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71.
72.
Chronic subdural haematoma and the enigmatic eosinophil 总被引:3,自引:0,他引:3
Sarkar C Lakhtakia R Gill SS Sharma MC Mahapatra AK Mehta VS 《Acta neurochirurgica》2002,144(10):983-988
Summary.
The membranes from 50 cases of chronic subdural haematomas were examined histologically and correlated with the duration
of the lesion. Cases were divided into three groups based on duration from time of trauma and/or onset of clinical symptoms
to date of surgery – Group I: 1 to 30 days, Group II: 31 to 90 days and Group III: >90 days. Infiltration with eosinophils
was observed in the vascularised and hyalinised granulation tissue of the subdural membrane in 30 of the 50 cases (60%). There
was a trend to correlation both of the frequency and the extent of eosinophilic infiltration with duration of haematoma. Thus,
eosinophils were encountered in about half the cases with duration up to 3 months which increased to 80% in cases with duration
more than 3 months. The extent of eosinophilic infiltration (mild, moderate or severe) also appeared to correlate with duration
of haematoma in that mild infiltration was more common in Group I cases while moderate to severe infiltration were more frequently
observed in Group II and III cases. No correlation was observed of the eosinophilic infiltrate with age and sex of the patients
or with presence of other cellular inflammatory components of the membrane. Interestingly, a finding hitherto unreported in
English literature was the demonstration of mast cells in 7 of 16 membranes (44%) which had been stained using toluidine blue.
It is possible that the eosinophils appear at this unusual site due to chemotactic stimulus abetted by these mast cells as
well as lymphocytes and haemosiderin pigment. The eosinophils may have an important role in the repair and healing process
of these membranes.
Published online October 10, 2002
Acknowledgments Authors wish to thank Mr. Rajeshwar Khadia, Mrs. Kiran Rani, Mr. Anil Bisht and Mr. Gajender Singh for their technical help
and Mr. Kamal for secretarial assistance.
Correspondence: Prof. Chitra Sarkar, Department of Pathology, All India Institute of Medical Sciences, New Delhi.-110029,
India. 相似文献
73.
A nineteen year old man with intrasacral meningocele is reported, who presented with long standing episodic gluteal pain and progressive muscle wasting. Magnetic resonance imaging established the diagnosis. Surgical excision relieved the pain but muscle wasting persisted. Pertinent literature is reviewed. 相似文献
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An unusual case of pyogenic cervical osteomyelitis is reported in a newborn who immediately after birth had no movements in the left shoulder. There was a fullness in the left cervical region. Left Erb's palsy due to an unrecognized birth trauma was diagnosed in a peripheral hospital. Later, the child developed fever and a significant swelling in the left cervical region. On transfer to our institution, the X-rays of the cervical spine, ultrasound and computed tomography (CT) established the diagnosis of C(6) cervical osteomyelitis and paraspinal abscess which extended to the posterior triangle of the neck. The abscess was drained, and the lamina and lateral mass of the C(6) vertebra were debrided. Staphylococcus aureus was grown from the pus. The patient was put on long-term antibiotics to which he responded very well, and he became asymptomatic. In the immediate post-operative period, some movements at the left shoulder were noted, and at 6-month follow-up in the out-patient clinic, the child was virtually normal with near-complete regeneration of the C(6) lamina and lateral mass. 相似文献
76.
Cocaine use in pregnancy in Amsterdam 总被引:1,自引:0,他引:1
BJ Smit K Boer AM van Huis ISE Lie-A-Ling SC Schmidt 《Acta paediatrica (Oslo, Norway : 1992)》1994,83(S404):32-35
To study the effects of cocaine use in pregnancy in Amsterdam, clinical data on cocaine-using pregnant women ( n = 21) and their offspring ( n = 23) were obtained retrospectively (1987–1994) at the Academic Medical Center, Amsterdam. Infants exposed to cocaine had a median gestational age of 39 weeks and a median birth weight of 3090 g. There were six preterm infants, two small-for-gestational-age infants and five infants with a small head circumference. Three infants had a congenital malformation. One infant (Potter's syndrome) died shortly before birth. One infant had congenital syphilis, four had intracerebral abnormalities on ultrasound and four had abnormal neurologic symptoms in the neonatal period. One infant died after 21 days of life. At follow-up four infants showed abnormal development. In 12 of the 23 infants (52%), one or more possible effects of cocaine were found. 相似文献
77.
VP shunt is the most common pediatric neurosurgical procedure. It has been shown to result in variety of complications, which
may have devastating consequences. Discussed below is one of the rare complications and the strategy to manage it successfully. 相似文献
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