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Biomedical subjects

R Torta

Publications and source records attributed to R Torta.

At least 37 records · Page 2Linked to original sources

The microglia in brain granulomatoses. Histo-enzymological study.

The microglial participation in the different granulomatous processes was studied by silver impregnation techniques and histoenzymological methods. In florid granulomatous areas two types of metallophilic cells were detected, corresponding to the common macrophages and perhaps to the ameboid modification of the microglia. Hydrolytic enzyme preparations showed a pattern of distribution and intensity similar to that of the impregnated cells. Only in the adjacent nervous parenchyma the different methods evidenced the presence of hyperplastic ramified microglia associated with reactive astrocytes.

Brain Diseases↗

[Anatomo clinical aspects of a case of ischaemic necrosis of the spinal cord in a patient with a dissecting aneurysm of the aorta (author's transl)].

Neurological complications of dissecting aneurysm of the aorta are not frequently described in the literature. A case of infarction of the spinal cord secondary to aortic aneurysm is presented. The ischemic zone extended from D5-D6 to L2-L3, showing the typical double-funnel-like configuration. Such localization is explained by the blood circulation in the spinal cord. The rupture of a dissecting aortic aneurysm in the toracic and abdominal tract, by occluding the segmental branches to the spinal cord, causes a decrease in blood flow which is responsible for the neurological manifestations. In the present case ischemia is mainly due to the involvement of the artery of Adamkiewicz, while the relative sparing found at the inferior lumbar level is justified by the existence of vessels which take origin below the aneurysm and are tributary to the cauda equina. The histological findings are in agreement with previous observations of a selective necrosis of the gray matter.

Aortic Dissection↗

Granulomatous mycoses of the central nervous system.

A clinical and pathological description of five cases of granulomatous mycoses of the C.N.S. is reported. Four had an intracranial and one a spinal localization. In all patients the clinical pattern was of tumoral type, while the disease evolution was favourable only in one case. From a histipatholic point of view the preliminary diagnosis was of granulomatous process. The fungi organisms were identified only by means of combined stain methods. Beside the pathogenetic problems the Authors outline some histological methods useful for diagnostic purposes when a culture procedure for fungi is lacking.

Actinomycetaceae↗

Cerebral actinomycotic granuloma.

A rare case of primary cerebral actinomycosis is presented. Pathologically the most important finding is represented by two types of lesions occurring in the same granulomatous mass without abscess formation. The possibility of an associated infection by actinomyces israelii and actinobacillus actinomycetemcomitans or lignieresi is discussed.

Actinomycosis↗

Lack of association between vigabatrin and impaired cognition.

Of 14 patients with a history of partial epilepsy who received vigabatrin 2 g daily for 6 months, eight were newly diagnosed and received vigabatrin as monotherapy, while the remaining six received vigabatrin in addition to pre-existing treatment with phenobarbitone. Neurophysiological and neuropsychological evaluations, done before and after the therapeutic period, included the Luria-Nebraska neuropsychological battery (LNNB), electroencephalograms (EEGs) and evoked potentials. The results for each item of the test battery at baseline were compared with those after 6 months' treatment. There were no statistically significant differences on the functional scales of the LNNB, the EEG or the evoked potentials. There was a significant improvement (P = 0.01) in the LNNB topographic scales for the right frontal lobe and the motor-sensory area following treatment. These results indicate that vigabatrin has no detrimental effects on cognitive function and may improve function.

Adolescent↗

[Schizophrenia and multiple sclerosis].

On the basis of published data on the frequent incidence of psychiatric disorders in demyelinating diseases, the paper report the case of a 22 year old patient who was brought to the Authors' attention with a schizophrenia-type disorder, with prevalently negative symptoms, and suffering from the advanced stages of a demyelinating pathology. Anamnestic and clinical characteristics reported by other Authors were also evident in this patient: the absence of familiarity for schizophrenic disorders, the absence of earlier psychiatric pathologies, the constant progress of psychosis and limited response to pharmacological therapy. The main results of clinical and instrumental tests are discussed.

Adult↗

[Laughter and smiling. The gesture between social philosophy and psychobiology].

The human individual experiences his gestuality unaware, making it even more revelatory of his current state of mind. Certain actions represent innate behaviour, while others are discovered or assimilated during learning. The actions that signify the sending of any kind of message to another person, become "gestures". Laughter is an example of expressive behaviour and, as such, plays an important part in social interaction, insofar as it supplies signals that influence the response of other individuals. After a review of the philosophical and sociological interpretations inherent in laughing and smiling, the correlations between weeping, smiling and laughing are examined specifically from as ethological standpoint. The neurophysiological aspects whereby the crying, smiling and laughing mechanisms depend on a multifactorial control system, that implies the activation of limbic and frontal circuits, a motor cortex response and an activation of the autonomic response of the vegetative nervous system, correlated to the cortico-hypothalamic ways, are then examined. The pathological observations carried out in Man are identified with the study of psychomotor epilepsy in the context of "gelastic crises", cataleptic-gelolegic crises "and the pseudo-bulbar syndrome" with crying and spastic laughing. Finally, the possible therapeutic implications correlated with the laughing mechanism are discussed. In fact, the facial contractions, associated with the emotional experience connected with them, would appear to function as a standard brain signal. Interesting are the findings of changes in neuromediator and endorphin modifications implied in the neurophysiological smiling and laughing mechanism. A further basic element is the involvement of the autonomous system which can be correlated with the concept of the trophotropic response according to Hesse, with an increase in parasympathetic tone and reduction in sympathetic tone.

Crying↗

[Psychotherapy and relaxation techniques].

Relaxation is a situation in which there is a dynamic balance of the neurovegetative and mental activities. It can be reached through the practice of definitive and suitable techniques which can also be used in psychiatric therapy. The paper lists some of the most common relaxation technique, giving their specific characteristics and eventual relationships with psychotherapies. The latter are in fact classified according to the implicit or active use of relaxation; on the contrary, those psychotherapies known to cause anxiety are also listed. Lastly, some observation are made regarding the opportunity of including a prescription for a relaxation technique during a course of psychodynamic psychotherapy.

Humans↗

[Psychobiological basis of hypnosis. Neurophysiologic and psychosomatic considerations].

On the basis of the psychosomatic model, an interpretation of hypnositherapy is proposed in the psychobiological context as an applicative example of oneness. With this technique a particular state of awareness, which hypnosis is, correlated biologically with considerable subcortical neurophysiological modifications in the individual, is added, as a facilitating context, into the activation of patients psychotherapy. Thereafter the neurophysiological characterisation of the hypnotic state such as activation of the right hemisphere, similarities between transhypnosis and synchronous sleep and the activation of subcortical mechanisms compared to the cortical are considered. In the hypnotic situation, two very special conditions which are extremely important in the biological context, operate: on the one hand the special physician/patient relationship, on the other the important psychosomatic implication deriving from the possibility of direct action on mesolimbic and hypothalamus following the reduced cortical activity. After examining the context of the physician/patient relationship in the clinical implication of the placebo, or non-pharmacological effect of the drug implied, the psychosomatic activation mechanisms that can be the reason for modifications in the symptom, including its improvement or actual cure are considered. In this context, the psychosomatic evaluational parameter inherent in cognitive evaluation to which the cortical filter is correlated, the emotional activation to which activation of the limbic system is correlated and, finally, the set of psychophysiological variations correlated to this limbic activation underlying behavioural and somatic modifications are reviewed.

Humans↗

[Clinico-nosographic considerations on the relation of depression and alcoholism in a population of 450 hospitalized alcoholics].

The presence of depressive symptomatology in alcoholics has frequently been encountered in clinical practice, but the relationship running between the two pathologies remains a subject for discussion. The methodological difficulty of this evaluation is seen in a major discordance of reported data. Against this background, a group of subjects hospitalized in a neuropsychiatric environment has been assessed for incidence of alcoholic and depressive pathologies and their possible correlations. Of 428 hospitalizations for alcoholism, 350 (82%) presented a depressive pathology. These patients were distinguished by DSM III into three groups [a) adaptation disturbance with depressed mood; b) dysthymic disturbance; c) atypical depression]. Within these groups, the incidence of prior stress-inducing psychosocial events was assessed according to the criterion of growing seriousness of DSM III. The results after statistical processing are discussed and compared with reported data.

Adult↗

[Clinical and therapeutic problems during prolonged treatment with benzodiazepine].

The widespread use of BDZ is due on one hand to its therapeutic effectiveness, particularly as a tranquillizer, hypnotic, myorelaxant and antiepileptic, and on the other to its few side and toxic effects. Long-term treatment with BDZ has, however, proved to be not completely free from problems and particular attention has been paid to these in recent years. These negative aspects, described by the literature, include global worsening of mental activity and a declining efficiency of certain mental functions; also worth considering are the phenomena related to the onset of addition and dependence.

Benzodiazepines↗

[Acute transverse myelitis. Clinical and neuroradiological follow-up of a case in a child].

The case of a ten years old boy who presented a sudden onset of tetraplegia is discussed. The benign clinical evolution, under corticosteroid therapy, the negativity of biohumoral examinations of the cerebrospinal fluid and the improvement of the NMR pictures allow the diagnosis of acute spinal myelitis. In the paper are also presented the neuroradiological pictures of myeloCT and NMR; the last one can, for its sensibility, discover little variations in the water contents of the nervous tissue and for its harmlessness can be used for serial examinations.

Child↗

[Use of first and second generation antidepressants. A clinical study].

The study assesses the quantitative percentage use of second generation antidepressants (non-tricyclics or modified tricyclics) in clinical psychiatric practice in comparison with first generation products. The study was conducted on patients presenting in the surgery and psychiatric ward of Novara and in Turin Psychiatric Clinic in an-June 1987 and covers all patients receiving antidepressant drugs. For each individual given thymoanaleptic drugs, the type used and the reasons for its selection were examined as well as the combined use of antidepressants with other psychotherapeutic drugs. The data show that second generation antidepressants have come to play a major therapeutic role, though further research is needed to define their specific use and as far as possible to eliminate their use as a "vicarious" substitute for traditional drugs.

Antidepressive Agents↗

Isolated hypophyseal tuberculoma: case report.

A 45-year-old woman, lifelong resident in Turin presented an isolated tuberculous granuloma of the hypophysis with no other systemic localizations. Diagnosis could be established only by biopsy. With antituberculous therapy the intracellular tumor regressed but not the endocrine disorders.

Female↗