[Prospective longitudinal study on the evolution of autobiographical memory in patients irradiated for benign skull base tumour]. / Étude prospective longitudinale sur l'évolution de la mémoire autobiographique de patients irradiés pour une tumeur bénigne de la base du crâne.

PURPOSE: Cranial irradiation can lead to long-term neurological complications, in particular memory disorders. The aim of this prospective study is to evaluate the impact of irradiation of benign skull base tumours located near the hippocampi on autobiographical memory. PATIENTS AND METHODS: From 2016 to 2019, patients with cavernous sinus meningioma or pituitary adenoma treated with normofractionated irradiation were included. Patients underwent full neuropsychological assessment at baseline, 1year and 2years post-treatment. Neuropsychological tests were converted to Z-Score for comparability. RESULTS: Twelve of the 19 patients included had a complete neuropsychological evaluation at 2years and were analysed. On the "TEMPau" test, no significant difference in autobiographical memory was found at 2years, regardless of the period of autobiographical memory. The mean hippocampal dose had no impact on the variation in autobiographical memory. There was no significant cognitive impairment in the other domains assessed, such as attention, anterograde memory, working memory and executive functions. Autobiographical memory was independent of these other cognitive domains, which justifies its specific study. CONCLUSION: Radiotherapy to the skull base for a benign pathology does not lead to significant cognitive impairment. Longer follow-up would be needed to confirm these results.

Traumatismos cardiacos penetrantes experiencia de 24 casos atendidos no hospital pronto-socorro. / Penetrating cardiac trauma - experience of 24 patients operated at hospital pronto-socorro

Os autores apresentam a experiencia da Clinica Cirurgica do Hospital Joao XXIII de Belo Horizonte no tratamento cirurgico das feridas cardiacas penetrantes, no periodo de janeiro de 1975 a dezembro de 1980, num total de 24 casos. O indice de sucesso obtido foi de 87,5%, com apenas tres obitos na serie. Um historico do tratamento desse tipo de lesao, assim, como uma revisao da bibliografia especifica sao feitos. A serie e analisada estatisticamente no que se refere a diagnostico e tratamento das lesoes, assim como tambem ao local predominante das feridas. O tratamento inicial dos pacientes e seu tratamento cirurgico sao revistos, procurando-se obter uma metodizacao de atendimento.Finalmente, concluem com a analise dos resultados, reafirmando sua preferencia por um tratamento cirurgico imediato dos caso

Traumatismos arteriais perifericos. Analise de 42 casos. / Peripheral arteries trauma. Analysis of 42 cases

Os autores relatam sua casuistica no atendimento de traumatismos arteriais perifericos agudos no Hospital Joao XXIII de Belo Horizonte, no periodo de 1976 a 1979. Fazem referencias a respeito dos tipos de lesao observados, sua localizacao, sua morbidade e mortalidade, os metodos de tratamento empregados e os fatores que influenciaram a recuperacao dos pacientes. Quarenta e dois casos foram responsaveis por 50% das lesoes, e que as arterias mais acometidas foram a braquial e a femoral superficial. Fazem tambem uma revisao das controversias ainda existentes no tratamento das lesoes arteriais, agudas e as comparam com sua propria casuistica. O indice de sucesso nesta serie foi de 84%