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James G. Hamilton and Murray A. Falconer

from a few hours to a month after their last bleeding ( Fig. 9 ). The remaining patient, a man of 32 years, had complained of headaches on coitus during the 9 months that had elapsed since his bleeding and he was operated on by a direct approach with relief of symptoms. The operative procedures used fall into two categories, carotid ligation and direct approach. Sometimes these were combined. Most of the patients treated by carotid ligation alone were operated on in the earlier stages of our experience, and the poor results so obtained caused this method to be

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Russell Meyers

, headaches and diplopia were denied. At the ages of 28 and 31 years the patient had had illnesses diagnosed as “virus hepatitis.” He had married at the age of 22 and had fathered three healthy children. He and his wife assertedly were very happily mated and, until the time of his admission to the hospital, had had mutually gratifying coitus on an average of three or more times weekly. Examination . The most conspicuous feature consisted of sporadic, nonpatterned abnormal movements of truncal and appendicular members which exhibited widely varying degrees of excursion

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Earle E. Crandall, Robert C. Bahn and Edward C. Clark

inhibition of estrus. Dorsal hypothalamic lesions cause permanent anestrus (without gonadal atrophy) in rats, suggesting that the dorsal region of the hypothalamus plays some role in estrous cycling. 11, 24, 29 Two excellent reviews of gonadotropic regulation by the hypothalamus have been published. 7, 30 In the present study, electrical stimulation techniques were used to find regions of the hypothalamus involved in the initiation of estrous cycling. The cat was selected because it does not ovulate spontaneously. 50 Since coitus during estrus is ordinarily necessary

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Herbert B. Locksley

Type of Event Aneurysm AVM “Other SAH” During sleep 820 36% 139 36% 746 38% Unspecified circumstances 734 32% 108 28% 676 34% Lifting or bending 273 12% 54 14% 172 8.7% Emotional strain 100  4.4% 23  5.9% 87  4.4% Defecation 99  4.3% 16  4.1% 67  3.4% Coitus 87  3.8% 16  4.1% 44  2.2% Coughing 49  2.1% 5  1.3% 44  2.2% Trauma 63  2.8% 17  4.4% 59  3.0% Urination 45  2.0% 6  1.5% 22  1

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Reuben Plotkin, Michael Ronthal and Colin Froman

evacuation of the clot. There was no macroscopic evidence of any vascular malformation. Histological study of the clot did not reveal any angiomatous tissue. Postoperative Course . The blood pressure returned to normal. The neurological deficit failed to improve postoperatively, and the patient remained totally paraplegic. The cardiac failure responded to therapy. No evidence of a bleeding diathesis was found. Case 3 . A 30-year-old man suddenly developed severe occipital pain during coitus. The pain radiated down his back and into his head. Almost simultaneously his

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Harvey Gass, Paul A. Goodman, John Miller and Jacob L. Chason

normal tissue. Postoperative Course The patient was paraparetic and incontinent. Both of these dysfunctions gradually improved so that when he was discharged at the end of the seventh week he was fully continent and able to walk well with canes. He continued to improve and since July, 1968, he has worked full time. He walks well without support but with a slight limp, and is able to achieve satisfying and successful coitus and has no sphincter disturbance. Histological Examination The specimen received was in two portions, one portion consisting of 1

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Gary G. Ferguson

the minimum wall thickness. Intra-aneurysmal Pressure It has been shown that changes in systemic pressure are reflected by comparable changes in intra-aneurysmal pressure. 11 The calculations of aneurysmal wall stress ( Fig. 10 ) indicated clearly that at any pressure the wall of an aneurysm is subject to considerably greater stress than an intracranial artery. Therefore, any sudden rise in systemic pressure, such as may occur during elimination, coitus, and emotional or physical stress, will result in a disproportionate rise in aneurysmal wall stress. It is

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Francesco Tognetti, Massimo Poppi, Giulio Gaist and Franco Servadei

neuralgic episodes had gradually increased over the months both in frequency and intensity; they were reported as spontaneous as well as elicited by the lightest touch. Sitting and coitus had become impossible. Both rectal and vaginal explorations caused unbearable pain. The patient had undergone a number of local anesthetic blocks among other treatments, with poor or transient relief. Psychotherapy had been ineffective. Family and medical history was noncontributory. No stigmata of multiple neurofibromatosis (von Recklinghausen's disease) were detected. Physical

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John R. Østergaard and Bo Voldby

Circumstances associated with rupture of the aneurysm in 29 patients Activity During Onset No. of Cases walking, standing, or sitting 11 running 3 playing football 3 common play 2 asleep or lying in bed 2 riding a motorbike 2 swimming 1 dancing 1 during coitus 1 working (lifting a weight) 3 Patients were assessed on admission to the hospital according to the grading system of Hunt and Hess 14 ( Table 2 ). Twenty-five patients (58%) were in Grades I and II (that

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Jacquelin Perry

the patient dependent for personal care, but writing, page turning, and operating recorders are practicable with a mouth-stick. Sexual Adjustment . As the sexual functions are controlled by the S2–4 spinal cord segments, even minor permanent lesions in this region cause some difficulties. 32 The anal reflex (by rectal examination) and pin-prick sensation of the penis, scrotum, and peroneal saddle define the patient's physical potential. 32 Upper motor lesions permit the majority of patients to complete coitus, but few with lower motor lesions have this ability