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Biomedical subjects

M Brambilla

Publications and source records attributed to M Brambilla.

At least 55 records · Page 3Linked to original sources

Long-term follow-up of the surgical treatment of intracranial coenurosis.

Intracranial infestation by the coenurus of the tapeworm Taenia multiceps is a rare occurrence in humans, with about 55 cases having been reported so far. Although most of these cases were observed in African or South American countries, the illness was occassionally found also in sheep-raising areas of Western Europe and the United States. Out of 4 personal cases, who were operated upon over an 18-year-period, 2 were neurologically intact respectively 20 and 3 years following surgical treatment. CT scans confirmed the absence of a progression of the disease. One patient was able to work 6 years after surgery, when he was killed in a road accident. A further, severely impaired patient remained unchanged and died with intercurrent infection 10 years following the operation.

Adult↗

Parkinsonism in the presence of intracranial extracerebral haematomas.

Bilateral Parkinsonism has been observed in a 60-year-old female with a chronic subdural intracranial haematoma. Scattered, poorly marginated, hypodense areas within the ipsilateral pallidus and putamen were evident on the preoperative CT scans. The rapid neurological improvement following the surgical drainage of the subdural clot and the evolution of the densitometric features of the nuclear lesions, which became clear-cut, though smaller, in the following months, suggest a cause-and-effect relation between the haematoma and the clinical symptomatology. To the best of our knowledge this is the first case in which anatomical lesions within the basal ganglia could be detected neuroradiologically.

Basal Ganglia Diseases↗

DNA damage in the central nervous system of rats after in vivo exposure to chemical carcinogens: correlation with the induction of brain tumors.

The alkaline elution technique has been used to evaluate DNA damage in brain of rats treated with a single equimolar dose of 14 carcinogens of different chemical structure. A clear-cut increase of DNA elution rate, which is considered indicative of DNA fragmentation, was produced by 10 compounds known to induce the development of tumors in the rat central nervous system: N-nitroso-N-methylurea, N-nitroso-N-ethylurea, N-nitroso-N-butylurea, N-nitroso-N-methylurethane, methyl methanesulfonate, ethyl methanesulfonate, dimethyl sulfate, diethyl sulfate, 1,3-propansultone, and procarbazine. Similar amounts of DNA fragmentation were produced by both potent and weak brain carcinogens. In contrast, any significant increase of DNA elution rate was absent in rats treated with N-methyl-N'-nitro-N-nitrosoguanidine, N-nitrosodimethylamine, N-nitrosodiethylamine, and beta-propiolactone, all of which are devoid of carcinogenic activity for the rat central nervous system. These results suggest that the described in vivo brain DNA damage/alkaline elution assay deserves further studies on a wide number of carcinogens and noncarcinogens aimed to establish its possible usefulness for a qualitative preliminary assessment of the ability of a compound to induce neurogenic tumors.

Alkylating Agents↗

Computed tomography and magnetic resonance imaging of cerebral coenurosis.

A case of Coenurus cerebralis involving both cerebral hemispheres and the interpeduncular cistern is presented to illustrate the computed tomography (CT) and magnetic resonance imaging (MRI) features. In CT scans viable cysts appear as lucent lesions surrounded by a contrast-enhanced peripheral rim. By using multiple echo sequences the cyst content is characterized in magnetic resonance images by a cerebrospinal fluid-like intensity pattern.

Brain Diseases↗

Long-term results of surgical treatment for redundant roots of the cauda equina.

Seven patients with redundant roots of the cauda equina were followed 2 1/2-10 years after surgical decompression. Improvement of signs and symptoms occurred in all patients. However, none of them was neurologically intact at the time of the last physical examination, although persistence of minimal neurological signs and/or occasional pain did not prevent a useful occupational activity.

Adult↗

Heroin myelopathy: a case report.

Acute transverse myelitis was observed as a complication of intravenous heroin addiction in a young man. Recovery within seven weeks was good, but not complete. The literature is reviewed and the possible pathogenetic mechanisms are discussed.

Adult↗

A histological and histochemical study of changes of fiber types in experimental myotonia.

In both fast and slow muscles of rats treated with 20--25 diazacholesterol there were qualitative alterations, such as changes of fiber outlines, numerous moth-eaten fibers and rare ring fibers. In addition there were generally larger groups of Type I and intermediate fibers than in normal controls ("type-grouping" tendency) in the preparations for oxidative enzymes in the extensor digitorum longus (EDL) of myotonic animals. Quantitative evaluations of EDL and soleus of myotonic rats revealed moderate hypothrophy of Type I and Type II fibers with an increase in the numbers of Type I and of Type III fibers in the EDL and a significant decrease of the nondominant fibers in the soleus muscle. The data are discussed in the light of a neurally mediated and/or direct action of the drug on the muscle fiber.

Animals↗

Residual corneal astigmatism after perforating keratoplasty.

A statistical analysis was made of post-operative astigmatism after perforating keratoplasty in subjects with various corneal diseases. A total of 100 cases were analyzed on discharge (25th day) and 6 months after surgery. The degree of astigmatism and its time course was assessed, and its effect on post-operative visual acuity was investigated, including any changes resulting from removal of the continuous suture. Mean astigmatism values were 4 dioptres on discharge and 4.2 dioptres after 6 months. No statistically significant relation was found between degree of astimatism and recovery of visual acuity.

Adolescent↗

Alpha interferon as initial treatment of essential thrombocythemia. Analysis after two years of follow-up.

AIMS AND BACKGROUND: Recombinant alpha-interferon has been shown to be effective in essential thrombocythemia and in thrombocytosis associated with other myeloproliferative disorders. PATIENTS AND METHODS: Twenty-five untreated patients were enrolled in our study from May 1989 to April 1992. Recombinant alpha interferon-2b was administered at an initial dose of 2 megaunits (MU)/m2 three times a week at escalating doses to 5 MU/m2 or the maximum tolerated dose. The mean follow-up for patients still in treatment at the time of this report was 35.9 months (range, 24-63). RESULTS: Fourteen patients (56%) had achieved a complete remission by a mean time of 152 days; 6 patients (24%) had achieved a good partial remission by a mean of 180 days. In addition to the favorable effect on platelet count, a marked improvement in clinical symptoms was observed. Treatment had to be discontinued in 9 patients (36%), 5 for toxicity (3 neurologic, 1 anemia and 1 severe hypertriglyceridemia) at a median of 155 days from the beginning of therapy (range, 30-400). Four patients refused to continue therapy because of low tolerance (flu-like syndrome) at mean of 160 days from the beginning of therapy (range, 34-301). CONCLUSIONS: In our study, lower doses were administered compared with previous short-time trials. The present data show that interferon is an effective alternative to cytostatic agents in long-term treatment of patients with essential thrombocythemia, even when used at lower dosages.

Adult↗

Cesium-134 and strontium-85 in strawberry plants following wet aerial deposition.

The understanding of the processes that control the behavior of radionuclides in crops can support policymakers to take actions to protect the environment and safeguard human health. Data concerning the behavior of radionuclides in fruits are limited. Strawberry (Fragaria x ananassa Duchesne) plants were contaminated on the aboveground part by sprinkling an aqueous solution of 134Cs and 85Sr at three growing stages: predormancy, anthesis, and beginning of ripening. Intercepted activity was more affected by the posture and physical orientation of leaves rather than by leaf area or biomass. Fruit interception ranges from 0.2 to 1.2% of the sprinkled activity. Translocation coefficients from leaf to fruit are on the order of 10(-4) for 134Cs and 10(-5) for 85Sr. Translocation reaches its highest intensity between anthesis and ripening. If deposition occurs when plants are bearing fruits, the fruit activity will be affected by the activity initially deposited on the fruit surfaces. This is important for 85Sr as it is not translocated in the phloem. The loss of the dead leaves at the resumption of growth causes high plant decontamination, but a fraction of both radionuclides remains in the storage organs, roots, and shoots, which is retranslocated to fruits in the following spring. The values of the environmental half-time, t(w), after deposition at predormancy are 114 d for 134Cs and 109 d for 85Sr. Cesium-134 tends to be allocated to fruits, while 85Sr remains in leaves and crowns. Translocation of radionuclides to roots results in soil contamination.

Cesium Radioisotopes↗