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  • 24-h ECG  (1)
  • Schlüsselwörter Subarachnoidalblutung  (1)
  • 1
    ISSN: 1433-0407
    Keywords: Schlüsselwörter Subarachnoidalblutung ; ACA-Aneurysma ; Psychomotorischer Anfall ; Sexualdelinquenz ; Schuldfähigkeit ; Key words Subarachnoidal hemorrhage ; Cerebral artery aneurysm ; Psychomotor seizure ; Sexual delinquency ; Legal responsibility
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary A 32-year-old man was accused of attempted rape. While urinating at the side of the road he felt an erection. He approached a 9-year-old girl who happened to be coming along and pressed his penis between her legs until ejaculation. Shortly afterwards he was arrested. He confessed, but claimed partial amnesia and had no explanation for the offence, which he normally would never have thought of. Shortly before the event a witness had seen him nearby in a poor state of orientation. Three months later in prison he suffered massive subarachnoidal hemorrhage from an aneurysm of the anterior communicating artery. The evaluation of his legal responsibility must take account of a putative psychomotor seizure at the time of the offence. With regard to the aneurysm diagnosed later, a pathogenetic connection, in terms of a preceding warning leak, might be assumed.
    Notes: Zusammenfassung Ein 32jähriger Mann wird der versuchten Vergewaltigung angeklagt. Nachdem sich beim Urinieren am Straßenrand eine Erektion eingestellt hatte, näherte er sich einem zufällig vorbeikommenden 9 Jahre alten Mädchen und rieb sein Glied zwischen ihren Beinen bis zum Samenerguß. Er war geständig, machte aber eine partielle Amnesie geltend. Zeugenaussagen berichten über eine Orientierungsstörung des Beschuldigten kurz vor dem Ereignis. Er selbst blieb ratlos hinsichtlich der persönlichkeitsfremden Tat, für die er keine Erklärung hatte. Seine medizinische Vorgeschichte und seine Biographie sind unauffällig. Drei Monate später erleidet er während der Haft eine massive Subarachnoidalblutung aus einem großen Aneurysma der A. communicans anterior. Für die Beurteilung der Schuldfähigkeit läßt dieser Verlauf im Zusammenhang mit den bezeugten Verhaltensauffälligkeiten kurz vor der Tat daher die Möglichkeit einer krankhaften seelischen Störung zum Tatzeitpunkt in Betracht ziehen. Dabei könnte es sich um einen epileptischen Dämmerzustand als Prodromalsymptom der späteren SAB gehandelt haben.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Journal of neurology 232 (1985), S. 271-274 
    ISSN: 1432-1459
    Keywords: Antimyotonic treatment ; Tocainide ; Myotonic dystrophy ; 24-h ECG ; ECG
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Ten patients suffering from advanced myotonic dystrophy with severe myotonic symptoms were treated with 800–1200 mg/day of the anti-arrhythmic drug tocainide (Xylotocan). All patients reported a marked subjective improvement of myotonia, which was confirmed by objective tests. Except for a slight QT-prolongation in one patient, the ECG was not significantly altered by the treatment. Twenty-four-hour ECG after treatment disclosed that pre-existing ventricular arrhythmia disappeared in three cases. The occurrence of complex ventricular arrhythmia in two patients under treatment was not necessarily due to specific effects of the drug but might be explained by the high spontaneous variability of rhythm disorders. In these patients suffering from myotonic dystrophy with typical cardiomyopathy no deleterious effects of the drug were observed, especially no cardiac arrhythmias which would have necessitated interruption of treatment. Therefore, the authors recommend symptomatic therapy with tocainide for myotonia and paramyotonia congenita, as well as in myotonic dystrophy patients suffering from marked myotonic stiffness. ECG and 24-h ECG should be carefully recorded as necessary in any treatment with anti-arrhythmic drugs.
    Type of Medium: Electronic Resource
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