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Kay L, Bauer S, Koczulla AR, Librizzi D, Vadasz D, Knake S, Rosenow F, Strzelczyk A. Ondine's curse and temporal lobe seizures: anti-Hu- and Zic4-associated paraneoplastic brainstem and limbic encephalitis. Eur J Neurol 2018; 25:e59-e60. [PMID: 29667352 DOI: 10.1111/ene.13629] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2017] [Accepted: 03/01/2018] [Indexed: 11/30/2022]
Affiliation(s)
- L Kay
- Goethe-University, Frankfurt, Germany
| | - S Bauer
- Goethe-University, Frankfurt, Germany.,Philipps-University, Marburg, Germany
| | - A R Koczulla
- Philipps-University, Marburg, Germany.,Schön Klinik Berchtesgadener Land, Schönau am Königssee, Germany
| | | | - D Vadasz
- Philipps-University, Marburg, Germany.,Jewish Hospital Berlin, Berlin, Germany
| | - S Knake
- Philipps-University, Marburg, Germany
| | - F Rosenow
- Goethe-University, Frankfurt, Germany.,Philipps-University, Marburg, Germany
| | - A Strzelczyk
- Goethe-University, Frankfurt, Germany.,Philipps-University, Marburg, Germany
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Mursina L, Groß V, Librizzi D, Luster M, Sohrabi A, Seifert O, Hildebrandt O, Heverhagen JT, Koehler U, Sohrabi K. [Pilot Project: Improved Lung Deposition via a New Nasal Inhalation Procedure]. Pneumologie 2015; 69:469-76. [PMID: 26258421 DOI: 10.1055/s-0034-1392444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
INTRODUCTION Inhaled drugs can only be effective if they reach the middle and small airways. This study introduces a system that combines a trans-nasal application of aerosols with noninvasive pressure support ventilation. METHODS In a pilot study, 7 COPD patients with GOLD stages II and III inhaled a radiolabeled marker dissolved in water via a trans-nasal route. The mean aerosol particle size was 5.5 µm. Each patient took part in two inhalation sessions that included two application methods and were at least 70 hours apart. During the first session ("passive method"), the patient inhaled the aerosol through an open tube system. The second session ("active method") included pressure support ventilation during the inhalation process. A gamma camera and planar scintigraphy was used to determine the distribution of aerosol particles in the patient's body and lung. RESULTS The pressure supported inhalation ("active method") results in an increased aerosol lung deposition compared to the passive method. Above all, we could demonstrate deposition in the lung periphery with relatively large aerosol particles (5.5 µm). DISCUSSION The results prove that the combination of trans-nasal inhalation with noninvasive pressure support ventilation leads to significantly increased particle deposition in the lung.
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Affiliation(s)
- L Mursina
- Technische Hochschule Mittelhessen, Fachbereich Gesundheit, Gießen
| | - V Groß
- Technische Hochschule Mittelhessen, Fachbereich Gesundheit, Gießen
| | - D Librizzi
- Klinik für Nuklearmedizin, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg
| | - M Luster
- Klinik für Nuklearmedizin, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg
| | - A Sohrabi
- Klinik für Nuklearmedizin, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg
| | - O Seifert
- Technische Hochschule Mittelhessen, Fachbereich Gesundheit, Gießen
| | - O Hildebrandt
- Klinik für Innere Medizin, SP Pneumologie, Intensiv- und Schlafmedizin, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg
| | - J T Heverhagen
- Departement Radiologie, Neuroradiologie und Nuklearmedizin, Universitätsinstitut für Diagnostische, Interventionelle und Pädiatrische Radiologie (DIPR), INSELSPITAL, Universitätsspital Bern
| | - U Koehler
- Klinik für Innere Medizin, SP Pneumologie, Intensiv- und Schlafmedizin, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg
| | - K Sohrabi
- Technische Hochschule Mittelhessen, Fachbereich Gesundheit, Gießen
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Sohrabi A, Seifert O, Sohrabi K, Librizzi D, Scholtes M, Koehler U, Gross V. Verbesserung der thorakalen Partikeldeposition bei druckunterstützter nasaler Langzeit-Inhalation (NLI). Pneumologie 2013. [DOI: 10.1055/s-0033-1334678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Abstract
A 79-year-old patient presented with weight loss, subfebrile body temperature and unclear jaw pain. After ruling out malignant and infectious causes, positron emission tomography-computed tomography (PET-CT) revealed markedly elevated glucose utilization of the large thoracic and upper limb arteries, suggesting systemic vasculitis. Color-coded duplex sonography confirmed thickening of the wall of the external carotid artery consistent with vasculitis. The patient was diagnosed with giant cell arteritis involving the large thoracic arteries and the upper limb arteries but without involvement of the superficial temporal artery. Based on the involvement of the external carotid artery, the jaw pain could be classified as jaw claudication. Clinical and laboratory remission was achieved with systemic glucocorticoids which could subsequently be tapered. The patient is well and asymptomatic 12 months after diagnosis and 2 months without steroids.
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Affiliation(s)
- S Krug
- Klinik für Gastroenterologie, Endokrinologie und Stoffwechsel, Philipps-Universität Marburg, Baldingerstr. 1, 35043, Marburg
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Krug S, Bartsch DK, Schober M, Librizzi D, Pfestroff A, Burbelko M, Moll R, Michl P, Gress TM. Successful selective internal radiotherapy (SIRT) in a patient with a malignant solid pseudopapillary pancreatic neoplasm (SPN). Pancreatology 2012; 12:423-7. [PMID: 23127531 DOI: 10.1016/j.pan.2012.07.014] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2012] [Revised: 07/14/2012] [Accepted: 07/16/2012] [Indexed: 12/11/2022]
Abstract
Solid pseudopapillary neoplasms of the pancreas (SPNs, Gruber-Frantz-Tumor) are a rare entity representing 1-5% of all exocrine pancreatic tumors. The pseudocystic lesions preferentially affect young females <30 years, are mostly benign (∼90%) and normally present with unspecific symptoms. We describe the case of a 16-years-old Asian woman that was initially diagnosed with an SPN in the pancreatic head with mesenterial and hepatic metastases. After diagnosis, an extensive tumor resection was performed including pyloric-preserving pancreatic head resection followed by sequential resection of all hepatic metastases. After the patient was diagnosed with a hepatic recurrence and high intrahepatic tumor load, we chose a multimodal procedure and performed a selective internal radiotherapy (SIRT). Four years after SIRT and 10 years after initial diagnosis of metastatic SPN, the patient is in a good condition without any evidence for hepatic recurrence. This case represents a rare clinical course of a malignant and invasive SPN with an exceptionally long survival despite of high initial tumor burden. The selective internal radiotherapy is a suitable approach for inducing long-term remissions of the strongly vascularized liver metastases.
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Affiliation(s)
- S Krug
- Department of Gastroenterology, Endocrinology and Metabolism, Philipps-University Marburg, Marburg, Germany
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Sohrabi K, Sohrabi A, Librizzi D, Mursina L, Koehler U, Gross V. Nasal long-term inhalation facilitates enhanced thoracic particle deposition. BIOMED ENG-BIOMED TE 2012. [DOI: 10.1515/bmt-2012-4224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Librizzi D, Mazzola E, Maragliano S, Macaluso A, Matranga S, Di Miceli G. [The descending necrotizing mediastinitis]. G Chir 2008; 29:347-350. [PMID: 18834566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Descending necrotizing mediastinitis (DNM) is a primary complication of cervical or odontoiatric infections that can spread to the mediastinum through the anatomic cervical spaces. The delay of the diagnosis or under assessment of the disease, with no adequate draining techniques, results in high mortality up to 20%. We report our experience about 9 clinical cases of DNM observed and surgically treated in our unit from 2000 to 2006; five of these patients were admitted in the last two years. We stress the differences of management of this affection that needs a close cooperation between surgeon, intensive care unit and infectious disease specialist.
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Affiliation(s)
- D Librizzi
- ARNAS Ospedale Civico, Palermo, U.O. di Chirurgia Toracica
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Muscolino G, Librizzi D. [Clinical results in lung cancer patients undergoing a bronchoplastic surgical procedure]. Tumori 2003; 89:271. [PMID: 12903617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/04/2023]
Affiliation(s)
- G Muscolino
- UO di Chirurgia Toracica, Ospedale Civico, Palermo
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9
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Scarpulla M, Librizzi D, Grassadonia M, Maragliano S, Comparetto L, D'Angelo M. [Hemoptysis in a patient with acquired anomaly of the arterial vascularization of the lung]. G Chir 1997; 18:807-9. [PMID: 9534333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
An anomalous systemic pulmonary supply may be acquired and present only one symptom: hemoptysis. The incidence of this pathology is unknown. A case of acquired systemic pulmonary arterialization was observed after surgical intervention of myocardium vascularization with the left mammary artery. The diagnosis was obtained through an arteriography of the left mammary artery. In this case, the therapy consists in ablating the affected parenchyma followed by the interposition of a bovine pericardium patch between the mammary artery and the remaining pulmonary tissue.
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Affiliation(s)
- M Scarpulla
- Divisione di Chirurgia Toracica, Ospedale Civico Benfratelli, Palermo
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10
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Maragliano S, Monastero O, Grassadonia M, Librizzi D, Comparetto L, Scarpulla M, D'Angelo M, Di Trapani F, Marino A. [Hemorrhage caused by rupture into the duodenum of aneurysm of a branch of the pancreaticoduodenal artery (posterior superior or retroduodenal pancreaticoduodenal artery)]. G Chir 1996; 17:19-21. [PMID: 8679408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
A case of serious haemorragic shock caused by the rupture into the duodenum of a septic aneurysm of the pancreatic-duodenal artery is reported. The diagnostic difficulties and the need to carry on "blind" laparotomies, in these cases, are underlined.
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Affiliation(s)
- S Maragliano
- Divisione di Chirurgia Toracica, Ospedale Civico di Palermo
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