Thrombosis of the posterior cerebral artery

Summary The authors report a case of thrombosis of the posterior cerebral artery.

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Verschluß der Arteria cerebri posterior

Zusammenfassung Die Verfasser berichten über einen Kranken mit einem arteriographisch nachgewiesenem Verschluß der A. cerebri posterior li.

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Thrombose de l'artère cérébrale postérieure

Résumé Les auteurs rapportent un cas d'occlusion complète du segment latéro-pédonculaire de l'artère cérébrale postérieure gauche.

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(Prof. Agr. A. Wackenheim)     

Ectopic parathyroid tissue in the hypopharyngeal mucosa (pyriform sinus)

Ectopic thyroid tissue was discovered in the mucosa of the pyriform sinus as an incidental finding in two patients who underwent laryngectomy for squamous cell carcinoma. Reports of ectopic parathyroid tissue in the neck are summarized, and the relevance for the endocrine surgeon is discussed.     

IgE Multiple Myeloma: A Report of the Third Case

The third known case of IgE multiplemyeloma is described. The patient wasa 65-yr-old woman who died 11 moafter a diagnosis of multiple myelomawas made by a surgical biopsy of theleft iliac crest. Her serum containedapproximately 2.7 g/100 ml of a paraprotein of mid- mobility. The isolatedanomalous protein gave a reaction ofidentity with the IgE myeloma proteinof the second reported case when reacted with a specific IgE antiserum.The light-chain type of the myelomaprotein was in contrast to of theother two IgE myeloma proteins. Herclinical manifestations differed fromthe two previously reported cases inseveral respects. She had neitherplasma cell leukemia nor overt BenceJones proteinuria and developed rapidly progressive widespread osteosclerotic lesions that were associated withbone pain.

Submitted on June 7, 1971 Revised on August 9, 1971 Accepted on September 1, 1971     

The validity of the family relationships index as a screening tool for psychological risk in families of cancer patients

The Family Relationships Inventory (FRI) has been proposed as a measure of psychological risk however its validity has only been tested in one cross-sectional study against another measure of family functioning where patients had less than six months to live. The current study presented longitudinal data on the validity of the FRI in identifying family dysfunction, and clinical levels of depression and anxiety in 48 families where the patient had been recently diagnosed. Over the three phases, the FRI identified all families at risk of family dysfunction, 88% or more families with one or more members with clinical depression and 78% or more with a member with clinical levels of anxiety. The FRI was also far more sensitive in identifying families with a member with clinical levels of depression and anxiety than the General Functioning (FAD-GF) scale of the Family Assessment Device. Although other measures of screening adequacy (such as specificity), suggested that the FRI identified too many false positives, the higher sensitivity of the FRI makes it preferable to the FAD-GF as a screening measure for families at risk of a poor psychological outcome in the oncology setting. However, because of the FRI's poor specificity, further follow-up of those families that are identified as being at some risk of a poor psychological outcome should be undertaken before referral to a mental health professional is warranted.