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Biomedical subjects

F Alóe

Publications and source records attributed to F Alóe.

3 recordsLinked to original sources

Yawning.

The ubiquitousness of normal yawning and the existence of abnormal yawning warrant an understanding of this reflex. Its mechanisms and functional role are not entirely known. A review of the literature reveals that yawning is a brain stem arousal reflex with both peripheral and central loops subserving reversal of brain hypoxia or hypoxemia. Behaviorally, yawning is a semi-involuntary act that occurs also because of loss of interest in the surroundings and it is not necessarily associated with fatigue. Socio-environmental factors can influence the emergence of yawning. Dopaminergic, acetylcholinergic, ACTHergic and oxytocinergic systems are involved in the generation and modulation of yawning in animal experimentation.

Animals

Nocturnal eating syndrome: a case report with therapeutic response to dexfenfluramine.

A woman with nocturnal eating syndrome responsive to dexfenfluramine (DXF) is reported. Eating consisted of nightly ingestion of large amounts of high-calorie meals and often sloppy meal consumption or preparation. Amnesia for the episodes was total. Anorexigenic medications produced partial control of her daytime carbohydrate craving and no nocturnal eating change. DXF stopped her eating behavior completely. Nocturnal eating herein meets all 4 DSM-III-R diagnostic criteria for binge eating disorder. 5-HT role in neural process controlling sleep-wakefulness (SW) has been widely shown. A 5-HT agonist like DXF could determine changes in the SW processes producing the therapeutic outcome reported herein. However, a specific DXF effect on the behavioral control of carbohydrate ingestion can not be dismissed.

Adult

Neurological complications of coronary arteriography.

The authors report a 46 year-old female who was submitted to a right femoral artery coronary arteriography. During the procedure she presented an upward, downward and convergence gaze paresis; an upbeating nystagmus. A NMRI showed a change in T-2 weighted signal of the left paramedian mesencephalic region. A diagnosis of stroke was made and dextran 40 was prescribed. Vertical gaze paresis progressively disappeared. Convergence paresis and nystagmus improved partially only. The possible pathophysiological basis underlying this clinical picture are: catheter-induced dislodgement of an atheromatous plaque; small thrombi formation and release from the catheter tip; catheter-induced vascular lesion with subsequent thromboembolism or dissection of the intima; cardiac arrhythmia; catheter-induced or contrast medium-induced arterial spasm; a combination of two or more of these.

Cerebrovascular Circulation