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Biomedical subjects

E Montanari

Publications and source records attributed to E Montanari.

7 recordsLinked to original sources
PubMed1992

[Recurrence of lithiasis after extracorporeal lithotripsy, percutaneous surgery, and open surgery for calculi of the upper urinary tract].

The safety and short-term effectiveness of percutaneous nephrolithotomy (PCNL) and extracorporeal shock wave lithotripsy (ESWL) have already been well established. However, long-term follow-up studies are essential to prove that the recurrence rate after PCNL and/or ESWL is equal or even better than that of surgery. We reviewed 57 patients treated with ESWL monotherapy, 45 patients treated by PCNL (or by PCNL combined with ESWL for complete staghorn stones) and 59 patients treated by open surgery who all had at least three years of follow-up. The overall recurrence rate for ESWL was 37% for PCNL and for open surgery 39%. ESWL, PCNL and open surgery all showed a higher rate of recurrence and persistent bacteriuria when associated with residual stones. Therefore every effort should be made to remove residual fragments following stone treatment. We conclude that because of its efficacy and low morbidity ESWL should be the treatment of choice for most of renal calculi. Complete staghorn calculi are best treated with open surgery because the complete elimination of all calculous material and the eradication of infection are achieved at a higher rate than by PCNL and ESWL.

Adult↗
PubMed1977

[Petit mal status].

The historical evolution of P.M.S. nosography is pointed out, and his clinical features are exposed, mainly on the ground of the study performed by Lob and Coll., for the Tenth Marseilled Colloquium. Stress is laid upon the onset age of P.M.S., making reference to a review of 133 cases previously reported in the literature. Two paradigmatic cases are reported, selected between six P.M.S. observations we collected, and electroclinically investigated, from 1972 to 1975: a woman aged 34 who was suffering from P.M. and G.M. seizures since she was 12-years old, and also had some other P.M.S. episodes during past years; a woman aged 45 who suffered from a sudden P.M.S. attack, during a febrile illness: it seemed that it was the first occurrence, but an accurate catamnestic search suggested that previous P.M.S. manifestations had probably occurred during the infancy. Finally P.M.S. nosography is discussed for what concerns the variable features emphasized by our observations, the correlation between P.M. and P.M.S., and the problem of P.M.S. as the sole epileptic phenomenon.

Adult↗
PubMedDate not supplied

[The problem of spinal myoclonus (author's transl)].

A case of the so called "spinal myoclonus" in a 71 year-old-man affected by lung carcinoma is reported. Clinical manifestations and comparison with similar previously described in literature induce to believe in the existence of a myoclonic syndrome, whose pattern seems to give support to the attribute of "spinal", at least as conventional term. An involvement of intercalated neurons is advanced as pathogenic ground. Anyhow, possible suprasegmental implications are also considered.

Aged↗
PubMedDate not supplied

[Evaluation of the EEG aspects of rheumatic chorea as related to the clinico-evolutive parameters of the disease].

E.E.G. features as presented by 20 patients of rheumatic chorea (15 females and 6 males, from 11 and up to 16 year old) are examined. Pathological patterns concerned 17 patients (85%); in three cases (15%) no characteristic E.E.G. enregistrations were found. Three types of pathological E.E.G. patterns are reckoned: A type (7 patients, i.e. 35%): increased amount of Posterior Slow Waves. B type (5 patients, i.e. 25%): conspicuous alterations of the alpha rhythm, and appearance of bursts of diffused, monomorphous, slow activities. C type (5 patients, i.e. 25%): inconstant outcoming by bursts, of 2--4 cycles sec. waves on posterior regions. No correlation can be established, on the ground both of E.E.G. features and clinical findings, neither between altered E.E.G. patterns and choreic movements severity, nor between localization of the former abnormalities over the scalp, and distribution of the latter. Yet, E.E.G. alterations, when present, are not to be ruled out, as they can be the demonstration of organical impairment and can give evidence about the course and recovering. To distinguish, in rheumatic chorea between clearly pathological, by the one hand, and "functional" by the other, E.E.G. features, is assumed as difficult, as subjects are in a range of ages in which cerebral biorhythms have not reached ultimate definition.

Adolescent↗