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Biomedical subjects

J Faivre

Publications and source records attributed to J Faivre.

At least 307 records · Page 17Linked to original sources

X-linked hydrocephalus, with aqueductal stenosis, mental retardation, and adduction-flexion deformity of the thumbs. Report of a family.

A new family is reported of a Bickers-Adams-Edwards syndrome. This family has been studied up to three generations. Two female carriers are known. Among the six male children who are affected, four are severely mentally retarded, have spasticity of the legs, and survived with a mild macrocephaly, and two show a more severe and rapid progression of head enlargement. A partial aqueductal stenosis, with remarkable ventricular dilatation, has been demonstrated by pneumoence-phalography in three boys. A deformity of the thumbs links these six children together. One of them has been treated by a ventriculoperitoneal shunt, when 18 months old, without any improvement in the neurological condition. The mental deficiency is much more severe than could be expected from the degree of hydrocephalus, at least as estimated clinically by the macrocephaly. Hydrocephalus is precocious, and the ventricular dilatation very advanced when seen by PEG studies. Recognition of the female carriers is not possible.

Adolescent↗

[Urocytogram and precocious puberty].

After a review of the technique of urocytogram the authors report the results obtained in 39 children between the ages of 3 and 12 years. Before the appearance of the first signs of puberty, urocytograms are similar in both girls and boys. Differences were seen in seven cases of male or female precocious puberty. Urocytograms are also different in patients with incomplete precocious puberty but less marked than in those with true precocious puberty. The authors consider the possibility of repeat urocytograms during the supervision or treatment of incomplete and complete precocious puberty.

Brain Neoplasms↗

[Methemoglobinemias caused by ingestion of nitrites and nitrates].

Nitrites and nitrates are often responsible for methemoglobinemy. Infants, on account of their greater sensibility to oxidizing agents, are particularly liable to poison by nitrates and nitrites. Sodium nitrite can be responsible for poisoning after accidental ingestion or owing to an overdose when preparing salt provisions, or because it has been mistaken for another product. Then it is often a case of collective poisoning. Nitrates generally produce methenoglobinemy when they are changed into nitrites under the influence of a bacterial proliferation or of a reductase held in plants. It happens with spinach and carrot soup. Nitrates can pollute municipal water supply and chiefly well water. As regards therapy, cases of methemoglobinemy have been noted after an overdose of potassium nitrate and especially of bismuth subnitrate. The treatment of methemoglobinemy caused by nitrates and nitrites is not specific: suppression of the oxidizing agents, oxygenation, prescription of reducing agents.

Adult↗

Controlled trial of platelet anti-aggregating agents and subcutaneous heparin in prevention of postoperative deep vein thrombosis in high risk patients.

In a prospective randomised trial, three groups of 20 patients each were compared. A first group served as a control, a second group received dipyridamole and acetylsalicylic acid and a third group received low doses of heparin. The incidence of deep vein thrombosis determined by the 125I-fibrinogen test was 40% in the first group, 50% in the second group, and 5% in the third group. The differences between the heparin group and the two other groups are statistically significant. No wound complication and no haematoma at the injection site occurred.

Aged↗

[Mucoid pseudo-cysts of the sheath of the external popliteal sciatic nerve. Apropos of 2 cases].

Two cases of paralysis of the etxernal popliteal sciatic nerve are described. They are secondary to the development of a pseudo-cyst containing mucoid matter within the connective tissue sheath of the nerve itself. The authors describe the pathological anatomy of these lesions and discuss their aetiology, favouring the theory of mucoid degeneration of the connective tissues of the nerve sheath. They give brief indication of the clinical symptoms and emphasize the need for early but simplified surgery, ruling out any nerve resection.

Adolescent↗

[Laryngo-pharyngeal paralysis. Complications during the course of myelomeningoceles].

Report of 5 cases in babies with myèlomeningocele and hydrocephalus stridor and troubles in swallowing appeared after a free interval. These facts were already reported in literature. They represent an impairment of cranial nerves (IX,X and XI). The lesion may be located at the level of the nerves themselves or at the level of the origin nucleus in the brain stem. The mechanism of the lesion is not well known. The role of intracranial hypertension and of Arnold-Chiari malformation seem to be prominent.

Arnold-Chiari Malformation↗