Aims: To evaluate the efficacy of a thoracoamniotic shunt for the treatment of pleural effusion (PE) in the view of ***: The preload index (PLI) in the inferior venacava (IVC), the maximal flow velocity of the descend...
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Aims: To evaluate the efficacy of a thoracoamniotic shunt for the treatment of pleural effusion (PE) in the view of ***: The preload index (PLI) in the inferior venacava (IVC), the maximal flow velocity of the descending aorta(VAomax), skin edema on the thorax and the ratio of lung to the thorax transverse area (L/T) as measured by ultrasound were evaluated before and after thoracoamniotic shunt placement for 5 fetuses with PE. Results: The PLI and skin edema on the thorax decreased significantly after shunt placement compared to before shunt placement (PLI before: 0.488 ±0.036, after:0.348 ±0.043, P her more, the L/T increased significantly after shunt placement compared to before (before:0.220 ±0.013, after: 0.260 ±0.011, P hunt placement (before: 101.5 ±6.39 cm/s, after: 107.6 ±5.41 cm/s, P = 0.16). Conclusions: The shunt for PE improved PLI especially in the fetal hemodynamics significantly.
A 44- year-old woman developed a severe right frontotemporal headache, retro-orbital pain, and, later, diplopia owing to right sixth nerve palsy. The brain Mri demonstrated strong enhancement of the right cavernous si...
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A 44- year-old woman developed a severe right frontotemporal headache, retro-orbital pain, and, later, diplopia owing to right sixth nerve palsy. The brain Mri demonstrated strong enhancement of the right cavernous sinus. The sixth nerve palsy and headache improved with steroid therapy after 6 weeks. At that time, she suffered right peripheral facial nerve palsy. Enhancement of the distal canalicular and labyrinthic segment of the right facial nerve was found on contrast-enhanced Mri. To our knowledge, this is a very rare case of Tolosa-hunt syndrome with facial nerve palsy, with simultaneous enhancement of the cavernous sinus and facial nerve on contrast-enhanced Mri.
As clinic based studies show an association between headache and bothhigh an d low levels of haemoglobin, we analysed this relationship in a population base d cross sectional study (the hunt Study). A total of 2385 w...
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As clinic based studies show an association between headache and both high an d low levels of haemoglobin, we analysed this relationship in a population base d cross sectional study (the hunt Study). A total of 2385 women aged 20 55 yea rs responded to a headache questionnaire and gave blood samples for measuring ha emoglobin and ferritin. In the multivariate analyses, adjusting for age and educ ation, there was a linear trend of decreasing prevalence of headache (P = 0.02) and migraine (P = 0.01) with decreasing haemoglobin. In particular, migraine was less likely among women with low haemoglobin (values here was no correlation between headache pre valence and ferritin. The present findings may be relevant for the headache repo rted in polycythaemia and chronic altitude sickness.
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