Das EEG der traumatischen Psychosen

Ohne ZusammenfassungMit 17 TextabbildungenHerrn Prof. H. Ruffin zum 60. Geburtstag gewidmetIm Auszug vorgetragen auf der 10. Tagung der Arbeitsgemeinschaft für Hirntraumafragen in Bad Homburg (14.–16. 4. 1961)     

Absence of muscle capillary basement membrane thickening and retinopathy in patients with myocardial infarction and impaired I.V. glucose tolerance

Summary We have investigated the possible contribution of an early capillaropathy to the increased incidence of myocardial infarction (MI) in patients who had impaired glucose tolerence (IGT) during an i.v. glucose tolerance test (IVGTT). In lieu of the myocardium, biopsies from the quadriceps femoris muscle were studied for muscle capillary basement membrane (MCBM) thickening. Fluorescence angiography was performed to detect capillary retinopathy. Plasma growth hormone (GH) concentrations were determined during IGT. Data were obtained from 14 male patients with MI and IGT on IVGTT. Nine healthy subjects served as controls. MCBM thickness was similar in patients and controls (1,107±55vs 1,067±88 ?). None of the patients had signs of capillary retinopathy, and plasma GH concentrations were not higher in the patients as compared to control subjects. It is concluded that, in patients with IGT on IVGTT, MCBM thickening is probably not a factor for the development of MI.     

Memory disorders in parkinsonism patients]

The experience of memory and retention weaknesses in Parkinsonian patients led us to question if these are only due to age-specific deteriorations, and if these weaknesses change during the L-Dopa therapy of the underlying disease. For this reason 30 Parkinsonian patients and 30 normal subjects of a matched control group took part in five different tests of retention and memory: digit span (Wechsler), visual retention test (Benton), Wechsler Memory Scale (subtests 4 and 7), delayed recall (Williams). The results (including some further samples of the test literature) gave some evidence of test-material-specific weaknesses in Parkinsonian patients: especially such memory decay as is dependent on the interval of retention. An organic deterioration of the intermediate term memory is suggested. This result could not be fully explained by known psychological or neurological characteristics of the underlying disease.     

The complementary role of sonography and arteriography in the evaluation of the atheromatous abdominal aorta

Sonography was performed on 41 patients, 24 of whom were suspected of having abdominal aortic aneurysms and 17 of whom had symptomatic peripheral vascular disease. The accuracy of sonography in the diagnosis of aneurysms of the abdominal aorta was evaluated, and the instances in which angioggraphy contributed to the management of these patients was defined. Sonography is adequate for the diagnosis and management of many aneurysms of the abdominal aorta. Aortography is necessary when: (1) an inadequate study has been obtained, (2) the iliac arteries are not visualized, (3) renal or mesenteric artery involvement is suspected, (4) multiple or lobulated aneurysms are found, or (5) the aorta is very tortuous.     

Einleitung

Ohne Zusammenfassung     

Zur Frage der Schleimhautbeteiligung beim Pemphigus benignus familiaris chronicus

Zusammenfassung Es wird ein Fall von Pemphigus benignus familiaris chronicus bei einer 52 jährigen Frau beschrieben, deren Mutter in den Jahren 1961 und 1962 mit dem gleichen Leiden in der Universitäts-Hautklinik Tübingen in stationärer Behandlung war. Das Besondere der beiden Krankheitsfälle (Mutter und Tochter) liegt darin, daß bei der Mutter 1961 erstmals eine Schleimhautbeteiligung bei Pemphigus benignus familiaris chronicus nachgewiesen wurde, während die Erkrankung der Tochter nicht nur den Beweis der Familiarität erbringt, sondern auch gleichzeitig wieder Schleimhautbeteiligung bis zum Larynx aufzeigt. Bei der Mutter hatte es sich um die Kranke mit passagerem Gestaltwandel unter dem Bilde des Pemphigus vulgaris gehandelt.Auf Grund der beiden beschriebenen Krankheitsfälle haben wir keinerlei Zweifel mehr an der möglichen Schleimhautbeteiligung beim Pemphigus benignus familiaris chronicus.

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Summary A case of p.b.f.c. is described by a 52 year old female patient, whose mother was treated stationarily at the Univ. Derm. Inst. at Tübingen, in 1961–1962 against the same ailment.Further to the fact, the disease of the daughter gives proof to the familiarity of the disease, the case is unusual in that respect, that ulceration and erosions of the mucous membranes subsequent to p.b.f.c. was for the first time described through the case of the mother in 1961, now in the case of the daughter, an ulceration and erosions of the mucous membranes were observed till the larynx.We feel, based on the two cases described, that the possibility of the ulceration and erosions of the mucous membranes subsequent to p.b.f.c. is doubtlessly confirmed.

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Herrn Prof. Dr. Th. Grüneberg zum Geburtstag am 5. 3. 1966.     

Early diagnosis of stomach neoplasms

The primary prevention of the carcinoma of the stomach promises little success in near future. Therefore the effort is directed to early recognition and healing (secondary prevention). The optimum method for this is the combination of X-ray-examination, gastroscopy and aimed biopsy. But also by early diagnosis and therapy in the invasive carcinoma the chances of survival are to be improved. At present only 5-6% of the patients with gastric carcinoma survive longer than 5 years. The author adopts a definite attitude to the groups with risk of carcinoma. The search for further factors of persons endangered by carcinoma (habit of nutrition, kind of constitution and preparation of food, other exogenous factors) must be continued intensively in order to get selected groups which may be controlled consequently.