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81.
An atypical variant of reflex sympathetic dystrophy (RSD) is presented in a 45 year old female with a vascular malformation
of the right arm and chest wall. The mechanism was thought to be compression of the brachial plexus by the malformation. The
unique scintigraphic features of this presentation of RSD in the ulnar arterial distribution are illustrated. 相似文献
82.
Summary Intracranial haemorrhage due to rupture of an arteriovenous malformation (AVM) during pregnancy is a rare but serious condition that warrants prompt recognition. Once the diagnosis is made, the management is primarily based on neurosurgical rather than obstetric considerations. Due to its rarity, no definitive guidelines exist, and the best time to perform elective surgery (i.e., at presentation or at completion of the pregnancy) is ill-defined. This report describes three patients recently treated at our institution who had AVMs that ruptured during pregnancy. These cases well summarize the difficulties encountered in treating such patients. The diagnostic as well as the therapeutic implications of this condition are discussed. 相似文献
83.
Based upon detailed dissections of the lymphatic system in adult cadavers, the lymphatic drainage of the gallbladder was divided
into three pathways: (1) The cholecystoretropancreatic pathway, which had two routes, one running spirally from the anterior
surface of the common bile duct to the right rear, and the other running almost straight down from the posterior surface of
the common bile duct. These routes converged at the principal retroportal node at the posterior surface of the head of the
pancreas. (2) The cholecysto-celiac pathway; this was the route running to the left through the hepatoduodenal ligament to
reach the celiac nodes. (3) The cholecysto-mesenteric pathway; this was the route running to the left in front of the portal
vein to connect with the nodes at the superior mesenteric root. The cholecysto-retropancreatic pathway can be regarded as
the main pathway, and the principal retroportal node appeared to be critical as the main terminal node in the visceral lymphatic
system of the gallbladder. These three pathways converged with the abdomino-aortic lymph nodes near the left renal vein, and
the nodes in the interaortico-caval space were considered to be of particular importance.
Offprint requests to: M. Ito 相似文献
84.
Oguzkan Sürücü Ulrich Sure Sabine Gaetzner Sonja Stahl Ludwig Benes Helmut Bertalanffy Ute Felbor 《Child's nervous system》2006,22(11):1461-1464
Introduction and background A 3-year-old Bosnian girl with a large symptomatic brainstem and multiple supratentorial cavernous angiomas, who underwent neurosurgical treatment, is presented. As multiple cavernomas are more common in familial cases, genetic analyses and neuroradiological imaging were performed in the patient and her parents to see whether there was any evidence for inheritance. This information is important for genetic counseling and provision of medical care for at-risk relatives. Currently, no recommendation is available on how to manage these cases.Results Genetic analyses demonstrated a novel CCM1 frameshift mutation (c.1683_1684insA; p.V562SfsX6) in the child and the asymptomatic 27-year-old mother. Sensitive gradient-echo magnetic resonance imaging of the mother revealed multiple supratentorial lesions, whereas analogous imaging of the father showed no pathological findings.Conclusion This case exemplifies that seemingly sporadic cases with multiple lesions might well be hereditary and that presymptomatic genetic testing of family members may identify relatives for whom clinical and neuroradiological monitoring is indicated. 相似文献
85.
脑动静脉畸形实验动物模型的建立 总被引:1,自引:1,他引:0
脑动静脉畸形是一种比较常见的严重威胁人们生命安全和生存质量的脑血管疾病,目前人们主要是通过尸体解剖以及CT、MRI等影像学的方法认识。近年来,学者们应用各种动物模型来研究脑动静脉畸形的血流动力学,病理生理学以及脑动静脉畸形栓塞材料的评估,栓塞后临床疗效评价,放射照射剂量对脑动静脉畸形的影响等。本文就脑动静脉畸形实验动物的常用种类,动物模型的建立方法以及动物模型的实际应用进行了综述。 相似文献
86.
The posterior urethral valve uropathy: Results of treatment 总被引:2,自引:0,他引:2
Nineteen children treated for posterior urethral obstruction due to congenital valve in the University of Benin Teaching Hospital,
Benin City, Nigeria, over a 9-year period have been analysed. Their ages ranged from birth to 12 years. Results show that
associated kidney pathology may be irreversible even after successful excision of the valve. This determines the final prognosis,
which is worse the younger the child at presentation. 相似文献
87.
采用放射免疫法测定60例心血管病患儿的血浆心钠素,结果,在心功能不全,先天性心脏病、心肌炎者,明显高于正常组;心功能不全组明显高于非心功能不全组。非心功能不全的心血管疾患(如:先天性心脏病、心肌炎)之间无显著差异。说明血浆心钠素测定可作为心功能不全判断指标,并可指导治疗。 相似文献
88.
经皮血管内采用氰基丙烯酸异丁脂(IBCA)栓塞治疗38例颅内动静脉畸形(AVM)病人。其中8例达到100%完全栓塞,栓塞面积大于75%的10例,大于50%者11例;余下9例栓塞面积小于50%,19例以出血为首发症状,11例以癫痫为首发症状,6例神经功能障碍,2例以头痛为主要症状。栓塞术后发生并发症5例,占13%,无死亡病例。本文讨论了超选插管技术问题、Amytal试验假阴性、导管粘连及正常灌注压突破。 相似文献
89.
B. Algermissen F. Bauer D. Schadendorf J.-D. Kropp B. M. Czarnetzki 《Experimental dermatology》1994,3(6):290-297
Abstract In order to gain insights into the dynamics of mast cell subpopulations in normal and diseased skin, a novel enzyme-histochemical double and triple staining method was employed that allowed the detection of metachromasia (toluidine blue) and the mast cell proteases tryp-tase and chymase within the same cell. Cryostat sections were used of skin biopsies from the following specimens: normal skin (N=4), psoriasis (N=13), atopic eczema (N=7), lichen planus (N=6), interferon α2a injection sites (N=l) of a leukemic infiltrate and corresponding normal skin of the same patient before and after treatment. (i) Equal numbers of tryptase-and chymase-positive mast cells (MCTC) were obtained in all normal and diseased specimens in papillary and reticular dermis, with threefold increases around appendages, (ii) Tryptase-positive mast cells (MCT) were absent in normal skin, but were markedly increased in a disease-specific pattern within the papillary dermis, the inflammatory infiltrate and around appendages, (iii) Marked increases of MCT were also noted at interferon injection sites within the leukemic infiltrate, but not in the normal skin of the same patient. These data suggest that disease-dependent mast cell dynamics involve only MCT in cutaneous inflammation and that MCT numbers are controlled by distinct, disease-specific local tissue factors. 相似文献
90.
小儿先心病术后左房夺和肺动脉压力的监测在ICU中十分重要。心电图是论断和评价心脏疾患的常用方法。本文分析了32例小儿先心病手术前后(伴肺动脉高压16例)6个肢体导联心电图中P波和QRS波时限总和及振幅总和与左房、肺动脉压力的关系。结果表明两者均有良好的相关性(r=0.85 ̄0.88,r=0m74 ̄0.80,P〈0.01),该法简单、方便,可广泛开展,尤其在术后未放置PA和LA管或在IOU中已拨除L 相似文献