[Gastroduodenal complications of aneurysmal ruptures of the anterior communicating artery system].
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Biomedical subjects
Publications and source records attributed to A Redondo.
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Thirty-six cases of cerebro-vascular accidents in young women using oral contraceptives have been studied and a survey of the literature devoted to the subject gives an opportunity to discuss a few problems related with these accidents. They occur with no evident relationship with the type of drug used, and the duration of treatment; in 66 p. 100 of the cases these patients have a definite and sometimes severe pathological history prior to the neurological accident. The cerebro-vascular accidents are of the ischemic type in more than 80 p. 100 of the cases. Angiographic studies demonstrate various types of lesion: stenosis or thrombosis of the arteries; in almost all of the cases the internal carotid artery or the sylvian artery or both of them are concerned; the angiogram appeared normal in 8 cases.
A case of atheromatous left internal carotid stenosis is reported in a 25 years old male who had been treated 7 years before by cobalt radiations on the left angulo-mandibular region for ganglionar reticular cell sarcoma with apparent curative effect. Right hemiplegia with aphasia was present on hospital admission. No systemic sign of vascular atheromatous involvement could be detected. Endarteriectomy was performed and was followed by complete recovery. Post-operative angiography confirmed that normal blood flow had been restored. After survey of pertinent literature, it is proposed that gamma ray irradiation was the main factor in determining a carotid stenosis localized to the irradiated field.
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