51
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Campanale R, Milanetti F, De Galasso L, Costantino S. [Pulse]. LA CLINICA TERAPEUTICA 2004; 155:481-2. [PMID: 15702663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
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52
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Salvinelli F, Firrisi L, Casale M, Trivelli M, D'Ascanio L, Lamanna F, Greco F, Costantino S. Benign paroxysmal positional vertigo: diagnosis and treatment. LA CLINICA TERAPEUTICA 2004; 155:395-400. [PMID: 15700633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
Abstract
Benign paroxysmal positional vertigo (BPPV) has been recognized as the most common vestibular disorder; it is a term coined in 1952 by Dix and Hallpike, and it is most commonly used to describe a disease with a characteristic clinical presentation believed to be caused by free-floating particles leaving the macula and entering one of the semicircular canals, usually the posterior one, more rarely the horizontal or superior ones. A lot of studies showed as the prevalence is higher in females than in males with a ratio of 2:1; furthermore, prevalence increases with the age: the mean age at onset is 54 years, with a range of 11 to 84 years. The most important clinical manifestations of BPPV are: vertigo, lightheadedness, dysequilibrium and sometimes nausea, vomiting, pallor and sweating. The diagnosis of BPPV is very simple through the Dix-Hallpike test or the diagnostic Semont's maneuver; the increasing information about the BPPV's pathogenesis has led most authors to consider the rehabilitative therapy, and in particular the so-called Semont's "liberatory" maneuver, as the first choice treatment of BPPV, in relation to its quickness and efficacy. In this treatment the debris are moved from the posterior semicircular canal to another location within the vestibular labyrinth. In our review we consider the possible pathogenesis of this disease and the best therapies, like repositioning maneuvers, in a patient affected by BPPV.
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53
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Costantino S. [Hepatorenal syndrome: terminal stage of major complicances of hepatic cirrhosis]. LA CLINICA TERAPEUTICA 2004; 155:361-2. [PMID: 15700628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
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54
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Palma Modoni A, De Galasso L, Scriccia S, Milanetti F, Sgambato E, Spoto S, Costantino S. [A 52 year-old woman with fever, cough and dyspnoea]. LA CLINICA TERAPEUTICA 2004; 155:401-4. [PMID: 15700634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
Abstract
A 52 year-old woman with gastric cancer treated with surgery and chemotherapy, is admitted in our Internal Medicine Department because of the presence of fever (max 41.2 degrees C), dyspnoea, non-productive cough and mental confusion. The anamnesis and the physical examination address to the diagnosis of CAP (Community-Acquired Pneumonia); in particular the alteration of consciousness and the onset of symptoms after the insertion of a nose-gastric tube let us to consider the diagnosis of aspiration pneumonia. The clinical presentation and radiological imaging (Rx and CT of thorax) suggest the pattern of bronchiolitis obliterans with organizing pneumonia (BOOP). BOOP is not a disease, but a non specific pattern of answer to a lung injury. It can be either idiopathic or associated with a variety of causes, such as infections, drugs, radiations and connective tissue diseases. Besides the clinical course is complicated by the onset of an ARDS (Adult Respiratory Distress Syndrome). The gold standard for the diagnosis is represented by lung biopsy with hystopathologic confirmation but, if it cannot be done, it's necessary to start immediately steroid therapy because BOOP may be fatal. The patient received antibiotic and steroid therapy with success.
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MESH Headings
- Adrenal Cortex Hormones/therapeutic use
- Anti-Bacterial Agents
- Carcinoma, Signet Ring Cell/complications
- Carcinoma, Signet Ring Cell/secondary
- Carcinoma, Signet Ring Cell/surgery
- Confusion/etiology
- Cough/etiology
- Cryptogenic Organizing Pneumonia/diagnosis
- Cryptogenic Organizing Pneumonia/diagnostic imaging
- Cryptogenic Organizing Pneumonia/etiology
- Diagnosis, Differential
- Drug Therapy, Combination/therapeutic use
- Dyspnea/etiology
- Female
- Fever/etiology
- Humans
- Intestinal Obstruction/etiology
- Intestinal Obstruction/therapy
- Intubation, Gastrointestinal/adverse effects
- Klebsiella Infections/complications
- Klebsiella Infections/drug therapy
- Klebsiella oxytoca
- Krukenberg Tumor/complications
- Krukenberg Tumor/secondary
- Krukenberg Tumor/surgery
- Middle Aged
- Ovarian Neoplasms/complications
- Ovarian Neoplasms/secondary
- Ovarian Neoplasms/surgery
- Peritoneal Neoplasms/complications
- Peritoneal Neoplasms/secondary
- Peritoneal Neoplasms/surgery
- Pneumonia, Aspiration/complications
- Pneumonia, Bacterial/complications
- Pneumonia, Bacterial/drug therapy
- Postoperative Complications/etiology
- Respiratory Distress Syndrome/diagnosis
- Respiratory Distress Syndrome/diagnostic imaging
- Respiratory Distress Syndrome/etiology
- Stomach Neoplasms/complications
- Stomach Neoplasms/surgery
- Tomography, X-Ray Computed
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55
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Costantino S, Sgambato E, Spoto S. [Aphasia]. LA CLINICA TERAPEUTICA 2004; 155:419-20. [PMID: 15700637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
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56
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Costantino S. [Urinary tract infections: infrequent risk factor]. LA CLINICA TERAPEUTICA 2004; 155:281-2. [PMID: 15553254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
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57
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De Luca G, Di Giorgio RM, Macaione S, Calpona PR, Costantino S, Di Paola ED, De Sarro A, Ciliberto G, De Sarro G. Susceptibility to audiogenic seizure and neurotransmitter amino acid levels in different brain areas of IL-6-deficient mice. Pharmacol Biochem Behav 2004; 78:75-81. [PMID: 15159136 DOI: 10.1016/j.pbb.2004.02.004] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2003] [Revised: 02/03/2004] [Accepted: 02/10/2004] [Indexed: 11/30/2022]
Abstract
Interleukin-6-deficient (IL-6(-/-)) mice and their normal littermate (WT) were studied to evaluate their susceptibility to seizures induced by electroshock and audiogenic stimuli at different ages. No significant changes in maximal electroshock susceptibility were evidenced between the two strains, while audiogenic seizures (AGS) can be induced only in IL-6(-/-) mice. The effects of age and genetic condition on AGSs were evaluated. The behavioural and electrocortical changes during audiogenic stimulus were observed. In addition, the levels of neurotransmitter amino acids in five brain areas (of both strains) were measured at 60 days of age. Aspartate level significantly increased in the brain stem (BS) and hippocampus (HI), while it decreased in the diencephalon (DE) of IL-6(-/-) mice. Glutamate content significantly decreased in the cerebellum (CB), DE and HI. GABA levels significantly decreased in all the areas studied. Glycine significantly decreased in the BS, CB and DE, while taurine decreased only in the DE. The levels of glutamine significantly decreased in all the areas examined, except in the cortex (CX). The changes of neuroactive amino acid levels, particularly in the BS, might explain the characteristic of high propensity to AGS of IL-6(-/-) mice. The present data support the validity of IL-6(-/-) mice as a novel epileptic model for the study of the pathophysiology and pharmacology of epilepsy.
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58
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Spoto S, Costantino S. [Does acyclovir prevent Bell's palsy in post surgical therapy for otosclerosis?]. LA CLINICA TERAPEUTICA 2004; 155:111-2. [PMID: 15354757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
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59
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Costantino S. [Acathisia]. LA CLINICA TERAPEUTICA 2004; 155:105-6. [PMID: 15244116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
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60
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Spoto S, Costantino S. [Solitary thyroid nodule]. LA CLINICA TERAPEUTICA 2004; 155:101-3. [PMID: 15244115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
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61
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Picardi A, Navajas F, Zardi EM, Scarlata S, Spoto S, Vespasiani Gentilucci U, De Galasso L, Sgambato E, Costantino S. [Multiple cerebral tuberculomas resistant to conventional therapy in an immunocompromised subject]. LA CLINICA TERAPEUTICA 2003; 154:415-9. [PMID: 14994522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
A 33 years old immunocompromised woman was admitted for a fever of unknown origin during the last five months. She referred a body temperature up to 38.3 degrees C, headache, weakness. The physical examination revealed right homonymous hemianopia, hyperreflexia and Babinski on her right side. A TC scan and a following bioptic specimen showed multiple cerebral tuberculomas. A conventional therapy was started but no significative improvement was observed. She was finally treated with interferon gamma and GM-CSF in addition to the therapy with an important regression of the lesions and significative improvement of the fever and neurological findings.
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Salvinelli F, Firrisi L, Casale M, Trivelli M, D'Ascanio L, Lamanna F, Greco F, Costantino S. What is vertigo? LA CLINICA TERAPEUTICA 2003; 154:341-8. [PMID: 14994924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
Vertigo is one of the types of dizziness with dysequilibrium, presyncope and lightheadedness. But what does vertigo mean? Vertigo indicates a sensation of false movement (generally described like a rotation) but sometimes the patient can describe it like a sensation of tilt. Instead, the word dizziness indicates a sensation of disturbed relation to surrounding objects in space with feelings of rotation or whirling characteristic of vertigo as well as non-rotatory swaying, weakness, faintness and unsteadiness characteristic of giddiness. In our review we describe, after brief considerations about functional anatomy of the vestibular system, the most important cause of vertigo considering the duration of the symptom; moreover we underline the importance of anamnesis and of the objective examination for a correct differential diagnosis of a dizzy patient. As to objective examination we describe the most important characteristics of nystagmus, that is the only objective sign in vertigo, of central and peripheral origin. At last we consider the most efficacious therapies, like as medications (specific and aspecific), surgery (conservative and destructive) and rehabilitation, in relation the characteristics and the causes of vertigo.
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63
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Spoto S, De Galasso L, Costantino S. [Colorectal polyps]. LA CLINICA TERAPEUTICA 2003; 154:217-9. [PMID: 12910813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/04/2023]
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64
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Modoni AP, Costantino S. [Clinical methodology: an illustrative clinical case]. LA CLINICA TERAPEUTICA 2003; 154:77-8. [PMID: 12856364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
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65
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De Galasso L, Spoto S, Costantino S. [Anemia]. LA CLINICA TERAPEUTICA 2003; 154:141-4. [PMID: 12856375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
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66
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Spoto S, Navajas Martinez MF, Costantino S. [Dyslipidemias]. LA CLINICA TERAPEUTICA 2003; 154:65-9. [PMID: 12854288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
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67
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Salvinelli F, Casale M, Trivelli M, D'Ascanio L, Firrisi L, Lamanna F, Greco F, Costantino S. Benign paroxysmal positional vertigo: a comparative prospective study on the efficacy of Semont's maneuver and no treatment strategy. LA CLINICA TERAPEUTICA 2003; 154:7-11. [PMID: 12854277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
Abstract
PURPOSE The present study investigates the efficacy of Semont's repositioning liberatory maneuver by comparing it with no-treatment in a population of patients with benign paroxysmal positional vertigo (BPPV). MATERIALS AND METHODS In this randomised, controlled, 6-month efficacy trial, 40 patients affected by BPPV were treated with Semont's maneuver. Outcomes were measured subjectively by patients about their Activities of Daily Living (ADL) and quality of life, based on the "Vestibular Disorders Activities of Daily Living Scale". Results were compared to those obtained in 40 non-treated BPPV patients. RESULTS During the first month of the study, 92.5% of patients of Semont's group resolved their symptoms. Cure rates with Semont's maneuver were significantly higher than those obtained with no-therapy (92.5% versus 37.5%). Within a six month follow-up, relapse rates were lower among patients treated with Semont's maneuver than among the no-treated ones (5% versus 60%). All patients with a resolution of symptoms and a negative Dix-Hallpike's test presented a great improvement in daily activities and quality of life. CONCLUSIONS BPPV is easy to solve with a successful repositioning maneuver. Since BPPV is a very common cause of vertigo and can represent a medical emergency, we believe that it is of interest for every general practitioner to be able to promptly recognize this frequent balance disorder and to be able to treat a patient affected by BPPV with a safe repositioning maneuver.
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68
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Zardi EM, Iori A, Picardi A, Costantino S, Petrarca V. Myiasis of a perineal fistula. PARASSITOLOGIA 2002; 44:201-2. [PMID: 12701384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
Abstract
We report a case of myiasis of a rectocutaneous fistula in a subject suffering from bone metastases after surgical resection of a neoplastic bladder. The fistula was infested by maggots identified as third-instar larvae of flies belonging to the family Sarcophagidae, genus Sarcophaga. The infestation was neither intestinal nor pseudointestinal; it was probably caused by a fly ovipositing on the fistula of the patient while having wound care at home, even though the possibility that the infestation might have occurred during hospitalization cannot be ruled out.
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69
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Spoto S, Navajas Martinez MF, Costantino S. [Sepsis]. LA CLINICA TERAPEUTICA 2002; 153:439-40. [PMID: 12645402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
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70
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Costantino S. [Are leukotriene antagonists effective in bronchial asthma?]. LA CLINICA TERAPEUTICA 2002; 153:303-4. [PMID: 12510412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/28/2023]
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71
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Spoto S, De Galasso L, Costantino S. Community-acquired pneumonia. LA CLINICA TERAPEUTICA 2002; 153:225-7. [PMID: 12161986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
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72
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Costantino S, De Galasso L. [Non-traumatic rhabdomyolysis: clinical and laboratory diagnosis, assessment of renal complications]. LA CLINICA TERAPEUTICA 2002; 153:77. [PMID: 12078343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
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73
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Picardi A, Navajas F, Spoto S, Palma Modoni A, De Galasso L, Costantino S. [A 74-year-old woman with macrocytic anemia]. LA CLINICA TERAPEUTICA 2002; 153:65-7. [PMID: 11963638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
Abstract
A seventy-four years old woman is assessed for asthenia, fatigue, non ulcerous dyspepsia with macrocytic anemia. The patient's medical history taking in Binswanger disease--diagnosed 5 aa before-, epilepsy-2 aa before- and a previous episode of TVP of the left leg, suggested the hypothesis that a B12 deficiency, by a chronic gastritis, would involve an increase of homocysteine cause of the clinical manifestations of megaloblastic anemia, Binswanger disease, tardive epilepsy and previous TVP. The fisic and blood and instrumental exams confirmed the clinical diagnosis. The patient is having vitamin B12.
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74
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Bianchini MA, Fava G, Cortese MG, Vinardi S, Costantino S, Canavese F. A rare anorectal malformation: a very large H-type fistula. Pediatr Surg Int 2001; 17:649-51. [PMID: 11727061 DOI: 10.1007/s003830100015] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/19/2000] [Indexed: 01/15/2023]
Abstract
A very large H-type rectovaginal fistula was observed in a 9-year-old girl. The diameter of the abnormal opening was about 15 mm. The fistulous tract originated from the stenotic segment 1 cm above the pectinate line of the anus and was connected to the back wall of the vagina. The patient underwent posterior sagittal transrectal surgery with a protecting colostomy. At present, she has good bowel function and sphincter control without recurrence of the fistula.
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75
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Spoto S, Costantino S. [Asymptomatic bacteriuria]. LA CLINICA TERAPEUTICA 2001; 152:275-6. [PMID: 11794845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
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