Ultrasound-guided infraclavicular brachial plexus block.
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Biomedical subjects
Publications and source records attributed to M Nadig.
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A 10-year-old child with neurofibromatosis-1 was evaluated for progressive lumbar scoliosis, back pain, and foot numbness. Magnetic resonance imaging showed several lumbar intraspinal and extraspinal masses consistent with neurofibromas. The mass at L3-L5 compressed the thecal sac and was thought to be the source of the symptoms. On operative exploration, a lumbar epidural arteriovenous malformation was found, which was removed in its entirety. The child's back pain and foot numbness resolved. Epidural arteriovenous malformations in patients with neurofibromatosis-1 are rare and have been reported only in the cervical spine. Our finding of a lumbar epidural arteriovenous malformation in a child with neurofibromatosis-1 demonstrates that vascular anomalies can be present throughout the spine of patients with neurofibromatosis-1 and should be considered in the differential diagnosis of any neurofibromatosis-1-related epidural mass.
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The author compares "individual" motherhood, common in countries like Switzerland and the Federal Republic, with the "social" motherhood characteristic of a Mayan peasant culture in Yucatan. She discusses various psychoanalytic conceptions of motherhood, for instance, Freud's and Winnicott's. She argues that the ideological concept of the missing penis actually expresses the very real cultural deficiency of women. The retention of such ideological concepts prevents the actual conditions from being acknowledged in psychoanalytic theory. This, in turn, blocks the change in paradigm necessary for an adequate metatheoretical handling of gender differences.
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