Paroxysmal cold haemoglobinuria. A case report.

The clinical and biochemical findings in a 35-year-old Black man with paroxysmal cold haemoglobinuria are presented. Particular attention is drawn to the possible triggers of the haemolytic process, and the treatment is briefly reviewed.     

Recurrent seizures induced by cortical iron injection: a model of posttraumatic epilepsy.

A single injection of 5 or 10 microliters of ferrous or ferric chloride into rat or cat sensorimotor cortex resulted in chronic recurrent focal paroxysmal electroencephalographic discharges as well as behavioral convulsions and electrical seizures. Iron-filled macrophages, ferruginated neurons, and astroglical cells surrounded the focus of seizure discharge. Recurrent focal epileptiform discharges caused by cortical injection of iron salts suggests that the development of human posttraumatic epilepsy may depend, in part, on neurochemical alterations induced by the principal metallic ions found in whole blood.     

Changes in [3H]lysine incorporation into protein in a seizure focus in rat isocortex

A focus of epileptiform discharge was induced in rat isocortex by subpial injection of 5 microliters of 100 mM FeCl3. Control animals were prepared with saline injections. Protein synthesis was estimated by uptake of [3H]lysine and its incorporation into protein at the site of iron injection, in the contralateral homotopic isocortex, and in the midline cerebellum. We found diminished uptake of [3H]lysine into all regions of rat brain in the interictal or nonseizing iron-injected animals, whereas the corrected rate of incorporation of [3H]lysine into protein was not significantly different from control rates. Actively seizing animals showed no inhibition of uptake of [3H]lysine, but [3H]lysine incorporation into protein relative to the uptake was significantly inhibited within the epileptic focus but not in the other areas examined. This decreased incorporation of amino acids into protein parallels that found in animals convulsing after electroshock or pentylenetetrazol injection.