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Biomedical subjects

W Wermut

Publications and source records attributed to W Wermut.

17 recordsLinked to original sources

[A case of Munchausen syndrome].

A case is described of the Munchhausen's syndrome in a 35-year-old female patient. The patient was hospitalised 17 times and had six laparotomies for suspected peritonitis. Besides that venesection and lymphography were done. The patient malingered also insulin-dependent diabetes, fever, and haematuria. Since she worked as a housemaid for a doctor she had access to textbooks and professional literature. In the paper more modern aspects of the Munchhausen's syndrome are also discussed e.g. the Munchhausen's syndrome "by proxy".

Adult

[Transient global amnesia. Case report].

All memory disturbances, especially those developing suddenly, cause anxiety of the patient. Transient global amnesia is a form of amnesia of interest in many aspects. The amnesia was described in 1964 by Fisher and Adams, and as yet about 1000 cases have been reported. Middle aged or elderly patients prevail. The attack of amnesia lasts from several to about 20 hours and begins suddenly being regarded as mental confusion. The amnesia covers recent and remote events in many years. During the attack the patient is not appearing to be ill, but is depressed not knowing what has happened. The awareness of own personality, the ability to solve logical problems and visuospatial functions are preserved. The ability to execute complex activities, e.g. car driving, is normal. The aetiology of the disorder is completely unknown. The hypotheses for explaining the syndrome are: 1. ischaemia in the posterior cerebral arteries region with transient fall of blood supply through the vertebrobasilar system, 2. epilepsy or migraine, 3. disturbed aggregation of platelets in the cerebral vessels leading to loss of vessel patency. The first hypothesis seems least plausible. Attacks of this amnesia were noted after triazolam, after thalamic infarction and cerebral angiography, in brain tumours, hydrocephalus, scleroderma, frontal lobe haemorrhage. After an attack the events occurring in it are not remembered. Recurrence of attacks is very rare. Most authors consider that the disorder is benign and regresses without sequelae or only with slight changes in cognitive functions and memory fixation.

Age Factors

[Straight back syndrome. Case report].

Straight back syndrome results from the shortening of the distance between the sternum and thoracic spine leading to a compression of the heart. The syndrome is caused by the lack of spine kyphosis or cobbler's chest. Straight back syndrome produces sometimes clinical symptoms suggesting acquired heart abnormalities. However, hemodynamic cardiac functioning is normal. Prognosis is this syndrome is favourable. Straight back syndrome caused by the lack of thoracic spine kyphosis was diagnosed in a 26-year patient admitted to the hospital with suspected heart abnormality and epilepsy.

Adult

Familial dilated (congestive) cardiomyopathy.

Dilated (congestive) cardiomyopathy (DCM) in two brothers is reported. The clinical course in both cases was dominated by severe congestive heart failure (CHF) with heart rhythm disturbances in one sibling. The onset of the disease was preceded by influenza-like episodes in one case. HLA typing carried out in this patient demonstrated the presence of the A11 antigen which is shown to be more frequently encountered in this cardiomyopathy.

Adult