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Biomedical subjects

S Bastianello

Publications and source records attributed to S Bastianello.

At least 109 records · Page 6Linked to original sources

An expansile secondary hypophyseal mastocytoma in a dog.

A 5-year-old mixed breed dog was presented with a history of depression and anorexia. Physical examination revealed a pharyngeal tumour and a neurological examination indicated the presence of a possible space-occupying lesion in the brain. Investigative procedures included a bloodsmear, impression smears and cytology of the pharyngeal tumour, haematology, chemical pathology, faecal analysis, urinalysis, electrocardiography, cerebrospinal fluid analysis, hormone assays and a computerised axial tomography scan. Results of these investigations revealed a round cell tumour in the pharynx, hypergammaglobulinaemia (34 g l-1), azotaemia (urea 8.6 mmol l-1 and creatinine 170 mumol l-1), hypoalbuminaemia (20 g l-1), proteinuria, sinus bradycardia (heart rate 60 beats per min), increased concentration of protein in the CSF (1.1 g l-1), hypoadrenocorticism (base line cortisol less than 55 nmol l-1) and hypothyroidism (T4 less than 13 nmol l-1). The computerised axial tomography scan revealed a brain tumour in the region of the hypophysis. The dog was euthanased and a post mortem examination confirmed the presence of a pharyngeal tumour with apparent direct extension of the tumour into the brain. Both tumours were confirmed histologically as mastocytomas.

Animals↗

Changing prognosis of primary intracerebral hemorrhage: results of a clinical and computed tomographic follow-up study of 104 patients.

One hundred four consecutive cases of primary intracerebral hemorrhage hospitalized at the time of stroke were followed until death or for 1 year. All were treated nonsurgically. The 30-day mortality rate was 30%. Good clinical outcome and complete resolution of the lesion on computed tomography were observed in 49 and 13% of patients, respectively. Age, state of consciousness, and size of the hemorrhage on computed tomography scan were reliable prognostic indicators. The long-term survival rate, 66%, was higher than that previously reported and should be considered in future trials evaluating medical and surgical treatment of intracerebral hemorrhage.

Adult↗

Remote effects of caudate hemorrhage: a clinical and functional study.

Clinical, anatomical and functional findings in two cases of previous caudate nucleus hemorrhage, with good recovery, are presented. CBF data obtained with SPECT and 123 I-HIPDM well correlate with functional residual deficit, despite normal TCT examinations. These observations are suggestive of a partial "wallerian" diaschisis.

Affect↗

Slow-release lithium in treatment of schizoaffective syndromes.

Schizoaffective disorders are a blurred category of psychiatric pathology in which lithium seems to exert therapeutic effects. The present study was made on patients suffering from affective syndromes with positive schizophrenic symptoms ranging from none to severe. They were hospitalized because of an acute episode, treated with a slow-release lithium preparation (Hypnorex) following the attack therapy and followed up for a mean period of two years. Diagnosis were done according to the American Psychiatric Association diagnostic and statistical manual of mental disorders (DSM III) criteria, while clinical evaluations were carried out on the basis of an original lithium therapy assessment protocol. Lithium was demonstrated to be prophylactic to relapses of affective symptoms, its effectiveness as a whole being proportional to the purity of the major affective disorder. Slow release lithium was found a reliable pharmaceutical tool in both providing therapeutic results and avoiding severe side-effects. The therapeutic range of lithium serum levels was within 0.5-0.6 mEq/l. It is hypothesized that the response to lithium therapy could be a guide in the differential diagnosis between schizoaffective and schizoaffective-like syndromes.

Adolescent↗

Spontaneous cerebellar haemorrhages in childhood.

Spontaneous cerebellar haemorrhage is very rare in children and is often associated with blood diseases such as haemophilia A or acute lymphatic leukaemia. During 1995, two paediatric patients with spontaneous cerebellar haemorrhage underwent surgical treatment in the Neurotraumatology Division of "La Sapienza" University hospital in Rome. The authors discuss this unusual pathology with particular regard to the age of the patients described.

Adolescent↗