Search PubMed⌕ Search

Biomedical subjects

G Fontanesi

Publications and source records attributed to G Fontanesi.

At least 37 records · Page 2Linked to original sources

Changing distribution of GABA-like immunoreactivity in pigeon visual areas during the early posthatching period and effects of retinal removal on tectal GABAergic systems.

The distribution of GABA-like immunoreactivity in the pigeon visual system was studied during the first 9 days after hatching using a mouse monoclonal antibody, mAb 3A12, to glutaraldehyde linked GABA (Matute & Streit, 1986). GABA-like immunoreactivity was seen in cell bodies as well as in neuropil at the level of both the retina and central visual regions at any posthatching age. However, the distribution of putative GABAergic cells and processes varied with age reaching the adult pattern at around 9 days. As a general observation, almost no cell bodies in the retina (except for some perikarya in the ganglion cell layer) were labeled at hatching but densely packed immunostained processes were present in the inner plexiform layer. During the next few days, GABA-immunoreactive amacrine and horizontal cells appeared and the adult distribution of GABA-like immunoreactivity was reached at around 9 days. In the other visual regions examined, the general trend in the variation of GABA-like immunoreactivity included: (1) a progressive decrease in the density of immunostained cell bodies and (2) an almost parallel increase in the concentration of stained neuropil. Since in pigeons the adult organization of visual pathways and the final distribution of putative GABAergic systems are reached at around the same age, we suggest the possibility that incoming ganglion cell axons play a role in regulating the distribution of GABA-like immunoreactivity in visual areas. This hypothesis is supported by the fact that the distribution of GABA-like immunoreactivity in the superficial layers of the optic tectum was altered following ablation of the contralateral retina immediately after hatching.

Animals↗

The pattern electroretinogram by skin electrodes: effect of spatial frequency and age.

Steady-state (8 Hz) pattern electroretinograms in response to sinusoidal gratings were recorded from 18 elder subjects (mean age 62.7 years) and 22 young subjects (mean age 27 years) by means of skin electrodes. All subjects were free from ocular pathology and their corrected visual acuity was 1.0 or better. In young subjects the second harmonic amplitude as a function of spatial frequency is spatially tuned, with a maximum at around 1.7 c/deg. The response of elder subjects is significantly (P less than 0.05) reduced over the whole range of spatial frequency as compared with that of younger ones. This decrease is more marked (P less than 0.01) at intermediate spatial frequencies, resulting in a shallower tuning. The response phase is not significantly different between young and elder subjects.

Adult↗

Intercondyloid fractures of the humerus in the adult: surgical treatment and results.

The authors reviewed 14 cases of intercondyloid fracture of the humerus in the adult treated surgically between 1979 and 1989. After critically analysing the results, the surgical procedures, principal complications and their sequelae are discussed. They found a close relationship between the quality of the osteosynthesis and the quality of the results. However, despite the high percentage of favourable results, the authors emphasize the frequency of incomplete recovery of movement in the elbow joint.

Adult↗

Total P.C.A. knee arthroprosthesis.

Between 1983 and 1986 the authors implanted 36 porous-coated P.C.A. total knee prostheses in 34 patients. Complications included two fatal cases of pulmonary embolism and one deep infection which healed within five months following removal of the prosthesis and arthrodesis. The results obtained in 23 patients after an average follow-up of 18 months were excellent in 87% and fair in 13% (according to the Hungerford evaluation system). Radiographic evaluation showed excellent prosthetic positioning in 70% of the cases, the presence of radiolucent lines in areas 5-6-7-8-11-15-19 (according to Hungerford) in 21% of the cases, and zonal bone resorption in areas 1-2-3-4 in 43% of the cases. The authors report their conclusions with reference to complications, the preservation of the posterior cruciate ligament, and problems related to positioning the prosthesis.

Aged↗

Lumbosciatic pain due to sacral pathology.

Lesions of the sacrum are a possible, albeit infrequent, cause of low back pain and sciatica. The purpose of this paper is to draw attention to this possibility which, perhaps due to the rarity of sacral pathologies, is often overlooked in the investigation of lumbosciatic pain. This may influence the prognosis because of the consequent delay in diagnosis. Several cases are reported which were initially operated on for radicular disc syndromes with negative results, and only later correctly diagnosed as sacral lesions.

Adult↗

Morphological and functional changes in the retinotectal system of the pigeon during the early posthatching period.

Anterograde transport of either HRP or wheat germ agglutinin-conjugated HRP was used to study the posthatching development of the retinotectal connection in the pigeon. The functional maturation of the retinotectal system was also investigated by recording electroretinographic (ERG) and tectal evoked (TEP) responses to either flash or pattern stimuli. Two main morphological changes occurred in the retinotectal system during the first 6 days after hatching: an ipsilateral retinofugal component that was present at hatching disappeared and the outer tectal layers were progressively invaded by the contralateral retinofugal axons, which at hatching were limited to the stratum griseum et fibrosum superficiale of the dorsolateral tectal quadrant. During the early posthatching period, at the same developmental stage at which an ERG to unpatterned or patterned stimulation could first be recorded, a visually evoked response could be elicited in the contralateral optic tectum. Therefore, the retina and optic tectum seem to start functioning simultaneously, the limiting factor being the late maturation of photosensitive lamellae in the outer segments of the developing photoreceptors. During the first 20 days posthatching, the retinotectal system undergoes extensive development as revealed by latency and amplitude changes of the visually evoked potentials. We suggest that the pigeon visual system serves as a useful model for studies concerning visual development and plasticity.

Age Factors↗

Pharmacological dissociation of the b-wave and pattern electroretinogram.

Electroretinographic responses to modulation of either luminance (focal ERG) or spatial contrast (pattern ERG) were recorded from the pigeon eye before and after intravitreal injection of glutamate analogues DL alpha amino adipic acid (DL alpha AA) and 2-amino-4 phosphonobutyric acid (APB). Both toxins reversibly abolished the b-wave. The pattern ERG was still present, however, when the b-wave had been abolished by the toxins. This result demonstrates that the b-wave and the pattern ERG can be pharmacologically dissociated and suggests the possibility that in pigeons the b-wave and pattern ERG reflect the activity of different generators.

2-Aminoadipic Acid↗

Vascular complications of detachment of the proximal tibial epiphysis. Report of 2 cases.

The authors describe two cases of proximal epiphyseal detachment of the tibia complicated by lesions of the popliteal artery. Following reduction and stabilization by Kirschner wires, vascular repair was done, in one case by the Fogarty method, and in the other by resection and substitution with a vein graft. The outcome was successful only in the second case. In the first case the vascular repair failed, with all the severe sequelae of ischaemic contractures in the ankle and foot. The need for early diagnosis of the arterial lesion is emphasized, as well as early and radical treatment (preferably by vein graft) if a good result is to be obtained. Failure results in severe and disabling contracture and stiffness of the ankle and foot.

Adolescent↗

Prolapsed intervertebral disc at the upper lumbar level. Diagnostic difficulties. A report on 12 cases.

Prolapsed intervertebral disc at the upper lumbar level causes problems in diagnosis. Compressive root syndromes at L1-L2-L3 present clinical features which are not very specific. They are frequently pluriradicular and may be referred to areas of atypical distribution. The anatomical features and the relationship between discs and nerve roots and any variations are illustrated. Based on our personal experience with 12 cases of herniation of the first two lumbar discs, we would emphasize the importance of extending myelography and CT scanning to the high lumbar metameres whenever the symptomatology is equivocal. If such a policy were adopted, the incidence of prolapsed disc at the higher lumbar levels would probably be found to be higher than is at present supposed.

Adult↗

Segmental shortening and equalization for leg length discrepancies in adults.

The authors report 8 cases of leg length discrepancy in young adults, treated surgically by shortening or equalization techniques. The ages ranged from 16 to 35 years and the discrepancy from 2.5 to 12 cm. Three techniques were used; subtrochanteric femoral shortening (4 cases), equalization by shortening one femur and lengthening the other at the same operation (2 cases), diaphyseal "Z" osteotomy with shortening (2 cases - one femur, one tibia). The average time to consolidation was 3.4 months. Full weightbearing was allowed at 2 to 6 months depending on the method used. The only complication was one case of mild, transitory weakness of the extensors of the foot. The discrepancy was completely equalized in 2 cases; in the remainder the residual discrepancy was from 0.5 to 2 cm. The average shortening per case was 3.8 cm. There was secondary lumbar scoliosis in 5 cases; this improved by an average of 12 degrees after operation and lumbar pain was always relieved. All the patients declared themselves satisfied with the results.

Adolescent↗

Slow healing fractures: can they be prevented? (Results of electrical stimulation in fibular osteotomies in rats and in diaphyseal fractures of the tibia in humans).

The purpose of the study was to evaluate the possibility of preventing delayed union in fractures by the use of low-frequency pulsing electromagnetic fields (PEMFs). The study was conducted in two parts, both with control groups. Fibular osteotomies in rats and diaphyseal fractures of the tibia in humans were treated with and without electrical stimulation (PEMF). The rats were sacrificed on the 8th and 23rd days respectively in order to evaluate the histological picture of the repair callus and its mechanical resistance. In the human subjects, the clinical and radiological follow-up took into account various factors known to affect the rate of union in the various fracture groups. The results obtained suggest that PEMF stimulation is capable of accelerating and modulating the physiological process of union by its favourable effect on osteogenesis.

Adolescent↗

Carpal tunnel syndrome. Comparative study between normal and dialyzed patients.

The various theories of carpal tunnel syndrome (CTS) are reviewed. The clinical and other features are compared and the results of surgical decompression and neurolysis reported in two groups of patients; 65 operations in "classical" CTS and 11 operations in patients on renal dialysis ("dialytic CTS"). Relief of pain and recovery of normal sensation was achieved in a high percentage of cases in both groups. Recovery of motor function was markedly better and quicker in the "dialytic" group, probably because deterioration was more rapid and therefore surgical intervention was carried out earlier. The pathological anatomy showed no significant overall difference between the two groups, except that in two of the renal dialysis patients granular deposits of myeloid substances were observed in the flexor tendon sheaths and on the walls of the carpal tunnel.

Adult↗

[Proglumetacin: a flexible and broad-spectrum antirheumatic agent].

Fifty-five patients with osteoarthritis, rheumatoid arthritis or spondyloarthritis, joint pain and other rheumatic-inflammatory disorders were treated with proglumetacin, at different doses, during 3-60 days. Assessment of therapeutic efficacy indicated 88.9% of good results. Joint pain progressively decreased during the whole period of observation. Tolerance was considered good or very good in 78% of patients.

Adolescent↗

Treatment of delayed union and pseudarthrosis by low frequency pulsing electromagnetic stimulation. Study of 35 cases.

This is a study of 35 cases of delayed union or established fibrous union ("pseudarthrosis") treated by pulsing electromagnetic stimulation. The treatment, applied up to 12 hours per day, can be carried out at home, with clinical and radiological control every 60 days. The average time of healing was 6 months. Consolidation occurred in 88.5% of cases, usually without the production of excessive periosteal callus. The method was particularly useful and effective in infected fractures, failed bone grafts, revascularisation of fragments showing signs of necrosis, and fractures with associated skin lesions.

Adolescent↗