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Endocraneal hypertension

Cecilia Ceribelli, Ennio Alberto Adami, Simona Mattia, Bruno Benini
BACKGROUND: Bedside diagnostic laparoscopy has an important role of diagnosing acute abdomen in critically ill patients hospitalized in the intensive care unit (ICU). Delayed diagnosis of intraabdominal pathology increases the morbidity and mortality rates for these patients, whose clinical signs often are absent due to analgesic medication and sedation. METHODS: In this retrospective study performed from January 2007 to December 2009, 62 consecutive ICU patients whose blood test results showed them to be hemodynamically unstable underwent bedside diagnostic laparoscopy...
December 2012: Surgical Endoscopy
Alberto Fica C, Marcelo Castro S, Andrés Soto S, Carlos Flores M, Carolina Oelker B, Thomas Weitzel
Neurocysticercosis (NCC) is not a notifiable disease in Chile and has received little attention on the national medical literature. In order to evaluate the relevance and clinical features of the disease, we performed a retrospective analysis in a general hospital of five cases of NCC during a 11 years period. Age ranged from 3 to 63 years and all had history of living or visiting southern Chile. Three patients had a solitary parenchymal cyst in vesicular or granulomatous stages and presented with generalized seizures...
February 2012: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
Giuseppina Mariucci, Elena Taha, Michela Tantucci, Cristiano Spaccatini, Alessandro Tozzi, Maria Vittoria Ambrosini
3-hydroxy-3-methyl-glutaryl-coenzyme-A (HMG-CoA) reductase inhibitors (statins) have been shown to protect against ischemic stroke by mechanisms that are independent of lowering serum cholesterol levels. In this study we investigated the potential neuroprotective effect of a single i.v. treatment with four increasing doses of pravastatin on permanent occlusion of middle cerebral artery (MCAo) in spontaneously hypertensive rats. Pravastatin was given 10 min after MCAo and its effect was determined 24 h later...
June 25, 2011: European Journal of Pharmacology
Felice Vito Vitale, Stefano Rotondo, Edoardo Sessa, Alessandra Parisi, Valentina Giaimo, Alessandro D'Angelo, Giovanna Antonelli, Placido Romeo, Francesco Ferraù
BACKGROUND: Venous thromboembolism (VTE) and brain metastases (MTS) are significant clinical problems in the cancer patient population. Brain MTS and deep vein thrombosis are life-threatening conditions because of the risk of fatal endocranic hypertension and pulmonary embolism. Low molecular weight heparin (LMWH) is a major treatment for cancer patients suffering from VTE with regard to the management of the acute phase and subsequent secondary prophylaxis. Treatment with anticoagulants is feared because of the risk of triggering a massive intracranial hemorrhage...
March 2012: Journal of Oncology Pharmacy Practice
Vincenzo Seneca, Alessia Imperato, Giuseppe Colella, Valentina Cioffi, Giuseppe Mariniello, Michelangelo Gangemi
Whipple's disease is a rare multisystemic infection caused by the intracellular bacteria Thropheryma whippelii. Central nervous system (CNS) involvement is not rare. The most frequent CNS manifestations are cognitive and behavioural changes, sopranuclear ophtalmoplegia, myoclonus, epilepsy, ataxia, meningitis and focal cerebral palsy. We report one case of cerebral localization of Whipple's disease with a clinical presentation of recurrent endocranic hypertension and hydrocephalus, and uncommon neurological symptoms, successfully treated by endoscopic third ventriculostomy and antibiotic therapy with ceftriaxone and Trimethoprim-Sulfamethoxazole...
October 2010: Clinical Neurology and Neurosurgery
Felice Vito Vitale, Stefano Rotondo, Edoardo Sessa, Giovanna Antonelli, Paolo Colina, Alessandra Parisi, Valentina Giamo, Francesco Ferraù
OBJECTIVE: To focus on the optimal management of thromboembolic complication in patients who have undergone chemotherapy with concomitant brain metastases and referred to a Division of Clinical Oncology. BACKGROUND: Thromboembolic diseases are common events in cancer patients due to clotting activation by tumor cells. On the other hand, brain metastases are common complication of systemic cancers. Postmortem studies show that a quarter of patients dying from cancer have intracranial metastases...
June 2011: Journal of Oncology Pharmacy Practice
Jorge Malagón Valdez
Cysticercosis: parasitic disease which affects 3% of the population in Mexico. It is considered that there are more than 50 million infected people in the world, endemic in Mexico, Central and South America, Africa, Asia and India. It is considered the most important neurological infectious disease world-wide for its clinical manifestations. The causal agent in pigs and humans is the cysticercus of the Taenia solium, that can lodge in muscle, brain and ventricles. If pork meat contaminated with cysticercus is eaten, the tapeworm will live in the human intestine and create thousands of eggs that are excreted by the feces...
2009: Medicina
No abstract text is available yet for this article.
May 1964: Revista Chilena de Pediatría
P Lalaguna-Mallada, R García-Romero, B Alonso-del Val, S Rite-Gracia, J Lopez-Pisón, A Baldellou-Vázquez, M I Salazar García-Blanco, C Yus-Gotor, P Briones-Godino, A Marco-Tello, V Rebage
INTRODUCTION: Citrullinemia is an autosomal recessive disease, which is caused by a deficiency of the argininosuccinate synthetase. The neonatal forms are serious and many times are associated with a high level of mortality. CASE REPORT: A newborn that came in again on her third day of life due to a apneic episodes which required mechanical ventilation. Previously, she rejected feeding, had poor suction, lethargy and remarkable hypoactivity. During the following hours, she showed serious neurologycal deterioration with multifocal convulsions and coma, passing away 20 hours after admission due to endocraneal hypertension...
April 1, 2003: Revista de Neurologia
M Massimino, R Giardini, G Cefalo, F Simonetti, B Pollo, S Giombini, J D Tesoro-Tess, M Ponzoni, C Patriarca
Intravascular lymphomatosis (IL) is a rare entity only recently included in lymphoma classification, whose main feature is the exclusive or predominant growth of neoplastic cells within blood vessels. The vast majority of the patients affected by IL belong to the 7th or 8th decade of life and present with skin rash or CNS diffuse necrotic or demyelinating lesions. Case report. SS, a 13-year-old girl, was admitted to a Neurosurgery Unit because of endocranic hypertension, where, after CT and MRI documenting a IV ventricle 3 cm diameter tumor, she was submitted to complete tumor excision: extemporary diagnosis was suggestive of medulloblastoma...
January 2001: Journal of Neuro-oncology
M L Núñez, M C Martínez-Toldos, M Bru, E Simarro, M Segovia, J Ruiz
A case is reported of a patient who developed Acinetobacter meningitis after an external ventricular drainage system had been fitted for control of intracranial pressure. During the process, nine strains of Acinetobacter isolated from her cerebrospinal fluid were indistinguishable by analysis of total genomic DNA by pulse-field gel electrophoresis. The first eight strains were sensitive to meropenem and imipenem (MICs < 1 g/l). The MIC of the last one, which had been recovered after 32 days during two courses of treatment with meropenem, increased to > 32 g/l for meropenem, while with imipenem the increase was minimal (MIC = 1...
1998: Scandinavian Journal of Infectious Diseases
M Centeno, F Rivera, L Cerva, V Tsutsumi, E Gallegos, A Calderón, R Ortiz, P Bonilla, E Ramírez, G Suárez
Meningoencephalitis and bronchopneumonia were documented in a patient from Peubla, Mexico. The patient began with symptoms and signs of a common flu and 12 days after the onset of his disease he was admitted to the hospital presenting symptoms and signs of meningoencephalitis. The clinical course evolved into an endocraneal hypertension syndrome with bronchopneumonia, coma and death. Wide-spectrum antibiotics, immunosuppressive and anti-tuberculosis therapy were unsuccessfully administered. Important antecedents were degree I malnutrition and repeated contact with polluted water...
1996: Archives of Medical Research
F Fenzi, G Moretto, G Zamboni, M G Passarin, N Rizzuto
A 45-year-old female patient developed a malignant peripheral nerve sheath tumour (MPNST) arising from the left brachial plexus, ten years after regional radiation treatment for Hodgkin's disease. The clinical course was characterized by local recurrence, pulmonary and cerebral metastases with endocranic hypertension syndrome, and the death of the patient 18 months after the onset of symptoms. The tumour presented a histopathological picture of schwannoma with a high grade of malignancy. A particular feature of this case was the exceptional occurrence of the early and massive invasion of the brain...
October 1995: Italian Journal of Neurological Sciences
R Domenici, L Matteucci, C Meossi, G Stefani, G Frugoli
The cysticercosis is an infestation caused from the larva of Taenia solium, which is demoniated Cysticercus cellulosae. Infestation by the encysted forms occur within brain, muscle, cutis, eye and more rarely within kidney, liver, thyroid. The cysties cause inflammation, oedema and residual calcification. In the SNC they are responsible for seizures, usually of focal type, hydrocephalus, meningitis, endocranic hypertension, stroke. One case of neurocysticercosis in a 15 years old boy is described: the clinical pictures, the neuroradiologic images and the treatment are discussed...
November 1995: La Pediatria Medica e Chirurgica: Medical and Surgical Pediatrics
J Carena, C Smuckler, G Sejanovich
A case of hydatid cerebral disease with multiple cysts is reported with the purpose of presenting this unusual form of hydatid neurological involvement and to discuss some aspects of the pathogenesis and treatment. In this patient, the liver hydatid cyst surgery two years prior to the development of multiple pulmonary and cerebral cysts suggests a vascular invasion of oncoesphere during the hepatic surgery with hematological dissemination to the lungs and brain. The multiplicity and deep localization of the cerebral cysts prevented the performance of a definitive surgical resection...
1994: Medicina
D Ayuso Murillo, M D Pérez Cárdenas, A I Cabrero Cabrero, A I Fernández Herranz, M P Conde Alonso, M García Villa, J Gutiérrez Rodríguez
The increase in the incidence of Craneoencephalic Trauma takes us to the search of new techniques such as the calculus of the Fraction of Oxygen Brain Extraction, determined by the channelling of the jugular bulb and later extraction of cerebral venous gasometries simultaneously to peripheric arterial gasometries. The aim of our work is to let Nursing know its handling as well as the diagnostic and therapeutical advantages and their associated complications. We conclude that this technique shows important advantages in the handling of endocraneal hypertension without being a work overload for Nursing...
April 1995: Enfermería Intensiva
R Attanasio, P Orlandi, D Dallabonzana, A Lodrini, M Ferrari, E Maccagnano, G Verde, R Cozzi, A Liuzzi, P G Chiodini
We report the case of an acromegalic woman, aged 35 years, with a huge GH-secreting tumor, repeatedly treated with neurosurgery and radiotherapy, not responsive to bromocriptine (Br) and octreotide (SMS), whose clinical picture evolved to coma due to endocranic hypertension. Since remnant size was too large to be further treated by surgery, chemotherapy with doxorubicin (DOX) (100 mg i.v. every three weeks up to 0.5 mg/m2 over 7 months) was started. Treatment was followed by a rapid improvement of clinical picture with resumption out of coma, progressive decline of GH levels (from 800 ng/ml to 15 ng/ml) and a slight shrinkage of tumor...
June 1991: Journal of Endocrinological Investigation
J Massons, A Arboix, M Oliveres, C Besses, C Muñoz, F Titus
Protein C together with its plasmatic cofactor protein S and antithrombin III probably represent the most important plasmatic inhibitor in coagulation. Protein C deficiency constitutes a high risk factor for venous thrombosis. Cerebral venous thrombosis is a manifestation which is scarcely referred to in protein C deficiency. The case of a 32 year old patient with protein C deficiency is presented. The patient was admitted for an endocraneal hypertension syndrome. CT and MR demonstrated multiple hemorrhagic cerebral infarctions...
January 1992: Neurología: Publicación Oficial de la Sociedad Española de Neurología
A Martínez Bermejo, I Pascual Castroviejo, V López Martín
A study is made of 12 cases with median supratentorial expansive processes. Six of them were in the 3rd ventricle; two in septum pellucidum and corpus callosum; and four in the pineal and mesencephalum. They are not very frequent processes. From the clinical point of view, they present a picture of endocraneal hypertension with rapid evolution. There are also other signs of important diagnostic value, which varied according to the location. We emphasize the value of the encephalography and the angiography for diagnosis...
May 1975: Anales Españoles de Pediatría
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