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Biomedical subjects

F Sebag

Publications and source records attributed to F Sebag.

36 records · Page 2Linked to original sources
PubMed1997

[Leukoencephalitis with hemiplegia during chickenpox].

BACKGROUND: Chickenpox encephalitis is usually mild and often presents as an acute cerebellar ataxia. Seizures and coma are uncommon. CASE REPORT: A 4-year old girl presented generalized seizures. Two days after the onset of chickenpox, she developed ataxia and left hemiparesis on day 3, followed by left hemiplegia after 24 hours. The cerebral scan showed areas of subcortical hypodensity compatible with leuko-encephalitis. The EEG showed lesions of acute leuko-encephalitis located in the right sub-cortical temporo-fronto-parietal area. The patient was given cortico-steroid and recovered slowly but completely. CONCLUSIONS: Hemiplegia, an exceptional event during the course of chickenpox, makes the diagnosis of chickenpox leuko-encephalitis difficult; IRM appears to be a contributing factor.

Brain↗
PubMed1995

[Atrio-caval shunt in injury to the suprahepatic vena cava. Apropos of a case and review of the literature].

Mortality in cases of trauma-induced lesions of the suprahepatic vena cava is high because it is difficult to expose the lesions, and consequently to control blood loss. Several techniques have been reported for treating this type of lesion. We report a case in which both suprahepatic veins were sutured after installing an atrio-cava shunt via a sternotomy. The limitations of this technique and other surgical possibilities are also discussed.

Abdominal Injuries↗
PubMed1987

[Christ-Siemens-Touraine syndrome. Therapeutic case review].

The Christ-Siemens-Touraine syndrome, or anhidrotic ectodermal dysplasia, presents three principal signs: anhidrosis or hypohidrosis, hypotrichosis and anodontia or hypodontia. This syndrome is of particular interest to stomatologists and orthodontists because of the particular therapeutic problems raised by the anodontia and associated skeletal anomalies. A case is reported in which the principal clinical sign was anodontia, and the various therapeutic options currently available are discussed.

Anodontia↗
PubMed1986

[Perinatal factors in mucous otitis].

From the retrospective study of 141 children suffering from mucous otitis requiring drainage, the percentage of 40% perinatal factors (birth by cesareans, prematurity, neonatal intensive care) has been found much higher than in the general population. This suggests: 1. that there is, under these conditions, a deficiency of ventilation of the middle ear linked to a pathology of the "surfactant", and/or to a poor resorption of the intra-auricular fluid and mesenchyma of the drum of the ear; 2. that preventive measures should be taken in this high risk population, consisting of systematic ear examinations with pneumo-otoscopy during compulsory health examinations and tympanometry if an abnormality of the ear drum is found.

Child, Preschool↗
PubMedDate not supplied

[Video-assisted minimally invasive parathyroidectomy with lateral approach in patients with primary hyperparathyroidism].

INTRODUCTION: Different minimally invasive techniques of parathyroidectomy have been described. We performed a retrospective study to evaluate the indications and results of video-assisted parathyroidectomy (VAP) in the management of patients with primary hyperparathyroidism (PHPT). MATERIALS AND METHODS: Between 1998 and 2002, 528 patients were operated on because PHPT. VAP was proposed for patients with sporadic PHPT, without associated goiter and previous neck surgery, in whom a single adenoma was localized. VAP was performed by lateral approach with insufflation for patients with adenoma located deeply in the neck and by gasless midline approach for anteriorly located adenomas. A quick parathyroid (qPTH) assay was used during the surgical procedure. Calcemia, phosphoremia and PTH were systematically evaluated after surgery. RESULT: Of 528 patients with PHPT, 228 (43%) were not eligible for VAP because associated nodular goiter (99 cases), previous neck surgery (42 cases), suspicion of multiglandular disease (25 cases), lack of preoperative localization (48 cases), and miscellaneous causes (14 cases). VAP was performed in 300 patients with sporadic PHPT: 282 lateral access, 17 midline access and one thoracoscopy. Mean operative time was 50'. Conversion to conventional parathyroidectomy was required in 14% of cases. One patient presented a definitive recurrent nerve palsy. One persistent and one recurrent PHPT were observed. CONCLUSION: VAP can be proposed for patients with PHPT. Immediate results of VAP are similar to those obtained with conventional parathyroidectomy; no conclusions can be drawn in terms of influence of VAP on the outcome of the patients operated for PHPT.

Humans↗