Deutsche medizinische Wochenschrift
-
Dtsch. Med. Wochenschr. · Mar 1999
Case Reports[Recurrent subacute encephalopathy in the framework of idiopathic hypereosinophilic syndrome].
An 81-year-old man, previously good health, suddenly developed confusion and rapidly progressive severe tetraparesis. ⋯ Idiopathic hypereosinophilic syndrome can rarely manifest itself a an isolated severe subacute encephalopathy.
-
Dtsch. Med. Wochenschr. · Mar 1999
Comparative Study[Experiences with temporary vena cava filters in 114 at-risk patients with thrombosis or thromboembolism].
The indications for temporary implantation of a vena cava filter remain unclear and there are as yet few data about its complications and reliability. It was the aim of this study to determine the efficacy and complication rate of the temporary use of a vena cava filter (VCF) in a large group of patients at high risk of pulmonary embolism, and thus contribute to defining the indications for such temporary implantation. ⋯ The rate of clinically relevant pulmonary embolism can probably be reduced to a minimum by the implantation of a temporary vena cava filter. The overall complication rate is high, but serious complications are rare.
-
Dtsch. Med. Wochenschr. · Mar 1999
Comparative Study[Spectrum of neurological symptoms in dissections of brain-supplying arteries].
Dissection of extracranial arteries that supply the brain is a common cause of ischemic stroke in youngish persons. Yet this disease, with its warning and early symptoms, is inadequately known among the population as well as doctors. This study was undertaken to demonstrate the incidence, severity and sequelae of this condition, important in both routine general and hospital practice, with particular emphasis on early signs and diagnosis. ⋯ Dissection of carotid or vertebral arteries is a statistically and medically relevant cause of stroke in youngish persons that can be diagnosed by attention to typical warning and early symptoms and the performance of noninvasive tests. The often life-threatening sequelae of possible cerebral ischemia can be diagnosed and even averted by early recognition of the cause.
-
Dtsch. Med. Wochenschr. · Feb 1999
Review Case Reports[A long-term organic brain syndrome and brain stem symptoms in an undiagnosed dialysis-associated encephalopathy].
A 73-year-old woman in renal failure for the past 22 years had been on haemodialysis for 16 years. Because of hyperphosphataemia and peptic ulcers she had been on aluminium-containing antacids with a total intake over time of about 8 kg "pure" aluminium. Over the past 11 years she had biphasic symptoms of death anxieties and depression. She also had amnesic aphasia and some extrapyramidal symptoms as well as generalized convulsive seizures and recurrent falls. ⋯ Dialysis-associated encephalopathy must be taken into account as a possible cause of aetiologically uncertain neuropsychiatric symptoms in patients on chronic haemodialysis.