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Biomedical subjects

D Laplane

Publications and source records attributed to D Laplane.

At least 109 records · Page 6Linked to original sources

[Inhibition in neurology].

The author recalls three examples of inhibition in neurology: -- in the somatic sensory area inhibition halo around the excited zone; -- in the organisation of painful perception, inhibition by stages of nociceptive impulses; -- in anterior limbic system, inhibition of excitations without concern with the given operationnal programme. From these three examples, he recalls that inhibition and excitation always go together in the functioning of nervous system; but, between the acceptation of the work inhibition in the two first examples and the third one, an important semantic slipping happens. It squares with the crossing of the clinical level to the physiological level.

Aged↗

Clinical consequences of corticectomies involving the supplementary motor area in man.

Three patients with well-mapped, circumscribed ablations of the medial part of the frontal lobe are reported. A specific clinical evolution in 3 stages was observed: (1) post-operatively there was global akinesia, more prominent contralaterally, with an arrest of speech; (2) recovery occurred suddenly but even then there was severe reduction of spontaneous motor activity contralaterally, an emotional type facial palsy and a reduction of spontaneous speech; (3) long after the operation the only sequela was disturbance of the alternating movements of the hands. The anatomical basis of these disorders appears to be a lesion of the supplementary motor area (SMA). Three main points have been discussed, namely: (1) the nature of the motor disorder which may be a disturbance of the function of the SMA in initiating and sustaining spontaneous and automatic motor activity; (2) the nature of the arrest of speech which appears not to be aphasic; the studies reported in the present paper do not support a left cerebral dominance for the SMA as suggested by previous studies; (3) the method of clinical examination appears to be important in distinguishing between spontaneous and voluntary motor and speech performance. Differences in method may account for differences between our findings and those reported in previous studies.

Adolescent↗

[Neurosyphilis].

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Humans↗

[An experimental study of the psychostimulant action of amantadine].

According to previous experimental and clinical data, we have tested the hypothetic psycho-stimulating activity of amantadine on experimental sensitized models. We obtained a strong action on the spontaneous sleep of rats at a dose of 10 mg/kg and a less striking action in diminishing the effects of barbitol on the righting reflex of mice and in reducing the narcosis of rats induced by mebubarbital. This action does not seem to be due to a release of catecholamine because the lesions produced by electrocoagulation in the ascending aminergic pathways or pretreatment by alpha-methylparatyrosine (AMPT) do not block it. It is suggested that there may be a non-aminergic receptor of amantadine which is different from the amphetamine receptor.

Amantadine↗

[Facial paralysis with inverse autonomic-voluntary dissociation from a frontal lesion. Cortical origin. Relation to supplementary motor area].

As a result of 6 cases of frontal tumour presenting central facial paralysis with inverse dissociation this symptom was investigated in patients subjected to cortical excisions for intractable epielpsy. A study of 8 cases of frontal cortical excision, 6 of them affecting the internal and posterior portion, and two the prefrontal region, has provided evidence of a link between inverse automatic-voluntary dissociation facial paralysis and lesions affecting the Penfield supplementary motor area. In such cases, facial palsy is usually associated with motor disorders in the limbs, the most characteristic of which is unilateral motor under-utilisation. The possibility of inverse dissociated facial paralysis occurring as a result of a rostral premotor lesion cannot be ruled out in our present state of knowledge.

Aged↗

[2 cases of paralysis of the posterior branch of the radial nerve due to compression of the nerve by a lipoma].

The authors report two cases of paralysis of the posterior branch of the radial nerve as a result of compression of the nerve by a benign tumour, in both instances a lipoma. Analysis of the sixteen cases appearing in the literature reveals that the symptoms and signs are constant, characterised by the progressive development of paralysis of the muscles supplied by the deep branch of the radial nerve with the appearance of a tumefaction around the lateral part of the elbow. X-rays of the elbow confirm the diagnosis in the presence of a radiotranslucent polylobulated image. Surgical excision is followed by regression and the disappearance of a-l neurological signs after an average period of 8 months. In addition to a lipoma, compression may be caused by repeated contusion of the nerve by the border of the superficial part of the short supinator muscle in association with "tennis elbow". Section of this part of the muscle border results in complete recovery.

Aged↗