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Target Concepts:
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Query: UMLS:C0018799 (
heart disease
)
34,133
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Localized perivascular demyelinization of the peripheral processes of cochlear neurons was observed in surface preparations of the osseous spiral lamina in two neonates, one a premature infant with
erythroblastosis fetalis
, the other a full-term infant with cyanotic congenital
heart disease
. In both cases the cause of the demyelinization was unknown. Both infants had severe edema as a result of congestive heart failure and anoxia. The serum bilirubin level in the erythroblastotic child appeared too low to have caused injury to the nerve fibers. The demyelinization was most striking in the lower half of the basal turn. It was observed only in the immediate vicinity of meandering stretches of capillaries as they crossed the nerve fibers. In the premature infant there was hair cell loss throughout the cochlea; in the other there was no hair cell loss, but a malformed labyrinth of the Mondini type.
...
PMID:Perivascular demyelinization of cochlear neurons in two neonates. 386 51
The recent association of transient tricuspid insufficiency in newborn infants with ischemic papillary muscle necrosis prompted a detailed retrospective clinical and histologic analysis of autopsied infants who died within seven days of birth between 1973 and 1977. Infants with congenital
heart disease
,
erythroblastosis fetalis
, and known congenital viral infections were excluded. Thirty-one of 82 infants had at least one site of ischemic myocardial necrosis: 11 had lesions only in the right ventricle, 13 had lesions only in the left ventricle, and seven had bilateral lesions. The apical region of an anterior papillary muscle was the most common site. IMN occurred more commonly in older, larger infants. Asphyxia at birth, a murmur of atrioventricular valve insufficiency, and signs of congestive heart failure correlated well with the presence of IMN, but few other perinatal events predicted its occurrence. This report suggests that IMN is a common event in stressed infants who die early in life and probably is related to episodic hypoperfusion of the myocardium.
...
PMID:Ischemic papillary muscle necrosis in stressed newborn infants. 735 1