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Biomedical subjects

I Picornell-Darder

Publications and source records attributed to I Picornell-Darder.

4 recordsLinked to original sources

A study on the Valsalva manoeuvre in young healthy subjects.

The Valsalva manoeuvre was performed by 2 groups of young healthy male subjects: novice divers and professional divers. The electrophysiological features of this manoeuvre are summarized and the results of the test are correlated with subject age, motivation and FEV1/VC coefficient (forced expiratory volume sec/vital capacity). Positive test results (fainting caused by the Valsalva manoeuvre) increased with subject motivation (novice divers), FEV1/VC coefficient and decreasing subject age. The various hypotheses proposed to account for fainting caused by the Valsalva manoeuvre are discussed with respect to these data. The implications of Valsalva positivity in young divers are discussed.

Adult↗

[The Vasalva manoeuvre and the E.E.G. in a study of professional and trainee diverse (author's transl)].

The E.E.G., the oculocardiac reflex (OCR), the Valsalva manoeuvre and respiratory capacity, were studied and compared in 183 professional or trainee divers. There was a positive correlation between an alpha rhythm at or below 9 c/sec and a positive OCR. The Valsalva was more often positive in young subjects and trainee divers than in older subjects and professional divers. Also the Valsalva response was more likely to be positive when the subject's respiratory capacity was greater. These observations are used to make conclusions about the significance of a positive response to the Valsalva manoeuvre and about the value that can be attached to these various tests in subject selection.

Adolescent↗

[Lafora disease (author's transl)].

On the basis of 21 personal observations as well as those (82) from the litterature, it is concluded that the progressive myoclonic epilepsy with Lafora bodies (P.M.E.) constitutes a disease on its own. The clinical features are those described in the litterature observations and completed by some characteristics; the high frequency of visual symptoms (47 p. 100 personal cases); the relatively less bad evolution of epilepsy, perhaps in relation with use of modern drugs; the relatively moderate intensity of myoclonus which becomes complete only at the end of the evolution. From E.E.G. point of view, we can distinguish three periods: an initial one at the very onset of disease, who will show the same features as observated in primary generalized epilepsy, i.e. a well preserved background activity with superimposed generalized fast spikes and waves facilitated by the I.L.S. Then follows a period of evolutive E.E.G. (1-2 years after the onset of the disease) characterized by progressive slowing of the posterior background, enlargement of posterior slow activity and appearance of diffuse theta and delta activity. Simultaneously spikes and waves are taking less typical and bisynchronous aspect. Finally after 3 to 5 years from the onset there is a diffusely slow E.E.G. with superimposed fast multiple spikes. The E.E.G. findings in litterature usually refer only to this last period (stationary or terminal period). Occipital independent multiple spikes are frequently observed and could correlate with the visual symptoms observated in the Lafora disease. Some elements of differential diagnosis are given with respect to primary generalized epilepsy at the onset of the disease and later on with respect to dyssynergia cerebellaris myoclonica and to the progressive myoclonic epilepsy without Lafora bodies.

Adolescent↗