Wiener klinische Wochenschrift
-
Wien. Klin. Wochenschr. · Jan 2001
Review Comparative Study[Treatment of focal dystonia with botulinum toxin A].
Local injections with Botulinum toxin A (BtxA) are safe and effective in the treatment of focal dystonia. In cervical dystonia and blepharospasm, BtxA injections have become the treatment of choice. However, good results have also been reported with oromandibular dystonia, spasmodic dysphonia and writer's cramp. ⋯ In up to 5% of patients with dystonia, the development of neutralising antibodies is reported following repetitive injections with BtxA. Patients with antibodies had a shorter interval between injections, more "boosters", a higher dose per 3-month interval, and a higher total dose injected. In case of neutralizing antibodies against the A toxin, the treatment with Botulinum toxin B (Neurobloc) is a possible alternative.
-
Wien. Klin. Wochenschr. · Jan 2001
Comparative StudyVideo-assisted thoracic surgery--a new possibility for the management of traumatic hemothorax.
Thoracic trauma usually results in severe injury and is associated with a high rate of mortality, either due to the trauma itself or due to trauma-related causes. Early diagnosis and treatment of chest injuries is a very important determinant of the outcome. Video-assisted thoracic surgery (VATS) is gaining increasing importance as a diagnostic and therapeutic procedure. Especially in cases of traumatic hemothorax, this new method is very advantageous because of its simplicity, safety and efficacy in the acute phase of haemorrhage, after stabilisation of the patient, as well as in the treatment of complications.
-
Wien. Klin. Wochenschr. · Jan 2001
Serum carcinoembryonic antigen levels in patients operated for colorectal carcinoma.
The only method of treatment that offers a favourable prognosis for colorectal carcinoma is radical resection of a part of the colon or rectum including the pertinent lymph glands and radical removal of metastases. However, even such presumably curative surgery does not ensure full recovery, as recurrences are frequent and, according to several analyses, the 5-year survival rate is less than 50%. The most significant reason for this poor therapeutic success are residual micrometastases. Therefore, additional treatment strategies are attempted in several patients. Various prognostic factors of disease recurrence are known. One such prognostic sign is the serum carcinoembryonic antigen (CEA) level measured shortly after surgery. ⋯ The results of our study confirm the prognostic value of serum CEA measurement, in particular its half-life, following surgery for colorectal carcinoma.
-
Wien. Klin. Wochenschr. · Jan 2001
Case ReportsBilateral eye injury caused by a high-pressure water jet from a fire hose.
We present a case of bilateral eye injury caused by a high-pressure water jet from a fire hose. Eye injury secondary to high-pressure water jets are relatively rare, but invariably result in severe damage to all ocular structures. A 51-year-old woman was admitted to our ophthalmologic department for treatment following a direct hit in the face by a water jet from a fire hose from a distance of about one meter. ⋯ Our patient had bent forward during the accident, therefore the central and upper chorioretinal portions were also affected. Such injuries usually cause severe damage to the anterior and posterior portions of the eyes and greatly reduce visual acuity in both eyes. Because of the risk of late complications (cataract, glaucoma, retinal detachment), long-term follow-up is recommended in such patients.
-
Wien. Klin. Wochenschr. · Jan 2001
A prospective study of the correlation between Chlamydia trachomatis infection and secondary bleeding following large loop excision of the transformation zone (LLETZ).
To determine the effect of Chlamydia trachomatis (CT) on the occurrence of secondary bleeding following large loop excision of the transformation zone (LLETZ), 103 patients with cervical intraepithelial neoplasia (CIN) were included in this study. In order to determine the presence of CT infection, cytological material for direct immunofluorescence analysis was obtained prior to LLETZ. After surgery, the patients were followed up for postoperative bleeding. ⋯ Postoperative bleeding only occurred in 6 (2.8%) patients, all of whom were CT negative. Thus, in CT-positive patients, no secondary bleeding occurred. CT infection of the uterine cervix in patients with CIN is rare and does not appear to be important for the occurrence of postoperative bleeding after LLETZ.