Postoperative changes of carpal canal pressure in carpal tunnel syndrome: a prospective study with follow-up of 1 year.

Carpal canal pressures were measured in 103 patients with idiopathic carpal tunnel syndrome, before and after open release, with a postoperative follow-up of 1 year. Twenty-five normal subjects were used as controls. Pressures were measured with the wrists in three positions: neutral, full passive flexion and full passive extension.

[Paralytic ileus due to vinorelbine].

Intestinal obstruction is very common in cancer patients and occurs in 80% of cases with malignant aetiology. Hence, aggressive treatment is needed in most cases. The occlusion can be caused by luminal obstruction, paralysis of the intestinal muscle or carcinomatosis with mesentery involvement.

Efficiency of triiodothyronine treatment on organ donor hemodynamic management and adenine nucleotide concentration.

Objective: We compared hemodynamic values, oxygen utilization, and adenine nucleotide concentration in the extracted organs of brain-dead donors treated with triiodothyronine vs. standard support treatment.

Design: Prospective, randomized, double-blind controlled study.

[Retinopathy secondary to treatment with Interferon beta-1a in a patient with multiple sclerosis].

Introduction: Although visual symptoms of multiple sclerosis (MS) are very frequent, they are rarely related with treatment with interferon. This is the first case reported in the literature of retinopathy associated with subcutaneous interferon beta-1a, and the second related to interferons in MS.

Case Report: A 30-year-old female diagnosed with relapsing-remitting MS who, at 3 months after starting treatment with subcutaneous interferon beta-1a (44 microg/3 times a week), displayed visual disorders.

[Asymptomatic bacteriuria in patients with diabetes mellitus. To treat or not to treat?].

Women with diabetes mellitus suffer symptomatic bacteriuria and symptomatic urinary infections more often than non-diabetic women. Prevalence is similar, however, in males with and without diabetes. There is a controversy on the impact of asymptomatic bacteriuria on the development of complications in diabetic patients.

[Paratesticular rabdomyosarcoma: report of one case in an adult patient].

Objectives: To report one case of right paratesticular rabdomyosarcoma in a 21-year-old young adult.

Methods: After treatment with right radical orchiectomy through an inguinal incision it was classified as clinical group I A following the IRS-III (localized disease completely excised) and received adjuvant treatment with Vincristine and actinomicin D.

Results/conclusions: The patient is disease free 18 months after surgery.

[Lung cancer risk in shoe manufacturing].

Objective: Workers in shoe manufacturing have been reported to be at a greater relative risk for bronchogenic carcinoma. Given the implications for our practice setting, we carried out a study to a) clarify whether working in shoe manufacturing is a risk factor for lung cancer and b) detect histological differences between lung cancers in shoe manufacturers and in other lung cancer patients.

Patients And Methods: This case-control study compared all lung cancer patients diagnosed in Hospital Elda, Alicante, Spain, between January 1994 and December 1999, with a control group composed of patients admitted to the same hospital for accidental fractures.

[Renal brucelloma: an exceptional pathology].

Objectives: To report one case of renal brucelloma, an extraordinarily rare pathology in our environment.

Methods: 51-year-old completely asymptomatic patient who was referred from his primary care physician for the study of a calcified image on the right renal area discovered in a x-ray control.

Results: Radiological studies (US + CT scan + IVU) showed an irregular calcified mass in the lower pole of a non-functional right kidney.

[Vesical endometriosis: report of two cases].

Endometriosis affecting the urinary tract is very rare and the most common site of involvement is urinary bladder. The clinical features are urgency and frequency, hipogastric pain and hematuria. Cistoscopic examination is the most valuable diagnostic test but definitive diagnosis requires histologic confirmation.

[Complex renal cyst. A new case].

Approximately 15% of cases of renal cell carcinoma present cystic configuration on radiologic and pathologic examination. These lesions are often difficult to differentiate from the multiloculated renal cyst or other benign cystic lesions such as hemorrhagic cyst and so on. We report a case of multilocular cyst of the right kidney complicated with clear cell type renal cell carcinoma in which MRI suggested benign cyst.

[Ischemic stroke as a presentation of essential thrombocythemia. Four case reports].

Introduction: Essential thrombocythemia (ET) is a myelodysplastic syndrome that constitutes an infrequent cause of ischemic stroke. Few clinical reports have been published describing the clinical onset of ET in the form of a vascular accident.

Case Report: We describe four cases of patients with no known haematological pathology who began with an ischemic stroke and were later diagnosed as suffering from ET, following an aetiological investigation.

[Septicemia caused by Vibrio cholerae non-01 in immunocompromised patient].

We describe the remarkable case of a patient with septicemia caused by Non 0-1 Vibrio Cholerae associated with skin lesion of the lower and upper extremities. This patient suffered from chronic liver disease and a cervix carcinoma in IIIB stage, she had been admitted to the hospital the day before for dicompensated ascites. She received intravenous cefotaxime and had a satisfactory recovery and was completely free of signs and symptoms.

[Cholestatic jaundice and constitutional syndrome as early manifestations of primary systemic amyloidosis].

We present the case of a 70-year-old woman who had been suffering from constitutional syndrome for several months, abdominal distension, and yellowish coloration of the skin for the previous few days with a rapidly fatal course. Examination revealed hepatomegaly and ascites. Laboratory investigations revealed hyperbilirubinemia with cholestasis.

[The value of acetylcholinesterase inhibitor therapy in the serious phases of Alzheimer's disease].

Introduction: The effectiveness of these drugs in the serious stages of the disease has still to be determined. No studies have been published which evaluate the possible influence of pharmacological therapy in patients in the serious stages of Alzheimer type dementia.

Aims: The aim of this study is to compare the progress of deterioration between patients in serious stages of the disease submitted to treatment with anticholinesterase drugs (ACD) and those who, for some reason, are not currently taking them.

[Paraneoplastic ataxia associated to anti CV2 antibodies].

Introduction: Anti CV2 antibodies are a type of paraneoplastic antibodies that interact with the cytoplasmatic antigens of a subpopulation of oligodendrocytes. They are usually associated with the presence of a small cell carcinoma. We report the case of a patient with an epidermoid carcinoma of the lung and paraneoplastic cerebellous ataxia associated with anti CV2 antibodies.

[Effect of low-dose intravenous ketamine in postoperative analgesia for hysterectomy and adnexectomy].

Objective: To evaluate the efficacy of low dose ketamine (0.15 mg/Kg i.v.

[Stress among newly hired nursing professionals].

A management project was carried out to reduce the stress among newly hired nursing professionals in our hospital. A work group was set up which, utilizing interviews and consensus seeking techniques, identified the main stress causing factors from which a Welcoming Program was designed having two fundamental aspects: on the one hand, a welcoming program which serves to create an atmosphere of trust in order to aid a new professional's integration; while on the other hand, providing the newcomer with a welcoming guide which includes the most pertinent information regarding the Nursing Department, the Health Center and the Health District. This program was applied to 431 newly hired professionals between the years 1996 and 1999.

[Thyroid papillary carcinoma arising in a thyroglossal cyst. Therapeutic treatment].

Cysts of the thyroglossal duct form the congenital, not odontogenetic, more frequent malformations of neck and head pathology. In percentage terms one percent developed a carcinoma, usually of good prognosis. This paper reports the case of a woman, 41, who was operated upon of a thyroglossal duct cyst and in the eradicated piece showed a papillary carcinoma invading neighbouring tissues.

[Salivary gland myoepithelioma].

Myoepithelioma is a rare salivary gland tumor (less than 1%) which are usually located in parotid gland and minor salivary glands. Histology and immunohistochemical features of this tumors are reviewed. We report 2 cases arising in parotid and hard palate.

[Langerhans's cell histiocytosis in otorhinolaryngology].

Langerhans's cell histiocytosis (LCH) is an uncommon disease characterized by an accumulation of abnormal histiocytes, together lymphocytes and eosinophils in various organs and tissues. The head and neck are frequent sites of initial presentation. We present two cases of LCH with otorhinolaryngologic symptoms.

[Sedation in spinal anesthesia. Comparison of remifentanil and propofol].

Objectives: To assess the efficacy and safety of remifentanil for analgesia and sedation during subarachnoidea anesthesia, and to compare remifentanil with propofol.

Method: Ninety ASA I-III patients undergoing orthopedic or traumatologic surgery under subarachnoid anesthesia were enrolled for prospective study and randomly assigned to two treatment groups. The propofol group (n = 45) received a single dose of 0.

[Usefulness of RET proto-oncogene in the diagnosis of hereditary-type medullary carcinoma of the thyroid. Correlation with surgical findings].

In about 25% of cases medullary thyroid carcinoma (MTC) is hereditary. In this group is possible to detect germline point mutations of the RET proto-oncogene in about 95% of the studied cases. The purpose of the present paper is to confirm the value of the RET in the screening of the hereditary MTC.

[Severe isolated pulmonary hypertension as main manifestation of Crest syndrome].

Interstitial pulmonary fibrosis is the leading cause of secondary pulmonary hypertension in systemic sclerosis, and it occurs in either limited or diffuse cutaneous scleroderma subset. Isolated pulmonary hypertension, without pulmonary disease, occurs primarily in patients with limited cutaneous scleroderma (calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly, telangiectasia [CREST] variant) although it is an unusual feature in this subset, with a worse prognosis in the short term. We present a previously undiagnosed patient with the CREST syndrome, with severe isolated pulmonary hypertension and secondary respiratory failure as major feature of its connective tissue disease.