ABSTRACT
A 12-year-old boy presented with poor vision and nystagmus. Fundus examination revealed bilateral optic nerve hypoplasia. An MRI of the brain demonstrated the absence of the septum pellucidum, which confirmed a diagnosis of septo-optic dysplasia or de Morsier syndrome.
Subject(s)
Optic Disk/abnormalities , Septum Pellucidum/abnormalities , Child , Humans , Male , Nystagmus, Congenital , SyndromeABSTRACT
French jurisprudence about outpatient anaesthesia is resolutely unfavorable. It is principally based on the June 22nd 1972 decision of the cessation court, the highest court of justice in France. Preoperative non hospitalisation has been considered as a fault by negligence/carelessness of the practitioners. It resulted in their penal condemnation for involuntary injuries and compensation for the harm. This decision is linked with the evolution of the fault and the responsibility share between surgeon and anaesthetist. The post-operative phase seems to involve "theory of missing luck" (causality linkage or the detriment in itself), excluding a penal condemnation but not a partial compensation. Though some new legal considerations could be put forward, a written contract between physicians and patients is necessary in outpatient surgery, whereas the medical files and the organisation of the unit can prove the quality of medical care.
Subject(s)
Ambulatory Surgical Procedures , Anesthesia , Jurisprudence , France , HumansABSTRACT
IgG heavy chain disease is a rare disorder in which incomplete monoclonal immunoglobulins are synthesized. We report herein a new case diagnosed in an 84 year old woman and present a review of the different descriptions available in the literature. This pathology often has an insidious onset. Its clinical and evolutive aspects are highly variable and linked to an associated disease, which has led us to emphasize the diagnostic difficulties and to discuss the nosology of this disorder.
