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Query: UMLS:C0033377 (prolapse)
 11,717 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

In 322 cases of lumbar PID proved by myelography the radiologically recognizeable malalignment of the lumbar spine was related to site and direction of the prolaps. Scoliosis towards the side of the prolapse was seen in about 70 per cent. Scoliosis convex towards the normal side was significantly more common with right-sided than with left-sided prolapses. Scoliosis was the more pronounced the higher the site of prolapse. The degree of lumbar lordosis, too, appeared to depend on the level of prolapse. The lower the prolapse the less the lordosis. In the individual case one cannot draw any conclusions as to site or direction of a prolapse from radiologically detectable malalignment.
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PMID:[Malalignment of lumbar spine with lumbar PID (author's transl)]. 12 47

A case of right-sided traumatic diaphragmatic rupture with transdiaphragmatic liver prolapse is reported. The situation could be clarified by combined hepatic and lung scans. The advantages of isotope examinations, particularly in patients with multiple trauma, are stressed.
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PMID:[Demonstration of a post-traumatic, transdiaphragmatic liver prolapse by combined hepatic and lung scans (author's transl)]. 12 95

Twenty-six patients with Wolff-Parkinson-White (WPW) syndrome were studied by echocardiography. They were classified into the following WPW types: anterior right ventricular pre-excitation (Type I) - six patients; posterior right ventricular pre-excitation (Type II) - six patients; posterior left ventricular pre-excitation (Type III) - fourteen patients. Twenty-three patients were in WPW at the time of study. Four patients with Type I WPW had abnormal systolic motion of the interventricular septum: three paradoxical and one flat. Patients with Type II and Type III WPW had no septal motion abnormalities related to pre-excitation. Three patients had intermittent WPW, Type III; in all three only minor changes in normal septal motion were apparent on WPW beats. Associated cardiac abnormalities were evident in six patients: two mitral prolapse (one Type II WPS and one Tpe III); one idiopathic hypertrophic subaortic stenosis (Type III); one congestive cardiomyopathy (Type III); one hypertrophic nonobstructive cardiomyopathy (Type I); and one atrial septal defect (Type II). We conclude that abnormal interventricular septal motion may occur with Type I WPW abnormality. Other abnormalities are detectable by echocardiography in a high proportion of WPW patients, but do not appear to be associated with any single Wolff-Parkinson-White type.
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PMID:Echocardiography in Wolff-Parkinson-White syndrome. 13 57

During an operation for lumbar disk herniation, 160 patients were injected - intrathecally and peridurally, against the affected nerve root - one ampoule of Volon A40. The postoperative course was compared to that stated in 160 patients who had been operated in the same way without this medication. The irritation of the spinal root effected by the disk prolapse and the manipulation during the operation was immediately influenced in a favourable manner by Volon A40. The patients had no more complaints from the first postoperative day on. Mobilization of the patient could be started about three to four days earlier. During recurrency operations, the root did not show any adhesions. Prevention of postoperative cicatrization around the root appears to be an essential condition for a permanent state without complaints. The percutaneous intrathecal and peridural application of Volon A40 has proved to be efficacious in cases of lumbar root irritation, which can neither be treated surgically nor be influenced by a physical therapy.
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PMID:[Treatment of lumbar disk herniation with depot cortisone intrathecally and peridurally (author's transl)]. 13 49

Prolapse of the mitral valve is described in two patients with the Ebstein's anomaly of the tricuspid valve. This association has not been described previously. It is probable, however, that this association is not a rare one, but that clinical features of the prolapsing mitral valve are obscured by those resulting from the malformed tricuspid valve. Opportunity also was provided to study anatomically the mitral valve of a patient known to have a systolic click and a late systolic murmur (the Barlow syndrome). Although there have been several anatomic descriptions of floppy mitral valve at necropsy, they have been extremely rare in patients known to have the classic auscultatory features of the Barlow syndrome.
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PMID:Prolapse of the mitral valve is described in two patients with the Ebstein's anomaly of the tricuspid. 13 33

Prolapse of the lumbar intervertebral disc is one of the commonly accepted causes of low back pain. Most patients respond well to conservative treatment, but some may not respond at all. Though the reason for this variation is not clearly understood, it is felt that a developmentally narrow spinal canal might have some relation to the persistence of backache and sciatica. The canal was therefore measured at each of the lumbar vertebral level by a method described by Jones and Thomson (1969) in 100 consecutive patients operated upon for prolapsed lumbar intervertebral discs, in 100 normal patients for comparison. This method does not give direct measurements of the bony spinal canal but provides a ratio of the size of the canal to the adjacent vertebral body. We found a trend towards the presence of a narrower than normal lumbar canal in patients with prolapsed lumbar intervertebral discs. It is concluded that in patients with prolapsed lumbar intervertebral discs necessitating operation, the canal tends to be narrower than normal, and such narrowing enhances the effect of any disc protrusion leading to severe symptoms of backache and sciatica.
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PMID:Variations in size of the bony lumbar canal in patients with prolapse of lumbar intervertebral discs. 13 69

Nine patients with the Marfan syndrome and 40 of their first degree relatives were evaluated for the presence of cardiac, skeletal and ophthalmologic abnormalities. Aortic root dilatation and mitral valve prolapse were sought by echocardiography, and the metacarpal index was calculated from hand X-rays. Abnormalities of all the tests performed were present in all nine index cases, except for one normal eye exam. Mitral prolapse was present in thirteen relatives (33%) and aortic root dilatation in seven (18%). At least one cardiac abnormality was present in nineteen (47%) relatives. Aortic root dilatation was more common in male relatives; the incidence of mitral prolapse was approximately equal in the two sexes. Abnormal metacarpal index (greater than 8.0) occurred in fifteen of twenty-six relatives examined (58%). Ophthalmologic abnormalities were found in only four relatives. Two relatives had abnormalities of all three organ systems evaluated, five others had abnormalities of two systems, and fourteen had abnormalities of one system. We conclude that cardiac and skeletal abnormalities are demonstrable in a high percentage of first degree relatives of patients with the Marfan syndrome.
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PMID:Cardiac, skeletal and ophthalmologic abnormalities in relatives of patients with the Marfan syndrome. 13 15

Our technique of lumbar phlebography involves selective catheterisation of the lateral sacral veins with or without catheterisation of the ascending lumbar veins. Injection of these veins, in association with abdominal compression, produces good filling of the intra-spinal epidural veins, particularly at L5-S1 level. The anatomy and radiological appearances of the epidural veins are discussed. The phlebographic signs of disc herniation are presented. The diagnostic potential of this technique seems very promising in disc pathology, especially in the diagnosis of L5-S1 herniation and lateral prolapse at all levels.
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PMID:[Lumbar phlebography. Normal aspect and its value in diagnosis of herniated disk]. 13 76

The advantages of Fletcher's operation for vaginal pouch prolapse after previous hysterectomy or total extirpation are reported with a slightly modified method in eight cases. The following results show this surgical procedure to be especially advantageous: A permanent good fixation of vagina without shortening, no recurrence no pain and neither so-called antefixation complaints. A complete rehabilitation of cohabitation and orgasm was effected. Urological complications, such as obstruction of urine or micturition difficulties are eliminated by this surgical intervention.
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PMID:[Experiences in the fixation of vaginal prolapse using Fletcher's method]. 13 8

Ventricular septal defect is sometimes associated with aortic regurgitation. In this report, an echocardiogram demonstrating dramatic prolapse of the noncoronary cusp into the left ventricular outflow tract and ventricular septal defect in a patient with Down's syndrome and ventricular septal defect, confirmed by angiographic studies, is presented. The echocardiogram supports the concept of anatomic lack of support of the aortic ring due to a deficient septum and hemodynamically significant flow of blood to the right ventricle through the ventricular septal defect, resulting in trauma to aortic cusps and prolapse.
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PMID:Aortic regurgitation associated with ventricular septal defect. Echocardiographic and hemodynamic observations. 14 Jul 91


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