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  • 1
    ISSN: 1433-0407
    Keywords: Schlüsselwörter Metachromatische Leukodystrophie (MLD) ; Organische Psychose ; Demyelinisierung ; Key words Metachromatic leukodystrophy (MLD) ; Organic psychosis ; Demyelinization
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary A case of late onset metachromatic leukodystrophy with a clinical picture of paranoid hallucinatory psychosis and severe dyskinesia is described. The problem of diagnostic recognition is discussed. In the case, diagnostic procedures were initiated after atypical clinical course, and established on the basis of MRI and specific biochemical tests.
    Notes: Zusammenfassung Anhand des Fallberichts einer adulten metachromatischen Leukodystrophie (MLD) mit schizophrener Symptomatik und schweren Dyskinesien werden die diagnostischen Schwierigkeiten der Früherkennung dieses seltenen Krankheitsbildes diskutiert. Im vorliegenden Fall wurde erst nach langjährigem Verlauf durch MRT und durch systematische klinisch-biochemische Untersuchungen die dem psychiatrischen Krankheitsbild zugrundeliegende Hirnerkrankung entdeckt.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1434-5196
    Keywords: Schlüsselwörter Spongiforme Leukenzephalopathie ; Heroinabusus ; Chinesing ; Keywords Heroin addicts ; Leucoencephalopathy ; Chinesing
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Law
    Description / Table of Contents: A 37-year-old male heroin addict who also performed inhalation of the white smoke obtained by heating heroin on tinfoil (chinesing or chinese blowing), presented with disturbance of consciousness, behavioural changes and headache. Tetraparesis developed rapidly with flexory hypertonia of the upper and extensor hypertonia of the lower limbs and within 17 days the patient died of respiratory failure. The neuropathological examination of the brain showed a severe cerebral edema, signs of hypoxic encephalopathy and a spongiform leucoencephalopathy with axonal degeneration only in the most severely affected areas. The pathogenesis of this neurological complication in heroin addicts performing chinese blowing is unknown and toxic elements could not be detected yet.
    Notes: Ein 37 Jahre alter Mann, bei dem anamnestisch die Inhalation von erhitztem Heroin (chinesing oder chinese blowing) bekannt war, wurde wegen Bewußtseinsstörungen mit Verhaltensauffälligkeiten und Kopfschmerzen in eine neurologische Klinik eingewiesen. Dort entwickelte sich rasch eine Mittelhirnsymptomatik und der Patient verstarb nach 17 Tagen an einer respiratorischen Insuffizienz. Die neuropathologische Untersuchung des Gehirns ergab ein Hirnödem mit Zeichen der hypoxischen Enzephalopathie und eine spongiforme Leukenzephalopathie im Groß- und Kleinhirn, die lediglich in den am schwersten geschädigten Arealen eine axonale Degeneration zeigte.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Neuroradiology 30 (1988), S. 224-231 
    ISSN: 1432-1920
    Keywords: CT ; MRI ; Germcell tumors ; Teratoma ; Pineocytoma ; Ependymoma ; Meningioma of the pineal region ; T2 calculation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Ten patients with tumors of the pineal region underwent CT and MRI investigations. There were 3 germinomas, 3 teratomas and 1 of each of the following: pineocytoma, PNET, ependymoma and meningioma. Not only were tumor size and growth compared to CT, but an attempt was made to obtain knowledge of the histology of the tumor by special T2 calculations. The investigations did not lead to an improvement in type specific diagnosis.
    Type of Medium: Electronic Resource
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