Analyze Diet

Journal of veterinary emergency and critical care

Periodical
Internal Medicine
Veterinary Medicine
Emergencies
Emergency Treatment
Publisher:
Veterinary Emergency & Critical Care Society,. Malden, MA : Blackwell (2005)
Frequency: Quarterly
Country: United States
Language: English
Author(s):
Veterinary Emergency & Critical Care Society., American College of Veterinary Emergency and Critical Care.
Start Year:2001 -
ISSN:
1479-3261 (Print)
1476-4431 (Electronic)
1476-4431 (Linking)
Impact Factor
2.6
2023
NLM ID:1011528048708660
(OCoLC):47104087
LCCN:2001220140
Classification:W1 JO97NT
Symmetric dimethylarginine and creatinine concentrations in serum of healthy draft horses.
Journal of veterinary internal medicine    February 5, 2021   Volume 35, Issue 2 1147-1154 doi: 10.1111/jvim.16042
Schott HC, Gallant LR, Coyne M, Murphy R, Cross J, Strong-Townsend M, Szlosek D, Yerramilli M, Li J.Symmetric dimethylarginine (SDMA) is considered a more sensitive indirect estimate of glomerular filtration rate (GFR) than creatinine (Cr). Symmetric dimethylarginine is not affected by sex or muscle mass in small animals. Objective: To validate a commercial SDMA immunoassay (IA) for equine serum; to compare SDMA and Cr in cohorts of draft horse breeds; and to assess effects of age, sex, and breed. Methods: One hundred and sixty-five healthy draft horses (0.5-16 years), including 63 Percherons, 52 Clydesdales, and 50 Belgians. Methods: Cross-sectional study. The SDMA IA was validated for eq...
Diagnostic potential of three serum microRNAs as biomarkers for equine sarcoid disease in horses and donkeys.
Journal of veterinary internal medicine    January 7, 2021   Volume 35, Issue 1 610-619 doi: 10.1111/jvim.16027
Unger L, Abril C, Gerber V, Jagannathan V, Koch C, Hamza E.MicroRNAs (miRNAs) are potential biomarkers for equine sarcoids (ES). Objective: To assess eca-miR-331, eca-miR-100, and eca-miR-1 as serum biomarkers for ES disease. Methods: Sixty-eight ES cases (56 horses, 12 donkeys), 69 tumor-free controls (60 horses, 9 donkeys), and 20 horses with other skin tumors. Methods: For this case-control study, expression of serum eca-miR-331, eca-miR-100, and eca-miR-1 in ES-affected equids was compared to tumor-free age-, sex-, and breed-matched control horses and donkeys with other skin tumors using reverse transcription quantitative PCR (polymerase chain rea...
Glucagon, insulin, adrenocorticotropic hormone, and cortisol in response to carbohydrates and fasting in healthy neonatal foals.
Journal of veterinary internal medicine    January 7, 2021   Volume 35, Issue 1 550-559 doi: 10.1111/jvim.16024
Kinsella HM, Hostnik LD, Rings LM, Swink JM, Burns TA, Toribio RE.The endocrine pancreas and hypothalamic-pituitary-adrenal axis (HPAA) are central to energy homeostasis, but information on their dynamics in response to energy challenges in healthy newborn foals is lacking. Objective: To evaluate glucagon, insulin, ACTH, and cortisol response to fasting and carbohydrate administration in healthy foals. Methods: Twenty-two healthy Standardbred foals ≤4 days of age. Methods: Foals were assigned to fasted (n = 6), IV glucose (IVGT; n = 5), PO glucose (OGT; n = 5), and PO lactose (OLT; n = 6) test groups. Blood samples were collected frequently for 210 min...
Clinical implications of using adrenocorticotropic hormone diagnostic cutoffs or reference intervals to diagnose pituitary pars intermedia dysfunction in mature horses.
Journal of veterinary internal medicine    December 24, 2020   Volume 35, Issue 1 560-570 doi: 10.1111/jvim.16017
Horn R, Stewart AJ, Jackson KV, Dryburgh EL, Medina-Torres CE, Bertin FR.Diagnosis of pituitary pars intermedia dysfunction (PPID) is problematic because of large variations in ACTH concentrations. Objective: Compare the test characteristics of baseline and post-thyrotropin-releasing hormone (TRH) stimulation plasma ACTH concentrations in horses using diagnostic cutoff values (DCOVs) and reference intervals (RIs) and determine the clinical consequences of using each method. Methods: One hundred six mature horses: 72 control cases and 34 PPID cases. Methods: Prospective case-controlled study. Horses underwent monthly TRH stimulation tests. Diagnostic cutoff values w...
Pharmacokinetic and pharmacodynamic effects of 2 registered omeprazole preparations and varying dose rates in horses.
Journal of veterinary internal medicine    December 19, 2020   Volume 35, Issue 1 620-631 doi: 10.1111/jvim.15971
Wise JC, Hughes KJ, Edwards S, Jacobson GA, Narkowicz CK, Raidal SL.Omeprazole preparations vary in bioavailability in horses. Objective: To characterize the pharmacokinetics and pharmacodynamics of an existing enteric-coated oral omeprazole paste (REF) and a novel, in-feed, enteric-coated dry granule preparation (NOV). Methods: Twelve Standardbred/Thoroughbred mares free from clinical disease. Methods: A prospective, blinded randomized interventional study was trial, conducted in 3 parts: (a) bioavailability study, (b) dose titration study, and (c) comparative clinical pharmacodynamic study, each using a blocked crossover design. Results: Consistent with the ...
12th Annual European College of Equine Internal Medicine Congress.
Journal of veterinary internal medicine    December 18, 2020   Volume 35, Issue 1 666-683 doi: 10.1111/jvim.15994
No abstract available
Detection of maple toxins in mare’s milk.
Journal of veterinary internal medicine    December 18, 2020   Volume 35, Issue 1 606-609 doi: 10.1111/jvim.16004
Sander J, Terhardt M, Janzen N.Plants from the Sapindaceae family that are consumed by horses (maple) and humans (ackee and litchi) are known to contain the toxins hypoglycin A and methylenecyclopropylglycine which cause seasonally occurring myopathy in horses and entero-encephalopathic sickness in humans. Vertical transmission of these toxins from a mare to her foal has been described once. However the mare's milk was not available for analysis in this case. We investigated mare's milk in a similar case. Objective: We hypothesized that hypoglycin A and methylenecyclopropylglycine, like other amino acids' are secreted into ...
Opsonization but not pretreatment of equine macrophages with hyperimmune plasma nonspecifically enhances phagocytosis and intracellular killing of Rhodococcus equi.
Journal of veterinary internal medicine    December 16, 2020   Volume 35, Issue 1 590-596 doi: 10.1111/jvim.16002
Harvey AB, Bordin AI, Rocha JN, Bray JM, Cohen ND.Evidence regarding the efficacy of equine hyperimmune plasma to prevent pneumonia in foals caused by Rhodococcus equi is limited and conflicting. Objective: Opsonization with R. equi-specific hyperimmune plasma (HIP) will significantly increase phagocytosis and decrease intracellular replication of R. equi by alveolar macrophages (AMs) compared to normal plasma (NP). Methods: Fifteen adult Quarter Horses were used to collect bronchoalveolar lavage cells. Methods: In the first experiment, AMs from 9 horses were pretreated (incubated) with either HIP, NP, or media only (control) and then infecte...
Interobserver and intraobserver reliability for 2 grading systems for gastric ulcer syndrome in horses.
Journal of veterinary internal medicine    December 7, 2020   Volume 35, Issue 1 571-579 doi: 10.1111/jvim.15987
Wise JC, Wilkes EJA, Raidal SL, Xie G, Crosby DE, Hale JN, Hughes KJ.Grading of equine gastric ulcer syndrome (EGUS) is undertaken in clinical and research settings, but the reliability of EGUS grading systems is poorly understood. Objective: Investigate interobserver and intraobserver reliability of an established ordinal grading system and a novel visual analog scale (VAS), and assess the influence of observer experience. Methods: Sixty deidentified gastroscopy videos. Methods: Six observers (3 specialists and 3 residents) graded videos using the EGUS Council (EGUC) system and VAS. Observers graded the videos three 3 for each system, using a cross-over design...
Dynamics of androgens in healthy and hospitalized newborn foals.
Journal of veterinary internal medicine    December 5, 2020   Volume 35, Issue 1 538-549 doi: 10.1111/jvim.15974
Swink JM, Rings LM, Snyder HA, McAuley RC, Burns TA, Dembek KA, Gilsenan WF, Browne N, Toribio RE.Information on steroids derived from the adrenal glands, gonads, or fetoplacental unit is minimal in newborn foals. Objective: To measure androgen concentrations in serum and determine their association with disease severity and outcome in hospitalized foals. Methods: Hospitalized (n = 145) and healthy (n = 80) foals. Methods: Prospective, multicenter, cross-sectional study. Foals of ≤3 days of age from 3 hospitals and horse farms were classified as healthy and hospitalized (septic, sick nonseptic, neonatal maladjustment syndrome [NMS]) based on physical exam, medical history, and laborato...
Metabolic changes induced by oral glucose tests in horses and their diagnostic use.
Journal of veterinary internal medicine    December 5, 2020   Volume 35, Issue 1 597-605 doi: 10.1111/jvim.15992
Delarocque J, Frers F, Feige K, Huber K, Jung K, Warnken T.Little is known about the implications of hyperinsulinemia on energy metabolism, and such knowledge might help understand the pathophysiology of insulin dysregulation. Objective: Describe differences in the metabolic response to an oral glucose test, depending on the magnitude of the insulin response. Methods: Twelve Icelandic horses in various metabolic states. Methods: Horses were subjected to 3 oral glucose tests (OGT; 0.5 g/kg body weight glucose). Basal, 120 and 180 minutes samples were analyzed using a combined liquid chromatography tandem mass spectrometry and flow injection analysis ...
Clinical and biochemical factors associated with survival in equids attacked by dogs: 28 cases (2008-2016).
Journal of veterinary internal medicine    December 4, 2020   Volume 35, Issue 1 532-537 doi: 10.1111/jvim.15979
Fielding CL, Mayer JR, Dechant JE, Epstein KL, Magdesian KG.Trauma from dog attacks has been associated with mortality rates as high as 23% in some species. However, the prognosis and clinical features of this type of injury have not been described in equids. Objective: To describe survival rate, signalment, clinical features, and biochemical results in equids presented for emergency care after presumed dog attacks. We hypothesized there would be differences between survivors and nonsurvivors. Methods: A total of 28 equids presented for presumed dog attacks from 3 referral centers. Methods: A retrospective study was performed using data from 3 hospital...
A novel approach for obtaining 12-lead electrocardiograms in horses.
Journal of veterinary internal medicine    December 4, 2020   Volume 35, Issue 1 521-531 doi: 10.1111/jvim.15980
Hesselkilde EM, Isaksen JL, Petersen BV, Carstensen H, Jespersen T, Pehrson S, Kanters JK, Buhl R.In equine medicine, 12-lead electrocardiograms (ECGs) rarely are used, which may in part be a result of shortcomings in the existing guidelines for obtaining 12-lead ECGs in horses. The guidelines recommend placing the limb leads on the extremities, which is inappropriate because the ventricular mean electrical axis is then perpendicular to the limb leads, leading to large variations in ECG configuration even among healthy horses. From an electrophysiological point of view, the leads instead should be parallel to the electrical axis to minimize variability. Objective: Develop an improved metho...
Echocardiographic assessment of left ventricular size and systolic function in Warmblood horses using linear measurements, area-based indices, and volume estimates: A retrospective database analysis.
Journal of veterinary internal medicine    November 28, 2020   Volume 35, Issue 1 504-520 doi: 10.1111/jvim.15968
Berthoud D, Schwarzwald CC.Echocardiographic assessment of left ventricular (LV) size and function using area-based indices and volumetric estimates is not well established in horses. Objective: To report reference intervals and measurement variability for uni-, 2-, and 3-dimensional echocardiographic indices of LV size and systolic function in Warmblood horses and to provide proof of concept for allometric scaling of variables to body weight. Unidimensional indices were to be compared to area-based indices and LV volume estimates to establish their clinical use. Methods: Thirty healthy Warmblood horses and 70 Warmblood...
Outcome of external beam radiotherapy for treatment of noncutaneous tumors of the head in horses: 32 cases (1999-2015).
Journal of veterinary internal medicine    November 9, 2020   Volume 34, Issue 6 2808-2816 doi: 10.1111/jvim.15954
Gillen A, Mudge M, Caldwell F, Munsterman A, Hanson R, Brawner W, Almond G, Green E, Stephens J, Walz J.The long-term outcomes of external beam radiotherapy for treatment of noncutaneous tumors of the head in horses is unknown. Objective: To report the long-term outcomes for treatment of noncutaneous tumors of the head of horses, and report short and long-term clinical adverse effects. Methods: Thirty-two horses treated in 2 referral hospitals. Methods: In this retrospective study, medical records of horses receiving radiation therapy for noncutaneous tumors between 1999 and 2015 were reviewed. Signalment, tumor type, treatment protocol, tumor control duration, and survival were recorded. Kaplan...
Letter regarding “Aortopulmonary fistula in a Warmblood mare associated with an aortic aneurysm and supravalvular aortic stenosis”.
Journal of veterinary internal medicine    November 7, 2020   Volume 34, Issue 6 2186 doi: 10.1111/jvim.15964
Guglielmini C, Poser H, Tursi M, Janus I.No abstract available
Reference values for 2-dimensional and M-mode echocardiography in Friesian and Warmblood horses.
Journal of veterinary internal medicine    October 24, 2020   Volume 34, Issue 6 2701-2709 doi: 10.1111/jvim.15938
Vernemmen I, Vera L, Van Steenkiste G, van Loon G, Decloedt A.Echocardiographic reference intervals for Friesian horses are poorly described. Objective: To obtain reference intervals for echocardiographic measurements in Friesians and compare these with Warmbloods. Methods: One hundred healthy adult Friesians and 100 healthy adult Warmblood horses. Methods: Cross-sectional study. Two-dimensional and M-mode echocardiographic images were obtained. Echocardiographic measurements, including size, area, and volumetric measurements of left atrium, left and right ventricle, aorta, and pulmonary artery, were performed. Measurements were compared between the 2 br...
Markers of long term silent carriers of Streptococcus equi ssp. equi in horses.
Journal of veterinary internal medicine    October 19, 2020   Volume 34, Issue 6 2751-2757 doi: 10.1111/jvim.15939
Pringle J, Venner M, Tscheschlok L, Waller AS, Riihimäki M.Difficulty in detection of silent carriers of Streptococcus equi is a key reason for its continued spread to immunologically naïve groups of horses. Objective: To determine whether clinical examination, markers of inflammation, or serology differentiate silent carriers of S. equi in recovered comingled horses. Methods: Ninety-eight warmblood yearlings and 72 unaffected mares on a large breeding farm (outbreak A), 38 mature Icelandic horses at a riding stable (outbreak B), and 27 mixed breed horses at a boarding stable (outbreak C). Methods: Prospective observational study 6 months to 2 year...
Effect of oral administration of omeprazole on the microbiota of the gastric glandular mucosa and feces of healthy horses.
Journal of veterinary internal medicine    October 16, 2020   Volume 34, Issue 6 2727-2737 doi: 10.1111/jvim.15937
Cerri S, Taminiau B, de Lusancay AH, Lecoq L, Amory H, Daube G, Cesarini C.Omeprazole administration is associated with changes in gastric and fecal microbiota and increased incidence of Clostridioides difficile enterocolitis in humans and dogs. Objective: Study purpose was to assess the effect of omeprazole on gastric glandular and fecal microbiota in healthy adult horses. Methods: Eight healthy horses stabled on straw and fed 100% haylage. Methods: Prospective controlled study. Transendoscopic gastric glandular biopsies, gastric fluid, and fecal samples were obtained from each horse twice at a 7-day interval before the administration of omeprazole. Samples were tak...
Factors associated with the risk of positive blood culture in neonatal foals presented to a referral center (2000-2014).
Journal of veterinary internal medicine    October 12, 2020   Volume 34, Issue 6 2738-2750 doi: 10.1111/jvim.15923
Furr M, McKenzie H.Bloodstream infections (BSI) are common in sick foals and increase foal morbidity and mortality when they occur. Recognition of risk factors for BSI could be an important means to limit their occurrence, but studies on this topic are limited. Objective: Historical as well as maternal and foal physical examination findings will predict risk of BSI in neonatal foals. Methods: Foals <14 days of age admitted to a referral equine hospital for care. Methods: Retrospective case-control study with univariate and multivariable logistic regression analysis. Results: Four hundred twenty-nine (143 cases...
Effects of administration of ascorbic acid and low-dose hydrocortisone after infusion of sublethal doses of lipopolysaccharide to horses.
Journal of veterinary internal medicine    October 7, 2020   Volume 34, Issue 6 2710-2718 doi: 10.1111/jvim.15896
Anderson MJ, Ibrahim AS, Cooper BR, Woolcock AD, Moore GE, Taylor SD.Sepsis is associated with ascorbic acid (AA) depletion and critical illness-related corticosteroid insufficiency (CIRCI) in humans. Objective: Intravenous infusion of lipopolysaccharide (LPS) would (a) decrease endogneous AA concentrations, (b) induce CIRCI and (c) administration of a combination of AA and hydrocortisone (HC) would have decreased indices of inflammation compared to either drug alone. Methods: Thirty-two healthy horses. Methods: Randomized placebo-controlled experimental trial. Horses were assigned to 1 of 4 groups (saline, AA and HC, AA only, or HC only). Treatments were admin...
Intragastric pH of foals admitted to the intensive care unit.
Journal of veterinary internal medicine    September 29, 2020   Volume 34, Issue 6 2719-2726 doi: 10.1111/jvim.15888
Wise JC, Raidal SL, Wilkes EJA, Hughes KJ.Intragastric pH profiles of neonatal foals admitted to the intensive care unit (ICU) remain poorly characterized. Objective: To determine intragastric pH profiles and clinical parameters associated with intragastric pH in foals admitted to the ICU. Methods: Forty-two neonatal foals admitted to the ICU and requiring placement of an indwelling nasogastric tube for nutritional management were included. Methods: Intragastric pH was measured for 24 hours from the time of admission. Mean pH, % time pH 4 were determined for each foal. History, clinical findings, and clinicopathological data recorde...
Agreement of 2 electrolyte analyzers for identifying electrolyte and acid-base disorders in sick horses.
Journal of veterinary internal medicine    September 23, 2020   Volume 34, Issue 6 2758-2766 doi: 10.1111/jvim.15889
Gomez DE, Buczinski S, Darby S, Palmisano M, Beatty SSK, Mackay RJ.Use of different analyzers to measure electrolytes in the same horse can lead to different interpretation of acid-base balance when using the simplified strong ion difference (sSID) approach. Objective: Investigate the level of agreement between 2 analyzers in determining electrolytes concentrations, sSID variables, and acid-base disorders in sick horses. Methods: One hundred twenty-four hospitalized horses. Methods: Retrospective study using paired samples. Electrolytes were measured using a Beckman Coulter AU480 Chemistry analyzer (PBMA) and a Nova Biomedical Stat Profile (WBGA), respectivel...
Aortopulmonary fistula in a Warmblood mare associated with an aortic aneurysm and supravalvular aortic stenosis.
Journal of veterinary internal medicine    September 14, 2020   Volume 34, Issue 5 2152-2157 doi: 10.1111/jvim.15893
Saey V, Decloedt A, Van Poucke M, Peelman L, van Loon G, Vanderperren K, Ducatelle R, Chiers K.This case report describes the clinical presentation, the necropsy findings, and genetic results of a 13-year-old Warmblood mare presented with colic and a bilaterally loud, holosystolic murmur. Echocardiographic examination revealed the presence of a thoracic aortic aneurysm, an aortic pseudoaneurysm, a periaortic hematoma (circumferential cuffing by perivascular hemorrhage), and aortopulmonary fistulation. A supravalvular aortic stenosis (SVAS) was visible during echocardiography. Necropsy confirmed that the thoracic aortic aneurysm had ruptured and connected to the pseudoaneurysm, which fis...
Sidewinder gait in horses.
Journal of veterinary internal medicine    August 21, 2020   Volume 34, Issue 5 2122-2131 doi: 10.1111/jvim.15870
Aleman M, Berryhill E, Woolard K, Easton-Jones CA, Kozikowski-Nicholas T, Dyson S, Kilcoyne I.Sidewinder gait in horses is poorly understood and characterized by walking with the trunk and pelvic limbs drifting to 1 side. Objective: To report causes, clinical and diagnostic features. Methods: Horses examined at 2 institutions. Methods: Retrospective study (2000-2019). Cases with sidewinder gait, neurological and orthopedic examination, and diagnostic work up or postmortem evaluation were included. Descriptive statistics were performed. Results: Twenty-four horses (mean age 18.9 years) of various breeds and both sexes were included. Onset was acute (N = 10), subacute (N = 6), and insi...
Computed tomographic cervical myelography in horses: Technique and findings in 51 clinical cases.
Journal of veterinary internal medicine    July 24, 2020   Volume 34, Issue 5 2142-2151 doi: 10.1111/jvim.15848
Gough SL, Anderson JDC, Dixon JJ.Three-dimensional computed tomographic (CT) evaluation of the cervical vertebral column enables more accurate identification of osseous and soft tissue lesions than traditional latero-lateral radiography. However, examination of the complete cervical vertebral column has been limited by horse size, preventing evaluation of the caudal cervical vertebrae. Objective: To describe a technique to enable CT myelography of the complete cervical spine and describe the findings in 51 horses. Methods: Records of 51 horses presented for evaluation of cervical vertebral lesions. Methods: A retrospective re...
Effect of the p38 MAPK inhibitor doramapimod on the systemic inflammatory response to intravenous lipopolysaccharide in horses.
Journal of veterinary internal medicine    July 23, 2020   Volume 34, Issue 5 2109-2116 doi: 10.1111/jvim.15847
Bauquier J, Tudor E, Bailey S.Doramapimod, a p38 MAPK inhibitor, is a potent anti-inflammatory drug that decreases inflammatory cytokine production in equine whole blood in vitro. It may have benefits for treating systemic inflammation in horses. Objective: To determine whether doramapimod is well tolerated when administered IV to horses, and whether it has anti-inflammatory effects in horses in a low-dose endotoxemia model. Methods: Six Standardbred horses. Methods: Tolerability study, followed by a blinded, randomized, placebo-controlled cross-over study. Horses were given doramapimod, and clinical and clinicopathologica...
Influence of specific management practices on blood selenium, vitamin E, and beta-carotene concentrations in horses and risk of nutritional deficiency.
Journal of veterinary internal medicine    July 20, 2020   Volume 34, Issue 5 2132-2141 doi: 10.1111/jvim.15862
Pitel MO, McKenzie EC, Johns JL, Stuart RL.Selenium or alpha-tocopherol deficiency can cause neuromuscular disease. Beta-carotene has limited documentation in horses. Objective: To evaluate the effect of owner practices on plasma beta-carotene concentration and risk of selenium and alpha-tocopherol deficiencies. Methods: Three-hundred and forty-nine adult (≥1 year), university and privately owned horses and mules. Methods: Cross-sectional study. Whole blood selenium, plasma alpha-tocopherol, and plasma beta-carotene concentrations were measured once. Estimates of daily selenium and vitamin E intake, pasture access, and exercise loa...
Stall-side screening potential of a smartphone electrocardiogram recorded over both sides of the thorax in horses.
Journal of veterinary internal medicine    July 8, 2020   Volume 34, Issue 5 2101-2108 doi: 10.1111/jvim.15795
Corradini I, Fernández-Ruiz A, Barba M, Engel-Manchado J.Comparisons between smartphone ECG (SpECG) recordings obtained from the right and left sides of the thorax have not been reported in animals. Objective: To evaluate the screening potential of a SpECG obtained from both sides of the thorax and to compare the degree of agreement between the SpECG and a reference ECG (rECG) for measurement of the duration of baseline electrical deflections recorded over both sides of the thorax. Methods: Fifty horses admitted to the equine hospital, university-owned horses, and horses from an endurance riding facility. Methods: Prospective observational study. Si...
The effect of prior thecal puncture on cerebrospinal fluid analytes in normal adult horses.
Journal of veterinary internal medicine    July 2, 2020   Volume 34, Issue 5 2117-2121 doi: 10.1111/jvim.15842
Chidlow H, Giguère S, Camus M, Wells B, Berghaus R, McConachie Beasley E.Serial cerebrospinal fluid (CSF) analysis might be required in clinical neurologic disease. The effect of lumbosacral (LS) or cervical (C1-C2) centesis on subsequent CSF cytologic analyses has not been investigated in horses. Objective: To evaluate the effect of thecal puncture on subsequent CSF analyses ANIMALS: Ten healthy adult horses. Methods: Prospective study. Horses were randomly assigned to undergo CSF collection twice, 14 days apart, from either the C1-C2 or LS space. After a 4-month washout period, CSF collection was repeated from the alternate site. Continuous data were analyzed u...
1 7 8 9 10 11 38