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Biomedical subjects

R A Brumback

Publications and source records attributed to R A Brumback.

At least 91 records · Page 5Linked to original sources

Agnathia, holoprosencephaly, and situs inversus: report of a case.

We present the first documented case of agnathia-holoprosencephaly (an uncommon form of craniofacial anomaly) associated with situs inversus. This case may represent the concordance of multiple field complex anomalies, but the possibility of a major midline malformation (situs inversus) caused by a timed insult (environmental or genetic) which affects multiple structures and occurs concurrently with a major field defect during early embryogenesis cannot be excluded.

Abnormalities, Multiple↗

Metabolic myopathy produced by dinitrofluorobenzene inhibition of creatine phosphokinase.

A previously developed animal model of exercise-induced muscle contractures, which utilized intra-aortic injection of iodoacetate (IOA) to inhibit the second stage glycolytic enzyme glyceraldehyde-3-phosphate dehydrogenase, showed histological evidence of selective type II muscle fiber involvement with sparing of the type I muscle fibers. A new model has been developed using dinitrofluorobenzene (DNFB) as a selective inhibitor of creatine phosphokinase in a similar, but slightly modified distal aortic injection protocol. Two hours after the injection of a dinitrofluorobenzene solution of 2.22 mg/kg body weight, spontaneous electrically-silent contracture developed in the injected lower extremity, involving principally the soleus muscle. Histologically, selective damage was apparent in the type I muscle fibers, with sparing of the type II muscle fibers. The contrast in findings associated with iodoacetate inhibition of glycolysis or with DNFB inhibition of the phosphocreatine shuttle suggests that type I and type II fibers have markedly different usable pools of readily available ATP: type II fibers must rely on the minute-by-minute replenishment of the usable pool of ATP from glycolysis, while type I fibers must regenerate the usable pool of ATP from phosphocreatine through a creatine phosphokinase-mediated process.

Animals↗

Massive brain stem necrosis in the human neonate: presentation of three cases with review of the literature.

In neonates suffering hypotensive or asphyxial episodes, the brain stem is particularly vulnerable to selective neuronal necrosis. Typically, the pattern is one of generalized neuronal necrosis within well-defined brain stem cranial nerve nuclei, or random neuronal degeneration within the reticular formation. More recently, isolated cases of severe partial or total cystic necrosis of the brain stem reticular formation have been recorded. The pathogenesis is poorly understood at this time, but may be similar to the less severe (but more often recognized) nuclear or focal neuronal loss. Three infants are presented in which severe necrosis of the brain stem occurred. In each, the clinical setting was one of sudden and abrupt worsening of the patient's cardiovascular status.

Brain Stem↗

Comparison of reading and listening-reading techniques for administration of PIAT Reading Comprehension subtest: justification for the bypass approach.

The Peabody Individual Achievement Test (PIAT) Reading Comprehension subtest was administered to a group of 23 learning disabled children in Grades 5 through 7 who had been classified by the clinical Lexical Paradigm as good readers or poor readers. Using standardized test administration, 14 poor readers scored substantially below the 9 good readers; however, when the child was allowed to listen and read silently while the test item was read aloud, poor readers showed marked improvement in performance compared to only moderate improvement shown by the good readers. This difference in improvement between the groups was significant and resulted in poor readers achieving performance similar to that of the good readers administered the test in the standard manner.

Achievement↗

The heart in Friedreich's ataxia. Report of a case.

Cardiac abnormalities are a characteristic feature of the autosomal, recessively inherited, spinocerebellar degeneration known as Friedreich's ataxia. We report the pathologic changes in the heart of a 27-year-old woman with Friedreich's ataxia, including ventricular subendocardial fibroelastosis, occlusion of the coronary sinus ostium, individual myofiber loss, myofiber disarray, and markedly enlarged, hyperchromatic myofiber nuclei. A common pathogenetic mechanism may underlie both cardiac and neurological abnormalities.

Adult↗

The electroencephalographic pattern during electroconvulsive therapy. III. Analysis of frontotemporal and nasopharyngeal spectral energy.

This study analyzes the frontotemporal and nasopharyngeal spectral energy of an ECT-induced seizure, in order to investigate the origin of the final Phase III activity, which contains most of the seizure's energy. Data supports these findings: energy in the delta frequency band is responsible for the generation, propagation, and maintenance of Phase III of the ECT-induced seizure; the synchronous "delta-firing" depolarizations of Phase III are recurrently initiated by an ECT-induced "generator" process; higher magnitudes of energy are generated centrally than are generated laterally during Phase III; and the lessened memory impairment associated with nondominant unilateral ECT is attributable to the markedly lower peak and total energies observed in the unstimulated temporal lobe.

Brain↗

Parkinson's disease and Alzheimer's disease: hypersensitivity to X rays in cultured cell lines.

Fibroblast and/or lymphoblastoid lines from patients with several inherited primary neuronal degenerations are hypersensitive to DNA-damaging agents. Therefore, lymphoblastoid lines were irradiated from patients with sporadic Parkinson's disease (PD), Alzheimer's disease, and amyotrophic lateral sclerosis. The mean survival values of the eight Parkinson's disease and of the six Alzheimer's disease lines, but not of the five amyotrophic lateral sclerosis lines, were less than that of the 28 normal lines. Our results with Parkinson's disease and Alzheimer's disease cells can be explained by a genetic defect arising as a somatic mutation during embryogenesis, causing defective repair of the X-ray type of DNA damage. Such a DNA repair defect could cause an abnormal accumulation of spontaneously occurring DNA damage in Parkinson's disease and Alzheimer's disease neurons in vivo, resulting in their premature death.

Adolescent↗

Antidepressant treatment of children: clinical relapse is unrelated to tricyclic plasma concentrations.

Plasma concentrations of imipramine and amitriptyline and their desmethylated metabolites were measured in 20 children being treated for major depressive illness 2 wk. and 5 to 10 wk. after achieving drug dosages of 2.25 mg/kg body weight. At 2 wk. all children had exhibited clinical improvement, but by 10 wk. 4 of the 10 children treated with imipramine and 5 of the 10 children treated with amitriptyline had experienced clinical relapse of depressive symptoms. Tricyclic antidepressant plasma concentrations and ratios were comparable in the subgroups of children who maintained their clinical improvement and those who relapsed. There was no evidence of a systematic decline in plasma tricyclic antidepressant concentrations in those children who relapsed.

Adolescent↗