Biomedical subjects
Publications and source records attributed to J Sher.
Subdural hematoma secondary to dural metastases is a rare event. Vascular obstruction due to invasion of dural vessels is an important etiological factor. When this is associated with a clotting defect, the subdural hematoma can cause significant clinical symptoms and death. Two cases are presented with a review of the literature.
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A hitherto undescribed inherited dermatosis, traceable to certain 19th-century inhabitants of Oudtshoorn, CP, has been transmitted as an autosomal dominant to a large number of their present-day descendants. The disease consists of intermittent and recurrent centrifugal peeling, with redness, of the palms and soles in particular. In more severe cases similar patches are found extending up the limbs to the buttocks and the trunk generally. The inconvenience is usually moderate, but it may be incapacitating. Some temporary relief, but so far nothing permanent, can be offered through treatment.
The ATPase reaction and its pH lability demonstrate three fiber types in the adult mouse gastrocnemius; Type I (light staining with alkaline preincubation and dark with acid preincubation), Type IIA (dark after alkaline preincubation), type IIB (dark after alkaline and acid preincubation). The SDH and NADH-tetrazolium reductase reactions also demonstrate three types of fibers; those low (A), intermediate (B) or high (C) in oxidative enzyme activity. However, the use of both procedures in serial sections demonstrates that four different combinations occur; the IIB fibers are high in SDH activity, the I fibers are intermediate in SDH enzyme activity, while the IIA fibers are either low or intermediate in SDH activity. These fiber types are present within the gastrocnemius muscle in a distinct pattern of zones. The predominant fiber type, located in the superficial half of the muscle, is the IIA (A) fiber which is high in ATPase and low in SDH activity. This is consistent with the fact that the gastrocnemius is generally considered a white, fast muscle. The IIB and I fibers are fewer in number and are located deeper in the muscle.
Vein of Galen aneurysm may be caused by a spectrum of abnormal arteriovenous connections ranging from extensive malformations involving the tentorial dura and upper brain stem vessels to the rarer condition of a simple end to end fistulous connection. The diagnosis of the latter condition of a simple arteriovenous fistula is important because it may be effectively managed by surgical interruption of the feeding fistulous vessels. Two cases with the direct fistulous connections are presented.
The authors report a unique case of ectopic intracranial pituitary adenoma, associated clinically with generalized seizures and aggressive behavior. The lesion presumably arose from cells in the pars tuberalis and did not involve the sella turcica.
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Fetal anomalies were suspected clinically in 3 patients, during the second trimester of pregnancy, due to advanced maternal age, hydramnios and abnormal vaginal bleeding respectively. Sonography revealed anencephaly in all of them, confirmed by roentgenograms and also by high amniotic fluid leveal alpha-fetoprotein in 1 of them. The antenatal diagnosis was confirmed in the 3 abortuses. Early screening of all pregnancies at risk for neural tube malformations is strongly recommended.
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