Pain Center of Orlando

 

David S. Klein, M.D.

(407) 679-3337

Diagnosis and treatment of pain, pain-related problems, hormonal dysfunction, and providing other diagnostic services.

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Glossary - WXYZ
Quick Index: A B C D E F G H I JKL M N O PQ R S T UV WXYZ

White matter: Bundles of myelinated nerve fibers or axons. These nerve fibers have a creamy white appearance due to myelin, a whitish substance that primarily contains fats and proteins. Myelin forms a protective, insulating sheath around certain axons, functioning as an electrical insulator and ensuring efficient nerve conduction. The breakdown, destruction, or loss of myelin from a nerve or nerves (demyelination), such as seen in certain neurodegenerative diseases, results in impaired nerve impulse transmission.

Wilson disease: A rare genetic disorder of copper metabolism, leading to an excessive accumulation of copper in certain tissues and organs, including the liver, brain, kidneys, or corneas of the eyes. Without prompt, appropriate treatment, the disorder may result in progressive liver disease, degenerative changes of the brain, psychiatric abnormalities, and other symptoms. Neurologic findings may include tremor; involuntary, rapid, jerky movements combined with relatively slow, writhing movements (choreoathetosis); impaired muscle tone and sustained muscle contractions, producing repetitive movements and abnormal posturing; increasingly slurred speech; and difficulties swallowing. Some patients may also experience increasing irritability, anxiety, severe depression, unusual behaviors, or other psychiatric problems.

X-linked dominant trait: Human traits, such as an individual's specific blood group, eye color, or expression of certain diseases, result from the interaction of one gene inherited from the mother and one from the father. In X-linked dominant disorders, the gene mutation for the disease trait is transmitted as a dominant gene on the X chromosome and therefore may "override" the instructions of the normal gene on the other chromosome, resulting in expression of the disease. Because females have two X chromosomes yet only one functioning copy is necessary, a percentage of X chromosomes with the mutated gene may not be expressed (random X chromosome inactivation). As a result, females often have less severe symptoms than affected males. In contrast, because males have one X chromosome from the mother and one Y chromosome from the father, those who inherit an X-linked dominant disease trait typically fully express the mutated gene on the X chromosome, causing a more severe form of the disorder that may result in lethality before or shortly after birth. Fathers with an X-linked dominant trait transmit the gene to their daughters but not to their sons. Mothers with a single copy of an X-linked dominant gene have a 50 percent risk of transmitting the gene to their daughters as well as to their sons.

X-linked recessive trait: Human traits, such as a person's eye color, specific blood group, or expression of certain diseases, result from the interaction of one gene inherited from the mother and one from the father. In X-linked recessive disorders, the gene mutation for the disease trait is located on the X chromosome. Because females have two X chromosomes yet only one functioning copy is necessary, a percentage of X chromosomes with the mutated gene may not be expressed (random X chromosome inactivation). However, because males have one X chromosome from the mother and one Y chromosome from the father, those who inherit an X-linked recessive disease trait typically fully express the mutated gene on the X chromosome. Some females who carry a single copy of the disease gene (heterozygous carriers) may have certain symptoms associated with the disorder; however, such findings are usually more variable and less severe than those seen in affected males. Fathers with an X-linked recessive trait may transmit the gene to their daughters but not to their sons. Mothers with an X-linked recessive gene have a 50 percent risk of transmitting the gene to their daughters and their sons.

Zydis: Unlike drugs that are incorporated into pills or capsules that must be swallowed, Zydis drugs are incorporated into fast-dissolving freeze-dried wafers that "melt" on the tongue. The term Zydis refers to the vehicle that is used for drug delivery and not to the drug itself.

 

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225 West S.R. 434 Suite 205 | Longwood, FL 32750 | Phone: (407) 679-3337 | Fax: (407) 678-7246

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Pain Center of Orlando Don't let the air you breathe make you sick
 

David S. Klein, M.D.

Title

Quick Index: A B C D E F G H I JKL M N O P R S T UV WXYZ

White matter: Bundles of myelinated nerve fibers or axons. These nerve fibers have a creamy white appearance due to myelin, a whitish substance that primarily contains fats and proteins. Myelin forms a protective, insulating sheath around certain axons, functioning as an electrical insulator and ensuring efficient nerve conduction. The breakdown, destruction, or loss of myelin from a nerve or nerves (demyelination), such as seen in certain neurodegenerative diseases, results in impaired nerve impulse transmission.

Wilson disease: A rare genetic disorder of copper metabolism, leading to an excessive accumulation of copper in certain tissues and organs, including the liver, brain, kidneys, or corneas of the eyes. Without prompt, appropriate treatment, the disorder may result in progressive liver disease, degenerative changes of the brain, psychiatric abnormalities, and other symptoms. Neurologic findings may include tremor; involuntary, rapid, jerky movements combined with relatively slow, writhing movements (choreoathetosis); impaired muscle tone and sustained muscle contractions, producing repetitive movements and abnormal posturing; increasingly slurred speech; and difficulties swallowing. Some patients may also experience increasing irritability, anxiety, severe depression, unusual behaviors, or other psychiatric problems.

X-linked dominant trait: Human traits, such as an individual's specific blood group, eye color, or expression of certain diseases, result from the interaction of one gene inherited from the mother and one from the father. In X-linked dominant disorders, the gene mutation for the disease trait is transmitted as a dominant gene on the X chromosome and therefore may "override" the instructions of the normal gene on the other chromosome, resulting in expression of the disease. Because females have two X chromosomes yet only one functioning copy is necessary, a percentage of X chromosomes with the mutated gene may not be expressed (random X chromosome inactivation). As a result, females often have less severe symptoms than affected males. In contrast, because males have one X chromosome from the mother and one Y chromosome from the father, those who inherit an X-linked dominant disease trait typically fully express the mutated gene on the X chromosome, causing a more severe form of the disorder that may result in lethality before or shortly after birth. Fathers with an X-linked dominant trait transmit the gene to their daughters but not to their sons. Mothers with a single copy of an X-linked dominant gene have a 50 percent risk of transmitting the gene to their daughters as well as to their sons.

X-linked recessive trait: Human traits, such as a person's eye color, specific blood group, or expression of certain diseases, result from the interaction of one gene inherited from the mother and one from the father. In X-linked recessive disorders, the gene mutation for the disease trait is located on the X chromosome. Because females have two X chromosomes yet only one functioning copy is necessary, a percentage of X chromosomes with the mutated gene may not be expressed (random X chromosome inactivation). However, because males have one X chromosome from the mother and one Y chromosome from the father, those who inherit an X-linked recessive disease trait typically fully express the mutated gene on the X chromosome. Some females who carry a single copy of the disease gene (heterozygous carriers) may have certain symptoms associated with the disorder; however, such findings are usually more variable and less severe than those seen in affected males. Fathers with an X-linked recessive trait may transmit the gene to their daughters but not to their sons. Mothers with an X-linked recessive gene have a 50 percent risk of transmitting the gene to their daughters and their sons.

Zydis: Unlike drugs that are incorporated into pills or capsules that must be swallowed, Zydis drugs are incorporated into fast-dissolving freeze-dried wafers that "melt" on the tongue. The term Zydis refers to the vehicle that is used for drug delivery and not to the drug itself.

 

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