Post-operatively, the patient showed a remarkable improvement of his symptoms of raised intracranial pressure, hypothalamic dysfunction and visual disturbances. Follow-up imaging at 2 months and 1 year, did not show any residual or recurrent tumour.
This novel technique of the combined trans-sphenoidal and simultaneous trans-ventricular-endoscopic approach is a viable option for patients with giant fibrous pituitary adenoma when the tumour is not yielding to the trans-sphenoidal
“Aims : About 30 to 50% of patients undergoing cardiac resynchronization therapy (CRT) may not show clinical or echocardiographic improvement, despite fulfilling guidelines recommendations for CRT. For this reason, we need a more accurate method to assess this website CRT eligibility. The aims of this study were to verify, on a 12-month
follow-up, the usefulness of QT corrected dispersion (QTcD) in a patient’s selection for CRT. Methods : We stratified 53 patients who underwent CRT, into two groups based on the estimation of QTcD, that is, QTcD > 60 ms and QTcD = 60 ms. In all patients were performed New York AZD7762 mouse Heart Association (NYHA) class determination, six-minute walking test, QtcD, and QRS measurements, and complete echocardiographic assessment at 1, 3, 6, and 12 months after implantation. Results : At baseline, there were no significant differences in clinical, echocardiographic, and electrocardiographic parameters duration between two groups. At 12-month follow-up between the two groups, there were significant differences in NYHA (1.2 +/- 0.4 vs 2 +/- 0.6; P < 0.01), six-minute walking distance (422 +/- 68 vs 364 +/- 68; P < 0.01), left ventricular
(LV) ejection fraction (34 +/- 7% vs 28 +/- 6%; P < 0.01), LV end-diastolic diameter (57 +/- 7 vs 63 +/- 8; P < 0.01), and LV intraventricular dyssynchrony (24 +/- 14 JNK-IN-8 molecular weight vs 39 +/- 23; P < 0.01). Conclusion: This study suggests that QTc dispersion in addition to QRS duration could improve the sensitivity of electrocardiogram in a patient’s selection for CRT. (PACE 2012;16)”
“Thermoelectric effects in bulk silicon are investigated by using a hydrodynamic model for the electron-phonon system, derived in the framework of extended thermodynamics. This model consists of a set of balance equations, where the higher order moments and the production terms are completely determined without any fitting procedure. If the system is in local thermal equilibrium, the thermopower and Peltier coefficients have been obtained and the phonon-drag contribution has been recovered. The model allows us to define and evaluate the Peltier coefficient when the system is out of thermal equilibrium. (C) 2011 American Institute of Physics. [doi: 10.1063/1.3658016]“
“Intracranial endovascular procedures are less invasive and relatively safe; however, these procedures do carry a risk of complications, such as thromboembolization, arterial injury, and vessel occlusion.