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[Charles Bonnet syndrome: visual hallucinations in patients with ocular diseases--case report].

In this article the authors report two cases of Charles Bonnet syndrome, defined as complex visual hallucinations in patients with low vision, and the patient is aware of the unreal nature of the phenomenon. A great number of cases is misdiagnosed due to lack of direct questioning by the physician. Since the emotional distress caused by this disease, the knowledge of its symptoms is essential in the management of these patients.

Aged↗

Increased platelet aggregation response in Cavalier King Charles Spaniels with mitral valve prolapse.

Mitral valve prolapse (MVP) is a fundamental feature of myxomatous mitral valve disease in the dog. In humans, primary MVP is associated with increased platelet reactivity. In Cavalier King Charles Spaniels (CKCS), a breed predisposed to myxomatous mitral valve disease, there is a high prevalence of hypomagnesemia and platelet anomalies, such as thrombocytopenia and macrothrombocytosis. The objective of this study was to evaluate platelet aggregation responses in CKCS and to determine the relationship between the platelet aggregation response and serum magnesium concentration, MVP, mitral regurgitation (MR), and platelet count. In 19 CKCS with MVP and 7 control dogs (not CKCS), the platelet aggregation response to 3 different agonists was compared. The CKCS with >100,000 platelets/microL (n = 10) had a significantly higher maximum aggregation response with regard to all tested agonists than the CKCS with <100,000 platelets/microL (n = 9) and control dogs (n = 7). The CKCS with <100,000 platelets/microL had a platelet aggregation response similar to the control dogs. There was no correlation between degree of MVP and platelet aggregation response. Platelet diameter increased (P = .006) and serum magnesium concentration decreased (P = .04) with lower platelet concentration. In conclusion, CKCS with MVP appeared to separate into 2 groups--1 group with <100,000 platelets/microL, normal platelet aggregation, low serum magnesium concentration, and enlarged platelets, and another group with >100,000 platelets/microL, increased platelet aggregation, and normal serum magnesium concentration and platelet size.

Animals↗

Idiopathic asymptomatic thrombocytopenia in Cavalier King Charles Spaniels is an autosomal recessive trait.

Cavalier King Charles Spaniels (CKCS) often have idiopathic asymptomatic thrombocytopenia. In affected dogs, the thrombocytes often are large, and it has been speculated that the condition could be an inherited macrothrombocytopenia. The aim of this study was to examine the inheritance of idiopathic, asymptomatic thrombocytopenia in CKCS. Sixteen families (both parents and > or = 3 offspring) of privately owned CKCS were included. There were 105 clinically healthy dogs (50 from Denmark and 55 from Sweden): 81 offspring and 26 parents (2 dogs had both roles). Because autoanalyzers have difficulty counting large platelets, the platelets were counted manually, with a counting chamber. Platelet counts were not influenced by age, gender, or heart murmur status. Thrombocytopenia (< or = 100,000 platelets/microL) was found in 46% of the parents. The pedigrees indicated that thrombocytopenia segregated as an autosomal recessive trait and that 100,000 platelets/microL was appropriate as a lower limit of normal. Affected offspring were found in all families, showing that all of the included parents were at least carriers. Therefore, the expected segregation ratios (which were in good accordance with the observed ones) were 1:0, 1:1, and 1:3 for the 3 crosses: affected x affected, normal x affected, and normal x normal. Within a given cross, the mean parental platelet count had no influence on the platelet counts of the offspring. We conclude that idiopathic, asymptomatic thrombocytopenia in CKCS is inherited in an autosomal recessive manner. The condition most likely constitutes an inherited macrothrombocytopenia in dogs.

Animals↗

Inheritance of occipital bone hypoplasia (Chiari type I malformation) in Cavalier King Charles Spaniels.

Occipital bone hypoplasia with foramen magnum obstruction and secondary syringomyelia (SM) is a common condition in the Cavalier King Charles Spaniel (CKCS) that is similar to human Chiari type I malformation. A worldwide family tree of more than 5,500 CKCSs spanning a maximum of 24 generations was established by obtaining pedigree information from 120 dogs diagnosed with SM secondary to occipital bone hypoplasia. The ongoing study showed 6 of 8 great grandparents of all affected dogs could be traced back to 2 female ancestors so that all 8 were descended from one or the other or both. The disease appears to be more severe and have an earlier onset with increased inbreeding, especially when breeding from affected dogs. The family tree of idiopathic epilepsy (IE) appears to be a different subset of the CKCS population, although some overlap was observed. Idiopathic epilepsy is more frequent in lines originating from whole-color dogs. Selection for coat color is believed to have influenced the development of both occipital hypoplasia with secondary SM and IE. In addition, breeding guidelines to reduce the incidence of mitral valve disease have placed further pressures on the gene pool.

Animals↗

Charles Bonnet syndrome: visual hallucination and multiple sclerosis.

Multiple sclerosis (MS) is a fairly common condition that affects approximately 350,000 people in the United States. It is associated with various neuropsychiatric symptoms including cognitive and behavioral symptoms. However, visual hallucinations are rare in multiple sclerosis without the presence of cognitive deficits. We are describing the case of a 40-year-old married white female with isolated complex visual hallucinations compatible with the Charles Bonnet syndrome (CBS). The patient was successfully treated with the atypical antipsychotic olanzapine.

Adult↗

Assessment of changes in hemostatic markers in Cavalier King Charles Spaniels with myxomatous mitral valve disease.

OBJECTIVE: To evaluate markers of hemostasis and their relationship to the degree of mitral regurgitation (MR) and platelet function in Cavalier King Charles Spaniels (CKCSs) with myxomatous mitral valve disease. ANIMALS: 76 clinically healthy CKCSs and 24 control dogs. PROCEDURE: All dogs underwent echocardiographic examination; various hemostatic, hematologic, and biochemical variables were evaluated in blood. The CKCSs were allocated to 1 of 3 groups on the basis of MR severity. In 8 control dogs and 8 CKCSs, plasma von Willebrand factor (vWF) multimer analysis was performed. RESULTS: Compared with control dogs, plasma fibrinogen concentration was higher in all CKCSs and related to left ventricular end diastolic diameter and left atrial-to-aortic root ratio among all CKCSs. The activated partial thromboplastin times and plasma D-dimer concentration were similar among the 4 groups. Plasma vWF concentration was lower in CKCSs with moderate to severe MR, compared with that of CKCSs with no MR and control dogs. There was a relationship between plasma vWF concentration and platelet function in CKCSs but not in control dogs. In 4 CKCSs with moderate to severe MR and low plasma vWF concentration, amounts of vWF high-molecular-weight multimers (HMWMs) were low. CONCLUSIONS AND CLINICAL RELEVANCE: In CKCSs, MR appeared to be associated with a low plasma vWF concentration and likely a loss of vWF HMWMs (possibly through their destruction via shear stress to the blood). The importance of the changes in plasma fibrinogen concentration and the thromboembolic risk in dogs with MR remain to be investigated.

Animals↗

What psychology students know and believe about Charles Darwin.

204 introductory and 154 advanced students in psychology were asked about their knowledge of Charles Darwin and endorsement of belief statements about the status of evolutionary theory. Advanced students had higher scores than introductory students on three of six multiple-choice knowledge items and differed from them on all six statements of belief as assessed by chi 2. Advanced students appear to know more about evolutionary theory but may be less inclined to endorse its relevancy to psychology.

Biological Evolution↗

Charles Bonnet syndrome with major depression in a Chinese middle-aged man.

OBJECTIVE: To describe a middle-aged patient with Charles Bonnet syndrome (CBS) suffering from concurrent major depression. CLINICAL PICTURE: A 41-year-old Chinese man with retinitis pigmentosa developed complex and vivid visual hallucinations. This was followed by the onset of major depressive illness. His visual hallucinations were greatly influenced by his cultural background and changed during the course of his depression. TREATMENT: The patient was treated with imipramine. OUTCOME: The patient had a relapse of depression due to his non-compliance. He recovered after the resumption of imipramine but the visual hallucinations persisted. CONCLUSIONS: Patients suffering from CBS can have another concurrent psychiatric illness. The content and form of this patient's visual hallucinations were modified by his cultural background and depressive illness. Sensory deprivation is suggested to be the pathogenic mechanism of his visual hallucination.

Adult↗

Visual hallucinations in blindness: the Charles Bonnet syndrome.

A 64-year-old woman developed complex visual hallucinations consisting of snakes crawling out of people's head and on her body. She had become blind 14 years before the onset of the hallucinations. Neurosurgical removal of a large suprasellar meningioma was followed by disappearance of her hallucinations. This case suggests that the complex hallucinations often encountered in blind subjects ("release hallucinations"), a phenomenon originally described by Charles Bonnet in 1769, are related to both sensory deprivation and an impairment in CNS functioning.

Blindness↗

Developmental toxic effect after subcutaneous injections of methadone in Charles River CD-1 mice.

Four groups of Charles River CD-1 pregnant mouse dams were dosed subcutaneously daily with 5, 10, 20, and 28 mg/kg of methadone during day 6 to 15 of gestation. Prenatal and postnatal studies were conducted in the offspring and mouse dams. Caesarean sections were performed on some of the females from each group on day 19 of gestation and fetuses evaluated by routine teratologic methods. All females remaining were allowed to deliver, and several postnatal signs were recorded from the pups during the lactation period. Maternal mean body weight gains and food consumption were reduced. No apparent alteration in the food efficiency index was detected, thus maternal malnutrition may not have been a factor in producing adverse effects on offspring. The incidence of external and visceral malformations was neither dose-related nor significantly different from those of the controls. However, administration of methadone decreased ossification of the digits, sternum, and skull of the offspring. Adverse effects of methadone on reproduction were apparent at doses of 20 mg/kg/day and above, and characterized by an increase in resorptions and a decrease in the number of live fetuses per litter. Methadone was found not to be teratogenic to the CD-1 mice. However, adverse effects on intrauterine growth, fetal ossification, neonatal growth, development, and survival rate were seen among weaned pups.

Animals↗

A life apart: the experience of women and the asylum practice of Charles Doherty at British Columbia's Provincial Hospital for the Insane, 1905-15.

Much of the study completed on psychiatry's treatment of women, has, understandably, focused on periods when the profession was particularly interested in female insanity. This article examines the asylum lives of women when their treatment was not of particular interest. During the 10-year period that Dr. Charles Edward Doherty was head of British Columbia's Provincial Hospital for the Insane, women were excluded from the reforms that characterized his tenure. Instead, women's experiences were shaped largely by the care of nurses and the atmosphere of the ward itself. On the ward, nurses and patients interacted to interpret asylum policy. In the absence of directed intervention, the informal psychiatry of ward life is clearly visible through the case files of patients, and is shown to be as shaped by patient resistance, compliance, and influence as it was by the dictates of the medical superintendent.

Canada↗

Charles H. Best, the Canadian Red Cross Society, and Canada's first national blood donation program.

This article examines how Canada's first national blood donation program originated during World War II. It focuses on the genesis of Charles H. Best's serum project at the University of Toronto, and the federal government's decision in 1940 to sponsor it as the nation's most viable blood banking option. While Best's personal initiatives were crucial, his project's success was also a result of the larger scientific, political, and institutional circumstances of Canadian medicine. The article also analyzes why the federal government gave responsibility for blood collection to the Canadian Red Cross Society. It shows how the organization's traditional association with military medicine, its more recent involvement with community health services (including blood transfusion), and its flexible national structure suited it for this task. Moreover, Ottawa's willingness to assign this role to a volunteer agency was an indication of the structural deficiencies in Canada's primitive health-care system. The decisions of 1940 flowed from the immediate wartime pressures and individual initiatives. They reflected as well the deeper scientific, institutional, and cultural realities of the time.

Blood Banks↗

[The chemical entries of Charles Gerhardt in Dictionnaire universel des Sciences, des Lettres et des Arts by Marie-Nicolas Bouillet].

Charles Gerhardt (1816-1856) is known as the founder of modern organic chemistry. He wrote the chemical entries of the dictionary managed by Marie-Nicolas Bouillet (1798-1864), who was a philosopher. This great deal of work was done between 1849 and 1853. It accounts for didactic and militant purposes of Gerhardt. The whole entries set up a true treatise of chemistry, and reflect the synthetic mind of their author.

Chemistry↗

[Charles-Henri Fialon (1846-1933). Creator of the historical museum of the faculty of pharmacy of Paris].

Charles-Henri Fialon stopped his pharmaceutical activities in 1892 and he devoted his time to artistic and historic works. He achieved an important collection of pharmaceutical pots and objects which he gave to the school of Pharmacy of Paris. These gifts were collected in a room named "Musée Fialon ". This museum was enlarged twice and presently is in the "Guillaume Valette" gallery. His content is described in this paper.

Faculty↗

[A pharmacist art lover, Charles-Honoré Thévenot].

Set up in Dijon (Côte-d'Or), the pharmacist Charles-Honoré Thévenot (1812-1894) is mainly known as being the inventor of an industrial process for manufacturing and filling the medicamentous capsules. It was also a great art lover which had joined together an important collection of engravings and drawings. It was bequeathed to the town of Dijon and now constitues one of the jewels of its Museum of Fine Arts.

Art↗

[The concept of intensity in Charles Bonnet's psychology].

The concepts of intensity and vivacity are studied in the psychological texts of Charles Bonnet (1720-1793). In 1854, intensity measured physical movements of the nerves, and vivacity pertained to psychical order. In 1760, however, the two scales were confused. This development, based on an imaginary of measure justified by methodological considerations, led to a research field whose apparent goal was to measure the soul's faculties. Moreover, intensity--which had been quantified in Bouguer's work at that time (1760)--was abandoned and was transferred to the notion of energy, not yet quantified. Consequently, Bonnet's apparent dualism seems, in fact, to have been grounded on a monistic foundation, assuring an unmeasurable place to the soul, corresponding to freedom.

Biophysics↗

Ulcerative eosinophilic stomatitis in three Cavalier King Charles spaniels.

Ulcerative eosinophilic stomatitis affecting three Cavalier King Charles spaniels is described. The lesions are similar in gross appearance to previously reported palatine eosinophilic granulomas, but histologically they lack granuloma formation. The cause of the lesions is not known. Treatment with corticosteroids led to the resolution of one case and partial resolution of a second. A third case resolved spontaneously without therapy.

Animals↗

Syringohydromyelia in Cavalier King Charles spaniels.

Syringohydromyelia secondary to foramen magnum overcrowding is described in seven Cavalier King Charles spaniels. Clinical signs were consistent with a central spinal cord lesion. The most common signs were persistent scratching at the shoulder region with apparent neck, thoracic limb, or ear pain and thoracic limb lower motor neuron deficits. The diagnosis was made by magnetic resonance imaging. The syringohydromyelia is postulated to be a consequence of an occipital bone malformation resulting in a small caudal fossa and cerebellar herniation. Clinical signs improved but did not completely resolve when the dogs received treatment with corticosteroids or nonsteroidal anti-inflammatory drugs.

Animals↗