Resumo em Português:

Os autores, depois de breve recapitulação sôbre a história e quadro clínico do síndroma de Guillain e Barré, relatam duas observações típicas, consecutivas a uma epidemia gripal muito intensa, ocorrida em alguns quartéis de Lisboa. Os dois casos apresentavam dissociação albumino-citológica muito intensa no líq cefalorraquidiano, e sua evolução foi favorável. Ao lado dêstes, outros casos foram suspeitados. Os autores discutem a patogenia do síndroma. Afastando a hipótese de um vírus específico, contra a qual enumeram abundantes argumentos, os autores defendem a teoria alérgica. Para êles, a dissociação albumino-citológica representaria uma forma de inflamação serosa alérgica e o síndroma de Guillain-Barré seria a forma periférica, meningoradículo-neurítica, da neuralergia.

Resumo em Francês:

Les auteurs, aprés avoir fait un bref rappel de l'histoire et du tableau clinique du syndrome de Guillain et Barré, publient deux observations typiques, consécutives à une épidemie grippale três intense, qui a eu lieu dans quelques casernes de Lisbonne. Les deux cas avaient un dissociation albumino-cytologique três intense du liquide cephalo-rachidien et son évolution a été favorable. À coté de ceux-ci, autres cas ont été suspectés. Les auteurs discutent la pathogénic du syndrome. Écartant l'hypothèse d'un virus spécifique, contre l'aquelle ils trouvent beaucoup d'arguments, ils font la défense d'une théorie allérgique. Pour eux la dissociation albumino-cytologique répresenterait une forme d'inflammation séreuse allérgique et le syndrome de Guillain et Barré serait la forme periphérique, meningo-radiculo-névritique, de la neurallergie.

Resumo em Inglês:

Brief considerations on the historical and clinical aspects of the Guillain-Barré syndrome are given. Two typical cases (and some suspected) were observed after an epidemy of grippe occurred in some military camps in Lisbon. The spinal fluid test showed in both cases a striking albumino-cytologic dissociation. Both had a favourable evolution. The pathogeny of the syndrome is discussed. The authors give evidence against the hypothesis of an specific virus etiology and favour the allergic theory. They think the albumino-cytologic dissociation is caused by a form of allergic serous inflammation and the Guillain-Barré syndrome would be the peripheral form (meningo-radiculo-neuritic) of the neuro-allergy.

Resumo em Inglês:

The author administered Tridione in four patients under five years of age with "petit mal" seizures. In all cases there was complete disappearance of the seizures eventhough small doses were used. In one case the EEG, taken after the Tridione treatment, did not show the previous "petit mal" pattern. In no case there were signs of intolerance. In conclusion the author thoroughly agree that Tridione is the drug of choice in "petit mal" seizures.

Resumo em Português:

Os autores relatam um caso de tumor intra e extramedular, diagnosticado, ao exame microscópico, como hemângio-endotelioma. Tratava-se de um paciente do sexo masculino, com 35 anos de idade, que apresentava paraplegia espástica acentuada. O exame neurológico permitiu o diagnóstico de compressão medular por tumor na região cervical baixa. O paciente foi operado, sendo encontrado um tumor vascular, intra e extramedular, na parte dorsal da medula cervical; sua porção extramedular foi extirpada. Houve satisfatória regressão da sintomatologia.

Resumo em Inglês:

A case of intra and extramedular hemangio-endothelioma of the spinal cord is presented. The clinical, laboratory and radiological findings pointed to a spinal tumor at C5. The patient, a 35 year old man, was operated on and an intra and extramedullar hard and red vascular tumor was found in the dorsal portion of the cervical cord. Microscopic examination proved the tumor to be an hemangio-endothelioma. The extramedullar portion was extirpated and X ray therapy course was given post-operatively. Improvement was quite satisfactory. Spastic paraplegia decreased, sensory examination was normal and the patient, who was before bedridden, was already able to walk by himself in the 39th post-operative day.

Resumo em Francês:

Les auteurs étudient un cas d'anémie pernicieuse compliquée par la dégenérescence combiné subaig de la moelle. La maladie a commentée en 1946, à 1'âge de 18 ans, par faiblesse des jambes et paresthésies des mains et des pieds. Un éxamen clinique realisé en Avril 1948, pourtant, n'a pas montré l'existence de signes somatiques objectifs. Seulement quatre mois plus tard (fin de Juillet), le malade a presenté tout à fait brusquement un syndrome clinique de section transverse de la moelle, dont l'anesthésie montait jusqu'à la limite de T3. II est décedé le 3 de Septembre, par bronchopneumonia À l'autopsie on a rencontré des lésions caracteristiques de la dégenérescence combinée de la moelle. Le malade était un arrieré mental et son père souffrait aussi d'anémie pernicieuse et dégenérescence subaig de la moelle. Les auteurs étudient les aspects héredo-familiales, le début précoce et l'évolution aig de la maladie.

Resumo em Inglês:

Report of a case of pernicious anemia with subacute combined degeneration of the spinal cord. The symptoms began in 1946, at the age of 18, with paresthesias in the hands and feet and weakness in the legs, but no objective somatic sign was evidenced at a medical examination performed in April 1948. About four months later (last days of July), the patient suddenly presented a clinical picture of transverse myelitis, the level of anesthesia reaching T3; death occurred in September 3rd, with bronchopneumonia. Pathological examination disclosed a typical subacute combined degeneration of the cord. The patient was feeble-minded, and his father suffers also of pernicious anemia and subacute combined degeneration of the spinal cord. The authors discuss the heredofamilial aspect, the early onset and the acute evolution of the disease.