Biomedical subjects
Publications and source records attributed to G G Rebucci.
A patient with epileptic amnesic attacks suffered three prolonged episodes similar to transient global amnesia. Clinical, electroencephalographic and neuropsychological observations during 2 years' follow-up are reported.
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A series of 92 patients with lacunar infarcts identified by CT brain scan are described. Risk factors for cerebrovascular disease, clinical aspects and outcome are analyzed. Our cases show unusual clinical syndromes in a remarkable number of subjects, indicating the usefulness of performing a CT brain scan.
Ninety eight patients admitted to hospital after a minor head injury were studied by CT. Forty seven patients had a skull fracture and 51 did not. Significantly more intracranial lesions were found in those with a fracture (16) that those without (3) (p less than 0.01). Nine of the patients with a skull fracture and positive CT were transferred to a neurosurgical department, where six underwent operation. Operation was not required in patients without a skull fracture. Head injured patients with a skull fracture should undergo CT scanning to enable early detection of an intracranial haematoma.
Some considerations on a possible involvement of a neurohormonal mechanism in transient global amnesia are briefly reported.
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Electroencephalogram (EEG) monitoring and arterial blood gases was performed during biofiltration (BF) treatment and during conventional acetate hemodialysis (HDA). Biofiltration is an ultrashort hemodiafiltration with 3 liters of substitution fluid (Na+ 145 mEq/l, HCO-3 100 mEq/l). Our data show a better correction of acid-base balance during BF than during HDA. Moreover, we observe a lower incidence of EEG disturbancies on BF, that suggests a better neurological tolerance of this treatment.
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A large intracavernous carotid aneurysm was angiographically demonstrated in a 29 years old woman suffering from a persistent isolated abducens nerve palsy. CT brain scan failed to reveal the lesion. The usefulness of performing angiography in the cases of isolated abducens palsy of undetermined nature, is stressed.
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