflammatory demyelinating polyradiculitis in a patient with multiple sclerosis.

A case of multiple sclerosis (MS) occurred in which there were recent demyelinated plaques in the CNS, and inflammatory demyelination and remyelination in the peripheral (Schwann cell) portions of the spinal roots. The lesions in the peripheral nervous system (PNS) were characterized by inflammation, primary segmental demyelination, myelin stripping, the occurrence of lipid debris-containing macrophages in the endoneurium, and remyelination. To our knowledge, this is the first description of simultaneous acute inflammatory demyelination in the CNS and PNS in MS.

Acute Disease↗
PubMed1981

Immunohistological studies in viral encephalitis.

Immunofluorescence (IF) techniques performed on formol-fixed, paraffin-embedded and protease-pretreated sections from autopsy brain for demonstration of rabies and Herpes simplex type 1 (HSV-1) antigens proved to be a simple and effective method to ensure the etiology of some viral encephalitides. In contrast to fresh material, the use of formol-fixed tissues rules out any risk in handling highly infectious material. Another major advantage is the possibility of comparing IF appearance with normal histology of the same section by post-staining with hematoxilineosin (H.E.) or other stains. In 2 animal and one of 2 human rabies cases, neuronal cytoplasmic inclusions were more prominent in IF than in H.E. stains. In 31 cases with a histopathological diagnosis of necrotizing encephalitis, HSV-1 antigen was demonstrated in 17 of 25 acute cases but absent in 6 cases with clinical courses longer than 4 weeks. Specific fluorescence of nuclear inclusions bodies was inconstant and less prominent than that of neuronal cytoplasm and neuronal/glial nuclear membranes. Since HSV-1 positive cells are patchily distributed, limited tissue sampling (e.g. in diagnostic biopsies) may yield false negative results. Paucity of HSV-1-positive cells in the leptomeninges renders CSF immunocytology of limited use for diagnostic purposes.

Adult↗
PubMed1981

Accumulation of very long chain fatty acids is common to 3 variants of adrenoleukodystrophy (ALD). "Classical" ALD, atypical ALD (female patient) and adrenomyeloneuropathy.

Fatty acids of cholesterol esters were analyzed by gas chromatography in affected CNS white matter of 3 variants of ALD ("classical" ALD, atypical ALD (adult female) and AMN) and of 10 controls with myelin breakdown of an etiology other than ALD. In all 3 ALD variants a marked accumulation of very long chain fatty acids (VLFA) as compared to control material was observed. This was due to the accumulation mainly of saturated C24-C32 fatty acids, particularly of C26:0, C25:0 and, to a lesser extent, C24:0 and C27:0 fatty acids. Our results demonstrate for the first time an accumulation of VLFA in an adult female patient (atypical ALD), who probably is an ALD heterozygote rather than a variant of AMN, and confirm and extend earlier findings in classical ALD and AMN, respectively. It appears that ALD may be a single nosological entity with clinically and morphologically different variants sharing specific ultrastructural (accumulation of paired leaflets) and neuro-biochemical (accumulation of VLFA) diagnostic markers.

Addison Disease↗
PubMed1981

Brain pathology in the collagen vascular diseases.

Neuropathologic examination of an autopsy series of 54 patients of various types of CVD revealed a very high frequency of pathologic changes both in brain parenchyma (in 81%) and vessels (in 78%). A broad but continuous spectrum of primary vascular alterations was observed, ranging from fibrinoid deposits in intact or necrotizing vessel walls to fibrohyalinosis and endothelial proliferations. In acute SLE showing LE cells within brain tissues, immune complex deposits were observed for the first time in brain vessels, in addition to similar deposits in the plexus chorioideus and in hematoxylin bodies. Secondary complications are frequently affecting the brain in CVD; they are mainly sequels of systemic atherosclerosis, hypertension, thromboemboli from SLE endocarditis, cardiac, hepatic or renal dysfunctions, or infections and should be clinically differentiated from primary brain involvement in CVD to ensure the appropriate therapeutic measures.

Arthritis, Rheumatoid↗
PubMed1980

Diagnostic and pathomorphological aspects of glioma multiplicity.

A series of 11 patients with multiple glioma foci is reported with emphasis upon isotope brain scan, angiography, and CT findings; autopsy data is available in 8 cases. In many patients it was necessary to combine the results of several diagnostic techniques in order to demonstrate all the foci proven at autopsy. Thus, the desirability of combining diagnostic techniques in the investigation of glioma patients must be stressed. In spite of this approach, however, multiple metastases and the various types of multiple gliomas are often indistinguishable from each other by current diagnostic techniques.

Adult↗
PubMed1979

[Infarction of the spinal cord in the posterior spinal arterial supply area as a result of intervertebral disc embolism (author's transl)].

A female patient aged 49 developed an acute transverse lesion of the spinal cord from D11 downwards. Autopsy revealed spinal cord infarcts mainly in the dorsal parts corresponding to the posterior spinal arterial supply area, caused by multiple arterial and venous fibrocartilaginous emboli. This particular cause of spinal vascular syndrome has been reported previously only in 11 patients, all outside Austria. This case report serves to stress the poor clinical delineation of a distinct "posterior spinal syndrome". The source of the emboli is the intervertebral disc, mainly the nucleus pulposus. The spinal cord vessels are probably entered by the following route: extrusion of disc material into the venous bone marrow sinus (probably favoured by trauma or endocrine factors) yield basivertebral veins yield internal vertebral venous plexus; the spread is supported by blood stream changes caused by increased intraabdominal/intrathoracic pressure; there is also the possibility of direct penetration of disc material into the internal vertebral plexus, as demonstrated in dogs yield radicular veins yield meningeal and cord veins; sometimes entry occurs through arteriovenous shunts into cord arteries. The true incidence of this condition is unknown since cases are likely to be overlooked in the absence of extensive histopathological investigation.

Accidents, Home↗
PubMed1978

Megalencephaly and chromosomal anomaly.

A 6-year-old mentally retarded boy died after cardiac surgery for Fallot's tetralogy. The brain was of enormous size, weighing 2230 grams and showing widespread polymicrogyria and dysdifferentiation to regular large pyramidal neurons without increased DNA content. Nuclear Barr bodies indicated a XXY-chromosomal (Klinefelter) syndrome, which has not been previously reported in megalencephaly. True megalencephaly (excluding the symptomatic forms) should remain a pathological diagnosis and restricted to cases with an abnormally high brain weight in addition to morphological alterations. There is evidence for a genetic base in many cases of megalencephaly, and chromosomal studies may yield more information in this respect

Autopsy↗