3 cases of intracranial aneurismal residue following clipping at Viet Duc Hospital were studied. The causes of this condition were anatomical and technical. It is necessary to identified prior surgery the cause of hemorrhage, to limit the disruption of aneurism, to expose entirely the neck of aneurism before the setting of clip and to explore throughly the place of clip- Anterigraphy or systematic Xray control should be made for checking the results
Intracranial Aneurysm ; etiology ; Aneurysm ; Intracranial Arterial Diseases

This association had been reported for long time with a frequency of 2.7-23% of cases of intracerebral arteriovenous connection. This association increases the risk of cerebral meningo hemorrhage. 3 cases of cerebral meningo hemorrhage associated with intracerebral arteriovenous connective malformation were studied retrospectively and treated at Viet Duc Hospital from January 1999 to January 2004. The presence of aneurysm in cerebral arteriovenous connection was an important predictive factor for the hemorrhage possibility, leading to cerebral hemorrhage
Aneurysm ; Arteriovenous Malformations ; Intracranial Arteriovenous Malformations ; abnormalities

A retrospective study on 14 case of ruptured cerebral cranial carotid aneurysm operated in Viet Duc Hospital during 1998 - 2000 has shown that the clinical outcome and method of operation found well in 78.6% of patients. The time for operation was usually late (often 2-3 weeks of bleeding).
Aneurysm, Ruptured ; Cerebral Arterial Diseases

Meningocerebral haemorrhage due to the rupture of malformation of cerebral arterio venous fistula is neurosurgical emegency that requires the radical management to prevent from relapsed haemorrhage. Currently in Vietnam, the operation for malformation removal is an unique technique. The restrespective study on 16 cases suffered the rupture of malformation of cerebral arterio venous fistula in Vietduc during 1999-2000 showed the encourage results. 81.3% of malformations were radically removed, 18.7% of malformation were partial removed and experienced ligation of artery the outcomes: good (81%) and no death
abnormalities ; Arteries ; surgery

Objective To investigate relationship between anti-sperm immune infertility and chronic inflammation in female reproductive tract.Methods80 patients of anti-sperm immunity infertility were selected, and randomly divided into the study group and the control group.The study group was treated with dexamethasone+Vitamin E+Vitamin C+roxithromycin, the control group was treated with dexamethasone+vitamin E+vitamin C, After a course of treatment, serum IL-6, TNF-α and the AsAb in serum and cervix change was detected before and after treatment.ResultsThe clinical efficacy of study group was significantly better than the control group, with statistical significance (P<0.05).the AsAb in serum and cervix in the study group was significantly lower than the control group, with a statistically significant difference (P<0.05).serum IL-6, TNF-α in the study group was significantly lower than the control group, with significant difference (P<0.05).ConclusionThe female anti-sperm immune infertility and the chronic inflammation in female reproductive tract are relational, The female anti-sperm immune infertility combined with antibiotic has a significant effect.

Objective To investigate the efficacy of frontal rhytidectomy by different injection site of botulinum toxin type A on sebum secretion and quality.Methods Thirty-two volunteers with forehead ryhtides (moderate to severe) were received frontal rhytidectomy by BTX-A (BOTOX) intramuscular injection which was administered to 5 injective sites,and randomly divided into 2 groups according to different injection site (Dermal injection group and muscle injection group).Baseline and post-treatment (2,4,6,8 weeks after injection) sebum production (the region 0.5 cm far around injection point,the region 0.6 1.5 cm far around injection point) and elasticity were measured.Results Significant reduction of sebum secretion was showed on the regions of 0.5 cm far around injection point and 0.6-1.5 cm far around injection point after BTX-A injection for 4,8 weeks (P ＜ 0.05).4 weeks after treatment,the levels of sebum secretion in two regions were (94.6 ± 10.3)μg/cm2 and (97.2 ± 11.2) μg/cm2,which significantly decreased in dermal injection group than those of muscle injection group [(106.2 ± 12.7)μg/cm2,(107.2 ±9.4)μg/cm2,t =7.62,6.73,P ＜0.05].The levels of R2,R5 and R7 increased significantly in two groups after 4 weeks treatment (P ＜ 0.05),and the levels decreased from 8 weeks after treatment and no significant difference was observed after 16 weeks (P ＞ 0.05).Conclusions Intramuscular injection of BTX-A could reduce the sebum secretion of the region 1.5 cm far around the injection point after 4 weeks and 8 weeks treatment,and increase the elasticity after 4 weeks treatment.

Pancreatic cancer normally is lethal and difficult to treat.Recently,although chemotherapy drugs such as gemcitabine for the treatment achieved a certain effect, but the survival rate has not improved significantly. Over the past decade, a large number of studies that aimed to implicated in pancreatic tumor gemcitabine metabolism and resistance mechanisms. Recent data show that it is a great value for predicting efficacy in the treatment of pancreatic cancer with gemcitabine by detecting pancreatic cancer -related molecules and genes, especially in the field of individual therapy. This review describes advances in the studies of related molecules and genes affecting the efficacy of gemcitabine for pancreatic cancer.

Objective To study the protective effect of Cordyceps composite nutrient solution on hydrogen peroxide-induced PC12 cell injury.Methods P12 cells were divided into negative control group,model group,low-dose group(1%Cordyceps complex nutrient solution),middle dose group(3% Cordyceps complex nutrient solution)and high-dose group(5%Cordyceps complex nutrient solution).After 24 h cultured,except the negative control group,other groups were added H2 O2 and cultured for another 24h.Cell viability,LDH activity and NO were compared in each group. Results Survival rate in model group was(62.8 ±4.2)%,the survival rate of the negative control group was(100.0 ±1.7)%,the survival rate in the model group was significantly lower than that in negative control group(P<0.01 ),and cell viability increased significantly in composite nutrient solution group compared with model group(P<0.01).Cellular LDH levels and NO content in the model group and negative control group were significantly higher than that in negative control group(P<0.01),which decreased significantly when added cordyclps composite nutrient solution(P<0.01).Conclusion Cordyceps composite nutrient solution shows protective effect on hydrogen peroxide in PC12 cells.

Objective:To explore the corration of pathological classification of brainstem glioma with MRI imaging. Methods: The clinical data of 98 patients with BSG was retrospectively analyzed. of 98 patients, 66 cases were low level of brainstem gliomas, 32 cases were high level of brainstem gliomas. MRI images of different pathological grading of BSG were analyzed. Results:Glioma growth way was similar between the two groups and there was no statistical significance. But the proportion of basal artery circumvolutio, necrosis, growth across the midline of the high level group were significantly higher than the control group, there was a significant statistical significance (P<0.01). And the proportion of the cystic lesion in patients of low level group was obviously higher than that of high level group, with significant difference (P<0.01). of high level group patients with a ratio of tumor>2 cm in diameter was higher than the control group, and the difference was statistically significant (P<0.05). The improved forms of high level group were mainly wreath, wall nodules (P<0.01), and improved significantly stronger than the low level group (P<0.01). The main uniformity of high level group in show was characteristics with less uniformity (P<0.01). The MRI measuring minimum thickness was similar between the two groups and had no statistical significance. But MRI measuring thickness, the ratio and gap between maximum thickness and minimum thickness of high level group were bigger than the value of low level group, with statistically significant difference (P<0.001). Conclusion:MRI imaging and MRI enhanced characteristics of brainstem glioma may predict and judge the malignant degree and pathological grading of brainstem glioma.

Patients with chronic renal failure (CRF) are often complicated by a variety of central nervous system and peripheral neuropathy, which are complex, varied, and with serious complications of kidney failure at the end stage. In recent years, due to the blood dialysis method, organ transplantation and other methods, some neurological compli-cations associated with these treatments. Therefore, analysis and identification of complications in CRF patients are of great significance and can improve the survival rate. Common complications were analyzed and evaluated in this pa-per, for which can provide the basis for improvement of the diagnosis and treatment for renal failure.