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Biomedical subjects

J Theron

Publications and source records attributed to J Theron.

At least 19 recordsLinked to original sources
PubMed1992

Automated percutaneous nucleotomy in the treatment of cervicobrachial neuralgia due to disc herniation.

Forty-five patients suffering from cervicobrachial neuralgia resistant to medical treatment were treated by automated percutaneous nucleotomy according to the technique used by Onik et al. in the lumbar segment of the spine. Good results were obtained with this technique in 85% of the patients. This figure is similar to that reported for nucleorthesis without the risk of calcification mentioned in the literature.

Adult↗
PubMed1991

A comparison of the nucleotide sequences of cognate NS2 genes of three different orbiviruses.

The genes encoding nonstructural protein NS2 of African horsesickness virus (AHSV) and epizootic hemorrhagic disease virus (EHDV) were cloned, sequenced, and compared to the NS2 gene of bluetongue virus (BTV). Nucleotide similarity ranged from 53 to 60%. The length of the proteins varied from 376 amino acids (EHDV) to 365 amino acids (AHSV). The N-terminal half of NS2 is more conserved (+/- 58% similarity) among the three orbiviruses, while the C-terminal half contains a 120 amino acid region of low similarity (18%). The variable region has a high content of alpha-helix conformation and a hydrophilic character. A short region of 9 amino acids contains 5 amino acids that are either similar or identical in single-stranded RNA binding proteins of BTV, EHDV, AHSV, reovirus and rotavirus.

African Horse Sickness Virus↗
PubMed1991

Treatment of Cyprinus carpio L. and Clarias gariepinus (Burchell) embryos with formalin and malachite green: effect of concentration and length of treatment on their survival.

Malachite green and formalin were investigated as prophylactic dip treatments for developing embryos of Cyprinus carpio and Clarias gariepinus. Based on the findings, recommendations are made on the respective concentrations to be used and exposure periods to be followed for both formalin and malachite green for both fish species.

Animals↗
PubMed1991

Investigations into the effects of concentration and duration of exposure to formalin and malachite green on the survival of the larvae and juveniles of the common carp Cyprinus carpio L. and the sharptooth catfish Clarias gariepinus (Burchell).

Prophylactic dip treatments using formalin and malachite green were applied to 4-day old larvae and 12- and 20-day old juveniles of the European common carp, Cyprinus carpio and the African sharptooth catfish, Clarias gariepinus. Treatments consisted of 100 mg/l malachite green for exposure periods of 10, 30 or 90 s and 200 mg/l formalin, administered for 30, 60 or 90 min. Larvae and juveniles of C. gariepinus could be treated with 100 mg/l malachite green for 10 s, or with 200 mg/l formalin for 30 min, with minimum mortalities. Both chemicals affected the survival of the C. gariepinus juveniles, especially the 90 min exposure to formalin. Juveniles of both species were extremely sensitive to 100 mg/l malachite green concentrations.

Animals↗
PubMed1991

[Fibrinolytic treatment of acute ischemic accidents of the carotid artery].

The consequences of acute obstruction of the internal carotid artery or of its branches for the tissues depend on the efficiency of the mechanisms of hemodynamic and metabolic compensation of the cerebral blood flow. The occurrence of a neurologic deficit points out to insufficient compensation, but it does not allow assessing how irreversible the lesions are. The depth and duration of ischaemia are determining for the size of the residual infarct. Fast reperfusion of the ischaemic areas is aimed at limiting the size of the residual infarct but creates a risk of revascularization edema, and even of cerebromeningeal hemorrhage in case of ischaemic degradations of the blood-brain barrier. The indications of reperfusion are based on a pretherapeutic CT and angiographic assessment. The distal extension of thrombosis of the internal carotid artery as well as thrombosis or cruoric embolism of the carotid siphon or of the intracranial branches are not accessible to the conventional surgical reperfusion procedures but can be treated with local fibrinolytic infusion.

Acute Disease↗
PubMed1989

[11C]L-methionine uptake in gliomas.

Treatment of gliomas remains disappointing in spite of a great number of experimental biological data and of randomized therapeutic studies. This could be partly explained by the inefficiency of our conventional methods to assess the regional metabolism of these tumors. The use of positron emission tomography (PET) brings encouraging possibilities in this field. We report our preliminary experience of measuring regional cerebral methionine uptake with PET after intravenous injection of [11C]L-methionine. Twenty-two patients with histologically confirmed gliomas were studied. An ECAT II positron emission tomograph was used for scanning. The position of the plane was chosen to include a major section of the tumor in the reconstructed brain slice. The protocol required a two-step examination: 1) after injection of 15 to 25 mCi of [11C]L-methionine, 12 scans were performed over a period of 46 minutes; and 2) 18 hours later, regional cerebral blood volume was measured in the same slice after intravenous injection of 2 to 4 mCi of 68GaCl3. The tumoral region of interest was determined as being the area of maximum activity. For each patient we calculated the ratio, R, between the activity in this tumor region of interest and the activity in the contralateral healthy symmetric region of interest which was used as an "internal standard" for the same patient. We correlated the ratio R with the histological grading. In 22 patients, mean values of R were calculated for each tumor: Grade II (n = 5): R = 1.04 +/- 0.27; Grade III (n = 5): R = 1.68 +/- 0.22; and Grade IV (n = 12): R = 2.33 +/- 0.86.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1989

Aneurysm associated with chronic mucocutaneous candidiasis during long-term therapy with ketoconazole.

A little girl who was suffering from chronic mucocutaneous candidiasis also had a cellular immune deficiency and undetectable IgA levels. She was treated continuously for 6 years with ketoconazole at the same dosage of 200 mg/day. She was rapidly clear from infection and did not relapse although her immune abnormalities persisted. During this long-term therapy, voluminous fusiform intracranial aneurysm appeared, causing a paresis of the four limbs. Are they mycotic aneurysms?

Adult↗
PubMed1989

Percutaneous automated lumbar nucleotomy.

The results of percutaneous automated lumbar nucleotomy in the treatment of lumbar disc herniation were assessed in a series of 39 patients. The technique consists of mechanical decompression of the herniated intervertebral disc without total excision. Only one-space discs were treated by this method. Sciatica was the predominant clinical symptom in 30 cases, and lumbar pain in 9 cases. Good to very good results were obtained in 70% of patients with sciatica and in 55% of patients with lumbar pain. After 4 cases of nucleotomy performed after failure of nucleolysis were excluded, the proportion of very good results rose to 77% in sciatica. Conversely, it seems that a number of failed nucleotomies can be treated by nucleolysis. Nucleotomy is very well tolerated and deserves to be used as first-line treatment of single and radiologically well documented lumbar disc herniations.

Adult↗
PubMed1988

Local fibrinolytic therapy in ischemic carotid pathology.

Sixteen patients underwent local fibrinolytic therapy for thrombosis or embolism of the main trunk or intracranial branches of the internal carotid artery. There were eight cases of complete thrombosis of the internal carotid artery, five proximal stenoses of the internal carotid artery with extensive thrombus, one thrombus of the carotid siphon and two middle cerebral artery emboli. Indications for treatment included transient ischemic attacks in 11 cases, cerebral ischemia after carotid arteriography in two cases, and after surgery for atheromatous lesions of the carotid bifurcation in three cases. The fibrinolytic therapy was initiated during carotid surgery in three cases, where extended thrombosis of the internal carotid artery was discovered, which was inaccessible to a Fogarty catheter. The other 13 cases were treated during arteriography procedures. Lysis of the clot was always obtained. One patient died of hematoma of the frontal lobe. All other patients survived and showed neurologic improvement. The neurologic outcome was dependent on the duration and the degree of initial ischemia. Fibrinolytic therapy appears to be beneficial therapy for certain cases of cerebral ischemia.

Acute Disease↗
PubMed1988

Interhemispheric subdural haematomas: seven cases and review of the literature.

Interhemispheric subdural haematoma (ISH) is a rare complication of head injury with only 19 cases reported since 1940, but it may also occur spontaneously (three cases). In both circumstances, clotting disorders are frequent (six cases). We have recorded seven cases (five traumatic, two spontaneous). Classically ISH is due to tearing of bridging veins or cortical contusions. In one of our cases, it was due to arterial bleeding from a pericallosal branch. CT scan shows that ISH may extend above the tentorium and on the hemispheric convexity. Mortality is high (35%). The best operative procedure is parasagittal craniotomy. Chronic interhemispheric subdural haematomas also occur.

Adult↗
PubMed1988

[Cervical chemodectoma disclosed by coma. Pathogenic hypotheses].

The authors reported a case of cervical paraganglioma. Patient had a coma suggesting secretary activity of the lesion or cerebral venous thrombosis. Angiography showed an hypervascular lesion characterized by venous reflux into the contro-lateral sinus. After neurological stabilization by tumor embolization, the tumor was surgically removed.

Coma↗
PubMed1988

[Anterior ethmoidal dural fistulae. 3 new cases].

The authors report three new cases of anterior ethmoidal dural fistulae: a pure pial and two dural and pial fistulae which presented in the form of rupture. The emphasise the computed tomographic features, revealing a unilateral frontopolar haematoma and the need for angiographic assessment including study of the internal and external carotid arteries. Carotid angiography of the fistula defines the therapeutic modalities which are generally surgical.

Adult↗
PubMed1987

Percutaneous endoluminal angioplasty of post endarterectomy carotid stenoses.

Percutaneous transluminal angioplasty of the carotid artery was performed in four patients with recurrent stenosis following endarterectomy. Balloon catheter dilatation was successful in 3 of the 4 lesions. Post dilatation angiography demonstrated an increase in luminal diameter: there were no neurological complications with the procedure. PTA appears to be an effective method of treating recurrent stenosis following carotid endarterectomy.

Aged↗
PubMed1987

[Study and treatment using an endovascular approach of erectile insufficiency of venous origin].

Forty-six patients with defective erection of venous origin were treated by embolization of deep dorsal vein at the Santorini plexus level. Embolization was by insertion of disposable balloons after surgical approach to deep dorsal vein of penis. Follow up showed that 57% of patients had recovered satisfactory, normal sexual activity and 15% a fairly satisfactory sexual activity.

Adult↗