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[Control of animal rabies by veterinary official and hunting measures (author's transl)].

The system of state control of rabies consists of clearing and eliminating the sources of infection, the simultaneous interruption of the chains of infection and preventing such chains developing. For this purpose different measures are instituted for rabies in domestic and wild animals. The weight of the attack lies in the control of rabies in the fox as the epidemiologically responsible carrier. Its reduction also corresponds to other gamekeeping requirements, the gassing of fox-earths being called upon when hunting measures fail. Vaccination of domestic animals, particularly the carnivores, presents an opportunity to break down epidemiological bridges for game and to reduce the danger to humans. Along with the improvement of vaccination of humans against rabies, this can contribute to a "dedramatisation" of rabies.

Animals↗

[Myoclonic cerebellar dyssynergia (Ramsay-Hunt syndrome) and cerebellar telangiectasia].

A 8 year-old girl presented with generalized epileptic seizures followed by the progressive onset of myoclonic jerks, sometimes associated with willed movements, and a static and kinetic cerebellar syndrome without conspicuous intellectual impairment. Death occurred 10 years after the onset of the disorders. There was no family history. Neuropathological studies showed lesions confined to the cerebellum. Diffuse and bilateral telangiectases were present in the cerebellar white matter. They were associated with patchy cortical alterations of the distal parts of some folia involving mainly the granule-cells ans sparing the Purkinje cells. No Lafora bodies and no abnormal lipofuscin storage were observed. The dentate nuclei, superior cerebellar peduncles and red nuclei were normal as were the inferior olives and inferior cerebellar peduncles. The spino-cerebellar tracts were unaffected. This case confirms the hypothesis that dyssynergia cerebellaris myoclonica corresponds only to a clinical entity. It may be encountered in various degenerative or metabolic disorders involving the cerebellum and/or its pathways. To our knowledge the association of a Ramsay Hunt syndrome with a vascular malformation has not been previously reported.

Adolescent↗

[Clinical aspects and pathogenesis of Tolosa-Hunt syndrome].

The authors describe two cases of the Tolosa-Hunt syndrome and come to the conclusion that the pathological process in the disease (largely in the meninges) may also involve other sites located distantly from the cavernous sinus. The genesis of this syndrome appears to be largely infectious-allergic in nature.

Aged↗

[Tolosa-Hunt painful ophthalmoplegia. Apropos of a case in a 10-year-old girl].

The authors report a case of Tolosa-Hunt syndrome in a 10 1/2 year-old girl. Associating lasting orbital pain and impairment of the ocular motor innervation, this syndrome evolves over several years with spontaneously regressive bouts and may induce ocular sequellae. The dramatic efficacy of corticosteroid treatment is considered by several authors as a diagnostic test. It is a diagnosis of exclusion, which should be suggested only after careful enquiry searching for a general or local cause. In fact, only the ophthalmoplegic migraine may set up difficult problems of differential diagnosis.

Child↗

[Clinical variants of the Tolosa-Hunt syndrome].

On the basis of examination of 25 cases of Tolosa-Hunt syndrome, the author has identified 3 variants of the pathology: classic, with the predominant damage to the oculomotor and to the abducent nerve. It has been shown that immunological assays, CSF examination and carotid angiography are essential for the diagnosis of the syndrome. A differential-diagnostic table is presented. Employment of steroids in the acute period of the disease has yielded good results.

Adult↗

Tolusa-Hunt syndrome: resolution of a 12-year course after tonsillectomy.

The authors review the symptoms, physical findings, possible causes, and treatment of Tolusa-Hunt syndrome (THS). The authors present a patient with THS and tonsillitis. The symptoms, except for blindness, were alleviated after tonsillectomy. Anatomical relationships of the tonsils to the cavernous sinus are demonstrated and tonsillitis as a possible trigger mechanism of THS is suggested.

Adolescent↗

[Clinico-pathogenetic polymorphism of the Tolosa-Hunt syndrome].

The authors present the results of examining 31 patients with the Tolosa-Hunt syndrome and analyze the relevant literature data. According to the authors, the syndrome may be due to limited pachymeningitis in the area of the cavernous sinus, periarteritis (arteritis) of the carotid artery siphon and their combination with limited leptomeningitis of the same localization. Clinical polymorphism depends on the nature, degree and stage of the process as well as on the individual characteristics of the topography of the damage. The necessity of the differential treatment is emphasized.

Adolescent↗

Comparison of the hunting reaction in normals and individuals with Raynaud's disease.

Cold-induced vasodilation (CIVD or hunting reaction) was studied in eight subjects with Raynaud's disease, an idiopathic vasospastic disorder of the peripheral vasculature, and in nine normal subjects using 5, 10, 15 +/- 1 degree C water bath immersions of the right middle finger. Differences between Raynaud's and normal subjects were only marginal at 5 degrees C; at 10 degrees C, Raynaud's subjects showed a longer time to the first rise of skin temperature, had lower mean digital skin temperature, and a lower amplitude of their digital skin temperature during CIVD; at 15 degrees C, Raynaud's subjects had a longer time to first rise, lower number of CIVD cycles, and a lower recovery temperature.

Adult↗

[Tolosa-Hunt syndrome. Observations in 11 cases].

The authors report 11 cases of Tolosa-Hunt syndrome, a painful ophthalmoplegia due to an aspecific, benign, steroid-responsive inflammation of the cavernous sinus. Other causes of painful ophthalmoplegia, diagnostic findings and etiological hypothesis are discussed.

Adult↗

Hand-rearing of Cape hunting dog Lycaon pictus pups.

Problems encountered in the hand-rearing of Cape hunting dogs are discussed. It is felt that these could be minimised by avoiding stress, by rearing pups as close to natural circumstances as in possible, by applying sound husbandry techniques and by keeping the pups together.

Animal Husbandry↗

Recurrent multiple cranial nerve palsies (Tolosa-Hunt plus?).

Twelve patients with recurrent cranial nerve palsies in whom no focal cause was found were seen during a period of 4 years. The literature is reviewed, and the relationship and similarity to Tolosa-Hunt syndrome is discussed. Early recognition is important since the response to steroids, although not specific, is rapid in most patients, and the prognosis for complete recovery is relatively good.

Adolescent↗

[Atypical case of the Ramsay-Hunt syndrome].

The authors report a case of Ramsay-Hunt syndrome during cervical zoster in the C2--C4 area. The case reserves attention in view of the fact that facial nerve paralysis and paralysis of both parts of the right acoustic nerve occurred as a second exacerbation of the disease 16 days after the onset. Permanent hearing impairment in the right ear after regression of facial nerve paralysis and paralysis of the vestibular part of the acoustic nerve were also exceptionally rare signs.

Cervical Vertebrae↗

[Diagnosis and treatment of the Tolosa-Hunt syndrome].

An analysis of clinical data concerning 13 patients with nonpurulent inflammation of the external wall of the cavernous sinus (or the Tolosa-Hunt syndrome) permitted the authors to come to the conclusion that as a result of administration of steroid preparations the assessment of some diagnostical criteria is somewhat altered. At the same time of certain diagnostical value is the rapid therapeutical effect of steroid preparations as well as the criteria proposed by the authors-- the connection between the onset of the disease and some infectious disease (most frequently catarrh of the upper airway) and a combined lesions of the oculomotor nerves and sympathic periarterial fibres of the internal carotid artery without marked exophthalmus.

Adolescent↗

[Tolosa-Hunt syndrome in a child].

A case of Tolosa-Hunt syndrome is described in a girl aged 2.5 years with a recurrence at the age of 4.5 years. Remissions with slight residual signs were obtained after steroid treatment. The physical state showed participation of the vascular factor and the results of laboratory investigations indicated participation of the inflammatory factor in the aetiopathogenesis of the syndrome.

Child, Preschool↗

[A case of the Ramsay-Hunt syndrome (herpes zoster of the geniculate ganglion) with concomitant C2 and C3 nerve involvement].

A case of Ramsay-Hunt syndrome (herpes zoster of the genicular ganglion with paresis of the facial nerve) presenting concomitant involvement of the sensitive nerve roots C2 and C3 is reported. The main aetiopathogenetic hypotheses as reported in the literature are presented and an attempt made to formulate a standard aetiopathogenetic theory comprising lesions to the motor nerve fibres and those of the sensitive nerve fibres.

Aged↗

The Tolosa-Hunt syndrome.

The Tolosa-Hunt syndrome, or painful ophthalmoplegia, is a rare condition caused by a granulomatous nonspecific process at the level of anterior cavernous sinus, superior orbital fissure and orbital apex. The syndrome is characterized by pain behind, above or around the eye, involvement of the cranial nerves which pass through the cavernous sinus, spontaneous remissions and exacerbations, and a favourable response to steroid therapy. Recognition of this condition is important because administration of steroids may prevent residual damage.

Diagnosis, Differential↗

Therapeutic aspects of limb lesions due to hunting weapons: a study of twenty cases.

The authors report 20 cases of limb lesions provoked during hunting accidents by traditional weapons (gauges 12 and 20) or by 5.5 mm bullets of 22 L.R. Lesions caused by shotguns (gauge 12, 20) are much more serious when done point-blank or at very short shooting distance. The treatment of skin and bone lesions shall be realized in several steps: emergency removal of the foreign bodies with cutting out of non viable bone fragments. Immobilization and depending on the development, two therapeutic solutions may be chosen: either skin graft then bone graft or Papineau's method. Lesions caused by 5.5 mm bullets are much less serious because losses of substances are less important.

Adolescent↗