Biomedical subjects
Publications and source records attributed to A Palmieri.
The laparoscopic approach is being used in an increasing variety of surgical procedures which have traditionally been performed by the gynecologic oncologist in an open fashion. We here report the first published case of laparoscopic retrieval of a detached intraperitoneal catheter.
Cadmium, a trace element from natural and industrial sources, may contribute to the pathogenesis of arterial hypertension. We evaluated the effect induced by acute intracerebroventricular (icv) administration of cadmium on mean blood pressure of normotensive conscious rats. Intracerebroventricular cadmium (1 to 10 micrograms) produced a dose-dependent, sustained increase in mean blood pressure. The hypertensive response to icv cadmium was significantly (P < .01) prevented by icv pretreatment with verapamil (10 to 100 micrograms). A preventive effect was exerted also by icv nifedipine (100 micrograms); however, this result was attributable, at least in part, to the antihypertensive action of the vehicle, polyethylene glycol. The hypertensive response to icv cadmium was blunted by icv administration of 10 ng clonidine, 10 micrograms vasopressin antagonist, or 10 micrograms bradykinin antagonist (P < .05), but it was not altered by icv enalaprilat (100 micrograms). These results indicate that brain calcium channels play a role in the hypertensive action induced by icv cadmium. Accumulation of cadmium in the brain caused by prolonged exposure to this heavy metal might lead to chronic arterial hypertension.
The association of Rubinstein-Taybi syndrome (RTS) and slipped capital femoral epiphysis (SCFE) is described in a girl aged 9 years and 10 months. SCFE has never been reported associated with RTS, neither as an isolated anomaly, nor in a familial pedigree. However, a "stiff gait" is frequently described in RTS patients and, furthermore, obesity is a frequent feature of RTS patients. Some reports in the literature suggest the need for an early diagnosis of SCFE among adolescent relatives of patients with SCFE. Since many SCFEs are asymptomatic and an early diagnosis is essential for a favorable prognosis, we suggest an annual echotomographic or radiological examination of the hips in RTS patients.
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The authors describe a case of follicular cyst of the jaw diagnosed in a male infant who was 2 years and 4 months old. The authors discuss recent advances in the classification of this disorder and the difficulties that arise in performing differential diagnosis; some peculiar features of the described case are discussed.
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The authors present the CT findings in their personal series of 77 cases of neurofibromatosis, 34 cases of tuberous sclerosis, and 16 cases of Sturge-Weber disease. These findings are extensively illustrated and compared with those reported in the literature.
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This paper analyzes our findings in a series of 1900 CT examinations carried out on 950 children after ventricular drainage. Blood in the ventricles is a relatively frequent findings in the immediate postoperative course, and gliotic or poroencephalic phenomena are often found in the late course. Persistence of ventricular dilatation and periventricular lucency has been observed several times. Extracerebral collections and septic complications are not rare findings, but trapped fourth ventricle and choroidal-ependymal reactions are only rarely observed.
Computed tomography has proved very valuable in the diagnosis of central nervous system changes in tuberous sclerosis. A full analysis of the CT findings in 34 cases is presented. Intracranial calcifications--periventricular, corticosubcortical, within the white substance or in the posterior cranial fossa--were the most frequent finding, followed by parenchymal hypodensities and tumors. Hydrocephalus and atrophy, focal or diffuse, were rare.
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The diagnostic features of CT images of the spine are constantly influenced by some limitations of the method because of the peculiar configuration of the human spine. Recent generations of CT scanners greatly improve the results but with the second generation (Acta 0200 FS Pfizer Scanner) we have been able to develop a modified scan reconstruction method to maintain the quality of our spinal images, thanks to the very flexible software of our CT scanner.
The result of a late CT control of infantile hydrocephalus is reported with an analysis of effects of the catheter on the cerebral tissue in the immediate and late postoperative course. The most frequent finding is blood in the ventricle and/or subependymal or intraparenchymal along the catheter or near its tip.
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