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Biomedical subjects

J Nick

Publications and source records attributed to J Nick.

58 records · Page 4Linked to original sources

[Céphalée d'effort or cough headache. About 43 cases (author's transl)].

"Cephalée d'effort" (Tinel C.E.) is provocated by any physical effort: taking up a heavy weight, but also coughing, sneezing, laughing, going to stool. Pain is usually localized, abrupt in onset and of short duration. One may distinguish: 1) C.E. secondary to intracranial lesions, cranial traumatism, tumours of posterior fossa, syringomyelobulbia, Arnold-Chiari malformation, Paget disease, etc... 2) Isolated or primary C.E.: they occur mainly in men after fifty. Recurrence is capricious. Prognosis is good. Three mechanisms are possible: acute veinous hypertension of dural sinuses; sharp C.S.F. pressure rise, dural traction. The denomination of "céphalée d'effort" given by Tinel in 1932 is preferred to this of cough headache given by Sir Charles Symonds in 1956; because of the anteriority and wider conception of causal physical efforts, including cough.

Adult↗

[Involvement of the central nervous system in Behçet's syndrome. Report of two cases (author's transl)].

After presenting two personal observations, the authors underline the fact that the neurological manifestations of Behçet's disease are more frequent than they were supposed to be. Their symptoms are overly manifold but have in common constant abnormality in the cerebrospinal fluid when an attack occurs. The affection is a very serious one demanding an early and well established diagnosis only to be obtained thanks to a clinical examination. Corticosteroïd therapy (1 mg/kg per day) either alone or associated with immuno-suppressive therapy may check the attack. Preventing relapses implies a non-stop treatment. Immuno-suppressive therapy seems to be the most efficient one.

Adrenal Cortex Hormones↗

[Iatrogenic arthritis after intestinal by-pass as a treatment for obesity (author's transl)].

The authors report three observations of patients having suffered from arthralgias as an aftermath of intestinal by-pass for treatment of refractory obesity. They remind the main troubles cropping up after such surgical treatment and refer to the data already existing in the literature dealing with articular manifestations. They think this pathology is in keeping with arthritis already reported in inflammatory colitis and they suggest a similar pathogeny.

Adult↗

[Headache related to sexual intercourse (author's transl)].

Coïtal cephalalgic (CC) is rare (1/360 headaches); it occurs more frequently among men. Out of 16 unpublished cases, in 4 cases, CC was the inaugural symptom of vascular attack. In the 12 other cases, CC was isolated or primary. According to the time of onset of headache during coït one may distinguish three types: 1) early CC usually moderate and short lasting; 2) orgasmic CC, abrupt, severe, lasting 15 to 20 minutes; 3) late CC of long duration (hours, days) follows sometimes orgasmic CC. Isolated CC is usually repetitive but capricious, episodical, not periodical. Prognosis is good. Mechanism is mainly vascular and muscular. The role of high blood pressure, migraine, and psychological factors is discussed.

Coitus↗