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Biomedical subjects

G Giunta

Publications and source records attributed to G Giunta.

32 records · Page 2Linked to original sources
PubMed1982

[Recovery from from Listeria monocytogenes meningitis in an adult].

The authors describe a case of meningitis by Listeria monocytogenes from which the patient, an adult suffering from a chronic lymphatic leukosis, recovered completely. Both the immune-suppressor treatment and the basic lymphoproliferative disease may have given rise to this infective disease. The diagnosis has been obtained by isolating the germ in liquor-cultures. We want to point out the importance of a specific and early antibiotic treatment.

Aged↗
PubMed1980

[Ocular rotation and corneal reflexes (author's transl)].

The location of the corneal reflex (Purkinje's first image) produced by an electronic flash was studied at various degrees of ocular rotation both in adduction and abduction. A statistical analysis of the results showed a good correlation between the decentration of the corneal reflex and the degrees of ocular rotation. The results thus obtained give an experimental basis to the clinical use of the so-called Hirschberg test for measuring the strabismus angle.

Adult↗
PubMedDate not supplied

Millimetric cover test--a linear strabismometric technique.

In ten normal subjects we measured the angular rotations of the globe, both in adduction and in abduction, corresponding to limbus shifts from 1 to 7 mm. Our study demonstrated that to each millimeter of temporal limbus shift corresponds an average adduction of about 4.6 degrees and to each millimeter of nasal limbus shift an average abduction of about 4.8 degrees. These experimental results give a sound foundation to the clinical evaluation of the strabismic angle by measuring, with a millimeter ruler, the limbus shift of the nonfixating eye by assuming fixation. This technique appears particularly useful as a substitute for the simultaneous prism and cover test, in the evaluation of a squint with a variable angle, and in measurements in other positions of gaze.

Adolescent↗
PubMedDate not supplied

[Tracheal rupture a complication of orotracheal intubation].

One of the most frequent anesthesiological manoeuvres is orotracheal intubation (OTI). Many complications can occur during OTI, one of these is the rupture of the trachea (TR) and/or of the bronchi. The aim of this study is to highlight the risk of TR during OTI. Over a period of three years of activity (1997-1999) in the Cardiothoracic Department of Pisa University nine patients we treated, eight of which were women ranging from 35 to 95 years of age. In the majority of the cases clinical signs like subcutaneous emphysema of the face and neck, hemoptysis and dyspnoea, variably combined were present. An X-ray of the thorax carried out on six patients did not permit the diagnosis. Bronchoscopy was the diagnostic examination in all nine patients. Seven cases were treated by senior anaesthesiologists, without stilet and OTI was easy. Predictive elements for difficult intubation were not observed in any case. Only one patient had a voluminous intrathoracic goitre dislocating the trachea. The nine patients were all treated surgically as they were all symptomatic and with important transmural lacerations that caused pneumothorax or pneumomediastinum. The survival percentage in the third month is 100%. Although rare TR must be suspected when clinical signs are present; bronchoscopy is the examination which permits diagnosis and a correct therapy.

Adult↗
PubMedDate not supplied

Femoral nerve palsy secondary to anticoagulant induced iliacus hematoma. A case report.

A case of femoral neuropathy from iliac muscle hematoma occurring in a patient treated with urokinase, subcutaneous heparin and aspirin for myocardial infarction is reported. Diagnosis of this complication was suspected on the basis of clinical signs and on the fact that the patient had received anticoagulants. Computed tomography allowed direct and clear visualization of the hematoma. Anticoagulant suspension followed by an early surgical decompression seems to be the ideal treatment for this neuropathy; however, our patient died for a reinfarction after stopping heparinic administration. This may indicate that, in some patients "at risk", it is better to reduce rather than stop anticoagulant therapy.

Aged↗
PubMedDate not supplied

[A rare case of recurrent meningitis: intranasal encephalocele].

Intranasal meningoencephalocele is a rare malformation characterized by a protrusion of brain tissue and meninges out of the cranial cavity into the nose, through a discontinuity of the ethmoidal cribriform plate. It is a congenital anomaly but it may be also due to trauma or to chronic intracranial hypertension. It is clinically apparent as a small mass that may be confused with nasal polyp. A cerebrospinal fluid leakage may be present. In a few cases it gives no symptoms until adulthood, but usually recurrent meningitis may occur. A case of young woman with intranasal encephalomeningocele who suffered from 18 episodes of meningitis is reported. Nevertheless she is at present without neurological consequences.

Adult↗