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Biomedical subjects

J F Lopez

Publications and source records attributed to J F Lopez.

51 records · Page 3Linked to original sources

Percutaneous transfemoral retrieval of the "runaway" ventriculoatrial shunt.

A 22-year-old man with a ventriculoatrial shunt was admitted to hospital for investigation of headache, nausea and vomiting. During a procedure done to convert the ventriculoatrial shunt to the ventriculoperitoneal type, the shunt tubing was inadvertently cut in the neck. The atrial end was found to have migrated into the right atrium. It was recovered by percutaneous cardiac catheterization through the femoral vein. The patient tolerated the procedure well. The authors believe that this method of retrieval is easier and carries less operative risk than previously reported methods.

Adult↗

[Arterial vascularization of the temporomandibular joint].

Anatomical and radiological study of the arteries of the temporo-mandibular joint in 18 foetuses and 4 adults. Branches arising from the superficial temporal artery, from the anterior tympanic artery as well as from the deep posterior temporal artery are found in all cases. Branches arising from four other arteries did not occur regularly: those coming from the deep auricular artery, from the transverse facial artery, from the middle meningeal artery, or sometimes directly from the maxillary artery.

Adult↗

Myocardial infarction and complete heart block.

The clinical and electrocardiographic records of 20 patients with complete A-V block due to acute myocardial infarction have been analyzed. This study indicated that patients with an inferior wall myocardial infarction had, most commonly, a block above the bifurcation. The block was transitory, the patients had no Stokes-Adams attacks and the outcome was good. None of our patients required artificial pacing. On the other hand, patients with an anteroseptal myocardial infarction suffered from a bilateral bundle branch block (below the bifurcation). They had severe Stokes-Adams attacks and they all required artificial pacing. The destruction of the conducting system was extensive and the outcome was poor. Five out of seven patients treated with artificial pacing recovered the A-V conduction through the left bundle within a few days. However, in spite of this they all died.From this small series clearly defined clinical and electrocardiographic features can be identified in two different groups of cases.

Adams-Stokes Syndrome↗

Glucocorticoid and mineralocorticoid receptor mRNA expression in squirrel monkey brain.

Corticosteroids have been implicated in hippocampal atrophy in patients with severe psychiatric disorders, but little is known about receptor expression for corticosteroids in human or nonhuman primate brain. Both the glucocorticoid receptor (GR) and mineralocorticoid receptor (MR) were surveyed in this study of squirrel monkey brain using in situ hybridization histochemistry. Regions of high GR mRNA levels included CA1 and CA2 of hippocampus, dentate gyrus, paraventricular hypothalamus, lateral geniculate, lateral>medial amygdala, and cerebellum. Western analysis confirmed that GR immunoreactivity in squirrel monkey brain tissue most likely reflects the alpha isoform. Regions of high MR mRNA levels included all hippocampal pyramidal cell fields, dentate gyrus granule cell layer, lateral septum, medial>lateral amygdala, and to a lesser extent, cerebellum. Low levels of MR were also expressed in caudate and putamen. Receptor expression for corticosteroids in deep brain structures and the hippocampal formation was similar to that previously reported in rodents, but GR and MR mRNA were expressed at higher levels in squirrel monkey cerebral cortex. GR expression was evident in all cortical layers, particularly the pyramidal cell-rich layers II/III and V. MR expression was restricted to the more superficial cortical layers, and was only moderately represented in layer V. Laminar patterns were apparent in all regions of cortex for GR expression in squirrel monkeys, but low MR mRNA levels were found in dorsomedial prefrontal cortex (PFC). Different subregional distributions and distinctive laminar patterns suggest specialized functions or coordinated interactions between GR and MR mediated functions in primate PFC.

Animals↗

Transesophageal echocardiography in the diagnosis of left atrial appendage aneurysm.

Intrapericardial left atrial appendage aneurysm is rare. We describe the transthoracic and transesophageal echocardiographic findings in a 42-year-old man with atrial arrhythmia and an abnormal left atrial appendage on chest roentgenogram. Presence of an intrapericardial left atrial appendage aneurysm was confirmed at surgery.

Adult↗

Atypical echographic forms of retinoblastomas.

Three cases of histologically proven retinoblastoma are presented whose unusual clinical appearance suggested that ultrasonographic studies should be carried out. These cases exhibited an atypical pattern different from those previously described, and were clinically and ultrasonographically misdiagnosed as endophthalmitis.

Child, Preschool↗