[Akinetic crisis--a possible manifestation of Parkinson's disease].
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Diagnosis, Differential↗
Biomedical subjects
E Sundal
Publications and source records attributed to E Sundal.
[Zinc in medicine (author's transl)].
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Genital Diseases, Male↗
[Allergic reaction to meningococcal antigen. Clinical aspects, pathogenesis and diagnosis related to a case history].
A case report illustrates a complication of meningococcal meningitis which often causes differential-diagnostic problems: allergic reaction to the meningococcal antigen. The pathogenesis and diagnostic principles are discussed in the light of the literature.
Adult↗
[Multiple stenoses of the gastro-intestinal tract and upper leg calcification associated with scirrhous stomach cancer (author's transl)].
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Adenocarcinoma, Scirrhous↗
[Herpes simplex encephalitis. A case report with support of the diagnosis by means of brain biopsy].
The pathogenesis, differential diagnosis and therapeutic problems of herpes simplex encephalitis are discussed. Early diagosis of herpes simplex as a leading, and possibly the sole, cause of acute necrotizing encephalitis is crucial to effective management. Decompressive craniotomy in the presence of fulminating cerebral swelling associated with acute onset of the disease is of value as an adjuvant to definitive therapy with antiviral agents.
Biopsy↗
[Akinetic crisis--a possible form of parkinsonism].
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Aged↗
Electroencephalography and magnetic resonance imaging in neurological decompression sickness.
The purpose of this study was to evaluate the use of electroencephalography (EEG) and magnetic resonance imaging (MRI) in the clinical evaluation of acute decompression sickness (DCS) in the central nervous system (CNS). Twenty-one patients treated because of acute DCS in the CNS during 1999-2001 were included, 15 patients with clinical cerebral DCS and five with clinical spinal cord DCS. Seven patients had abnormalities in their EEG, five with cerebral DCS and two with spinal cord DCS. MRI showed high intensity lesions in the spinal cord in four patients with clinical spinal cord DCS and in one with clinical cerebral DCS. Cerebral lesions were not identified by MRI in any patient. In conclusion, EEG showed unspecific abnormalities in only one third of the cases. Conventional MRI with a 1.5 T scanner may be of help in the diagnosis of DCS in the spinal cord, but not in the brain. EEG and MRI have low sensitivity in the diagnosis of acute DCS in the CNS. Recompression treatment of DCS should still be guided by clinical neurological examination and assessment of symptoms.
Adolescent↗
Thymopentin prophylactic treatment in patients with recurrent respiratory infections.
Present immunological methods do not regularly detect abnormalities in patients with chronic bronchitis, and no single parameter appears to be closely associated with the clinical findings. Of the many tests performed in the cited studies, the Merieux multitest procedure seems to offer the best findings in further studies, followed by determination of the OKT4/OKT8 ratio. The theoretical background for the use of an immunologic approach to prevent frequent recurrences of infections is discussed in depth, with particular emphasis on the pharmacologic efficacy profile of thymopentin. The safety of this drug is remarkably unproblematic. The present survey of 11 clinical studies shows that thymopentin treatment reduces the incidence of recurrent respiratory tract infections. The most frequently used dosing regimen is 50 mg SC three times a week for 6 weeks, which may be repeated after 3-6 months. The clinical effect appears long-lasting, ie, 3-4 months after discontinuation of treatment.
Aged↗