In total, 8 rebleedings

occurred in 5 patients during a median of 0.4 years. Three patients with a cavernoma of the fourth ventricle presented with a cranial nerve deficit. In 8 cases, a cavernoma was surgically treated an average of 1.3 years after the diagnosis. Only I patient DZNeP underwent surgery in the acute phase after a major intraventricular/intracerebral hemorrhage. The median follow-up time was 2 years. No patient was lost to follow-up, and no patient died. In total, on follow-up 9 patients improved and 3 had a persistent neurological deficit, of which 2 existed before surgery.\n\nConclusions. In the present series, the IVCs had a high tendency for rehemorrhage. Surgery is advocated when hemorrhages are frequent, and the mass effect causes progressive neurological deficits. Microsurgical removal of the IVC is safe, but in the fourth ventricle it can carry increased risk for cranial nerve deficits. (DOI: 10.3171/2009.3.JNS081693)”
“We present an add-on to BLAST and PSI-BLAST programs to reorder their hits using pairwise statistical significance. Using position-specific substitution matrices to estimate pairwise statistical significance has been recently shown to give promising results in terms of retrieval see more accuracy, which motivates its use to refine PSI-BLAST results, since PSI-BLAST

also constructs a position-specific substitution matrix for the query sequence during the search. The obvious advantage of the approach is more accurate estimates of statistical significance because of pairwise statistical significance, along with the advantage of BLAST/PSI-BLAST in terms of speed.”
“Objective: To identify clinical and magnetic resonance imaging (MRI) features that distinguish progressive multifocal selleck chemicals leukoencephalopathy

(PML) from relapsing-remitting multiple sclerosis (RRMS).\n\nDesign: Retrospective medical record review.\n\nSetting: Two urban teaching hospitals in Detroit, Michigan.\n\nPatients: Forty-five confirmed PML cases and 100 patients with RRMS.\n\nMain Outcome Measures: Clinical and MRI features distinguishing PML from RRMS.\n\nResults: Overall, monosymptomatic presentations were more common in multiple sclerosis (MS) than PML (85% vs 47%; P<.01). However, patients with PML presented more often with hemiparesis (24% vs 5%; P=.001) and altered mentation (19% vs 0%; P<.0001), whereas brainstem (2% vs 18%; P=.007) presentations were more common in patients with RRMS. Spinal cord and optic neuritis presentations were seen in 18% and 33% of patients with RRMS, respectively, but not in patients with PML (P<.0001). Brain MRI scans, available in 35 (78%) PML cases, revealed 7 lesion types. Large, confluent T2-weighted lesions (74% vs 2%; P<.0001) and deep gray matter lesions (31% vs 7%; P<.001) were more frequent in patients with PML than patients with RRMS. Crescentic cerebellar lesions (23% vs 0%; P<.001) were seen only in patients with PML.