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Biomedical subjects

G Zanchin

Publications and source records attributed to G Zanchin.

At least 37 records · Page 2Linked to original sources
PubMed1998

Ultrarapid high-dose course of prophylactic cranial irradiation in small-cell lung cancer: evaluation of late neurologic morbidity in 16 long-term survivors.

Despite the reduction in the incidence of brain metastases following prophylactic cranial irradiation (PCI) in patients with small-cell lung cancer (SCLC), the use of this modality is still controversial due to the lack of improvement in survival and the appearance of neurotoxicity in long-term survivors. Moreover, the optimum dose, fraction size, and timing are not known. From 1980 to 1988, 70 patients with limited stage SCLC underwent PCI after or during multimodality treatment of their primary tumor. Most of these patients (75.7%) received an unconventional ultrarapid high-dose course of 17 Gy in two fractions over 3 days. Long-term (range 60-138 months) survivors (n = 16) were invited to have a complete neurological evaluation including computed cranial tomography (CCT), 99mTc-HMPAO single photon emission computerized tomography (SPECT) scan, electroencephalography (EEG), magnetic resonance imaging (MRI), and neuropsychometry. Delayed neurologic complications or psychometric impairment was observed in 46% of patients. One or more abnormalities were detected by CCT in all patients, and the presence of neurologic complications seemed to correlate with periventricular and subcortical white matter changes. A strong correlation was found between CCT and SPECT periventricular white matter changes. Although the incidence of late neurologic toxicity following this rapid course of irradiation was high, clinical findings were less severe than expected, and all the patients were capable of self-care.

Adult↗
PubMed1997

Morphological and functional study of a case of superficial siderosis of the central nervous system.

We here describe a case of superficial siderosis (SS) of the central nervous system (CNS), occurring in a patient with a previous lesion of the brachial plexus. Of the only 96 cases that have been described in the literature so far, there are now five with a positive history of a lesion due to the evulsion of the roots of the brachial plexus. This is the first time that, in addition to CT and MRI morphological investigations, an SS patient has also been studied metabolically by means of PET in an attempt to find new clues that may help to clarify the pathogenesis of the disease.

Central Nervous System Diseases↗
PubMed1997

Headache during pregnancy.

A questionnaire was submitted to 430 women 3 days after delivery, asking mainly about features of headache before and during pregnancy, and their possible modification or recurrence; moreover, delivery modalities and the condition of the newborn were evaluated. One-hundred-and-twenty-six (29.3%) were found to be primary headache sufferers (IHS criteria, 1988), 81 of whom had migraine without aura (MO), 12 migraine with aura (MA), and 33 tension-type headache (TH). In all three groups, about 80% showed complete remission or a higher than 50% decrease in the number of attacks. The improvement was more evident after the end of the first trimester; this trend was common to the three primary headaches considered. In our series of primary headaches, there was only one case (MO) which began during pregnancy. In a subgroup of pluripara, headache maintained the improvement presented in the first pregnancy also during the following gravidic periods in about 50% of cases, whereas in the remaining 50% a worsening in parallel with successive pregnancies was found. Primary headaches "per se" do not seem to increase the pregnancy or delivery risks, nor the vitality of the newborn. During pregnancy, drug use was very much reduced and was restricted to a limited number of compounds.

Adult↗
PubMed1997

[On the scientific approach of Girolamo Fabrici d'Acquapendente].

The scientific accomplishments of Girolamo Fabrici d'Acquapendente are critically considered. Special attention is devoted to his position in relationship with the views of contemporary Paduan scientists such as Galileo, Santorio, Sarpi. Fabrici appears to represent the highest point of the XVI century morphological research, being in the same time innovative for his new observations and conservative for his substantially Aristotelian way of thinking.

History, 16th Century↗
PubMed1997

[On the life, works and writings of Girolamo Fabrici d'Acquapendente].

An outline is presented of the biography, works and writings of Girolamo Fabrici d'Acquapendente. During his long career as professor in the University of Padua (1565-1613), he brought at its splendor the time honored tradition of the local anatomical school, both as a teacher and as a scientist. His major contributions (among which are his pitture colorate d'anatomia, embriological studies, description of the venous valves, establishment of the first permanent anatomical amphitheater) are briefly commented upon.

Anatomy↗
PubMed1996

The Società Italiana di Neurologia: origins.

This paper describes the history of the Italian Society of Neurology (Società Italiana di Neurologia, SIN), originally an offshoot of the Società Freniatrica Italiana, whose origins go back to Aversa in 1861, when Biagio Gioacchino Miraglia founded the Società Frenopatica, the first neuropsychiatric organisation for Italian scientists. The "Società Freniatrica" was founded in Rome in 1873 and was to bring together neurologists and psychiatrists until 1907, when the SIN was founded with its own Articles of Association (subsequently modified in 1971) and the two specialisations of neurology and psychiatry were recognised as being distinct entities. The first SIN Congress was held in Naples in 1908, and an analysis of its themes and those of subsequent Congresses highlights the fact that, right from the start, the interests of neurologists covered the whole range of the neurosciences: neuroanatomy, histology, physiopathology and clinical neurology. Over the years, special Groups have been established to enable the more profound study of specialised aspects, and the Society of Hospital Neurologists founded.

History, 19th Century↗
PubMed1996

Headache as an occupational illness in the treatise "De morbis artificum diatriba" of Bernardino Ramazzini.

The treatise "De morbis artificum diatriba" (Modena, 1700) is considered to be the first text to specifically deal with occupational illnesses. It was also the last for over 150 years. Written by Bernardino Ramazzini (Carpi, 1633-Padua, 1714), a professor at the University of Padua from 1700 to 1714, the book highlights the importance given at the time to headache as an occupational symptom. Among the 69 professions described, accounting for the majority of the occupations of the period, 12 were found to lead to headache as an important symptom caused by work. Ramazzini appears to have paid more attention to this than we do today. Ramazzini's work opens up a wide view on social conditions in the 18th century, as his sensitivity for occupational hazards was exceptional. His remarks on headache are typical of his way of collecting first-hand experience of working conditions, and they underline the importance of occupational hazards in the assessment of headache, today just as in 1710.

Environmental Exposure↗
PubMed1995

Synaptosomal glutamate uptake in a model of experimental cerebral ischemia.

In the present investigation we studied the synaptosomal uptake of glutamate in brain omogenate of Mongolian gerbils submitted to bilateral common carotid occlusion, with and without subsequent return of blood flow. The results show that glutamate uptake after ischemia is reduced by about 35%. The damage appears to be persistent, since return of blood flow restores uptake only slightly. The membrane alterations occurring in ischemia could explain the persistence of glutamate transporter impairment. Besides the blockade of NMDA receptors, the stimulation and/or the protection of the uptake systems for glutamate could be of help in preventing neuronal ischemic damage.

Animals↗
PubMed1995

A study of symptomatic drug use in migraine without aura.

We assessed the attack drugs taken by 200 migraine without aura patients (International Headache Society criteria, 1988) between 1989 and 1991. A detailed pharmacological history regarding the acute attack therapy adopted up until our initial visit was gathered, including the type of drug used, dosage, administration route, the time of starting therapy, treatment efficacy, and the frequency and types of undesirable effects, all of which were subsequently compared with the guidelines (1993) of the Italian Society for the Study of Headache (SISC). The most commonly used are non steroidal anti-inflammatory drugs (NSAIDs). We observed a similar high frequency in the use of combinations, particularly prophyphenazone and barbituric acid. The pirazolones, such as noramidopyrine and prophyphenazone, are also widely used as single agents, even though they are not considered by the guidelines. Our study underlines the fact that current drug use differs in several respects from the guidelines.

Adult↗
PubMed1995

Clusterlike headache. A case of sphenoidal aspergilloma.

Clusterlike headaches secondary to structural disease have been described. Nevertheless, most of the reports antedate the International Headache Society classification and, indeed, only a few appear to fit its criteria for a diagnosis of cluster headache. We report here a case of sphenoidal sinus aspergilloma that fully complies with the criteria for cluster headache. This kind of lesion has never been described previously as a cause of a clusterlike headache.

Aspergillosis↗
PubMed1993

Substrate-stimulated oxygen consumption by isolated rat brain microvessels in the presence and absence of ATP.

We report here properties of isolated brain microvessels such as the rate of oxygen consumption with different substrates; the permeabilizing effect of added ATP is studied. With the isolation procedure presented the cerebral endothelium has a metabolic activity comparable to that reported in the literature. The respiratory rate of the microvessels is not affected by the addition of ATP, whereas it is significantly increased by addition of succinate and alpha-chetoglutarate. The exposure of the isolated brain capillaries to ATP, in a Ca(2+)-free medium, increases the uptake of 6-carboxyfluorescein. This may be due to pores opened by ATP in the endothelial cell membrane in the absence of divalent cations.

Adenosine Triphosphate↗
PubMed1993

Mesoglycan in treatment of patients with cerebral ischemia: effects on hemorheologic and hematochemical parameters.

The present study evaluates the hematochemical and hemorheologic effects of mesoglycan, a preparation of natural glycosaminoglycans, administered by the intramuscular route to patients with a recent episode of cerebral ischemia. A total of twenty patients (13 males and 7 females), between the ages of 45 and 75, under observation for a cerebral ischemic episode occurring at least 2 months prior to enrollment, were treated with intramuscular mesoglycan (30 mg, twice daily), for 15 days. Blood samples were taken prior to and at the end of treatment to measure the investigated parameters. Following mesoglycan treatment we observed a statistically significant decrease in fibrinogen plasma concentration, total cholesterol and triglycerides, while HDL cholesterol was found to increase. In addition, erythrocytes filterability improved at the end of treatment. No changes were observed in coagulation parameters such as prothrombin time, partial thromboplastin time, or antithrombin III. The results of the present study demonstrate that a 15-days treatment of intramuscular mesoglycan in patients recovering from a cerebral ischemic episode produces significant changes in fibrinogen and lipid plasma levels with no apparent anticoagulant effect.

Aged↗
PubMed1990

Evaluation of membrane fluidity in cerebral microvasculature.

Cerebromicrovascular membrane fluidity was studied in two model systems: 1) hepatic encephalopathy and 2) cultured endothelium exposed to free arachidonic acid alone or with H2O2. The membrane fluidity was measured by fluorescence anisotropy using 1, 6-diphenyl-1,3,5-hexatriene as a fluorescent probe. In addition, the effect of arachidonic acid with or without H2O2 on cellular permeability to trypan blue-albumin was investigated in endothelial cultures. The findings indicate that the hepatic encephalopathy and the arachidonic acid treatment of endothelium causes an increase in membrane fluidity. This modulation of endothelial membrane fluidity is not associated with changes in cellular permeability to trypan blue-albumin complex. An increased cellular permeability to trypan blue-albumin complex was seen after endothelial exposure to arachidonic acid and H2O2.

Animals↗
PubMed1988

Seizures following the withdrawal of long-term treatment with mianserin.

Seizures were observed following the withdrawal of mianserin 60 mg/day for 2 years. To our knowledge, this is the first report of convulsions after suspension of an antidepressant. This phenomenon was observed in a young woman (with no history of epilepsy or other organic diseases that may induce seizures) 10 days after abrupt discontinuation of long-term treatment with mianserin.

Adult↗
PubMed1988

Intracranial sarcoma with reactive glioma: a clinicopathological case report.

The clinicopathologic picture of a case of so-called 'sarcoglioma' is reported. This tumor is characterized by a core of sarcomatous tissue, surrounded by an area of gradual transition from reactive to neoplastic glial cells; it occurs in children or in young adults and is very rare in comparison with the secondary sarcoma deriving from the vascular component of a glioblastoma (so-called 'gliosarcoma'). The clinical and laboratory features and the pathology of this case are discussed in detail.

Adult↗
PubMed1984

Protein synthesis rates in rats with portacaval shunts.

Protein synthesis rates were measured (33 days postoperatively) in rats with portacaval shunts and in unoperated controls. In brain, no change in the rate of protein synthesis was evident in shunted rats. These data thus do not support the hypothesis that an inhibition of brain protein synthesis is a factor in the etiology of hepatic encephalopathy. The synthesis rate in forebrain at 82 days of age was 0.52%/h. Though brain wet weight was the same in both groups, rats with shunts grew relatively slowly, and their testicles probably decreased in weight. However, no inhibition of muscle, liver, or testicular protein synthesis could be detected. The mechanism of slower or negative growth in these tissues might thus involve an increase in the degradation rate, although a transient inhibition of synthesis at an earlier period is also possible.

Animals↗