Search or add a thesis

Advanced Search (Beta)
Home > Magnetic Resonance Imaging Mri in Characterization of Multiple Sclerosis Ms Plaques in Determining Their Impact on Cognitive Functions

Magnetic Resonance Imaging Mri in Characterization of Multiple Sclerosis Ms Plaques in Determining Their Impact on Cognitive Functions

Thesis Info

Access Option

External Link

Author

Zaidi, Nasir Raza

Program

PhD

Institute

King Edward Medical University

City

Lahore

Province

Punjab

Country

Pakistan

Thesis Completing Year

2016

Thesis Completion Status

Completed

Subject

Diagnostic Radiology

Language

English

Link

http://prr.hec.gov.pk/jspui/bitstream/123456789/13433/1/Nasir_Raza_Zaidi_Diagnostic_Radiology_HSR_2016_King_Edward_Medical_University.pdf

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676724848007

Similar


BACKGROUND Multiple Sclerosis (MS) is also known as encephalomyelitis disseminate, is a white matter disease of brain and spinal cord. It has an extremely variable clinical course and relapsing remission in nature. MS onset usually occurs in young adults females. MS can present with any neurological symptoms or signs, involving motor and sensory systems. The diagnosis of MS in Asian population, particularly in Pakistan, is still debatable. Different techniques including history and clinical examination are initial investigations but the advancement of MRI techniques has revolutionized the early detection and treatment of MS considering its type and the course of the disease. OBJECTIVES The object of this study is to characterize MS lesions, particularly in temporal lobes and its impact on cognitive impairment. MATERIALS AND METHODS This study was conducted in the Radiology Department of King Edward Medical University/Mayo Hospital, Lahore after approval from ethical committee. Patients from all affiliated departments of Neurology & Medicine in the Lahore city Hospitals, encatchment areas where MRI facilities were available in the hospitals in the Punjab province were analyzed. All collected data was analyzed by SPSS version 17. RESULTS: The minimum age was 18 years while maximum age was 65 years with mean age of 43.07 ± 13.88 years. It was more common in females (57 %) as compared to males. MS is associated with different factors including smoking (19%), Alcohol-intake (2%) and Viral Infections (8%). Clinically are most of the patients present with weakness and numbness (53%) and (69%) respectively. However another significant presentation is blurring of vision i.e. about 48%. MS plaque is predominantly supratentorial region of brain (97%) however infratentorial entity is also present (16%). It can involve deep white matter, periventricular and juxtacortical region of temporal lobe and more frequent in periventricular(96%) and deep white matter(95%) and they are detected efficiently on T2WI and flair sequences. Musculoskeletal and vision disturbance is strongly associated with MS plaques. CONCLUSION: MS is disease of young to middle age predominantly in females causing musculoskeletal and sensory neural complications diagnose efficiently on T2WI and flair MR sequences.
Loading...
Loading...

Similar Books

Loading...

Similar Chapters

Loading...

Similar News

Loading...

Similar Articles

Loading...

Similar Article Headings

Loading...

آغا وفا ابدالی

آغا وفا ابدالی
آغا وفا ابدالی (۱۹۲۹ئ۔۱۹۹۸ئ) کا اصل نام آغا ابو الحیات خان ابدالی تھا۔ آپ پٹنہ (عظیم آباد) کے ایک علمی گھرانے میں پیدا ہوئے۔ آغا وفا ابدالی نے نواب سراج دین خان سائل دہلوی(جو داغ ؔدہلوی کے داماد تھے) کے آگے زانوئے تلمذ طے کیا۔(۷۶۵) قیام پاکستان سے پہلے آپ کلکتہ سے شائع ہونے والے ہفت روزہ ’’چونچ‘‘ کی مجلسِ ادارت میں شامل تھے۔ آپ ہندوستان میں دہلی کے روزنامہ ’’وحدت‘‘ اور ’’انصاری‘‘ میں بھی فکاہیہ کالم لکھتے رہے۔ قیام پاکستان کے بعد آغا وفا ابدالی نے پسرور میں مستقل سکونت اختیار کی۔ آپ روزنامہ ’’روشنی‘‘،’’کراچی‘‘،روزنامہ ’’انجام‘‘ کراچی ’’نوائے وقت ‘‘،لاہور ،’’کوہستان ‘‘،لاہور اور ’’سفینہ‘‘ لاہور سے بھی منسلک ہوئے اور ان میں کالم لکھتے رہے۔آپ نے پسرور سے شائع ہونے والے ہفت روزہ ’’نوائے پسرور ‘ ‘ کی بھی ادارت سنبھالی ۔(۷۶۶)
’’غبار دل‘‘ آغا وفا کا پہلا شعری مجموعہ ہے جس کی پہلی اشاعت ۱۹۹۳ء میں پرفیکٹا پبلشرز لاہورسے ہوئی۔ اس میں قطعات کی تعداد ۲۵۲ ،۳ غزلیں اور ۴ نظمیں شامل ہیں۔ ’’شرار دل‘‘ دوسرا شعری مجموعہ ہے۔ جسے ادبی سبھا پسرور نے ۱۹۹۴ء کو شائع کیا۔ اس میں قطعات کی تعداد ۱۷۲ ،۲ نظمیں اور ۱۲ غزلیں شامل ہیں۔ ’’بہار دل‘‘ آغا وفا کا تیسرا شعری مجموعہ ہے جسے ادبی سبھا پسرور نے ۱۹۹۸ء میں شائع کیا۔ اس میں ۳۲ قطعات ،۹ غزلیں اور ۲۷ متفرق اشعار شامل ہیں۔
آغا وفا ابدالی بیسویں صدی کا ایک ایسا شاعر ہے جس کی شاعری پاکستان کی آپ بیتی معلوم ہوتی ہے۔ آغا وفا طنز و مزاح کے ساتھ ساتھ اپنے عہد کی بربادی پر خون کے آنسو بہاتا ہوا دکھائی دیتاہے۔ ان کی شاعری کا غالب حصہ قطعات پر مشتمل ہے۔
ہندوستان میں عہد غلامی کی دہکتی داستاں آغا وفا ابدالی کے سامنے تھی ۔جس کے سامنے بھیانک مناظر کو آغا وفا...

علم مختلف الحدیث پر امام شافعی کے تفکرات کا تحقیقی مطالعہ

After the era of Prophet Muhammad (S.A.W), there were dissimilarities in interpretations of contradictive revelations by Muhammad (S.A.W) thereby questioning their authentication while being considered a basic source of extracting the Sharia acts. In this context, Imam Shāfʿī studies all the dissimilarities and contradictions and devised finest principles which performed very positive role in rationalizing the conflicting Ahadiths. He was first to discuss these matters in an innovative manner. It is therefore, essential for investigator to refer to Shāfʿīs principles to rationalize any Hadith lying under contradiction. Imam Shāfʿī stated that Hadith is not itself contradicting but its apparent meaning leads the investigator into misconception. Consequently, he has stated three methods to remove this conflict. First is the combination (جمع) which recommends working on both Ahadiths at the same time rather than leaving either of them. Second is the abrogation (تنسیخ) which requires extensive knowledge of Quran and History before inferring the final decision of Muhammad (S.A.W) and scholars widely recommend Imam Shāfiʿī in recognizing abrogated Ahadiths. Third is preference (ترجيح) which is based upon peripheral attributes.

Study of Genetic Variants for Inherited Ocular Disorders in Sindhi Inbred Pedigrees

The inherited ocular disorders are the leading cause of vision impairment, eye degeneration, and dysfunction worldwide. The most of the ocular diseases are inherited as autosomal recessive traits and are in populations where endogamous marriages are common. Identification of disease causing gene and pathogenic variants are of great importance for screening of carriers and management of the disease, moreover, it is fundamental to understand the underlying mechanisms of diseases and thus pave the path for successful therapeutic approaches to cure the disease. This study was aimed to find genetic and molecular basis of enrolled consanguineous pedigrees affected with inherited ocular disorders. Fifty four consanguineous families affected with oculo cutaneous albinism, Retinitis pigmentosa and congenital glaucoma were enrolled from various areas of Sindh province. Detailed family history was recorded and pedigrees were drawn. Genomic DNA was extracted from whole blood for genetic studies. Homozygosity mapping was performed for the most common loci and genes. Frequent mutations were screened through ARMS assays. The disease causing and candidate genes were Sanger sequenced. The whole exome sequencing was carried out on selected unlinked families, data were analyzed and desired variants were filtered out. In-slico bioinformatics tools were used to access the pathogenicity of the novel variants and protein structures were modeled to compare wild and mutant proteins. Disease causing genes were identified in twenty eight families, whereas twenty six families were remained unresolved. Mutations in three genes OCA2, TYR and MC1R, associated with albinism, were found in 14 (14/19) families. Four novel variants c.1056A>C, p.Arg352Ser, c.1322A>G, p.Asp441Gly, c.987C>AGA, p.Gln339Aspfs*2, c.1951 +4A>G were found in OCA2 gene including three reported variants. One novel c.1037 -18 T>G and three reported variants were found in TYR gene, whereas one reported variant was found in the MC1R gene. Moreover 10 families with congenital glaucoma were screened. Four PCG causing mutation were found in CYP1B1 gene, including 1 novel allele, c.1048 C>A, p.Pro350Thr and three known, variants. c.1572G>A, p.Arg390His was remained the frequent PCG causing mutation in CYP1B1 gene. Twenty five families affected with non-syndromic RP and 6 with syndromic RP were analyzed. Five disease causing variants were found in Bardet Biedl Syndrome associated genes in 6 10 syndromic RP families. One novel nonsense variant was detected in c.223C>T, p.Arg75*, in BBS9 gene and four reported variants in MKKS ,BBS1 and BBS2 . Homozygosity mapping was done for common RP loci in the nineteen families with non-syndromic retinitis pigmentosa and were found unlinked. Two families were selected for the whole exome sequencing, and two different candidate genes were identified in each. The pathogenic variant 1708C>G, p.Arg570Gly in MARK3 was found responsible for low eye vision and phthisis phenotype in the VI-12 family. The functional studies of MARK3 gene on animal model support the findings in humans. The second family LURP-33 revealed the pathogenic variant, c.75C>A, p.Asp25Glu in novel chloride like gene, CLCC1, segregated in five affected individuals. The Cl channels play important function in the retinal structure in mice and its dysfunction leads to cause retinal degeneration. In-slico functional studies indicate the pathogenic nature of the CLCC1 variant; however, detailed study of CLCC1 knock out animals may further help to understand its function and role in causing RP. In the present study, OCA2 37% (7/19) was the frequently mutated gene causing OCA in Sindhi population followed by TYR mutations 31% (6/19). CYP1B1 was the most common gene causing PCG with a recurrent mutation, p.R390H in patients having different ethnic groups. Furthermore, Retinitis pigmentosa showed genetic heterogeneity as compared to other disorders studied here. Just MKKS gene mutation was found twice in two families with BBS, whereas, 68% (17/25) RP families were remained unlinked to common RP genes. Identification of two novel candidate gene in Sindhi consanguineous pedigrees causing RP and phthisis indicate genetic heterogeneity and may help to explore novel mechanisms of normal vision and pathophysiology of the phenotype caused by the mutation in MARK3 and CLCC1 genes. The findings may help to provide genetic counseling to affected families and may facilitate to develop cost effective, rapid diagnostic procedures for carrier screening for common mutations.