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At least 1,189 records · Page 66Linked to original sources
PubMed1990

[Anterior cerebral artery occlusion clinical analysis of 27 self-experienced cases].

From the years 1977 through 1989, the author experienced 27 cases with only anterior cerebral artery (ACA) occlusion but without any other main cerebral arterial occlusions. These were proven by cerebral angiographies and verified by CT. Two patients showing large infarction in the left frontal lobe on CT but showing no evidence of arterial occlusion by cerebral angiography were also registered in this study because these patients were thought to have recanalized ACA. There were 15 males and 12 females with an age of 61.5 +/- 7.98 (mean +/- SD) and 66.1 +/- 6.45, respectively. Twenty two cases had cerebral thrombosis and 5 had cerebral embolism. There were 4 cases with bilateral ACA occlusions, 8 with right ACA occlusion and 15 with left ACA occlusion. Twenty two patients (81%) were alert on admission and this fact might explain their excellent ADL on discharge: full recovery in 9 patients (33%) and self-management in 12 patients (44%). Seventeen patients (63%) had a CT-proven infarcted area with a correlation to ACA occlusion (s), while 9 patients (33%) showed no correlation between an infarction on CT and an ACA occlusion. One patient showed no abnormal findings on CT. Four patients with right ACA occlusion were incidentally observed, even though their mode of onset was strokes. The symptoms of the other 23 patients were those of anterior cerebral artery syndromes: hemiparesis (74%), urinary incontinence (39%), forced grasping (39%), mutism (30%), indifference (26%) and apraxia (22%) etc.

Aged↗
PubMed1989

[Antiphospholipid antibody syndrome: description of a case].

A case of anti-phospholipids auto-antibodies syndrome is reported; it was an unusual expression of Systemic Lupus Erythematosus (SLE). The patient is a 38 years old woman, with a history of recurrent peripheral thrombosis, pulmonary and cerebral embolism, thrombocytopenia, abortions; moreover she suffered from arterial hypertension, and headache. Features of onset, with several episodes of relevant clinical severity and the long period without clinical and laboratory hallmarks of SLE suggest a serious caution in the diagnosis of "pure" anti-phospholipids auto-antibodies syndrome.

Adult↗
PubMed1982

Sphincter-saving resection of the rectum using the EEA autostapler.

Low anterior resection for carcinoma in the mid- and lower third of the rectum has been performed with autosuture technique, using the EEA autosuture stapling instrument in 38 patients, 26 with carcinoma, 10 with diverticulitis, and 2 with Crohn's disease. In 16 patients the anastomotic line was 4-6 cm above the anal verge, and in 22 patients 7-12 cm above the anal verge. Thirty-two patients (80%) had an uneventful postoperative course. Four patients had complications: one, with leakage from a very low-seated anastomosis, was treated with an abdominoperineal resection; 2 had temporary transversostomy performed due to minor anastomotic leakage; and 1 patient developed a fistula, which closed spontaneously. Two patients died, 1 from pulmonary embolism, 1 from cerebral thrombosis. The EEA stapling instrument seems safe, and approximately 42% of the patients in this material would formerly have been subjected to abdominoperineal resection and permanent colostomy.

Adult↗