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Biomedical subjects

J Lapresle

Publications and source records attributed to J Lapresle.

104 records · Page 6Linked to original sources

[Unilateral involvement of IX, X, Xi and XII in cervical zoster. Cranial nerve contribution to vascular pathology].

The authors report a case of a cervical zoster (C2 - C4) with unilateral involvement of the IXth, Xth, XIth and XIIth cranial nerves. Angiography failed to opacify the ascending pharyngeal artery on the same side, presumably because of a thrombosis secondary to the zoster infection. As the ascending pharyngeal artery is known to supply the last four cranial nerves, this study should be seen as a further example of the varied cranial nerve involvement which may arise on a vascular basis.

Accessory Nerve↗

[Argyll Robertson in a case of malignant lymphoma with ciliary involvement (author's transl)].

The authors report a case malignant lymphoma associated with a pseudotabetic syndrome including ataxia, tendon areflexia and an Argyll Robertson pupil. Blood and CSF serological tests for syphilis were negative. Death occurred after 11 years of evolution. An autopsy revealed a malignant lymphoma with mediastinal and retroperitoneal tumor proliferation as well as infiltration of peripheral nerves, in particular the ciliary nerves and one ciliary ganglion examined. No lesion was found in the mesencephalon. The importance of this case lies in its contribution to the location of the pathological changes in the presence of an Argyll Robertson pupil.

Aged↗

[Muscular hypertrophy in clinical neurology (author's transl)].

The authors begin this general review with the pseudohypertrophies due either to an underlying extramuscular process, or to a focal lesion within the muscle, or else to miscellaneous interstitial infiltrates such as those found in cysticercosis, sarcoidosis, amylosis. True hypertrophy is most often observed in the course of muscular dystrophy. It is an usual finding in myopathies, and the prominent symptom of Thomsen disease ; it is the only symptom of hypertrophia musculorum vera and masseters hypertrophy ; it is associated with a peculiar deficit in the "Hereditary Distal Myopathy with Onset in Infancy"; it is a classical symptom of some endocrine myopathies (hypothyroidism and acromegaly). Paradoxically, true hypertrophy may, though very rarely, be encountered in the course of nervous system diseases, most often of the neuritic type : sciatica, hypertrophic neuritis, progressive spinal muscular atrophy. The mechanism of this very unusual muscular reaction remains unknown.

Acromegaly↗

[Forced downward and convergent deviation of the eyes and periodic ocular movements in aneurysmal hemorrhage of the mesencephalic tegmentum].

The authors report a case of forced convergent and downward deviation of the eyes with paralysis of upward gaze and, at times, with lateral periodic alternating movements. Pathological examination disclosed a subarachnoid aneurysm behind the midbrain with a fresh hematoma within the mesencephalic tegmentum at the level of the superior colliculi. The clinical and pathological data are discussed.

Eye Movements↗