Assuntos
Envelhecimento , Pessoas Famosas , Medicina nas Artes , Pinturas , Imagem Corporal , História do Século XIX , Humanos , Pinturas/história , EspanhaAssuntos
Arte , Pessoas Famosas , Osso Frontal/lesões , Medicina nas Artes , Pinturas , História do Século XV , Humanos , ItáliaRESUMO
Successful repair of 8 large meningomyeloceles is reported. Because these defects varied in size, shape, and location, no single procedure applied to all. Advancement flaps and both vertical and horizontal bipedicle flaps were used successfully. The latissimus dorsi and gluteus maximus muscles have been used as paired flaps. All four muscles can be mobilized simultaneously. Muscle flaps are preferable to skin flaps when feasible. The sac remnant is also available to contribute to closure when all else fails. Embryology and pathological anatomy are reviewed.
Assuntos
Meningomielocele/cirurgia , Retalhos Cirúrgicos , Dorso , Feminino , Humanos , Recém-Nascido , Masculino , Meningomielocele/embriologia , Meningomielocele/patologia , Métodos , Músculos/cirurgiaRESUMO
Four groups of vincula were identified within the flexor tendon sheath of 116 cadaver specimens. Each group originated from an individual arterial digital arcade. The V1 and V2 vincula were the primary carriers of blood supply to the superficialis tendon. The V3 and V4 vincula were the main supply to the profundus tendom. A simplified nomenclature is suggested to clarify this complex anatomic area. The terms "brevia" and "longa" are only useful to describe the shape of the vincula in these four positions.
Assuntos
Dedos/anatomia & histologia , Tendões/anatomia & histologia , Anastomose Arteriovenosa/anatomia & histologia , Dedos/irrigação sanguínea , Humanos , Membrana Sinovial/anatomia & histologia , Tendões/irrigação sanguínea , Tendões/inervaçãoRESUMO
Eleven patients with upper airway apnoea during sleep (one with SHY-Drager syndrome) were monitored polygraphically for wakefulness, sleep, and cardiovascular variables. Systemic hypertension and most of the severe arrhythmias recorded during sleep were secondary to repetitive obstructive apnonea and were mediated through the autonomic nervous system. Sleep related elevations of pulmonary arterial pressure were not influenced by atropine or impaired autonomic functions. Upper airway sleep apnoea is sleep related; the type of sleep (REM or NREM) is critical in the appearance of abnormalities. The distinction between two patient subgroups (total sleep dependent and NREM sleep dependent) has haemodynamic, and possibly long-term, implications. Sleep apnoea syndrome should be looked for in pateints with the Shy-Drager syndrome.
