Hemifacial spasm. A psychosomatic disease?
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Adult↗
Biomedical subjects
H Vander Eecken
Publications and source records attributed to H Vander Eecken.
The syndrome of the anterior inferior cerebellar artery. A clinicopathologic study of two cases.
The clinicopathologic findings in two cases of infarct in the territory of the anterior inferior cerebellar artery are presented. A distinction is made between a minimal and a maximal syndrome. In the first case the infarct in the basis pontis correlated well with the existence of a pure motor hemiplegia. In the second case more extensive pontine infarction gave rise to a more classical brainstem syndrome. In 52 anatomical specimens the origin, course and angioarchitecture of the anterior inferior cerebellar artery were studied, showing the variability in supply area. Only the paramedial and intermediolateral territories were found to be mostly constant.
Aged↗
Acute prolonged ictal confusion (resembling petit mal status) presenting "de novo" in later life.
Two female patients, aged respectively 52 and 70 years, with no past history of epilepsy, presented an acute prolonged confusional state. The electroencephalograms showed generalized slow spike and wave discharges with frontal emphasis. No structural neurological lesion nor progressive neurological disorder was found. Both patients responded to intravenous administration of clonazepam and were placed on regular anti-epileptic treatment. On follow-up both remained well. These cases do not fit in the classical category of petit mal status but appear to belong to a distinct entity.
Aged↗
The arterial angioarchitecture of cerebral infarctions.
The arterial angioarchitecture of twenty post mortem brains, containing thirty infarctions, was examined by means of the translucidation technique after filling the arterial system with a colloïdal barium sulphate solution. Although the large as well as the small arteries and arterioles were filled to a variable degree in the infarcted areas, the angioarchitecture was generally severely affected. Their differences were compared in red and white softenings and in cases of thrombosis, embolism, hemodynamic disturbances and compression of arteries. Also the influence of arterial hypertension and of the age and the location of the infarction was determined.
Autopsy↗
The arterial angioarchitecture in lacunar state.
The statistical data, obtained in seventy five brains with lacunar state, show that the lenticular nuclei and the periventricular arterial end-and borderzones are the main seats of the infarcts. In teen brains the relationship between the deep arterial angioarchitecture and the location of thirty lacunes is studied by means of the translucidation technique after filling the arterial system with a colloîdal barium sulphate solution. The deep perforating arteries are poorly filled and show several narrowings and post-stenotic dilatations. In twenty-four lacunes, an occlusion of the responsible artery is found. In the six remaining lacunes, no occlusion of the main artery is observed but the side-branches are not demonstrated. The significance of these findings and the relationship between the location of the occlusion and the topography of the lacune are discussed.
Basal Ganglia↗