[Polygraphic study during spontaneous nocturnal sleep in a case of bulbar myoclonus].
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Biomedical subjects
Publications and source records attributed to S Smirne.
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A study of 46 patients has shown that Clonazepam is an effective drug in preventing attacks of pain in essential trigeminal and glossopharyngeal neuralgia and in Sluder's syndrome. The therapeutic action of the drug is less evident in different types of migraine, among which only the combined headache presents good results to the treatment. The effective dose of this drug is generally not greater than 3 mg/die and does not give rise to side effects in long-term prescription.
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Basal and stimulated GH and PRL secretions have been studied in four patients with myotonic dystrophy. High values of basal plasma GH have been occasionally found in two patients. Abnormal plasma GH responses were coexisting with normal ones after each stimulus (oral l-dopa, oral glucose load, arginine infusion, i.v. insulin, i.v. metoclopramide). Basal plasma PRL levels were normal in all patients as well as responses to different stimuli except the response to insulin-induced hypoglycaemia that was abnormal in three patients out of four. It is concluded that in myotonic dystrophy hypothalamic regulatory mechanisms of pituitary functions may be altered because of known thalamic lesions or yet unrecognized hypothalamic ones.
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