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Anterior (atypical) callosal absence due to cortical dysplasia and schizencephaly.

The corpus callosum develops from anterior to posterior, starting at the commissural plate of the lamina terminalis. We report a patient with cortical dysplasia and schizencephaly, which apparently interfered with the normal callosal development before 20 gestational weeks. The result was an atypical callosal dysgenesis in which the anterior parts (including anterior body, genu and rostrum) were absent while the remaining parts were developed. This finding suggests that the commissural plate may not be the only region where the corpus callosum starts to develop in some congenital brain malformations.

Adult↗

The impact of callosities on the magnitude and duration of plantar pressure in patients with diabetes mellitus. A callus may cause 18,600 kilograms of excess plantar pressure per day.

BACKGROUND: The importance of high peak plantar pressure (PP) in the development of foot ulcer is well known. However, few studies have analyzed the real impact of callosities on plantar pressure and ulcer formation. METHODS: The plantar pressure (PP) in patients with diabetes mellitus was studied in three groups, of a total number of 33 type 2 diabetic patients, without neuropathy or peripheral vascular disease: subjects with callus (A) (n = 10), subjects without callus (B) (n = 10), and a separate group of patients with callus which was submitted to callus removal (C) (n = 13). The plantar pressure (PP) parameters were measured by FSR 174 sensors and computer analyses were performed by LabView. RESULTS: Both maximum peak PP and duration of PP are significantly higher in patients with callus (peak PP: 314 +/- 52 kPa vs 128 +/- 16 kPa, p < 0.005; duration of PP: 621 +/- 27 ms vs 505 +/- 27 ms, p < 0.05). The intervention group C before and after callus removal showed an identical trend. Callus removal has decreased the peak PP by 58% (p < 0.001) and duration of PP has been decreased by 150 milliseconds by step (p < 0.05). CONCLUSION: This study has shown the deleterious role of callus and assuming that an average person walks about 10,000 steps a day, a callus may cause 18,600 kg of excess plantar pressure per day. In addition, this study has proven the importance of early and regular removal of hyperkeratotic tissue. Even more aggressive removal could be recommended in patients with neuropathy and peripheral vascular disease.

Adult↗

[How I treat....corns and callosities].

Corns and callosities are the expression of a peculiar aspect of mecanobiology of the foot. They are more frequent with ageing, particularly in women. These lesions represent a risk factor for the diabetic foot. Prevention measures are important to follow in predisposed individuals. Several medicinal and non medicinal treatments have proven their efficacy.

Callosities↗

Crossed-leg callosities.

We report five patients in whom localised callosities were found on the dorsum of the feet. This was bilateral in four cases and was due to repetitive minor trauma associated with the sitting posture adopted by the patients. Three of the patients also had psoriasis vulgaris which was clinically dissimilar to the lesions we describe.

Adult↗

Hereditary painful callosities.

An autosomal dominant genodermatosis that is characterized by painful callosities develops over pressure points. Histologically, these lesions are similar to epidermal nevi.

Adolescent↗

Callosal atrophy parallels decreased cortical oxygen metabolism and neuropsychological impairment in Alzheimer's disease.

OBJECTIVE: To evaluate the relationship of corpus callosum atrophy to cerebral cortical oxygen metabolism and cognitive function in patients with Alzheimer's disease. DESIGN: Prospective clinicoradiologic correlation with magnetic resonance imaging and positron emission tomography. SETTING: A university hospital. PATIENTS, PARTICIPANTS: Ten right-handed male patients with Alzheimer's disease, aged 46 to 70 years (mean +/- SD 57 +/- 6 years), and 14 age- and sex-matched right-handed control subjects. MAIN OUTCOME MEASURES: The midsagittal corpus callosum areas (on T1-weighted magnetic resonance images), cerebral metabolic rate of oxygen (measured with positron emission tomography using the oxygen-15 steady-state technique), and the IQs of the Wechsler Adult Intelligence Scale. RESULTS: Compared with control subjects, the patients had significantly decreased callosal areas with a posterior predominance of the degree of atrophy. The area of anterior and posterior halves of the corpus callosum had a significant correlation with the value of oxygen metabolism in the frontal and parietotemporo-occipital association cortices, respectively. The total area of the corpus callosum was significantly related to the total and verbal IQs of the Wechsler Adult Intelligence Scale. CONCLUSION: Atrophy of corpus callosum reflects the severity and pattern of cortical damage associated with hypometabolism and cognitive impairment in Alzheimer's disease.

Aged↗

Callosal defect, microcephaly, severe mental retardation, and other anomalies in three sibs.

This study concerns an apparently lethal and previously undescribed syndrome of hypoplastic corpus callosum, microcephaly, severe mental retardation, preauricular skin tag, camptodactyly, growth retardation, and recurrent bronchopneumonia. This combination of anomalies is probably inherited as an autosomal recessive trait. A brief literature review of the anomalies or syndromes associated with callosal defects is discussed.

Abnormalities, Multiple↗

Distribution and morphology of callosal commissural neurons within the motor cortex of normal and reeler mice.

Retrograde transport of horseradish peroxidase was used to examine the cells of origin of the callosal commissural fibers (CC neurons) in the primary motor cortex of normal and reeler mice. Quantitative analysis of the intracortical, laminar distribution, and dendritic orientation of CC neurons was performed in conjunction with qualitative observation of their morphology. For comparison, similar quantitative data were obtained for the cells of origin of the corticospinal tract (CST) of normal and reeler mice from materials described previously by Terashima et al. ('83). In the normal mouse, CC neurons are distributed in a bilaminar pattern such that the largest number of cells are located in supragranular layers II and III and in infragranular layer V. The majority of CC neurons are normal (upright) pyramids, although a few in the upper zone of layer VI are inverted pyramidal cells. In the reeler mutant, CC neurons are found in all cortical layers, but two-thirds are situated in the lower half of the cortex. On the basis of the celL shape and orientation of the apical dendrite, CC neurons of the reeler were classified into six morphological types: (1) typical pyramidal, (2) inverted pyramidal, (3) tumbled, (4) hook-shaped, (5) polymorphic, and (6) simple. The apical dendrites of the CC neurons in all layers of the cortex of the reeler mouse are randomly oriented; no direct relationship between the intracortical position of the soma and orientation of the apical dendrite was found. In contrast, CST neurons in the reeler mutant are concentrated in the outer third of the cortex, and there is a relationship between the laminar distribution of these cells and the alignment of their dendrites with respect to the pial surface: the apical dendrites of CST neurons lie in superficial layers tend to be oriented obliquely, whereas those of CST neurons in the deeper of cortex most often are oriented vertically, i.e, toward the pial surface. Quantitative analysis revealed that the relative intracortical positions of CC and CST neurons are reversed in the reeler mutant although both populations exhibited greater laminar disposition, and as a consequence, there is more intermingling of the two cell groups in the reeler than in the normal mouse. Thus, the present study suggests that the normal cytoarchitectonics of the primary motor cortex are inverted in the reeler mutant mouse.

Animals↗

Callosal and prefrontal associational projecting cell populations in area 7A of the macaque monkey: a study using retrogradely transported fluorescent dyes.

The spatial interrelationship of neurons in area 7a in the inferior parietal lobule that project through the corpus callosum to the corresponding field in the contralateral hemisphere or to the ipsilateral prefrontal cortex has been analyzed in macaque monkeys by using double-labeling procedures with retrogradely transported fluorescent dyes. The populations of callosal and associational projecting neurons have similar laminar distributions and are topographically intermingled. Less than 1% of the neurons were double-labeled, thus suggesting that the two populations are largely separate. Two-dimensional reconstructions of the distribution of labeled cells made on flattened reconstructions of the inferior parietal lobule revealed that the areal distribution of the two cortico-cortical output arrays is complex. Although each pattern of labeling showed some discontinuities in density, there was no obvious periodicity within or between the spatial distributions of the two projecting populations. It was consistently observed that the cortex of the lateral wall of the intraparietal sulcus, adjacent to area 7a, projects more heavily to the prefrontal cortex than does area 7a itself.

Animals↗

A callosal projection of area 17 upon the border region of area MT in the marmoset monkey, Callithrix jacchus.

Injections of the retrograde tracer HRP into the border region of the temporal visual area MT and adjoining cortex in Callithrix labeled pyramidal neurons in area 17 of the contralateral hemisphere. Evidence is presented that this newly discovered heterotopic callosal projection of the monkey striate cortex connects regions of representation of the zero vertical meridian of the visual field in a retinotopic order.

Animals↗

Individual differences in callosal efficiency: correlation with attention.

Previous studies of clinical populations and normal children have suggested that the efficiency of callosal transfer correlates with the ability to sustain attention. The purpose of the present study was to determine whether the same might be true for normal adults. Subjects were 42 right-handed adults. The efficiency of the transfer via the anterior callosum was assessed on a bimanual coordination task. The efficiency of the posterior callosum was measured on a tachistoscopic task that required subjects to compare two lines when both were presented either to the same visual field or to opposite visual fields. Sustained attention was measured on a vigilance task in which the time between target presentations (ISI) was varied. Performance on the bimanual task correlated with the ability to sustain attention over the entire 20 min of the vigilance task. The efficiency of the posterior callosum was related to the ability to detect targets that occurred after relatively long ISIs.

Adult↗

The bilateral effect: callosal inhibition or intrahemispheric competition?

The magnification of visual field asymmetry observed with bilateral compared to unilateral tachistoscopic presentation of homologous stimuli (bilateral effect) can be explained by two hypothetical processes: homologous activation with subsequent inhibition of callosal information transfer or intrahemispheric competition for processing resources. A lexical decision task with unilateral and bilateral stimulation and response with the right or left hand was used in an attempt to decide between these hypotheses. Analysis of response time data revealed a bilateral effect, superimposed on a right visual field advantage, and no interaction between visual field and response hand. Results are consistent with the hypothesis of intrahemispheric competition in the left hemisphere.

Adult↗

Embryonic neurons transplanted to regions of targeted photolytic cell death in adult mouse somatosensory cortex re-form specific callosal projections.

In the neocortex, the effectiveness of potential transplantation therapy for diseases involving neuronal loss may depend upon whether donor neurons can reestablish the precise long-distance projections that form the basis of sensory, motor, and cognitive function. During corticogenesis, the formation of these connections is affected by tropic factors, extracellular matrix, structural pathways, and developmental cell death. Previous studies demonstrated that embryonic neurons and multipotent neural precursors transplanted into neocortex or mice undergoing photolytically induced, synchronous, apoptotic neuronal degeneration selectively migrate into these regions, where they differentiate into pyramidal neurons and accept afferent synaptic input. The experiments presented here assess whether embryonic neurons transplanted into regions of somatosensory cortex undergoing targeted cell death differentiate further and develop long-distance axons and whether this outgrowth is target specific. Neocortical neurons from Gestational Day 17 mouse embryos were dissociated, prelabeled with fluorescent nanospheres and a lipophilic dye (DiI or PKH), and transplanted into adult mouse primary somatosensory cortex (S1) undergoing apoptotic degeneration of callosal projection neurons. Donor neurons selectively migrated into and differentiated within regions of targeted neuronal death in lamina II/III over a 2-week period, in agreement with our prior studies. To detect possible projections made by donor neurons 2, 4, 6, 8, or 10 weeks following transplantation, the retrogradely transported dye fluorogold (FG) was stereotaxically injected into contralateral S1, ipsilateral secondary somatosensory cortex (S2), or ipsilateral thalamus. Ten weeks following transplantation, 21 +/- 5% of the labeled donor neurons were labeled by FG injections into contralateral S1, demonstrating that donor neurons sent projections to the distant area, the original target of host neurons undergoing photolytically induced cell death. No donor neurons were labeled with FG injections into ipsilateral S2 or thalamus, nearby targets of other subpopulations of neurons in S1. These data indicate that in the adult neocortex: (1) transplanted immature neurons are capable of extending long-distance projections between hemispheres through the mature white matter of the corpus callosum and (2) these projections are formed with specificity to replace projections by neurons undergoing synchronous degeneration. These experiments provide an experimental system with which to test factors affecting such outgrowth and connectivity. Taken together, these results suggest that the reconstruction and repair of cortical circuitry responsible for sensory, motor, or cognitive function may be possible in the mature neocortex, if donor neurons or precursor cells are provided with the correct combination of local and distant signals within an appropriately permissive host environment.

Age Factors↗

The callosal projection in cat visual cortex as revealed by a combination of retrograde tracing and intracellular injection.

The neuronal composition of callosally projecting cells in cat visual cortex was determined with a combination of retrograde labelling and intracellular injection. Fluorescent tracers were stereotaxically injected into the proximity of the area 17/18 border, corresponding to the representation of the visual vertical meridian. In fixed slice preparations of homotopic regions of the contralateral hemisphere retrogradely labelled cells were filled with Lucifer Yellow. Of more than a hundred injected cells a morphological variety of pyramidal cells, located in cortical layers II-IV and VI, constituted the prevalent cell class in the contralateral projection. A minor proportion of spiny stellate cells was encountered in layer IV. Despite the presence of a contralaterally projecting smooth stellate cell, presumed to be a basket cell, it is concluded that the efferents to contralateral visual cortex predominantly arise from pyramidal and spiny stellate cells. Thus, in agreement with findings from anterograde degeneration studies, the interhemispheric pathway most likely conveys a direct excitatory input to postsynaptic target cells.

Animals↗

Supratentorial interhemispheric cysts associated with callosal agenesis: surgical treatment and outcome in 16 children.

Cerebrospinal-fluid-filled interhemispheric cysts associated with callosal agenesis are relatively rare lesions, and have been subject to a varied and confusing terminology. From a pragmatic surgical point of view, we believe that the dorsal III ventricular cyst [35] and the giant interhemispheric cyst [23], although of different embryological origin, can be classified as one group. The most important condition that must be distinguished from interhemispheric cysts is the alobar form of holoprosencephaly. We describe the clinical symptomatology in 16 children who were surgically treated with a cysto-peritoneal shunt. The outcome, both neurologically and developmentally, was good in the large majority of cases, and compared favorably to similar cases in the older literature. It therefore seems reasonable, at the present state of knowledge and until further studies clarify the origin and natural history of these cysts, to treat them as early as possible in order to prevent gross developmental deficits.

Agenesis of Corpus Callosum↗

The callosal-septal interface lesion in multiple sclerosis: effect of sequence and imaging plane.

We examined the effect of imaging plane and sequence on the demonstration of lesions at the callosal-septal interface (CSI) by magnetic resonance imaging in 20 patients with known multiple sclerosis. Variable-echo-(VE) T2- and proton density (PD) weighted images were performed in coronal axial and sagittal planes. Sagittal gradient echo (GE) T2- and PD-weighted images were also performed. Lesions at the CSI were seen in all patients and were all demonstrated on both sagittal and coronal VE images. Sagittal PD-weighted GE images were slightly less sensitive but showed good overall agreement with sagittal VE. Axial VE and sagittal T2-weighted GE images demonstrated CSI lesions poorly.

Adult↗