[Role of percutaneous endoscopic gastrostomy in amyotrophic lateral sclerosis].

Percutaneous endoscopic gastrostomy (PEG) is an enteral nutritional assistance technique using a simple device compatible with conventional feeding and thus enabling the patient to be integrated into his or her social and familial surroundings. This inexpensive device is quickly and easily inserted under local anaesthesia. It causes little morbidity and virtually no mortality and has many advantages for patients with amyotrophic lateral sclerosis (ALS).

Portal vein thrombosis with ruptured oesophageal varices as presenting manifestation of hereditary protein C deficiency.

The protein C system is essential in limiting the activation of coagulation in vivo. We report the case of a 45 year old man with portal vein thrombosis complicated by ruptured oesophageal varices. Low concentration of plasma protein C was found in the patient and subsequently in one brother with a history of venous thromboembolism, and also in one son and one nephew who were asymptomatic.

[Cerebral aspergilloma. X-ray computed tomographic aspect. Apropos of a case. Review of the literature].

Cerebral aspergilloma of initial sinus origin developed in a patient with mixed cell leukemia. Computed tomography imaging showed signs of a cystic multitumoral syndrome with a crown-shaped filling image without peritumoral edema. Follow up of cerebral lesions during medical treatment was by repeated CT scans, with progressive regression of images over a period of 8 months.