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Characterization of various nervous tissues of the chick embryos through responses to chronic application and immunocytochemistry of beta-bungarotoxin.

beta-Bungarotoxin (beta-BT) was applied to chick embryos at 3-day intervals beginning on the fourth day of incubation to investigate ultrastructurally the effects of chronically and massively applied beta-BT on various nervous tissues and muscles. On the twenty-first day of incubation, spinal cords of beta-BT treated embryos were conspicuously decreased in size. Ventral root fibers dorsal root fibers, white matter, and motor neurons disappeared. Although spinal ganglia and sympathetic trunk ganglia were completely absent, Auerbach's and Meissner's ganglia nerve cells in the small intestine and adrenal medullary cells were not affected. In retinas of beta-BT treated animals ganglion cells and optic nerve fibers disappeared, but photoreceptor cells, bipolar cells and horizontal cells remained intact. Furthermore, olfactory nerve cells and their unmyelinated nerve fibers ensheathed by Schwann cells were quite undamaged. Skeletal muscles degenerated, whereas cardiac muscles were unaffected. In the present study various nervous tissues of the twenty-first day normal chick embryos were incubated with beta-BT and target cells of beta-BT were detected directly by the reaction with horseradish peroxidase labelled anti beta-BT guinea pig IgG. Motor nerve cells in the spinal cords, spinal and sympathetic ganglia nerve cells, ganglion cells and some nerve cells at the inner part of the inner nuclear layer in the retinas were positively stained, whereas Auerbach's and Meissner's ganglia nerve cells in the small intestine, adrenal medullary cells, photoreceptor cells, bipolar cells and horizontal cells in the retina and olfactory nerve cells were negative. Thus the present study shows the beta-BT has extensive destructive effects on various nerve cells which were revealed to be target neurons of beta-BT by immunocytochemistry. Those nerve cells, affected by beta-BT and positively stained with immunocytochemical reaction were supposed to have different characteristics from unaffected cells. One of the differences between these affected cells and unaffected cells may be whether there exist binding sites for beta-BT on the plasma membrane or not. The possibility of the use of beta-BT to characterize various nervous tissues is presented in the present study.

Adrenal Medulla↗

The nitric oxide/cyclic GMP pathway in the olfactory processing system of the terrestrial slug Limax marginatus.

To examine the distribution of nitric oxide (NO)-generative cells and NO-responsive cells in the tentacles and procerebral lobes (olfactory processing center) of terrestrial slugs, we applied NADPH diaphorase (NADPH-d) histochemistry and NO-induced cyclic GMP (cGMP)-like immunohistochemistry. We found that NADPH-d reactive cells/fibers and cGMP-like immunoreactive cells/fibers were different, but they were localized adjacent to each other, in both the tentacles and the procerebral lobes. Then, we measured the concentration of NO that was generated around the procerebral lobes using an NO sensitive electrode, when the olfactory nerve was electrically stimulated as a replacement for an odorant stimulus. Stimulation of the olfactory nerve evoked an increase in NO concentration at nanomolar levels, suggesting that binding of nanomolar concentrations of NO to the prosthetic heme group activates soluble guanylyl cyclase. Taken together with previously reported physiological data, our results, therefore, showed that the NO/cGMP pathways are involved in slug olfactory processing.

Animals↗

Transient expression of somatostatin immunoreactivity in the olfactory-forebrain region in the chick embryo.

The tissue distribution of somatostatin (SST) immunoreactivity was studied in the nasal and forebrain region in the chick embryo. On embryonic day (ED) 3, SST-immunoreactive (ir) cells were first detected in the cells migrating from the olfactory placode. Then, at ED3.5, SST-ir cells and -ir fibers appeared in the olfactory epithelium and olfactory nerve bundles. At ED6-8, one component of the SST-ir fibers was found to separate from the olfactory nerve and it entered the parenchyma of the medial forebrain surface. These SST-ir fibers extended dorsocaudally toward the preseptal area. During this same period, a few SST-ir cells were observed in the medial forebrain adjacent to the SST-ir fibers. SST immunoreactivity in the nasal and forebrain areas was most striking at ED5-8 but a reduction of SST immunoreactivity in the nasal and forebrain areas occurred at ED11 and it virtually disappeared by the day of hatching. These results indicate that the expression of SST in the nasal and forebrain regions is transient in the chick embryo. Since the SST-ir cells did not co-express luteinizing hormone-releasing hormone (LHRH), it, thus, appears that these SST-r cells belong to a different cell population from LHRH neurons that are also found in the olfactory-forebrain axis during embryonic development [23]. However, a close relationship exists between SST-ir cells and -ir neuronal fibers and LHRH neurons. This may play a role in development of LHRH neurons.

Animals↗

The bifrontal olfactory nerve-sparing approach to lesions of the suprasellar region in children.

Suprasellar masses in children include lesions such as craniopharyngiomas and germ cell neoplasms. The difficult location of these lesions and their proximity to important neural and vascular structures pose challenges to resection. We operated on 14 patients using a bifrontal craniotomy with removal of both orbital rims to provide access to suprasellar masses, even those with significant extension into the third ventricle. A complete resection was possible in 8/14 patients and 8/10 craniopharyngiomas. In 13 patients, the optic nerves were identified and preserved, and vision was stable or improved postoperatively. Postoperatively, 1 patient with hydrocephalus developed a CSF leak which was successfully treated with a ventriculoperitoneal shunt. No patient had a cosmetic defect related to orbital rim removal. The bifrontal approach used here enhanced the exposure of the suprasellar region and minimized manipulation of the optic apparatus and the carotid arteries. It may be used alone, or in conjunction with other approaches, to resect lesions in the suprasellar region.

Adolescent↗

Morphology of developing olfactory axons in the olfactory bulb of the rabbit (Oryctolagus cuniculus): a Golgi study.

Transient expression of axon collaterals plays an important role in enabling neurons to find appropriate targets during development. In the olfactory bulb, the numbers of both sensory neurons and their targets, the glomeruli, increase markedly during the postnatal period. In the present study, the morphology of developing olfactory axons in the olfactory bulb of 1-21-day-old rabbits was analyzed using stereological methods and the rapid Golgi technique. The findings demonstrated a change in axon morphology from the olfactory nerve layer to the glomeruli suggestive of a sequence in axon development. In the olfactory nerve layer, axons typically had knob-like growth cones and a few collateral branches. Close to glomeruli, axons increased in thickness, formed rather complex and irregular growth cones, and typically gave off many collaterals. Within glomeruli, the axons formed terminal branches and boutons. Extraglomerular branches were apparently removed once axons had entered a glomerulus, insofar as these branches often displayed morphological signs of degeneration. In contrast, collateral branches ending in the same glomerulus remained, indicating that formation of collaterals may assist olfactory axons in locating glomerular targets.

Animals↗

Immunocytochemical localization of S-100 beta beta protein in olfactory and supporting cells of lamb olfactory epithelium.

By immunocytochemistry, we have identified two novel cell types, olfactory and supporting cells of lamb olfactory epithelium, expressing S-100 beta beta protein. S-100 immune reaction product was observed on ciliary and plasma membranes, on axonemes and in the cytoplasm adjacent to plasma membranes and to basal bodies of olfactory vesicles. A brief treatment of olfactory mucosae with Triton X-100 before fixation is necessary for detection of S-100 beta beta protein within olfactory vesicles. In the absence of such a treatment, the immune reaction product is restricted to ciliary and plasma membranes. On the other hand, irrespective of pre-treatment of olfactory mucosae, S-100 beta immune reaction product in supporting cells is restricted to microvillar and plasma membranes. The anti-S-100 beta antiserum used in these studies does not bind to basal cells of the olfactory epithelium or to cells of the olfactory glands, whereas it binds to Schwann cells of the olfactory nerve. An anti-S-100 alpha antiserum does not bind to cellular elements of the olfactory mucosa, Schwann cells, or axons of the olfactory nerve. The present data provide, for the first time, evidence for the presence of S-100 beta beta protein in mammalian neurons (olfactory cells).

Animals↗

Immunohistochemical localization of interleukin-2 and its receptor subunits alpha, beta and gamma in the main olfactory bulb of the rat.

Endogenous interleukin-2 (IL-2) was found in the adult rat brain, however, it has not been reported whether this cytokine is present in the olfactory bulb. Immunohistochemical techniques were used to examine the cellular localization of IL-2 and its receptor subunits in the main olfactory bulb of the rat. Strong IL-2 immunoreactivity was localized in glial cells, specifically in the olfactory nerve layer, glomerular layer and external plexiform layer. IL-2 mRNA was detected in the olfactory bulb by RT-PCR. All three IL-2 receptor subunits also showed distinct laminar distributions. The IL-2Ralpha and IL-2Rbeta immunoreactivity was found both in neurons and glial cells, whereas IL-2Rgamma imunoreactivity was found in glial cells, and thus resembled IL-2 immunostaining. The present results demonstrated a wide distribution of IL-2 and its receptor subunits in the main olfactory bulb of the rat, suggesting that IL-2 might play a role in the olfactory function through autocrine or paracrine pathways. The exclusive high expression of IL-2 in glial cells in distinct laminar structures, where neuron-glia interactions are closely associated with olfactory nerve regeneration, imply that IL-2 might be involved in the process of nerve regeneration in the olfactory bulb.

Animals↗

Translocation of inhaled ultrafine manganese oxide particles to the central nervous system.

BACKGROUND: Studies in monkeys with intranasally instilled gold ultrafine particles (UFPs; <100 nm) and in rats with inhaled carbon UFPs suggested that solid UFPs deposited in the nose travel along the olfactory nerve to the olfactory bulb. METHODS: To determine if olfactory translocation occurs for other solid metal UFPs and assess potential health effects, we exposed groups of rats to manganese (Mn) oxide UFPs (30 nm; approximately 500 microg/m(superscript)3(/superscript)) with either both nostrils patent or the right nostril occluded. We analyzed Mn in lung, liver, olfactory bulb, and other brain regions, and we performed gene and protein analyses. RESULTS: After 12 days of exposure with both nostrils patent, Mn concentrations in the olfactory bulb increased 3.5-fold, whereas lung Mn concentrations doubled; there were also increases in striatum, frontal cortex, and cerebellum. Lung lavage analysis showed no indications of lung inflammation, whereas increases in olfactory bulb tumor necrosis factor-alpha mRNA (approximately 8-fold) and protein (approximately 30-fold) were found after 11 days of exposure and, to a lesser degree, in other brain regions with increased Mn levels. Macrophage inflammatory protein-2, glial fibrillary acidic protein, and neuronal cell adhesion molecule mRNA were also increased in olfactory bulb. With the right nostril occluded for a 2-day exposure, Mn accumulated only in the left olfactory bulb. Solubilization of the Mn oxide UFPs was <1.5% per day. CONCLUSIONS: We conclude that the olfactory neuronal pathway is efficient for translocating inhaled Mn oxide as solid UFPs to the central nervous system and that this can result in inflammatory changes. We suggest that despite differences between human and rodent olfactory systems, this pathway is relevant in humans.

Animals↗

A morphological study of the brain of Solea senegalensis. I. The telencephalon.

In this paper we present an anatomical description of the telencephalon of Solea senegalensis based on cresyl violet and haematoxilin-eosin-stained serial transverse sections. This work was conducted as a basis for the precise localization of neuroendocrine territories in the brain of a species with growing interest in marine aquaculture. The external asymmetric morphology of Senegalese sole is correlated with the asymmetry of the forebrain. The right olfactory nerve and bulb are larger than the contralateral ones and this asymmetry is also extended to the cerebral hemispheres. The olfactory bulb comprises an outer olfactory nerve fiber layer, a glomerular layer, an external cellular layer, a secondary olfactory fiber layer and an internal cellular layer. The telencephalic hemispheres can be divided in area dorsalis and area ventralis, consisting of eleven and eight cell masses, respectively. The area dorsalis comprises five subareas: a pars medialis (Dm), subdivided into four nuclei termed Dml to Dm4; a pars dorsalis (Dd); a pars lateralis (D1), which consists of dorsal (Dld), ventral (Dlv) and posterior (Dlp) subdivisions; a pars centralis (Dc); and more caudally, a pars posterioris (Dp), which is very prominent in this species. A nucleus taenia (NT) was observed in the transitional region between area dorsalis and area ventralis. The area ventralis consists of pars dorsalis (Vd), pars ventralis (Vv), pars supracommissuralis (Vs), pars postcommissuralis (Vp), pars lateralis (V1), pars centralis (Vc), pars intermedia (Vi) and nucleus entopeduncularis (E). A periventricular organ, that we have termed lateral septal organ (LSO), was observed in the ventral telencephalon, medial to Vv.

Animals↗

Effects of dopamine and fluphenazine on field potential amplitude in the salamander olfactory bulb.

The effects of dopamine (DA) and fluphenazine (FLU), a phenothiazine DA receptor antagonist, were examined in the salamander olfactory bulb. Field potentials were recorded in the granule cell layer of superfused hemibrain preparations, and the amplitude of the large positive peak was compared following stimulation of the olfactory nerve (ON) and lateral olfactory tract (OT). In preparations superfused with normal amphibian Ringer's solution, the large peak occurred 14-21 ms after either ON or OT stimulation. It therefore appeared to reflect the activation of granule cell synapses with mitral cells, as in olfactory bulbs of other species. In three groups of preparations that were superfused with single concentrations of DA, significant decreases were observed in the amplitude of the large peak of ON- and OT-evoked potentials with increases in concentration from 5-200 microM. Moreover, with 5 microM DA and 50 microM DA, significant decreases were observed in the amplitude of the large peak of ON-evoked potentials with increases in superfusion time from 1-15 min. With each DA concentration tested, the mean percentage decrease in the ON-evoked potentials was significantly larger than the mean percentage decrease in the OT-evoked potentials. In five groups of preparations that were superfused with single concentrations of FLU, significant decreases were also observed in the amplitude of the large peak of ON- and OT-evoked potentials with increases in concentration from 0.5-150 microM. With 100 microM FLU and 150 microM FLU, significant decreases were observed in the amplitude of the large peak of both ON- and OT-evoked potentials with increases in superfusion time from 5-10 min. With each FLU concentration tested, the mean percentage change in the ON-evoked potentials was significantly larger than the mean percentage change in the OT-evoked potentials. The stronger effects of DA and FLU on the ON-evoked than OT-evoked potentials suggested that both drugs target receptors in the rostral (superficial) layers of the salamander olfactory bulb which have a higher density or affinity for DA and FLU than receptors in the more caudal (deep) layers of the bulb. When preparations were superfused with an equimolar mixture of DA and FLU at the ED50 concentrations (50 microM for both), FLU blocked approximately 50% of the decrease in the amplitude of the ON-evoked potentials relative to the decrease measured in preparations superfused with DA alone. Since FLU depressed the amplitude of ON-evoked potentials when it was tested alone, however, the rostral DA receptors could occur on both the olfactory receptor cell axons and their postsynaptic targets, or FLU could limit mitral/tufted cell excitation by affecting other types of receptors or voltage-sensitive Ca2+ channels. Results of this study which show that DA and FLU reduce the amplitude of evoked potentials in the salamander olfactory bulb provide evidence for the occurrence of DA receptors in the amphibian brain. More importantly, the stronger effects of DA and FLU on the ON-evoked than OT-evoked potentials suggest that the DA receptors could function to limit the excitation of cells at an early synaptic level in the salamander bulb. By modulating spatiotemporal patterns of synaptic activity in the glomerular layer, the receptors could profoundly influence the initial encoding of information about odors.

Ambystoma↗

Periglomerular cell action on mitral cells in olfactory bulb shown by current source density analysis.

The sign of action of periglomerular (PG) cells on the apical dendrites of mitral cells in olfactory bulb glomeruli was investigated by constructing current source density (CSD) profiles from potentials evoked by primary olfactory nerve (PON) and lateral olfactory tract (LOT) stimulation. Evoked potentials were recorded and averaged from anesthetized rabbit simultaneously with a 1 X 16 array of electrodes positioned perpendicular to the bulbar surface. A one-dimensional CSD analysis with depth was made in the center of PON- and LOT-evoked potential activity. CSD was plotted vs depth for specific times during the average evoked potential (AEP): at the surface peaks of the first surface-negative wave (N1), the first surface-positive wave (P1), and the second surface-negative wave (N2). N1, P1 and N2 corresponded to excitation, dis-excitation (equivalent to inhibition), and dis-inhibition (re-excitation) of the granule cell population through mitral cell basal dendrites. The granule cells generated both PON and LOT oscillatory AEPs. When N1 and P1 profiles or P1 and N2 profiles were combined, the source and sink due to granule cell activity were minimized and another source-sink pair was revealed on PON but not LOT stimulation. PON-evoked N1 + P1 or P1 + N2 profiles showed a secondary souce-sink pair not present with LOT stimulation. The sink was located in the glomerular layer (GL) and outer plexiform layer (EPL) and the source in the inner EPL. It was concluded that long-lasting excitation of the mitral cells was taking place at the GL and GL/EPL border. This excitation was ascribed to concomitant PG cell activity, possibly in combination with prolonged monosynaptic PON excitation of the apical dendrites. The results support the occurrence of direct excitatory action of PG cells onto mitral cells.

Animals↗

Regeneration of three populations of olfactory axons as a function of temperature.

Following injury near the mucosa, 3 populations of regenerating axons have been shown to invade successively the olfactory nerve. At 21 degrees C, each of the first 2 phases (I and II) represents 3-5% of the original axonal population. Phase III corresponds to the massive arrival of new axons and contains 50-70% of an intact nerve axonal population. The influence of temperature on the elongation rates of these 3 phases of growing fibers has been followed from 10 to 35 degrees C. No regeneration occurs at 10 degrees C. Between 14 and 31 degrees C the elongation velocity of the most rapidly growing fibers (phase I) increases linearly from 1.6 to 10.3 mm/day. These values are identical to the rates of slow intra-axonal flow measured in all 3 phases of regenerating axons. In the same range of temperature, the elongation velocity of the other two populations, increases exponentially from 0.5 to 9 mm/day for phase II and from 0.3 to 6.3 mm/day for phase III. Above 33 degrees C, rates of phases II and III fibers do not reach the values predicted from the exponential functions. The 3 phases fused as a single axonal population whose elongation velocity was shown at 34 and 35 degrees C to increase linearly according to the equation defined for phase I. Since a similar rate of slow flow was measured in all 3 populations, it can be concluded that slow flow defines the upper limit of the elongation velocity of a regenerating fiber. However, other factors acting on the regenerating neuron (mainly protein synthesis), might prevent it from reaching the maximal possible elongation velocity.

Animals↗

Olfactory associative conditioning in infant rats with brain stimulation as reward. I. Neurobehavioral consequences.

In Experiment 1, infant rats were implanted with a stimulating electrode in the medial forebrain bundle/lateral hypothalamus (MFB/LH) on postnatal day 12 (PN12). Four to 6 hours later, the pups underwent associative olfactory conditioning, with half of the pups trained with 30 temporal pairings of odor (5 s) and MFB/LH stimulation (200 Hz, 300 ms), and the other half trained with random presentations of odor and MFB/LH stimulation. On PN13, pups were tested for: (1) behavioral preference for the conditioned odor; (2) focal glomerular layer 2-DG uptake to the odor; or (3) mitral/tufted cell single-unit response pattern to the odor. Odor-MFB/LH pairings produced a relative behavioral preference, enhanced focal 2-DG uptake and a modified mitral/tufted cell response pattern to the conditioned odor. Random training resulted in none of these changes. In Experiment 2, PN12 pups were anesthetized with urethane and single-unit responses of mitral/tufted cells to MFB/LH stimulation were examined. MFB/LH stimulation produced a brief suppression of mitral/tufted cell activity followed either by a prolonged excitation (18/30 cells; 8-10 s duration) or a prolonged suppression (12/30 cells; 10-30 s). These results suggest that pairing olfactory nerve input with MFB/LH stimulation modifies subsequent behavioral and physiological responses to olfactory nerve input alone. Furthermore, the prolonged olfactory bulb response to MFB/LH stimulation may be critical in this modification.

Animals↗

Neuronal expression of protease-nexin 1 mRNA in rat brain.

Protease-nexin 1 (PN1), also known as glia-derived nexin, is a protease inhibitor secreted by cultured fibroblasts and glioma cells, with postulated roles in regeneration and the regulation of neurite outgrowth. In this study we have localised the sites of PN1 gene expression in rat brain using in situ hybridisation. As expected, cultured cortical astrocytes contained relatively high levels of PN1 mRNA. However, the mRNA localisation in rat brain suggested that the primary sites of synthesis in the CNS are neuronal. Relatively high levels of PN1 mRNA were found in the olfactory nerve layer of the olfactory bulb, in layer V of the cerebral cortex, in magnocellular neurones of the basal forebrain, and in scattered neurones of the striatum. The results show that PN1 gene expression occurs in discrete populations of neurones in the brain, and suggest that these neurones may therefore play a role in the local regulation of neurite outgrowth.

Amyloid beta-Protein Precursor↗

Proximodistal degeneration of C-fibers detached from their perikarya.

Degeneration was followed in the garfish olfactory nerve after removal of the mucosa containing the cell bodies. Degeneration, as measured by a decrease in the weight of consecutive 3-mm nerve segments, spreads at constant velocity from the site of injury toward the synaptic area. The proximodistal degeneration is temperature dependent and progresses from 0.3 mm/d at 10 degrees C to 13.0 mm/d at 35 degrees C. Between 14 and 35 degrees C, the velocity increases linearly with temperature. At all the temperatures investigated, these proximodistal degeneration velocities are identical to the rates of slow intraaxonal flow measured in axons detached from their cell bodies, or to the rates measured in regenerating fibers, and, except at 10 degrees C, are 3.3 times faster than the rate of slow flow in intact nerves. These results were confirmed by light and electron microscopy. We hypothesize that the collapse and subsequent degeneration of the axons is the result of a proximodistal depletion of cytoskeletal elements no longer provided by the cell body to the axon by slow intraaxonal flow. A significant number of axons disappeared rapidly from the nerve before the arrival of the slow degenerative wave. From studies by other groups, this rapid degeneration may be the result of a lack of rapidly transported, mainly membranous components.

Animals↗

Surgical treatment of complex traumatic frontobasal lesions: personal experience in 74 patients.

OBJECT: The author's personal series included 148 patients who sustained traumatic frontobasal injuries and were treated between 1986 and 1999. Included in this study are 74 of 148 patients with acute injuries and complex frontobasal lesions involving the frontal sinus, the cribriform/ethmoid roof complex, one or both orbital roofs, and the planum sphenoidale. METHODS: Surgery was delayed for up to 4 weeks postinjury in most patients (67 cases), whereas 17 with space-occupying hematomas and perforating injuries required early surgery. In 30 patients additional surgery was required to treat maxillofacial fractures, which was performed as a one-stage procedure together with the neurosurgical operation. The author performed a standard bifrontal craniotomy in which an intradural or combined intradural-extradural approach was used in all cases. Four patients developed ascending meningitis in the preoperative period. As a result of surgical treatment one patient died, another two patients suffered from permanent defects, and three suffered from transitory neurological worsening. In two patients recurrence of a cerebrospinal fluid fistula occurred within a 3-month period posttreatment but was successfully obliterated during reoperation. In the author's experience the intradural approach is comparable in terms of the morbidity, mortality, and success rates with extracranial approaches; additionally the intradural approach provides full visualization of the intracranial lesion. Useful olfactory nerve function can only be preserved if both olfactory nerves are left intact and not crushed during initial injury; this occurred in only five patients in this series. CONCLUSIONS: If possible, surgical treatment of more complex lesions should be delayed until the 2nd or 3rd week following traumatic injury. With antibiotic prophylaxis the risk that ascending meningitis will occur prior to surgery is low. If the patient is systemically stable and brain swelling has resolved, even extensive one-stage neurosurgical/maxillofacial procedures are well tolerated.

Adolescent↗

[Comparative and quantitative ultrastructural study of the olfactory organs of four strains of domestic pigeons].

1. By counting the axons per micron 2 on electronmicrographs of cross-sectioned olfactory nerves and multiplying this number by the area of the cross-sectioned nerves, the number of olfactory receptors was determined in 4 breeds of domestic pigeons including homing pigeons. 2. The total number of olfactory receptors varied between 3.0 and 7.4 . 10(6). It significantly depended on the body size of the pigeons. There was no evidence for differences in the number of olfactory receptors between the breeds independent of body size. 3. No differences in the relative size of the olfactory bulbs could be detected between the breeds. 4. The ultrastructure of the olfactory epithelium was basically similar to that of other birds. The covering mucus layer was revealed to be a secretion product of both the olfactory glands of Bowman and the olfactory supporting cells. No differences were observed in the ultrastructure of the olfactory region between the four breeds investigated.

Animals↗

Posttraumatic olfactory dysfunction: MR and clinical evaluation.

PURPOSE: To evaluate the sites of injury in patients with posttraumatic olfactory deficits and to compare damage with findings on clinical olfactory tests. METHODS: Twenty-five patients with posttraumatic olfactory dysfunction were examined by means of olfactory testing, endoscopy, and MR imaging. MR surface-coil scans through the olfactory bulbs and tracts and head-coil scans of the temporal lobes were evaluated. Quantitative and qualitative gradings of damage to the olfactory bulbs, tracts, subfrontal region, hippocampus, and temporal lobes were compared with results on tests of odor identification, detection, memory, and discrimination. RESULTS: Twelve patients were anosmic, eight had severe impairment, and five were mildly impaired. Injuries to the olfactory bulbs and tracts (88% of patients), subfrontal region (60%), and temporal lobes (32%) were found, but these did not correlate well with individual olfactory test scores. Volumetric analysis showed that patients without smell function had greater volume loss in olfactory bulbs and tracts than did those posttraumatic patients who retained some sense of smell. Qualitative and quantitative assessments of damage showed few significant correlations with olfactory tests, probably because of multifocal injuries, primary olfactory nerve damage, and the constraints of a small sample size on the detection of clinically significant differences. CONCLUSION: MR imaging shows abnormalities in patients with posttraumatic olfactory dysfunction at a very high rate (88%), predominantly in the olfactory bulbs and tracts and the inferior frontal lobes.

Adolescent↗