Fatal and non-fatal bilateral delayed carotid artery dissection after manual strangulation.

Carotid artery (CA) dissection and/or thrombosis may occur in a number of medical and forensic relevant situations. However, post traumatic carotid artery dissection is considered rare, and often underestimated due to possible delayed presentation. We describe two cases of carotid artery dissection following strangulation with delayed symptoms as well as discuss medical diagnostic problems and their forensic implications.

A concordance study of three electrophysiological measures in schizophrenia.

Objective: The authors evaluated concordance rates among three electrophysiological measures in patients with schizophrenia, nonschizophrenic first-degree relatives of schizophrenia patients, and healthy comparison subjects. The purpose of the study was to provide data for defining a common endophenotype for genetic studies of schizophrenia and for improving the criteria for diagnosis.

Method: P50 event-related potential inhibition, antisaccade, and smooth pursuit eye tracking paradigms were measured.

Predictive visual outcome after macula-off retinal detachment surgery using optical coherence tomography.

Purpose: To determine whether preoperative optical coherence tomography (OCT) is useful in predicting postoperative visual outcome for patients with primary macula-off rhegmatogenous retinal detachment (RD).

Methods: This prospective study included 20 nonconsecutive eyes with macula-off RD and successful reattachment of the retina. Preoperative 5-mm OCT was performed through the center of the fovea.

Argon plasma coagulation in the treatment of hemorrhagic radiation proctitis is efficient but requires a perfect colonic cleansing to be safe.

Aims: We evaluate prospectively effectiveness, tolerance, predictive factors of failure and complications of argon plasma coagulation (APC) in the treatment of hemorrhagic radiation proctitis (HRP).

Patients And Methods: Twenty-seven patients were treated by APC for HRP. Eight patients needed blood transfusion before APC.

Management of maternal cor triatriatum during pregnancy.

Background: Cor triatriatum is a rare congenital cardiac abnormality, usually diagnosed in childhood. We describe the first case of atrial fibrillation secondary to maternal cor triatriatum diagnosed during the first trimester of pregnancy and its successful management until postpartum (MEDLINE [1966 to 2003] and Embase [1988 to 2003], using MeSH terms for "cor triatriatum" and "pregnancy").

Case: A 31-year-old gravida 1 complained of progressive dyspnea on exertion and palpitations, which occurred at the end of the first trimester of the pregnancy.

Spontaneous resolution of vitreomacular traction associated with diabetic macular edema.

Purpose: Little information is available about the natural history of vitreomacular traction (VMT) associated with diabetic macular edema. A few cases of spontaneous resolution of VMT associated with diabetic macular edema have been described, but have not been documented by optical coherence tomography (OCT). The authors report the spontaneous resolution of VMT associated with diabetic macular edema 1 month after the end of panretinal photocoagulation therapy (PRP).

Case fatality and health care costs in HIV-infected patients: evolution from 1992 to 2000 at Rouen University Hospital, France.

Vital prognosis in HIV-infected patients has been improved by new therapies, leading to an increase in treatment and outpatient costs but lower inpatient care costs. The aim of the study was to compare the health care costs between 1992-1996 (first half) and 1996-2000 (second half) in HIV-infected patients at Rouen University Hospital. Hospitalization costs (including inpatient and outpatient care), infectious complication treatment and antiretroviral therapy costs were evaluated from a National Health Insurance viewpoint.

"Bleeding polyp" of the nasal septum: an uncommon lesion in adults.

Inflammatory hemangioma of the nasal septum, known as "bleeding polyp," is an uncommon lesion in adults. We report the case of a 20-year-old woman who presented with left nasal hemangioma revealed by unilateral epistaxis and obstruction. The patient had a medical history of septoplasty performed 5 years earlier.

Tubulointerstitial nephritis and uveitis syndrome (TINU syndrome) with unilateral neuroretinitis: a case report.

Purpose: To report a case of tubulointerstitial nephritis and uveitis syndrome (TINU syndrome) with unusual unilateral neuroretinitis.

Methods: An 11-year-old girl who developed anterior uveitis 3 months after acute tubulointerstitial nephritis, without any etiologic factors for either nephritis or uveitis, is presented.

Results: Several days after the anterior uveitis, the patient presented with unilateral optic disk edema associated with a serous retinal detachment of the posterior pole, never previously described in TINU syndrome, leading to the formation of perifoveal intraretinal exudates.

Tubulointerstitial nephritis and uveitis syndrome (TINU syndrome) with unilateral neuroretinitis: a case report.

Purpose: To report a case of tubulointerstitial nephritis and uveitis syndrome (TINU syndrome) with unusual unilateral neuroretinitis.

Methods: An 11-year-old girl who developed anterior uveitis 3 months after acute tubulointerstitial nephritis, without any etiologic factors for either nephritis or uveitis, is presented.

Results: Several days after the anterior uveitis, the patient presented with unilateral optic disk edema associated with a serous retinal detachment of the posterior pole, never previously described in TINU syndrome, leading to the formation of perifoveal intraretinal exudates.

Effects of enteral feeding on antroduodenal motility in healthy volunteers with 2 different fiber-supplemented diets: a 24-hour manometric study.

Background: Antroduodenal motility during enteral nutrition remains poorly understood. The aim of the study was to evaluate antroduodenal motor activity during intermittent intragastric feeding and between enteral solutions supplemented with new recommended soluble or standard insoluble fibers.

Methods: Two 24-hour antroduodenal manometric studies were performed with a interval of 1 week in 8 healthy volunteers.

Menses, fertility and pregnancy after arterial embolization for the control of postpartum haemorrhage.

Background: The long-term effects of uterine artery embolization for the control of postpartum haemorrhage on menses, fertility and future pregnancy evolution have not been assessed.

Methods: Between November 1993 and July 1999, 31 women with obstetric haemorrhage underwent arterial embolization. Four patients underwent a hysterectomy.

Fatal propafenone overdoses: case reports and a review of the literature.

First synthesized in 1970, propafenone is a frequently used 1C antiarrhythmic drug metabolized into two major metabolites, 5-hydroxypropafenone and norpropafenone. Paradoxically, fatal intoxication is rarely described, and only six cases have been reported in the literature. We report our experience with two patients found dead of self-inflicted poisoning where the propafenone blood concentration was very high (one concentration to our knowledge is one of the highest reported in the literature).

Goldenhar syndrome and neuroblastoma: a chance association?

Unlabelled: Oculoauriculovertebral dysplasia, also called Goldenhar syndrome, includes several anomalies: epibulbar dermoids or lipodermoids, microtia, mandibular hypoplasia, vertebral, skeletal, cardiac and kidney anomalies, among others. Tumours have also been observed in patients with oculoauriculovertebral dysplasia. We report the first case of oculoauriculovertebral dysplasia associated with a neuroblastoma.

Silicone oil migration in the eyelid after vitrectomy for retinal detachment.

Purpose: To report a case of silicone oil intrusion in the upper eyelid, expressed by ptosis occurrence 19 years after surgery.

Methods: Vitrectomy followed by transscleral subretinal fluid drainage and silicone oil tamponade was performed on a 57-year-old man for retinal detachment. Nineteen years later, the patient was referred for mobile subcutaneous lumps of the upper right eyelid.

Colouterine fistula complicating diverticulitis: a case report and review of the literature.

Colouterine fistula, secondary to diverticulitis, is an extremely rare complication, and only few cases have been reported in the literature. We report the case of 76-year-old woman, who presented with vaginal discharge over a three-month period. Pelvic examination and laboratory investigations suggested a colouterine fistula, that was confirmed by non-invasive imaging.

Mechanical effects of airway humidification devices in difficult to wean patients.

Objective: To evaluate the influence of airway humidification devices on the efficacy of ventilation in difficult to wean patients.

Design: A prospective, randomized, controlled physiologic study.

Setting: A 22-bed medical intensive care unit in a university hospital.

Defecography in symptomatic older women living at home.

Background: complaints of defecation disorders in older patients living at home is an emerging problem. Little is known about radiological examination of this population.

Objective: this study aimed to analyse the yield of defecography in women older than 75 years, living at home and complaining of defecation disorders.

Effect of enteral supplementation with glutamine on mesenteric blood flow in premature neonates.

Background And Aims: This study investigated the effects of enterally supplied glutamine on mesenteric blood flow in premature neonate.

Methods: Twenty-five neonates, aged at least 14 days and free of acute illness participated in a prospective, randomised, double-blind study. All were fed with total enteral nutrition enriched with glutamine (0.

Hamartoma of the middle ear: a case study.

Hamartomas and teratomas are rare tumors in children. Its location in head and neck is quite exceptional. An unusual case of hamartoma in the middle ear is reported in a 5-month-old child.

Spontaneous passage of a dislocated esophageal metal stent: report of two cases.

Delayed transpyloric impaction is a very rare complication of esophageal metallic stent placement. Authors report different endoscopic removal techniques, but none of these has been validated yet because of their variable success, time-consuming nature, and risk of perforation and hemorrhage. We report that a "wait-and-see" approach is a safe and effective policy in patients with permeable transpyloric impacted esophageal stents.

Scleroderma-like cutaneous lesions induced by paclitaxel: a case study.

Paclitaxel is a recent antineoplastic agent that belongs to the taxane family. Its activity has been demonstrated in advanced and refractory ovarian, breast, lung, and head and neck cancer. Adverse cutaneous reactions to paclitaxel have been reported, namely bullous fixed drug eruption, onycholysis, acral erythema, erythema multiforme, and pustular eruption.