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Biomedical subjects

D Henin

Publications and source records attributed to D Henin.

At least 91 records · Page 5Linked to original sources

Germinomas of the brain. Light and electron microscopic study. A report of seven cases.

The authors report seven cases of intracerebral germinomas studied on autopsy and/or biopsy material. Electron microscopy was done in five cases. Tumors were located on the middle line of the brain (pineal area, suprasellar region, third ventricle). Light microscopic features were stereotyped with PAS + round tumor cells and inflammatory mononuclear cells. By electron microscopy, fenestrated nucleoli, glycogen storage and annulate lamellae were always found, as well as a striking macrophagic activity of histiocytes. This immune reaction is supposed to contribute to the relatively favorable prognosis of these original brain tumors.

Adolescent↗

[A parietal form of Pick's disease: clinical and pathological study (author's transl)].

A patient developed a neurological disorder at the age of 57 years and died 9 years later after progressive aggravation. The clinical picture was that of a unilateral, parietal, focal neurological syndrome for many years, finally becoming bilateral. The purely neurological nature of the condition, without signs of mental disturbance, should be emphasized. Pathological examination showed mainly unilateral circumscribed cortical atrophy in the parietal regions. Histological examination showed atrophic lesions typical of Pick's disease. This case provides suggestive evidence for the existence of purely parietal forms of Pick's disease.

Dementia↗

[Visual agnosia without right hemianopia in a right-handed patient (author's transl)].

A right-handed 77-year-old man presented with a left homonymous lateral hemianopsia involving the macula. Consciousness, memory, and oral language were normal, but the patient experienced great difficulties in identifying objects and images by sight, even though he recognized their geometrical shapes. He also had prosopagnosia, and alexia without agraphia but no agnosia for colours. The patient died suddenly 6 weeks after the onset of the disorders. Pathological examination demonstrated the presence of a bilateral occipital infarct involving on the right, the inferior border of the calcarine fissure, and the lingual and fusiform gyri, and on the left the fusiform gyrus. This supports the role in man of the inferior occipitotemporal convolutions in the perceptual integration of visual informations, and suggests that this region of the cortex is analogous with the inferotemporal cortex of monkeys which has been shown to be a determinant for the elaboration of visual objects.

Aged↗

[Use of histological criteria to evaluate the quality of vagotomy operations. Does ascending degeneration of the nerve exist? (author's transl)].

Following vagotomy it is a common finding to observe a neuroma at the upper extremity of the nerve. Furthermore, Tinel, quoting Ranson, believes that the sensory fibers of the sectioned pneumogastric may be affected by ascending degeneration. In fact, during thoracic vagotomy after an unsuccessful abdominal vagotomy, histological examination of the resected right thoracic nerve demonstrated disorganization with the appearance of partial ascending degeneration. It appeared possible, therefore, to assess the quality of a vagotomy, by studying the histological appearance of the resected vagus when a further operation using the thoracic approach is necessary. An experimental study was conducted in dogs and the results confirmed the presence, at the upper extremity, of both an amputation neuroma and neuronal changes, though these latter lesions were limited to a region 3 cm above the section level. It is reasonable to assume, therefore, that the lower segment of a vagus resected by the thoracic approach, after an unsuccessful abdominal vagotomy, should show degenerative lesions if the vagotomy had been effective, but these lesions are limited in extent.

Animals↗

[Cerebro-meningeal involvement in acute myeloblastic leukaemia and myeloproliferative syndromes in acute transformation. Cytological, histological and clinical study of 62 cases (author's transl)].

Clinical and histopathologic study of central nervous system (CNS) was performed in 46 acute myeloid leukemia (AML) and 16 chronic granulocytic leukemia in the blastic phase (CGL). Involvement of the CNS developed in 28 cases. Eighteen patients out of these 28 had neurological symptoms. The frequency of meningeal leukemia depends on the number of lumbar punctures and on the survival time. Post-mortem examination was performed on 45 patients. Eighteen had evidence of CNS leukemic infiltration (18/45 arachnoid, 10/31 dura, 5/45 brain). Hemorrhages are frequent even without CNS involvement (19/27). CNS leukemic infiltration is common enough in AML and CGL to justify agressive diagnostic, therapeutic, and prophylactic measures.

Arachnoid↗

[Osteogenic cranial sarcoma in Paget's disease (author's transl)].

Sarcomatous changes in Paget's disease are known to occur, but cranial localization with invasion of cerebral parenchyma is rarely seen. A case is reported of osteogenic sarcoma occurring during Paget's disease, which was diagnosed from neurological signs, and on which a complete anatomical study was made.

Aged↗

[Disorders of heat and water regulation. Proliferative reticulo granulomatous process of hypothalamic origin (author's transl)].

The authors report the anatomical and clinical findings in a 65 year old patient with a lesion in the hypothalamus presenting mainly as disorders in heat and water regulation. Disorders in heat regulation dominated the clinical picture, in relation to a poikilothermia. Conservation of reactivity to pyrogenic bacteria is debatable. Inappropriate secretion of antidiuretic hormone (ISADH) by a direct effect on the supraoptico-hypophyseal aixs can account for the water and electrolyte disturbances. The anatomical lesions, due to hypothalamic changes, can be included in the circumscribed proliferative reticuloses of the CNS having a pseudo-inflammatory histological appearance.

Aged↗

[The myofibroblast. Recent advances (author's transl)].

The myofibroblast morphology is analyzed from the literature. The absence of the specific structural characters previously used for identification is emphasized and the physiological properties are analyzed. The different conditions which influence the appearance of this cell under normal and pathological conditions are reviewed and shown to be associated specially with inflammatory processes. As a conclusion, the evolution of the cell is described to the perspective of mesenchymal dynamics.

Fibroblasts↗

[Centro-pontine myelinolysis associated with diffuse lesions of the white matter. Water-electrolyte disturbances associated with diuretic therapy].

The authors report a case of centropontine myelinosis associated with demyelinising lesions of the tectum mesencephali, the cerebellum, the central grey nuclei and the white matter of the hemispheres. This case is compared with similar observations already studied in the literature. From an aetiological standpoint, attention is drawn to the apparent causative role of diuretic therapy which had resulted in severe water and electrolyte disturbances.

Adult↗

IGF-I triple helix strategy in hepatoma treatment.

BACKGROUND/AIMS: To investigate the effect of gene therapy for hepatocellular carcinoma based on inhibition of cellular IGF-I expression, the technique of IGF-I triple helix was investigated in mice developing programmed hepatoma. METHODOLOGY: mhAT1F1 mouse hepatoma cell line was transfected in vitro with IGF-I triple helix expression vector (pMT-AG-TH) or with IGF-I antisense expression vector (pMT-Anti-IGF-I). 10 x 10(6) transfected cells of either triple helix or antisense type were inoculated intraperitonealy into transgenic ATIIITB6 mice developing genetically programmed hepatoma (mice die between the age of 6 and 7 months). In parallel, human cell cultures established from surgically removed hepatomas were investigated. RESULTS: mhAT1F1 and human primary cell cultures, transfected with pMT-AG-TH or pMT-Anti-IGF-I vectors resulted in total inhibition of IGF-I demonstrated by immunocytochemical and Northern blot techniques. Transfected cells changed their phenotype and recovered major histocompatibility complex I expression showed by fluorescence-activated cell sorting analysis and Western blot. Moreover, two phenomena were observed in IGF-I "antisense" or "triple helix" transfected cells: 1) the apoptosis, demonstrated by TUNEL technique; 2) the presence of IL-6 simultaneously with disappearance of tumor necrosis factor-alpha and IL-10, investigated by reverse transcriptase-polymerase chain reaction technique. In in vivo experiments, injection of murine transfected cells into mice in terminal-phase prolonged their survival 3-4 months in 100% of cases, as well in "antisense" group (8/8) as in "triple helix" group (10/10). CONCLUSIONS: Injection of hepatoma cells transfected with IGF-I triple helix expression vector, and showing immunogenic and apoptotic characteristics, can constitute an effective cellular therapy against hepatocellular carcinoma.

Animals↗

Hypertrophic cranial pachymeningitis: assessment with CT and MR imaging.

Three patients with diffuse idiopathic cranial pachymeningitis with predominant involvement of the tentorium and falx are reported. Progressively increasing headaches were the usual symptoms, along with ataxia and various cranial nerve palsies. CT in all cases and MR imaging in two cases detected isolated thickened dura mater. In one case, MR depicted dural involvement as a very large, hypointense area with fine hyperintense edges on T2-weighted images. Microscopic examination of thickened dura revealed extensive fibrotic tissue with a chronic inflammatory infiltrate containing lymphocytes, plasma cells, and scattered eosinophils; these findings closely paralleled the MR features. Only four cases with similar pathologies have been described, all before the advent of CT and MR. We discuss the different causes of thickened dura mater as well as the significance of the fact that dural thickening can be responsible for occlusion of the dural sinuses. Cranial pachymeningitis is a rarely reported disease that can resemble other disorders associated with tentorial thickening; CT and MR can help differentiate it from these other disorders.

Adult↗