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Biomedical subjects

J Laham

Publications and source records attributed to J Laham.

At least 19 recordsLinked to original sources
PubMed1993

[Giant ependymoma of the cauda equina. Long-term development apropos of 7 cases].

Seven cases of giant ependymomas of cauda equina, extending from the conus medullaris to the sacrum, are reported. Mean age of the patients was 36 years. The initial symptoms were not specific, including low back pain and radiculalgias. However, in two cases, the clinical presentation was related to hydrocephalus. At the time of the operation, 6 patients presented with pain, weakness and sphincter dysfunction. The diagnosis of tumor was made after myelogram in all cases. Metrizamide enhanced CT scan has been performed in one case. None patient had preoperative magnetic resonance imaging (MRI) but MRI allowed the follow up in 5 patients and detection of local and remote recurrences in 4 cases. All the tumors were attached to the filum terminale, and unless extended from L2 to S1. Pathologically, 3 patients had tumors classified as myxopapillary and 4 of the cellular type. Two patients had gross total resection of the tumor at the initial operation. Five patients had initial biopsy to make a diagnosis and required subsequent surgery for radical excision after an average of 16.8 months. Radiation therapy has been performed in 1 case after biopsy, in 1 case after total resection (grade III) and in 2 cases after recurrences. Three patients died 1 year, 5 years, 12 years post-operatively. Among these 3 patients, 2 had recurrences. Four patients are alive. One patient has no recurrence 5 years after initial surgery. Another patient remains symptom free 7 years after surgery but MRI showed a local recurrence. The last two patients present recurrences 7 years and 8 years after surgery. These recurrences have been treated by surgical removal.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1985

[Complete branch blocks in asymptomatic patients].

Basing themselves on their personal experience and a review of the international literature, the authors study complete bundle branch blocks in asymptomatic subjects. They show that before the age of 50 these complete bundle branch blocks rarely progress towards a complete A-V block. They emphasise the excellent prognosis in the long term for isolated right or left blocks without obvious signs of cardiovascular disease and they cite cases of prolonged survival (20 to 40 years after discovery of the bundle branch block).

Adolescent↗
PubMed1982

[Difficulties of persistent repolarization following normalization of the QRS wave in the Wolff-Parkinson-White syndrome].

The normalisation of the ventricular complex in the Wolff-Parkinson-White syndrome is often accompanied by changes in the repolarisation phase with a deep, symmetric and pointed T wave suggestive of coronary artery disease. In order to study this phenomenon we examined 29 cases of intermittent WPW, 13 of which had abnormalities of the normalised complex. Normalisation occurred spontaneously on 10 occasions, twice on exercise and once after Ajmaline. In the majority of cases (9/13) the preexcitation was a right (4 cases) or left (5 cases) posterior pathway and the T waves were abnormal in the posterior leads (II, III and AVF). In left lateral preexcitation the T waves were negative in lead 1 and AVL. The T wave changes seem to be related to the topography of the preexcitation pathway. They gradually disappeared in the 3 cases in which preexcitation had not recurred. The age of the patients (11 to 45 years, average 31 years) or normal coronary angiography, performed in 3 cases, excluded coronary pathology as did the close relationship between the topography of the preexcitation and the T wave changes and the gradual disappearance of the abnormalities in the cases where preexcitation did not recur. This phenomenon, related to abnormal ventricular activation, seems to be comparable to the changes in ventricular repolarisation observed on termination of ventricular pacing, on the regression of certain intermittent left bundle branch blocks and perhaps, in some cases, of the post-ventricular tachycardia syndrome.

Adolescent↗