In the present study the Authors tried and assess the advantages of the standard sutureless thyroidectomy performed by the Ligasure Vessel Sealing System, thanks to the use of the dedicated Precise handle. The Authors compared the efficacy of haemostasis and the economical impact of the device, in terms of drug administration and costs. The Authors comparatively analyzed 120 total extracapsular...

Standard urine toxicological immunoassays for benzodiazepines, barbiturates, cannabinoids, opiates, methadone, cocaine, buprenorphine, propoxyphene, LSD and amphetamines were negative; serum ethanol level was undetectable. There were no abnormal findings on brain CT with perfusion and venous angiography. EEG on admission showed essentially normal-structured sleep stage II, with symmetrical spin...

Development of de novo aneurysm or aneurysm regrowth after complete clipping of an intracranial aneurysm is rare. We report coiled cases of de novo aneurysm and aneurysm regrowth. We retrospectively reviewed 107 cases of intracranial aneurysm coiling performed in our hospital, identifying five cases of coiled aneurysm that were de novo aneurysm or aneurysm regrowth. In all the cases, total or n...

Dexamethasone as Treatment in Cerebrovascular Disease. 1. A Controlled Study in Intracerebral Hemorrhage • Dexamethasone and a placebo were compared as treatment for 40 patients with intracerebral hemorrhage. Of 19 patients receiving dexamethasone, 17 (89.5%) died during their hospital admission. Of 21 patients receiving a placebo, 16 (76.2%) died. The mortality rate was 100% in 15 patients in ...

A 56-year-old epileptic patient underwent right hemicolectomy and cholecystectomy surgery under general endotracheal anesthesia. Anesthesia was maintained with sevoflurane, and sufentanil, rocuronium, and dexmedetomidine infusions. After the operation and confirmation of neuromuscular recovery, the patient woke from anesthesia within 15 min and successfully extubated. After the vital signs of p...

An 85 year-old woman with normal cognitive function and ability to walk unaided was admitted to hospital in May 2011 because of sudden onset of stupor and a fall at home. She had a history of hypertension, diabetes mellitus, and atrial fibrillation, and was taking aspirin. On physical examination, she was somnolent with Glasgow Coma Scale score of 8/15 (eye 1/4, motor 6/6, verbal response 1/5)....

Neurological manifestations in H1N1 influenza A infection are very rare, especially in adults, and its mechanism of action is still uncertain. Here, we reported the case of a 53-year-old woman with human immunodeficiency virus infection (HIV) who had H1N1 influenza A pneumonia complicated with very rare acute necrotizing encephalitis, although the HIV was under control. With prompt identificati...

Spontaneous intracranial hypotension (SIH) is a syndrome characterized by low cerebrospinal fluid (CSF) pressure and postural headaches. It is a rare condition which may sometimes present with severe symptoms such as stupor or coma. The standard treatment protocol includes conservative measures such as bed rest, hydration, and steroids. However, severe cases may require invasive measures such a...

Isacson, M., Noah, Z., Faber, J., Herishano, Y., and Gottfried, L. (1972). Archives of Disease in Childhood, 47, 954. Use of 5-fluorocytosine in systemic candidiasis in infancy. Three cases of systemic candidiasis were successfully treated with 5-fluorocytosine (5-FC), an antifungal agent. The fungaemia developed during continuous intravenous alimentation for intestinal malabsorption. The diagn...

Validity of regional cerebral blood flow (rCBF) measurements recorded over the human posterior fossa after Xe inhalation was tested. Recording of counts from both brain stem and cerebellum (BSC) was reproducible and contamination by counts derived from surrounding anatomical structures was low and no greater than that found over hemispheres. BSC values were F, = 99 ± 19 ml/lOOg brain/min, F2 = ...