ABSTRACT
In-stent stenosis is a feared complication of flow diversion treatment for cerebral aneurysms. We present 2 cases of patients treated with pipeline flow diversion for unruptured cerebral aneurysms. Initial perioperative dual antiplatelet therapy (DAPT) consisted of standard aspirin plus clopidogrel. At 6-month follow-up cerebral angiography, the patients were noted to have developed significant in-stent stenosis (63% and 53%). The patients were treated with cilostazol and clopidogrel for at least 6 months. Subsequent angiography at 1-year post-treatment showed significant improvement of the in-stent stenosis from 63% to 34% and 53% to 21%. The role of cilostazol as treatment of intracranial in-stent stenosis has not been previously described. Cilostazol’s vasodilatory effect and suppression of vascular smooth muscle proliferation provides ideal benefits in this setting. Cilostazol plus clopidogrel may be a safe and effective alternative to standard DAPT for treatment of in-stent stenosis following flow diversion and warrants further consideration and investigation.
ABSTRACT
ABSTRACT The dung beetle, Scybalocanthon nigriceps (Harold, 1868), is recorded in Rio Grande do Sul state, Brazil, for the first time, at the Moreno Fortes Biological Reserve, municipality of Dois Irmãos das Missões, northwest region of the state, expanding the area of occurrence and distribution of this species in the country.
Subject(s)
Animals , Coleoptera/anatomy & histology , Coleoptera/classification , BrazilABSTRACT
This note reports the first record of parasitism of Argon lota Hewitson pupae by the facultative gregarious parasitoid Brachymeria pandora (Crawford). Up to six adults (three males and three females) of B. pandora were observed to emerge from a single A. lota pupa.
Subject(s)
Animals , Hymenoptera/physiology , Lepidoptera/parasitology , BrazilABSTRACT
Stroke is a promising 'pathophysiological' model for the study of emotions in man. Local cerebral lesions affect not only those functions directly controlled by the infarcted and peri-infarcted areas, but also impair functions controlled by other intact regions, anatomically distant, but functionally connected with the infarcted areas. An isolated lesion may affect the more widespread neuronal circuitries involved in the analysis and processing of new emotional inputs. In this context, the mirror system, initially described for observation and imitation of pure motor activities in man, may be relevant in the production of post-stroke emotional changes.
ABSTRACT
La TA en pacientes pediátricos no ha sido estudiada adecuadamente en Venezuela. El presente trabajo se realizó para determinar las cifras tensionales según edad y sexo en escolares de las poblaciones rurales de El Cortijo y Los Bagres, Dtto. Sanitario No. 3, Ed. Aragua y correlacionario con peso, talla, y antecedentes familiares. La muestra fue de 184 niños (94 varones y 90 hembras), con edades entre 7 y 14 años. Se registró el primer, cuarto y quinto ruido de Korotkoff en posición acostado, sentado y de pie, con esfigmomanómetro de mercurio. No se observó diferencia significativa entre las medias aritméticas de varones y hembras. Se evidenció una correlación significativa (p<0,05) y positiva entre TA y peso en la mayoría de los casos. Las cifras de TA registrada en posición sentado fueron siempre las más bajas en ambos sexos (p<0,05). La prevalencia de lecturas elevadas en la primera medición fue de 13,6% (6,0% en varones y 7,6% en hembras, p>0,05); el 5,6% mantendrán cifras elevadas a las cuatro semanas