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Biomedical subjects

G J Gilbert

Publications and source records attributed to G J Gilbert.

At least 37 records · Page 2Linked to original sources

Acute ammonia intoxication 37 years after ureterosigmoidostomy.

Ureterosigmoidostomy causes hyperammonemia, which can, especially in the presence of hepatic disease, lead to metabolic encephalopathy and coma. In the case reported here, acute hyperammonemic encephalopathy developed 37 years after the operation, and responded promptly to oral neomycin therapy, with clinical and electroencephalographic resolution. Magnetic resonance imaging of the brain, not previously reported in this disorder, showed symmetric lesions of the white matter.

Acute Disease↗

Turtle headaches.

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Headache↗

Familial spasmodic torticollis.

Presented are four cases of familial spasmodic torticollis, comprising members of three families. The age of onset tended to be family-specific, and no afflicted family member had evidence of more widespread disease (dystonia musculorum deformans). Familial incidence supports the conclusion that spasmodic torticollis is organic in origin. Familial spasmodic torticollis occurs more often than has been generally recognized.

Adult↗

A pseudohemipharetic form of Parkinson's disease.

Parkinson's disease can present as a progressive hemiparesis without tremor. The presence of mild cogwheel rigidity in a hemiparetic patient may suggest the diagnosis, as may the normal findings on brain scan and electroencephalogram in a patient with gradually evolving hemiparesis. The response to appropriate medication has been prompt and excellent. It is important that Parkinson's disease be considered in the differential diagnosis of a progressively evolving hemiparesis.

Aged↗