In order to assess the relationship of electrocardiographic (ECG)changes in acute cerebrovascular accidents (CVA)to the locations of the cerebral lesions, ECGrecords and brain computerized tomographic (CT) scans which were taken within 48 hours of CVAonset were examined in 39 patients without heart disease and/or treatment with cardiovascular drugs. The ECGwas normal in 25%(3/12) of basal ganglial CVA, 22% (2/9) of frontal CVAand 36% (4/ll) of temporo-parietal CVA. Nonspecific ST-T changes occurred in basal ganglial CVA (25%), frontal CVA(22%), temporo-parietal CVA(18%) and in the other categories of CVAlocations. Corrected QTinterval (QTc) elongation was observed not only in frontal (22%), but also in basal ganglial CVA (25%), temporo-parietal CVA (36%) and cerebellar CVA (50%). There were no ECGchanges specific to a particular CVAlocation. These findings suggest that widely distributed neurons and pathways within the central nervous system may influence ECG.

In British Columbia, disparity exists between Oriental and non-Oriental, non-Caucasian donors and recipients. Orientals and Asian Indians were more likely to be kidney graft recipients than nonkidney graft recipients, whereas Native Aboriginal recipients seemed more likely to have undergone liver transplantation.

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We experienced a case of traumatic neuroma incidentally noted in the gallbladder resected for choledo cholithiasis. Ultra-sonography, computed tomography, and intravenous cholangiography indicated stones in the common bile duct in an 85-year-old female and operation was performed. Many stones were found din the dilated common bile duct. The gallbladder was atrophic and its wall thickened and hardend. Microscopically, thickening of the gallbladder wall was due mainly to nodular proliferation of peripheral nerve fascicles. A diagnosis of traumatic neuroma was made over. Traumatic neuroma in the gallbladder is very rare and a review of the literature disclosed only two cases of it. This paper presents the third case of traumatic neuroma of the gallbladder, with some discussion of its symptoms and pathogenesis.

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