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Biomedical subjects

M Perrigot

Publications and source records attributed to M Perrigot.

50 records · Page 3Linked to original sources

[Bladder sphincter disorders in multiple sclerosis: symptomatology and evolution. 100 cases].

The semiology and evolution of vesicosphincteral disorders have been studied in a series of 100 cases of multiple sclerosis. All the patients underwent a complete checkup and were followed over a period of 6 years. Mictional problems appear within the first five years in 60 p. cent of cases. When they occur later on, they tend to follow the evolution of the disease on their own. There exist regular correlations between the gravity of the motor and sphincteral handicap, and between the size of the postmictional residue (over 20 p. cent of the miction), the time elapsing since the onset of the mictional disorders, and the appearance of uronephrological complications.

Enuresis↗

[Algodystrophic syndrome in hemiplegia. Clinical and therapeutic study].

The work here exposed is divided in two studies: clinical and therapeutical. 1--Clinical. The occurrence of shoulder hand syndrome has been studied in 130 patients with hemiplegia. Although the preventive treatment was correct in all cases, 90 of them developed neurodystrophy. It is shown that the appearance and the intensity of this syndrome can be predicted with some certainly as soon as three weeks after the onset of hemiplegia, since there is a statistically significant correlation with the aetiology and the existence of some associated factors. 2--Therapeutical. The efficacy of eight treatments (calcitonin, blocking agents, intravenous clomipramine, blocking agents, periarterial injections of local anaesthetics, local or general corticotherapy, physiotherapy, kinesitherapy), randomly given to the patients, was compared (90 patients and 130 treatments). Local corticotherapy was the most efficient treatment. Physiotherapy was less efficient but always well tolerated. All the other treatments were much less active. Kinesitherapy was however always necessary to prevent joint ankylosis. No correlation was found between the intensity of the shoulder hand syndrome and the efficacy of treatments.

Adrenal Cortex Hormones↗

[The use of electrical transcutaneous nerve stimulations in chronic pain. Method and preliminary results in 28 cases (author's transl)].

The analgesic effect of conventional transcutaneous nerve stimulation has been studied in 29 patients, all having a chronic pain caused by peripheral neurological disease. As already reported in the literature half of patients were improved on a short-term basis. Long-term improvement was observed mainly in patients with traumatic nerve lesions; such cases, thus appear to be the best indication for this method. It should be emphasized that whatever the etiology, the delay between the onset of pain and the beginning of transcutaneous stimulations was a critical factor. Nine out of ten patients suffering for less than one year were satisfactorily improved. This suggests that transcutaneous stimulations should be used as early as possible after the onset of neurological pain.

Adult↗

[The neurophysiology of micturition (author's transl)].

The ortho and parasympathetic nervous system as well as the somatic nervous system make up the innervation of the lower urinary tract. This constitutes the autonomic nervous system of these organs. There are control centres in the cortex, the sub-cortex and the medullary areas of the brain as well as this peripheral innervation. Together they make possible by their various connections a variety of regulatory circuits and a series of reflexes for micturition which bring about a complex assembly coming from the cortex to the sphincter mechanism of the bladder.

Autonomic Nervous System↗

[Neurological control of micturition (author's transl)].

A study of the literature is reported on the subject of the control centres in the brain and medulla of the bladder reflex and their central and peripheral connections. Reference is made to the modes of action, from a pharmacological and physiological standpoint, of the main drugs tested experimentally and used in clinical practice. The study concludes with a brief outline of the functioning of the normal bladder reflex.

Afferent Pathways↗

[Paralysis following Dimer X radiculography].

The authors report four cases of cauda equina syndrome following Dimer X radiculography. The cases are described and commented upon. The conclusion is that Dimer X is a substrate associated with a certain degree of toxicity. Indications for and technique in sacroradiculography should be rigorous.

Adult↗