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L Girard

Publications and source records attributed to L Girard.

14 recordsLinked to original sources

[Questionable usefulness of the edrophonium test in the diagnosis of non-cardiac retrosternal pain].

Of 69 patients with non-cardiac chest pain, one third had abnormal esophageal motility as evidenced by basal esophageal manometry. 8 patients (12%) reported chest pain during a provocation test (edrophonium). While this pain seemed similar to the spontaneous chest pain described by 7 patients, it was not associated with manometric changes in 30% of these cases. The causal relationship between disorders of esophageal motility and non-cardiac chest pain has still to be confirmed, and caution must be exercised in interpreting edrophonium tests.

Adult

Selective vestibular neurectomy through the posterior fossa in Ménière's disease.

The authors report on a series of 18 patients operated through the posterior fossa approach for selective vestibular neurectomy. The indication for surgery consisted of intractable vertigo in cases of Ménière's disease. Results were excellent with a 94% cure of vertigo and 100% improvement. Postoperative hearing results were good with 78% of patients maintaining their discrimination score and 94% their pure tone average threshold. The results and the advantages of this approach are discussed and compared with the known procedures as reported in the literature.

Adult