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1.
Br J Pharmacol ; 123(2): 344-52, 1998 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-9489624

RESUMEN

1 Characteristics of cyclic GMP- and cyclic AMP-mediated relaxation in aortic segments of rats with chronic heart failure (CHF) and the effects of chronic treatment with an angiotensin I converting enzyme (ACE) inhibitor, trandolapril, were examined 8 weeks after coronary artery ligation. 2 Cardiac output indices of coronary artery-ligated and sham-operated rats were 125+/-8 and 189+/-10 ml min(-1) kg(-1), respectively (P<0.05), indicating the development of CHF at this period. 3 The maximal relaxant response of aortic segments to 10 microM acetylcholine in rats with CHF and sham-operated rats was 64.0+/-5.7 and 86.9+/-1.9%, respectively (P<0.05), whereas the relaxant response to sodium nitroprusside (SNP) remained unchanged. Tissue cyclic GMP content in rats with CHF was lower than that of sham-operated rats. 4 In endothelium-intact segments of rats with CHF, the maximal relaxant response to 10 microM isoprenaline (44.5+/-6.7%) was lower that sham-operated rats (81.3+/-2.5%, P<0.05) and the concentration-response curve for NKH477, a water-soluble forskolin, was shifted to the right without a reduction in the maximal response. Isoprenaline-induced relaxation of aortic segments was attenuated by NG-nitro-L-arginine methyl ester (L-NAME) in sham-operated rats, but not in rats with CHF. Relaxation to 30 microM dibutyryl cyclic AMP in rats with CHF (26.8+/-2.7%) was lower than that in sham-operated rats (63.4+/-11.8%, P<0.05). 5 Trandolapril (3 mg kg(-1) day(-1)) was orally administered from the 2nd to 8th week after the operation. Aortic blood flow of rats with CHF (38.5+/-3.6 ml min(-1)) was lower than that of sham-operated rats (55.0+/-3.0 ml min(-1)), and this reduction was reversed (54.1+/-3.4 ml min(-1)) by treatment with trandolapril. The diminished responsiveness described above was normalized in the trandolapril-treated rat with CHF (i.e., the maximal relaxation to acetylcholine, 94.7+/-1.0%; that to isoprenaline, 80.5+/-2.8%; that to dibutyryl cyclic AMP, 54.7+/-6.2%). However, aortic segments of trandolapril-treated rats with CHF, L-NAME did not attenuate isoprenaline-induced relaxation and the tissue cyclic GMP level was not fully restored, suggesting that the ability of the endothelium to produce NO was still partially damaged. 6 The results suggest that vasorelaxation in CHF, diminished mainly due to dysfunction in endothelial nitric oxide (NO) production and cyclic AMP-mediated signal transduction, was partially restored by long-term treatment with trandolapril. The mechanism underlying the restoration may be attributed in part to prevention of CHF-induced endothelial dysfunction.


Asunto(s)
Inhibidores de la Enzima Convertidora de Angiotensina/farmacología , Antihipertensivos/farmacología , Gasto Cardíaco Bajo/tratamiento farmacológico , Gasto Cardíaco Bajo/fisiopatología , AMP Cíclico/fisiología , GMP Cíclico/fisiología , Indoles/farmacología , Relajación Muscular/efectos de los fármacos , Músculo Liso Vascular/efectos de los fármacos , Acetilcolina/farmacología , Agonistas Adrenérgicos beta/farmacología , Animales , Aorta/efectos de los fármacos , Aorta/fisiología , Colforsina/análogos & derivados , Colforsina/farmacología , AMP Cíclico/metabolismo , GMP Cíclico/metabolismo , Hemodinámica/efectos de los fármacos , Isoproterenol/farmacología , Masculino , Relajación Muscular/fisiología , Músculo Liso Vascular/fisiología , Nitroprusiato/farmacología , Ratas , Ratas Wistar , Vasodilatadores/farmacología
2.
J Med Microbiol ; 26(3): 205-9, 1988 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-3392727

RESUMEN

The bovine erythrocyte-agglutinin (BEA) of Bordetella bronchiseptica, located on the cell surface in non-fimbrial form, has been identified as a possible adhesion responsible for binding to porcine nasal epithelium in studies with BEA-negative (BEA-) mutants and in competitive studies with bovine erythrocytes.


Asunto(s)
Adhesión Bacteriana , Bordetella/patogenicidad , Hemaglutinación , Mucosa Nasal/microbiología , Animales , Bovinos , Epitelio/microbiología , Porcinos
3.
Br J Ophthalmol ; 68(3): 208-11, 1984 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-6696873

RESUMEN

The fatigue phenomenon of grating visual acuity was examined in 36 patients with optic nerve disorders by means of a laser interferometric acuity device. The phenomenon was found in 6 of 36 cases even under a luminance corresponding to the Japanese standards of office illumination. This fact indicated that the patients suffered visual fatigue in their everyday vision. After they were prescribed tinted lenses to eliminate the fatigue, the patients had comfortable sustained vision in their daily work.


Asunto(s)
Percepción de Forma/fisiología , Neuritis Óptica/fisiopatología , Reconocimiento Visual de Modelos/fisiología , Adulto , Color , Anteojos , Femenino , Humanos , Iluminación , Masculino , Persona de Mediana Edad , Factores de Tiempo , Trastornos de la Visión/fisiopatología , Agudeza Visual
4.
Vet Microbiol ; 15(1-2): 105-13, 1987 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-3125665

RESUMEN

A protein antigen that reacted in the agar gel diffusion (AGD) test and which had equi factor(s) activity, was partially purified from the culture supernatant of Rhodococcus equi by successive column chromatography on diethylaminoethyl cellulose and Sepharose 4B. Employing a standard foal serum, the concentration of this antigen was adjusted for the AGD test. Optimal dilutions of the antigen reacted in the AGD test with sera from foals naturally infected with serologically different R. equi. The antigen prepared was considered suitable for use in field surveys of R. equi infection. Accordingly, four groups of sera were tested: those from 18 foals diagnosed as being infected with R. equi, those from 54 control foals with culture-negative R. equi pneumonia, arthritis or cellulitis, those from 46 diseased foals suspected of having R. equi infection and those from 51 clinically normal foals. A positive precipitation reaction was observed with sera from 100% of the first group, 69.5% of the third group and 17.7% of the fourth group. A negative reaction was obtained with sera from 100% of the second group.


Asunto(s)
Infecciones por Actinomycetales/veterinaria , Anticuerpos Antibacterianos/análisis , Antígenos Bacterianos/inmunología , Enfermedades de los Caballos/diagnóstico , Rhodococcus/inmunología , Infecciones por Actinomycetales/diagnóstico , Animales , Caballos , Inmunodifusión
5.
Vet Microbiol ; 13(4): 291-300, 1987 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-3300012

RESUMEN

A total of 567 strains of Escherichia coli were isolated from piglets with neonatal diarrhea (ND) or post-weaning diarrhea (PWD) in Japan. They were investigated for enterotoxigenicity and possession of adhesins and O antigens. There were clear differences between the strains of ND origin and those of PWD origin in the occurrence of enterotoxigenic E. coli (ETEC) strains, type of enterotoxin and frequency of adhesins: ETEC was found in 77 (25.7%) of 300 strains of ND origin and in 137 (51.3%) of 267 strains of PWD origin. ETEC strains producing heat-labile enterotoxin (LT) or heat-stable enterotoxin (STa), alone or in combination were evenly distributed among the strains of PWD origin. In contrast most of the ETEC strains of ND origin produced LT alone. Adhesins appeared in 42 (54.5%) of 77 ETEC strains of ND origin and in 36 (26.3%) of 137 ETEC strains of PWD origin. Adhesins were less common in ETEC strains of PWD origin than in those of ND origin. Some K99-positive ETEC strains of PWD origin produced both LT and STa. There was a similarity in the distribution of O antigens, particularly O149 and O157, between the strains of ND origin and those of PWD origin.


Asunto(s)
Animales Recién Nacidos/microbiología , Diarrea/veterinaria , Infecciones por Escherichia coli/veterinaria , Enfermedades de los Porcinos/microbiología , Animales , Diarrea/microbiología , Enterotoxinas/análisis , Escherichia coli/aislamiento & purificación , Escherichia coli/patogenicidad , Japón , Porcinos , Destete
6.
Res Vet Sci ; 22(2): 158-60, 1977 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-860091

RESUMEN

Among 1598 strains of Staphylococcus aureus isolated from bovine mastitis milk samples, 19 exhibited a diffuse-type growth using the serum-soft agar (SSA) technique. By the application of a capsular typing method using the SSA technique, they could be separated into five different serological types. Mouse virulence of individual strains varied significantly. Two strains showed high mouse virulence but the majority showed relatively low virulence or were avirulent. The avirulent strains and those of low virulence were capable of absorbing protective antibodies from rabbit antisera to type strains of human encapsulated S aureus. These results suggested that encapsulated strains of S aureus may play a part in the pathogenesis of bovine mastitis.


Asunto(s)
Mastitis Bovina/microbiología , Leche/microbiología , Staphylococcus aureus/aislamiento & purificación , Animales , Bovinos , Femenino , Ratones , Staphylococcus aureus/crecimiento & desarrollo , Staphylococcus aureus/inmunología , Virulencia
7.
Can J Vet Res ; 61(3): 232-4, 1997 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-9243005

RESUMEN

After 2 days of growth on Brain heart infusion agar (BHIA) at 38 degrees C, phase-I colonies and degraded-phase colonies of Bordetella bronchiseptica could be differentiated by their ability to take up crystal violet (CV). Phase-I colonies in X mode, but not colonies in degraded phases (phases II, III, and rough) bound CV. Phenotypically-altered C-mode colonies (grown at 32 degrees C or lower temperatures) also lacked this ability. CV staining offers an easy method for the recognition of different colony types that appear identical when observed on BHIA.


Asunto(s)
Bordetella bronchiseptica/crecimiento & desarrollo , Violeta de Genciana , Colorantes de Rosanilina , Animales , Bordetella bronchiseptica/clasificación , Recuento de Colonia Microbiana/métodos , Recuento de Colonia Microbiana/veterinaria , Fenotipo , Coloración y Etiquetado/métodos , Coloración y Etiquetado/veterinaria
8.
Can J Vet Res ; 54(2): 296-8, 1990 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-2357669

RESUMEN

Bordetella bronchiseptica strains were examined to determine whether the surface hydrophobicity of the bacteria correlates with their adherence to porcine nasal epithelial cells. The relative hydrophobicity of the bacteria, measured by their retention to a column of hydrophobic phenyl-Sepharose gel and their aggregation in ammonium sulfate solution, correlated well with their adhesive properties. Phase I cells in X-mode, which adhered well to the epithelial cells, were conspicuously hydrophobic. The cells in C-mode and degraded phases, which adhered poorly to the epithelial cells, were relatively hydrophilic. These observations provide evidence for the suspected role of hydrophobic interactions in the adherence of B. bronchiseptica to porcine nasal mucosa.


Asunto(s)
Adhesión Bacteriana , Bordetella/fisiología , Mucosa Nasal/microbiología , Animales , Células Cultivadas , Cromatografía en Gel , Mucosa Nasal/citología , Propiedades de Superficie , Porcinos
9.
Can J Vet Res ; 50(3): 438-40, 1986 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-3527395

RESUMEN

Pigs inoculated intravenously with the culture supernatant and extract of Escherichia coli were investigated histologically. Perivascular eosinophilic droplets and slight vascular degeneration were observed in the medulla oblongata, mid-brain and pons. These droplets were negative for periodic acid-Schiff staining.


Asunto(s)
Encefalopatías/veterinaria , Encéfalo/patología , Infecciones por Escherichia coli/veterinaria , Enfermedades de los Porcinos/patología , Animales , Toxinas Bacterianas , Encefalopatías/patología , Escherichia coli , Infecciones por Escherichia coli/patología , Porcinos , Enfermedades de los Porcinos/etiología
10.
Jpn J Ophthalmol ; 28(1): 47-56, 1984.
Artículo en Inglés | MEDLINE | ID: mdl-6235388

RESUMEN

The protein kinase in a suspension of bovine rod outer segment was activated by the calcium ion. After the enzyme was extracted from the rod outer segment, the enzymatic activity required not only the calcium ion but also a membrane-associated factor for full activity. This factor resisted proteolysis and was extractable with a 2:1 mixture of chloroform/methanol. The factor could be replaced by the phospholipid fraction prepared from the ghosts of erythrocytes. Calcium ion and phospholipid-dependent protein kinase was partially purified by DEAE-Cellulose and Sephadex G-150 column chromatography. The purified protein kinase showed the molecular weight of 8.7 X 10(4) and a sedimentation coefficient of 5.1 S. Among phospholipids, phosphatidylserine and phosphatidylinositol were the most effective as cofactor. Other phospholipids such as phosphatidic acid, diphosphatidylglycerol and phosphatidylethanolamine were less effective. Phosphatidylcholine and sphingomyelin were inactive. Calcium was the most potent of all divalent cations examined for activation of the protein kinase, and full enzymatic activity was obtained at 4 X 10(-4) M. Strontium was 9% as potent as calcium, but other divalent cations such as barium, zinc, cobalt and magnesium had no effect.


Asunto(s)
Calcio/farmacología , Fosfolípidos/farmacología , Células Fotorreceptoras/enzimología , Proteínas Quinasas/metabolismo , Segmento Externo de la Célula en Bastón/enzimología , Animales , Bovinos , Activación Enzimática , Membrana Eritrocítica/metabolismo , Lípidos de la Membrana/farmacología , Proteína Quinasa C , Proteínas Quinasas/aislamiento & purificación
11.
Jpn J Ophthalmol ; 28(2): 171-5, 1984.
Artículo en Inglés | MEDLINE | ID: mdl-6471608

RESUMEN

An unusual case of melanocytoma in the optic disk was reported. At the initial examination, unilateral papilledema and irregular concentric contraction of the visual field with fair vision were observed. In the follow-up study, central retinal artery occlusion occurred and vision deteriorated to blindness. Subsequently, a darkly pigmented lesion appeared and enlarged slowly during the period of 14 years. The pathogenesis of visual disturbance caused by the melanocytoma was discussed.


Asunto(s)
Neoplasias del Ojo/diagnóstico , Melanoma/diagnóstico , Disco Óptico , Adulto , Ceguera/etiología , Diagnóstico Diferencial , Femenino , Angiografía con Fluoresceína , Humanos , Disco Óptico/diagnóstico por imagen , Papiledema/etiología , Tomografía Computarizada por Rayos X , Campos Visuales
12.
Jpn J Ophthalmol ; 26(2): 205-12, 1982.
Artículo en Inglés | MEDLINE | ID: mdl-7131929

RESUMEN

The supraliminal contrast sensitivity functions in patients with recovered optic neuritis were classified into three function types: 1) type with a decrease in sensitivity in the high and an increase in the low spatial frequency region, 2) type with flat shape as found in normal subjects, and 3) type with a decrease in the low and an increase in the high frequency region. These abnormal functions may be explained by an inhibitory interaction between two parallel channels of high and low frequency, which may have a dependence on the most central and the paracentral region in the visual fields, respectively. The measurements of the supraliminal contrast sensitivity functions are clinically useful for understanding the visual processes in cases with recovered optic neuritis.


Asunto(s)
Neuritis Óptica/fisiopatología , Visión Ocular/fisiología , Campos Visuales , Adulto , Umbral Diferencial , Femenino , Humanos , Masculino , Persona de Mediana Edad , Psicofísica/instrumentación , Psicofísica/métodos
13.
Jpn J Ophthalmol ; 27(2): 380-6, 1983.
Artículo en Inglés | MEDLINE | ID: mdl-6620721

RESUMEN

Twenty cases of craniopharyngiomas treated surgically between 1972 and 1979 have been studed neuro-ophthalmologically. The visual fields demonstrated asymetrical bitemporal hemianopsia, occasionally homonymous hemianopsia and central scotomas. The visual function was followed up for a period of one to 8 years after the operation. Improvement and retention of the visual function were observed in 88% of cases with subtotal resection and irradiation, 45% of cases with partial resection and irradiation, and 0% of totally resected cases. Histopathologically, the dense adhesion and tumor invasion in the optic chiasm were observed in autopsy cases. From the viewpoint of operative results and autopsy findings, the subtotal excision with irradiation is advocated for the treatment of craniopharyngiomas, particularly in the adult cases.


Asunto(s)
Craneofaringioma/cirugía , Neoplasias Hipofisarias/cirugía , Adolescente , Adulto , Niño , Craneofaringioma/patología , Craneofaringioma/radioterapia , Femenino , Estudios de Seguimiento , Hemianopsia/diagnóstico , Humanos , Masculino , Persona de Mediana Edad , Quiasma Óptico/patología , Neoplasias Hipofisarias/patología , Neoplasias Hipofisarias/radioterapia , Escotoma/diagnóstico
14.
Am J Vet Res ; 48(12): 1689-91, 1987 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-3434914

RESUMEN

In parallel with bacterial density, Bordetella bronchiseptica phase-I, X-mode cells adhered well to porcine nasal epithelial cells, whereas C-mode cells and variant cells in phases II, III, and rough adhered feebly. Cell surface components lost, on transition from X to C mode or from phase I to degraded phases, may confer much of the organism's adherence ability.


Asunto(s)
Antígenos Bacterianos/fisiología , Bordetella/fisiología , Mucosa Nasal/microbiología , Porcinos/microbiología , Aglutinación , Animales , Adhesión Bacteriana , Bordetella/inmunología , Células Epiteliales , Epitelio/microbiología , Mucosa Nasal/citología
15.
Vet Res Commun ; 18(2): 93-8, 1994.
Artículo en Inglés | MEDLINE | ID: mdl-7975202

RESUMEN

Analysis of chromosome-sized DNA and genome typing of Taylorella equigenitalis NCTC11184, Kentucky 188, and five strains of T. equigenitalis isolated in Japan were carried out. The three restriction enzymes used, ApaI, NaeI and NotI, cleaved the genomic DNAs of five Japanese strains of T. equigenitalis into relatively limited numbers of restriction fragments, which were well resolved on crossed-field gel electrophoresis (CFGE). The respective profiles after CFGE of the restriction fragments from all five strains were essentially identical to each other after digestion by ApaI, NaeI or NotI. Hence it appears that these strains have a common genome type with respect to these three restriction enzymes. It was also shown that the respective profiles from these strains were essentially different from those of T. equigenitalis NCTC11184 and those of Kentucky 188 after digestion with ApaI, NaeI or NotI.


Asunto(s)
ADN Bacteriano/análisis , Genoma Bacteriano , Haemophilus/genética , Animales , Técnicas de Tipificación Bacteriana , Enfermedades de los Caballos/microbiología , Caballos
16.
Vet Res Commun ; 19(4): 265-71, 1995.
Artículo en Inglés | MEDLINE | ID: mdl-8540238

RESUMEN

Profiles of the genomic DNA of 104 strains of T. equigenitalis isolated from brood mares with contagious equine metritis in Hokkaido during the breeding seasons from 1980 to 1993, as well as those of five strains (SS28, EQ56, EQ59, EQ70 and HH139) previously isolated in Japan were examined after restriction digestion and crossed-field gel electrophoresis. These profiles were essentially identical to each other and the various isolates and strains appeared to have a common genotype, designated 'genotype J', with respect to two restriction enzymes, ApaI and NotI. These results suggest a common source for all these isolates obtained over the course of more than 10 years in Japan.


Asunto(s)
ADN Bacteriano/análisis , Infecciones por Haemophilus/veterinaria , Haemophilus/genética , Enfermedades de los Caballos/microbiología , Enfermedades de Transmisión Sexual/veterinaria , Animales , Enzimas de Restricción del ADN , Electroforesis en Gel de Campo Pulsado/veterinaria , Femenino , Genotipo , Haemophilus/clasificación , Haemophilus/aislamiento & purificación , Infecciones por Haemophilus/epidemiología , Infecciones por Haemophilus/microbiología , Enfermedades de los Caballos/epidemiología , Caballos , Japón/epidemiología , Mapeo Restrictivo , Enfermedades de Transmisión Sexual/epidemiología , Enfermedades de Transmisión Sexual/microbiología
17.
Vet Res Commun ; 18(5): 347-57, 1994.
Artículo en Inglés | MEDLINE | ID: mdl-7863606

RESUMEN

Eight Beagle dogs were inoculated intrabronchially with 5 x 10(9) live, avirulent cells of Bordetella bronchiseptica L-414 strain (phase I cells) (B. bronchiseptica) to investigate the serum levels of their C-reactive protein, the white blood cell counts, the antibody responses to B. bronchiseptica in the sera and tracheal secretions, and the effects of prednisolone given to four of the dogs on C-reactive protein (CRP), white blood cells (WBC) and immune responses. In two Beagle dogs inoculated intrabronchially with sterile physiological saline, the concentrations of CRP and the WBC counts did not increase. CRP was markedly increased one day after inoculation in the dogs inoculated with B. bronchiseptica to 385.0-720.0 micrograms/ml (mean 498 +/- 132 micrograms/ml) in the group given the B. bronchiseptica inoculation only, and to 372.0-649.0 micrograms/ml (mean 551 +/- 106 micrograms/ml) in the group treated with prednisolone following inoculation of B. bronchiseptica, as determined by an enzyme-linked immunosorbent assay (ELISA). The CRP levels were 23-95 times the pre-inoculation values, which indicated that prednisolone had no effect on the production of CRP. In the prednisolone-treated group, the WBC count increased and stayed at an increased level for approximately 12 days. An indirect fluorescent antibody test led to the detection of anti-B. bronchiseptica IgM and IgG antibodies in the sera from 5 days after B. bronchiseptica inoculation and S-IgA and IgG anti-B. bronchiseptica antibodies in the tracheal secretions on the day after the challenge exposure to B. bronchiseptica. The increase in CRP after challenge exposure to B. bronchiseptica was significantly (p < 0.05) smaller than that found after the first inoculation of B. bronchiseptica.


Asunto(s)
Anticuerpos Antibacterianos/sangre , Infecciones por Bordetella/veterinaria , Bordetella bronchiseptica , Bronconeumonía/veterinaria , Proteína C-Reactiva/análisis , Enfermedades de los Perros/sangre , Animales , Infecciones por Bordetella/sangre , Infecciones por Bordetella/inmunología , Infecciones por Bordetella/patología , Bronconeumonía/sangre , Bronconeumonía/inmunología , Bronconeumonía/patología , Proteína C-Reactiva/efectos de los fármacos , Enfermedades de los Perros/inmunología , Enfermedades de los Perros/patología , Perros , Femenino , Inmunoglobulina G/sangre , Inmunoglobulina M/sangre , Inyecciones Subcutáneas/veterinaria , Recuento de Leucocitos/efectos de los fármacos , Pulmón/patología , Masculino , Prednisolona/administración & dosificación
18.
Nippon Ganka Gakkai Zasshi ; 98(3): 306-8, 1994 Mar.
Artículo en Japonés | MEDLINE | ID: mdl-8154391

RESUMEN

Event-related potentials were recorded from 20 neurologically normal children with anisometropic amblyopia. Stimulation was performed with an 'odd-ball' paradigm counting Randolts' circle, and in all cases N200 and P300 were recorded as event-related potentials. The latencies of N200 showed statistically significant delay (p < 0.001: Wilcoxson signed rank test), but P100 and P300 were not delayed in the stimulus input from amblyopic eyes. The degree of delay has no relationship with visual acuity or anisometropic differences. The results suggest that the cortical sensory processing functions represented by P300 were not damaged in the amblyopic cases observed in this study.


Asunto(s)
Ambliopía/fisiopatología , Anisometropía/fisiopatología , Ambliopía/etiología , Anisometropía/complicaciones , Corteza Cerebral/fisiopatología , Niño , Potenciales Evocados , Femenino , Humanos , Masculino
19.
No Shinkei Geka ; 19(12): 1175-80, 1991 Dec.
Artículo en Japonés | MEDLINE | ID: mdl-1766544

RESUMEN

An 18-year-old male admitted to our hospital suffered left temporal subcortical hemorrhage. No abnormality was demonstrated on carotid or vertebral angiography at that time. On the day following the onset, left frontotemporal craniotomy was performed and the subcortical hematoma was evacuated. No vascular malformation was found despite careful investigation. On 30th day after the onset, the repeat cerebral angiography was performed but failed to show any vascular abnormalities. After discharge he was in good health, and had had some follow up, CT were normal except for the hematoma cavity. Just two years after the first operation he suffered a second left temporal hemorrhage. Cerebral angiography was repeated and a temporal arteriovenous malformation (AVM) was found with feeding vessels from the M-1 and M-2 portion of the left middle cerebral artery and from the left anterior choroidal artery, and draining veins to vein of Rosenthal and the straight sinus. One month after the second hemorrhage, left frontotemporal craniotomy was performed and complete excision of the AVM was carried out. Only five cases of AVMs in patients with normal angiograms several years before have been reported previously in the literature. But there are no cases in which surgery has been performed. Differently to those cases, in this case it was investigated operatively whether there was a vascular abnormality at the first hemorrhage. We didn't think, however, that the AVM demonstrated at the second hemorrhage had developed spontaneously because there had been a hemorrhage of unknown origin previous to it. It was assumed that a small angiographically occult AVM connected to the hematoma cavity existed at the time of the first hemorrhage but it was too small to be found even during surgical procedure. Such an angiography occult AVM had been growing for two years, and its growth had probably been facilitated by the presence of the hematoma cavity left after the first operation.


Asunto(s)
Hemorragia Cerebral/diagnóstico por imagen , Hematoma/diagnóstico por imagen , Malformaciones Arteriovenosas Intracraneales/diagnóstico por imagen , Adulto , Angiografía Cerebral , Corteza Cerebral , Hemorragia Cerebral/etiología , Hematoma/etiología , Humanos , Malformaciones Arteriovenosas Intracraneales/complicaciones , Masculino
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