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  • 1
    ISSN: 0942-0940
    Keywords: Keywords: Spinal arachnoiditis; subarachnoid haemorrhage; magnetic resonance imaging; review.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary  Two patients with spinal arachnoiditis following subarachnoid haemorrhage are described. A complete spinal block was seen at the mid thoracic level with characteristics of spinal arachnoiditis. Only one patient had severe symptoms. Both patients were treated conservatively. Signs and symptoms diminished in time. A review of the literature is given and the aetiology is discussed.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Experimental brain research 87 (1991), S. 457-464 
    ISSN: 1432-1106
    Keywords: Neck reflexes ; Neck torsion nystagmus ; Anticompensatory saccades ; Catch-up saccades ; Somatosensory system ; Human
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The cervico-ocular reflex (COR) was elicited in 12 normal and 30 labyrinthine-defective (LD) subjects, lacking a vestibulo-ocular reflex (VOR) in the usual laboratory tests, by sinusoidal horizontal rotation of the body at 30° amplitude and frequencies of 0.1, 0.2 and 0.4 Hz. The head was fixed in space and the eyes were open in total darkness. The gain of the COR was measured by relating the maximum slow phase velocity (MSPV) of the eyes to the maximum input velocity (19, 38 or 75°/s) and by relating the cumulative eye displacement per hemicycle to the peak-to-peak amplitude of 60°. The COR gain was below 0.25 in the normal subjects. In the LD subjects, a clear COR was observed with a gain of about 0.7 (SD 0.3) at 0.1 Hz, decreasing to about 0.4 (SD 0.2) at 0.4 Hz. There was no appreciable phase lag in 11 of the LD subjects. In 17 other LD subjects, the phase lag was close to 0° at 0.1 Hz and increased to about 20–30° at 0.4 Hz. Testing 4 additional normal subjects with the special instruction to attempt fixation of the knee during trunk rotation in the dark, resulted in an enhanced COR showing many “catch-up” saccades with a gain close to unity; the smooth component was also enhanced. The pattern with catch-up saccades was different from the pattern observed in most LD subjects, which closely resembled the normal VOR elicited by sinusoidal rotation. The special instruction to attempt fixation of the knee was also given to one LD subject during stimulation at 0.2 Hz. Previously at this frequency, this subject had a smooth sinusoidal response with a gain of 0.33; after the instruction, the gain rose to a value of 0.92. The response continued to be smoothly sinusoidal during some entire hemicycles and only a few catch-up saccades occurred in other hemicycles. We conclude that: 1. The passive COR has a low gain in normal subjects and is enhanced in LD subjects. 2. The frequency behaviour of the smooth component of the enhanced passive COR suggests a low-pass system and, also in view of its phase behaviour, some involvement of the smooth pursuit system. 3. The occurrence of zero phase responses suggests that prediction may play an important part. 4. The passive COR can also be enhanced in normal subjects when given an appropriate instruction. The pattern, however, is different from that of the enhanced COR in LD subjects.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1439-0973
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die von Herpes Simplex Virus Typ 1 (HSV-1) verursachte interstitielle Pneumonie ist eine schwere Komplikation der orthotopen Lebertransplantation (LTX). Wir werteten die Akten von allen Patienten über 16 Jahre aus, die 1991–1994 eine LTX erhielten mit einer mittleren Verlaufsbeobachtung von 21 Monaten (10–44 Monate). Sechs Patienten erfüllten die diagnostischen Kriterien für eine HSV-Pneumonie mit Fieber 〉38°C, verschlechterter arterieller Blutgasanalyse, radiologischen Zeichen einer interstitiellen Infiltration und Nachweis von HSV-1 in der bronchoalveolären Lavageflüssigkeit. Vor der Transplantation waren alle Patienten anti-HSV-IgG positiv. Alle Patienten wurden erfolgreich behandelt mit Acyclovir, Beatmung und reduzierter Immunsuppression. Drei Patienten unter Cyclosporin A hatten eine Abstoßung, die durch Umstellung auf FK 506 erfolgreich behandelt wurde. Vier Patienten wurden in gutem Zustand entlassen. Ein Patient starb 36 Monate nach LTX an einer anderen Erkrankung. Ein Patient verstarb an Urosepsis am postoperativen Tag 139. Gabe von Acyclovir, reduzierte Immunsuppression und Beatmung ist eine effektive Behandlung der HSV-1 Pneumonie nach Lebertransplantation.
    Notes: Summary Interstitial pneumonia caused by Herpes simplex virus type 1 (HSV-1) is a severe complication of orthotopic liver transplantation (LTX). The records of patients were reviewed who had an LTX at the age of 16 years or older between 1991 and 1994 with a mean follow-up of 21 months (range, 10 to 44 months). Six patients were included who had fever of 〉38°C, deterioration of arterial blood gases, radiological evidence of interstitial pneumonia and proof of HSV-1 in bronchoalveolar lavage fluid. All patients were anti-HSV-IgG positive before LTX. All patients were successfully treated with intravenous acyclovir, mechanical ventilation and reduced immunosuppression. Three patients who received cyclosporin A had a rejection which was successfully treated by switching to FK 506. Four patients were discharged in good health. One patient died 36 months after LTX of an unrelated cause. One patient died of urosepsis on postoperative day 139. Acyclovir together with mechanical ventilation and reduced immunosuppression proved to be an effective treatment for HSV-1 pneumonia following LTX.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Archives of virology 133 (1993), S. 459-465 
    ISSN: 1432-8798
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Intravenous polyoma virus inoculation into pregnant Wistar rats resulted in transplacental infection of the foetus, causing tumours and hydronephroses. Cyclosporin A reduced these effects significantly.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1432-8798
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary 84 forensic necropsy cases with a history of sudden unexpected death and where no acceptable cause of death was found at autopsy (= cases of sudden unexplained death, SUD) were found to have a significantly higher rate of influenza A (H 3 N 2) infection than did matched controls of the general population and a group of forensic necropsy cases with known cause of death (NON-SUD cases). By contrast, the group of SUD cases was found to have no significantly increased infection rate with influenza H 1 N 1 and B virus, parainfluenza viruses, RS virus, adenovirus, and cytomegalovirus. The influenza A associated SUD cases had a significantly higher rate of pathological and histological findings previously described for cases of primary viral pneumonia than did SUD cases without recent influenza A infection and NON-SUD cases. These findings suggest that virological examination of SUD cases could be helpful in order to determine the probable cause of death. A considerable portion of the influenza associated SUD cases occurred during interepidemic influenza periods. Therefore, such cases could be a useful source for monitoring the interepidemic spread of influenza virus.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1432-8798
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary 40 forensic SIDS cases were found to have a significantly higher rate of serologic evidence of recent influenza A (H 3 N 2) infection than did matched controls. In contrast, the SIDS cases had serologically no significantly increased infection rate with influenza H 1 N 1 and B virus, parainfluenza virus, RS virus, adenovirus, and cytomegalovirus. SIDS cases with recent influenza infection had a significantly higher rate of histological findings as described for primary viral pneumonia than did SIDS cases without influenza infection. SIDS cases with recent influenza infection occurred much more frequently during epidemic than during interepidemic influenza A (H 3 N 2) periods. Our results confirm previous reports that SIDS cases have an increased rate of respiratory virus infections. However, they cannot prove a causal relationship between influenza infection and death. Since our SIDS cases comprised 75 per cent of cases aged more than three months, our results pertain essentially to cases of this age group.
    Type of Medium: Electronic Resource
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