Correlations Between Clinicopathological Features and the Vegetative Nervous System in Gastric Cancer.

Gastric cancer currently represents one of the most important public health problems. Recent studies have demonstrated the existence of strong correlations between the vegetative nervous system and the role it plays in the initiation of the oncogenetic process and the progression of cancer. The purpose of this paper is to demonstrate the involvement of the sympathetic and parasympathetic vegetative nervous system in the evolution of gastric cancer, according to the stage of tumor differentiation. In this current paper we have included a number of four patients diagnosed with gastric cancer post UGI (Upper Gastrointestinal Endoscopy) and have analyzed relations that exist between the tumor differentiation degree and the metanephrine and normetanephrine serum level in the blood of the patients. Following the research, we have observed an increased value of the metanephrine and normetanephrine serum level in the patient which displayed the lowest degree of differentiation.

Subarachnoid empyemas. Considerations in connection with 55 cases.

The authors present data concerning the nosologic frame of the subarachnoid empyemas. Aspects such as incidence, predominance in males (65.4% of all cases), involvement of subjects in their II-nd--IV-th decade, and the complex pathogeny of this affection are discussed. From the bacteriologic viewpoint the predominance of the monomicrobial flora is stressed, mainly staphylococcus strains (24.4% of all cases). The clinical picture consists in a severe infectious syndrome, intracranial hypertension syndrome (27.2% of all cases), neurologic syndrome (motor deficit in 81.8% of the cases, focal attacks in 43.6% of all patients), meningeal syndrome (83.6% of all cases), and psychical disturbances (in 89% of the patients). Of the para-clinical investigations performed cerebral angiography provided conclusive data in 88.5% of all cases. Surgical treatment was applied in 50 of the patients using various methods with an overall death-rate of 26%. The early diagnosis is stressed, as well as the necessity to apply surgical therapy using the bone-flap method, and full surgical cure of the primary infectious focus.

Cerebral abscesses of unknown origin. General report.

The authors present the etio-pathogenic, anatomo-pathological, clinical, and therapeutic aspects of cerebral abscesses of unknown origin. Prognostic and neuropsychical problems are also outlined, which may be related to performance of surgical interventions. A personal series of 108 cases is presented in detail. Cerebral abscesses of unknown origin represent 13.3% of a total of 810 cerebral abscesses hospitalized in the Neurosurgical Clinic from Bucharest between 1936 and 1979. The significant number of this type of cerebral suppuration is stressed, and the authors discuss the diagnostic and the therapeutic difficulties of this affection. On the other hand the authors mention the high number of postoperative neuropsychical sequellae (70%). The overall mortality rate of the group was 29.7%.