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MRI demonstrated an aberrant loop of the right superior cerebellar artery which was compressing the trigeminal nerve, but surgery was not considered an option due to thrombocytopenia.
In majority of TN cases the trigeminal nerve root entry zone has been found to be compressed by an aberrant loop of artery or vein, which ultimately leads to demyelination of the trigeminal nerve [3].
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A few of them possessed non-Watson-Crick matches, aberrant loops, or even extremely short arms.
Microvascular decompression of the trigeminal nerve in medically intractable SUNCT and SUNA in patients that demonstrate aberrant arterial loop imprint could be effective [10].
All our patients had aberrant vascular loops around ipsilateral trigeminal nerve.
The possible contribution of aberrant R-loops to pathological conditions is also discussed.
Table 1 Similar clinical features of SUNCT and first division TN SUNCT TN Age at onset (mean) 48 [2], 50 [8] 57 [4], 64 [9] Length of attacks (s) 5 240 [1] 2 32 [9] Autonomic symptoms 100 [2] 42 [4] Cutaneous triggers 79 [2] 94 [4] Nocturnal attacks 57 [8], 47 [2] 50 [4] Aberrant vascular loops 7 [2], 88 [3] 47 90* [2, 10] References in brackets * Literature data for all trigeminal divisions.
There are no clear-cut characterizing differences in age of start, duration of attacks, diurnal variation (presence also in the night), autonomic symptoms, cutaneous triggers, treatment response, presence of aberrant vascular loops potentially irritating the trigeminal nerve (Table 1) [2 4, 8, 9].
This kind of aberrant anticodon loops have also been reported for the two-humped camel Camelus bactrianus ferus (trnS2) [ 58] and the scorpion Mesobuthus gibbosus (trnH and trnN) [ 59].
Thus, we have largely separated anticancer activity from nonselective toxicity, indicating for the first time that inhibition of cotranslational translocation is a promising novel mechanism for cancer therapy, particularly to treat cancers that are characterized by aberrant autocrine loops such as colorectal cancer.
Altered splicing in FGFRs switches ligand-binding affinity and can allow tumour cells to be stimulated by a broader range of FGFs than under physiological conditions, leading to aberrant paracrine signalling loop (Brooks et al, 2012).
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