Karine Toumi

Learn More
To the Editor: Preeclampsia is a leading cause of maternal and fetal morbidity and mortality worldwide. It occurs in two phases: abnormal implantation of the placenta leads to impaired placental blood flow, which in turn induces the release of a critical placental substance into the maternal circulation (1 ). Clinical onset usually occurs in the third(More)
Interhemispheric subdural haematoma (ISH) is a rare complication of head injury with only 19 cases reported since 1940, but it may also occur spontaneously (three cases). In both circumstances, clotting disorders are frequent (six cases). We have recorded seven cases (five traumatic, two spontaneous). Classically ISH is due to tearing of bridging veins or(More)
Na+ and K+ fluxes from erythrocytes of SHR and WKY control rats have been studied. Fluxes were measured in both fresh and sodium-loaded (after exposure to ouabain or PCMBS) erythrocytes. Pump activity appears higher and furosemide or bumetanide sensitive Na+ efflux lower in SHR compared to WKY suggesting a similar abnormality in SHR genetic hypertension as(More)
A six years retrospective analysis of asymptomatic aneurysms (A.A.) was done in 4 neurosurgical departments: 114 AA were clipped in 99 patients. In 44 patients (48 asymptomatic aneurysms) the surgical procedure was achieved in one step for both symptomatic and asymptomatic aneurysms. In 59 patients (66 asymptomatic aneurysms) the surgical procedure was(More)
Ethylene glycol is broken down to three main organic acids: glycolic acid, glyoxylic acid and oxalic acid which cause severe metabolic acidosis. Effect of these three acids on lactate assays was evaluated in five blood gas analysers and two clinical chemistry analysers. For all systems, no influence of oxalic acid on lactate results could be demonstrated.(More)
110 patients with ruptured aneurysms were operated on within 4 to 96 hours after subarachnoid hemorrhage. Clinical grades (Hunt) were: 1-2-3 in 93 cases and 4-5 in 17 cases. Among the patients grades 1-2-3, 81% had a good out come without any neurological abnormality, among the patients graded 4-5, only 27% had a fair out come. Cerebral ischemia has been(More)
The authors report three new cases of anterior ethmoidal dural fistulae: a pure pial and two dural and pial fistulae which presented in the form of rupture. The emphasise the computed tomographic features, revealing a unilateral frontopolar haematoma and the need for angiographic assessment including study of the internal and external carotid arteries.(More)
eclampsia (at 34 weeks of gestation) had sFlt1 values within the reference interval. This woman had abruptio placenta at delivery (36 weeks of gestation). In the remaining seven patients, the sFlt1 assay would have predicted preeclampsia a mean of 11.2 weeks (range, 6.5–16.5 weeks) before clinical onset. No significant difference was observed in mean (SD)(More)
Some arteriovenous malformations (A.V.M.s) visualized on a first angiography tend to enlarge gradually with time. Others A.V.M.s may decrease in size and even disappear. The authors report the case of a 18 year old woman admitted for a subarachnoid hemorrhage. A complete cerebral angiography was normal. Nine years later, an arteriovenous malformation of the(More)