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Biomedical subjects

H Fankhauser

Publications and source records attributed to H Fankhauser.

72 records · Page 4Linked to original sources

[Trigeminal involvement and peripheral facial paralysis caused by Arnold-Chiari malformation with hydrocephalus].

The case of a 26 years old woman who presented with hydrocephalus from an Arnold-Chiari malformation is described. The first signs were a left trigeminal disorder and a left facial paresis as false localizing signs. Symptomatology was secondary to decompensation of the hydrocephalus, and was associated with aqueductal stenosis. Complete and rapid regression of the symptomatology after ventriculo-caval shunt was observed. Type 1 Arnold-Chiari malformation can manifest itself clinically in a number of ways. Cranial nerve abnormalities are uncommon, and may be false localizing signs. Unsuccessful investigations can delay the diagnosis and the treatment.

Adult↗

Meningioma associated with a large cyst.

The case of an adult patient with a small frontoparietal convexity meningioma surrounded by a huge cyst is reported. The cyst fluid had a very high protein content, but there was no distinct cyst wall. Knowledge of the radiological features of this rare condition may prevent confusion with a malignant tumour.

Brain Neoplasms↗

[Delayed epidural hematoma. Apropos of a series of 8 cases].

The authors report 8 patients who developed an epidural hematoma after having been submitted to 1 or 2 computed tomographies (CT) which did not yet show the hematoma. The initial CT was done 1 to 6 hours after the accident. The delayed hematoma was diagnosed 3 and a half hours to 7 days after the accident. Secondary clinical deterioration occurred in 6 patients and was dramatic in 4 of them. Delayed epidural hematoma seems to be a frequent event; our 8 cases represent 10 % of all epidural hematomas operated during the period under consideration. This has to be taken into account when taking care of head injured patients after negative CT. The authors propose a list of indications for repeating CT. The current views on mechanisms of formation of epidural hematomas are discussed in the light of the increasing number of reported cases of delayed epidural hematoma.

Adolescent↗

Delayed development of extradural haematomas.

Two cases of extradural haematoma of delayed onset, demonstrated by serial computed tomography (CT), are presented. the first patient developed a fatal posterior fossa haematoma, which was not present on the initial CT four hours after the accident. The second patient developed a right parietal haematoma, which was not present on the CT two and a half hours after the accident. These cases are in disagreement with the hypothesis that extradural haematomas reach near maximum size within minutes after trauma.

Adolescent↗

Purification and properties of adenylyl sulphate:ammonia adenylyltransferase from Chlorella catalysing the formation of adenosine 5' -phosphoramidate from adenosine 5' -phosphosulphate and ammonia.

Extracts of Chlorella pyrenoidosa, Euglena gracilis var. bacillaris, spinach, barley, Dictyostelium discoideum and Escherichia coli form an unknown compound enzymically from adenosine 5'-phosphosulphate in the presence of ammonia. This unknown compound shares the following properties with adenosine 5'-phosphoramidate: molar proportions of constituent parts (1 adenine:1 ribose:1 phosphate:1 ammonia released at low pH), co-electrophoresis in all buffers tested including borate, formation of AMP at low pH through release of ammonia, mass and i.r. spectra and conversion into 5'-AMP by phosphodiesterase. This unknown compound therefore appears to be identical with adenosine 5'-phosphoramidate. The enzyme that catalyses the formation of adenosine 5'-phosphoramidate from ammonia and adenosine 5'-phosphosulphate was purified 1800-fold (to homogeneity) from Chlorella by using (NH(4))(2)SO(4) precipitation and DEAE-cellulose, Sephadex and Reactive Blue 2-agarose chromatography. The purified enzyme shows one band of protein, coincident with activity, at a position corresponding to 60000-65000 molecular weight, on polyacrylamide-gel electrophoresis, and yields three subunits on sodium dodecyl sulphate/polyacrylamide-gel electrophoresis of 26000, 21000 and 17000 molecular weight, consistent with a molecular weight of 64000 for the native enzyme. Isoelectrofocusing yields one band of pI4.2. The pH optimum of the enzyme-catalysed reaction is 8.8. ATP, ADP or adenosine 3'-phosphate 5'-phosphosulphate will not replace adenosine 5'-phosphosulphate, and the apparent K(m) for the last-mentioned compound is 0.82mm. The apparent K(m) for ammonia (assuming NH(3) to be the active species) is about 10mm. A large variety of primary, secondary and tertiary amines or amides will not replace ammonia. One mol.prop. of adenosine 5'-phosphosulphate reacts with 1 mol.prop. of ammonia to yield 1 mol.prop. each of adenosine 5'-phosphoramidate and sulphate; no AMP is found. The highly purified enzyme does not catalyse any of the known reactions of adenosine 5'-phosphosulphate, including those catalysed by ATP sulphurylase, adenosine 5'-phosphosulphate kinase, adenosine 5'-phosphosulphate sulphotransferase or ADP sulphurylase. Adenosine 5'-phosphoramidate is found in old samples of the ammonium salt of adenosine 5'-phosphosulphate and can be formed non-enzymically if adenosine 5'-phosphosulphate and ammonia are boiled. In the non-enzymic reaction both adenosine 5'-phosphoramidate and AMP are formed. Thus the enzyme forms adenosine 5'-phosphoramidate by selectively speeding up an already favoured reaction.

Adenosine Monophosphate↗

Boron-neutron capture therapy in relation to immunotherapy.

The essential feature of tumour therapy rests upon host-tumour interaction. To achieve therapeutic effects, a prerequisite to immunotherapy is the reduction of tumour cells in the host's body. Such measures should not be immunosuppressive. Cytotoxic chemotherapy is not appropriate in this regard. Supraradical surgery and non-specific radiotherapy are not desirable for preservation of nervous function, if their immunosuppression is not as severe as cytotoxic substances. Boron-neutron capture therapy is a highly specific and least immunosuppressive means of reducing tumour cells of the central nervous system. A brief introductory review of basic research is presented. The interim clinical results are: (i) Treatment of recurrent glioblastoma: Survival extension obtained by neutron capture therapy is 21.9 +/- 7.2 mos in contrast to that obtained by conventional treatments of 6.7 +/- 0.6 mos (p less than 0.001), (Total survival 26.3 +/- 6.7 mos); and (ii) only three patients including two glioblastoma cases were treated with neutron by the same surgeon who, by performing the first tumour operation, had the advantage in topographic knowledge for determining the radiation field. They survived 4, 5, and 6 years in almost fully active conditions. The new Musashi Institute of Technology Reactor Thermal Neutron Therapy Facility and the increased domestic production of boron-10 isotope have enlarged the therapeutic capacity to two dozen patients a year.

Adolescent↗

[Aneurysms of the distal anterior cerebral artery].

The authors present six cases of subarachnoid hemorrhage secondary to rupture of an aneurysm of the pericallosal artery. Four of these were of the berry type and were located at the genu of the corpus callosum; in two instances the aneurysm was found at the bifurcation of an azygous or a bihemispheric pericallosal artery respectively. A fifth lesion was of the fusiform type and the sixth one represented most probably a false aneurysm. All patients have been operated upon, but in three only clipping of the neck was feasable. In the remainder one pericallosal or the azygos artery was occluded intentionally. Postoperatively, severe mental perturbation, incontinence and seizures were encountered, but all symptoms cleared during the follow-up period, and subarachnoid hemorrhage never recurred.

Adult↗

Subcellular localization of O-acetylserine sulfhydrylase in spinach leaves.

A combination of differential centrifugation and isopycnic sucrose density gradient centrifugation of extracts from spinach leaves (Spinacia oleracea L.) shows that about 20% of the O-Acetylserine sulfhydrylase are associated with chloroplasts. No appreciable amounts of O-Acetylserine sulfhydrylase band with mitochondrial and peroxisomal marker enzymes.

Chlorophyll↗

Primary cutaneous nocardiosis in an immune-competent patient.

We present a patient who was hospitalized due to a purulent skin lesion with a surrounding erythematous area in the region of the right paranasal crease accompanied by a swelling of the right eyelid. Initially the diagnosis of a carbuncle caused by an infection with Staphylococcus aureus was supposed. A surgical debridement was performed and an antibiotic therapy was started. Only special microbial investigations requested by the clinician led to the diagnosis of a cutaneous infection with Nocardia brasiliensis. The presented case is remarkable because the nocardia infection was in an immune-competent patient and the patient showed a primary cutaneous nocardiosis without dissemination.

Amoxicillin↗