Biomedical subjects
Publications and source records attributed to G Bauherz.
Under the term "chronic primary headache", it is possible to distinguish several different conditions. We will describe chronic tension type headache, chronic daily headache, drug-induced headache, chronic post-traumatic headache and hemicrania continua. Each of them is a therapeutic challenge for the practitioner.
Neurologists can only classify headaches, not patients. Doing that, they are well aware that this is partially arbitrary. But classification is essential, especially for primary headaches (migraine, tension type headache, cluster headache) to achieve epidemiological and physiopathological studies. The criteria of definition for each type of headache must be established with pertinence. Neurologists, general practitioners as well as radiologists can then use these criteria to imagine an algorithm for the diagnostic procedure of headache patients. The aim of this publication is to describe the IHS classification as well as some common clinical situations (migraine, subarachnoidal haemorrhage, brain tumor, mild head injury.
We present a case of bilateral oculomotor nerve paralysis induced by alpha II-interferon in a patient with hairy-cell leukemia. After the drug was withdrawn, the neurological abnormalities disappeared. The more frequent neurological psychiatric, and electroencephalographic side effects are reviewed.
A young patient had an auriculo-ventricular block and a distal myopathy with muscle biopsy findings suggestive of inclusion body myositis. What was most unusual was the presence of numerous sarcoplasmic bodies identified as desmin by electron microscopy and immunocytochemistry. The nosological situation of this condition is discussed.
A patient with acute pure dysautonomia also suffered from several episodes of transient diplopia and hemiparesthesiae which were related to an arteriovenous malformation in the pons. The clinical presentations and the radiological diagnosis of arteriovenous malformations of the brain stem are reviewed, as well as the semiology and etiopathogeny of acute dysautonomia. No relationship was found between these two rare affections.