Transcortical mixed aphasia due to cerebral infarction in left inferior frontal lobe and temporo-parietal lobe.

We present a case of transcortical mixed aphasia caused by a cerebral embolism. A 77-year-old right-handed man was admitted to our hospital with speech disturbance and a right hemianopia. His spontaneous speech was remarkably reduced, and object naming, word fluency, comprehension, reading and writing were all severely disturbed. However, repetition of phonemes and sentences and reading aloud were fully preserved. Although magnetic resonance imaging (MRI) showed cerebral infarcts in the left frontal and parieto-occipital lobe which included the inferior frontal gyrus and angular gyrus, single photon emission CT revealed a wider area of low perfusion over the entire left hemisphere except for part of the left perisylvian language areas. The amytal (Wada) test, which was performed via the left internal carotid artery, revealed that the left hemisphere was dominant for language. Hence, it appears that transcortical mixed aphasia may be caused by the isolation of perisylvian speech areas, even if there is a lesion in the inferior frontal gyrus, due to disconnection from surrounding areas.

Abnormalities of epinephrine-induced platelet aggregation and adenine nucleotides in myeloproliferative disorders.

Platelet aggregation was studied in 18 patients with myeloproliferative disorders, including 14 patients with chronic myelogenous leukemia, 2 with polycythemia vera, 1 with myelofibrosis and 1 with thrombocythemia. Fourteen patients (78%) were abnormal in epinephrine-induced platelet aggregation, while 3 (17%) and 4 (22%) cases showed impaired ADP or collagen induced platelet aggregation, respectively. A significant decrease of total ADP content in resting unstimulated platelets and of the amount released to the medium after aggregation was found in all six patients who were evaluated. ATP and AMP in resting platelets tended to be slightly higher in patients compared with the control group. Released ATP was also significantly less, and the percentage release of ADP and ATP was significantly decreased in patients. A storage pool deficiency of adenine nucleotides was considered to be responsible for abnormal platelet function in patients with myeloproliferative disorders.

[Determination of trace metals in biological materials by iodides extraction and atomic absorption spectrometry].

Extraction of arsenic, mercury, gold, silver, antimony, indium, bismuth, tellurium, cadmium, zinc and copper iodides with methylisobutylketone was examined in the sulfuric acid of concentrations from 0 to 15 normalities. Although, arsenic and zinc iodides were extracted from 6 to 12 normalities, extraction of other metal-iodides were carried out in more wide range of sulfuric acid concentrations almost from 2 to 12 normalities. Iron, sodium, potassium, magnesium and calcium iodides, these, being chief biological elements of inorganic substances, were not extracted in the least into methylisobutylketone layer from sulfuric acid solution. Copper and zinc were normal elements of biological materials and were extracted into methylisobutylketone layer by this procedures. The flame interferences of copper and zinc were not recognized in determinations of gold, silver, antimony, indium, bismuth, tellurium and cadmium. To investigate the influences of biological elements, mock solutions of human blood and urine were prepared. The addition of mock blood does not excessively interfere with determinations of arsenic, mercury, indium, bismuth, tellurium, cadmium, silver and antimony with the exception of gold. However, with addition of mock urine negative interferences were strongly seen in antimony determination, while in mercury, indium and silver determinations only slight interferences were observed. To examine the influences of sample preparation techniques, gold, silver, indium, cadmium and copper were treated both by wet ashing (nitric acid and sulfuric acid) and dry ashing.(ABSTRACT TRUNCATED AT 250 WORDS)