Respiratory failure caused by Chiari I malformation with associated syringomyelia.

The authors report a case of a 38-year-old male with a Chiari I malformation and syringomyelia that presented with acute respiratory distress. Pulmonary function testing was consistent with respiratory muscle weakness. A suboccipital craniectomy and C1, 2, 3 laminectomies were performed on an emergent basis. Postoperatively the patient had significant improvement in his respiratory status associated with a reduction in the size of the syringomyelia on follow-up imaging.

Subarachnoid-pleural fistula treated with noninvasive positive-pressure ventilation. Case report.

The authors describe the case of a 24-year-old man who underwent an L-1 corpectomy for spinal decompression and stabilization following an injury that caused an L-1 burst fracture. Postoperatively, an accumulation of spinal fluid developed in the pleural space, which was refractory to 1 week of thoracostomy tube drainage and lumbar cerebrospinal fluid (CSF) diversion. The authors then initiated a regimen of positive-pressure ventilation in which a bi-level positive airway pressure (PAP) mask was used. After 5 days, the CSF collection in the pleural space resolved. Use of a bi-level PAP mask represents a safe, noninvasive method of reducing the negative intrathoracic pressure that promotes CSF leakage into the pleural cavity and may be a useful adjunct in the treatment of subarachnoid-pleural fistula.

Effect of difluoromethylornithine on atrial natriuretic peptide in rat atria.

Polyamines are aliphatic cations known to have a role in cellular growth and differentiation. In this study, difluoromethylornithine (DFMO), an inhibitor of polyamine synthesis, was used to investigate its effect on atrial natriuretic peptide (ANP) in atria of rat. The rats were given DFMO (2%) in drinking water for 10 days and three intraperitoneal administrations (200 mg/kg), 24, 18 and 1 h prior to experiment. Radioimmunoassay of ANP in atrial extracts indicated that DFMO treatment increased ANP contents of atria. ANP from atrial extracts was immunoprecipitated using ANP antibody and the immunoprecipitate was resolved and detected by SDS-PAGE and Western blotting. The predominant ANP peptide in both control and DFMO group migrated at 17 kDa. The synthesis of ANP was studied following the intravenous administration of [35S]methionine. ANP in atrial extracts was immunoprecipitated by ANP antibody. The incorporation of ANP into control and DFMO group peaked at 30 min and returned to a basal level by 60 min. DFMO decreased the incorporation of [35S]methionine into ANP. At 30 min following the administration of [35S]methionine, putrescine restored the synthesis of tricholoroprecipitable atrial proteins, but had no effect on the synthesis of ANP. At 60 min following, the amount of labeled ANP in DFMO + putrescine-treated group was significantly lower than that in DFMO group. These results indicate that polyamines influence both the synthesis and secretion of ANP.

The relationship between wood litter infall and relative abundance and feeding activity of subterranean termites Reticulitermes spp. in three southeastern coastal plain habitats.

We estimated the densities of termites in dead wood using a point-quarter technique in four habitats: pine plantations subject to control burning and unburned, lowland hardwood forest, and turkey oak woodland. The burned pine plantation had the highest estimated termite density, 13×106·ha-1 unburned pine plantation and lowland hardwood had estimated densities of 2.6×106·ha-1 and 2.2×106·ha-1, respectively, and the turkey oak woodland had an estimated densities of 61.9×103·ha-1. There were varying percentages of Reticulitermes flavipes and R. virginicus in the various habitats. There was nearly linear increase in percentage of pine blocks attacked by termites in the pine and hardwood forests and by the end of the growing season, nearly all had been channelized by termites. In the turkey oak habitat 70% of the pine blocks were channelized. Termites removed between 3% and 12% of the original mass of over one-fourth of the pine blocks during the growing season.Wood litter in fall was highest in the lowland hardwood forest: 2869 kg·ha-1·yr-1. Wood litter input in the long leaf pine plantation, 792 kg·ha-1·yr-1 was nearly equivalent to the three year average wood litter in fall in a Danish oak forest.