Pituitary tumors (report of 14 cases)

[No abstract available

The therapeutical value of the anterior fusion in cervical trauma

In all of the 54 patients with cervical dislocations, reduction is performed by Crutchfield skeletal traction; between these patients 33 had undergone Cloward's anterior approach. In 3 of them posterior fusion was chosen. As for complications: in 1 case perforation of the oesophagus was reported; in another one, neurological deficit caused by the callus growing into the canal occurred. In 7 cases gastrointestinal bleeding appeared, and 14 patients died. The clinical condition of our patients were not as good as the ones in the literature. Obviously this condition had negative effects on the prognosis. Since the mechanism of trauma is the same in all of the accidents, this was thought to be due to the lack of qualified personnel who are to take care of such patients until they are hospitalized

Primary neonatal intracranial neuroblastoma. Case report

[No abstract available

Evolution of Thrombosis of the Vein of Galen in Sickle Cell Disease

PubMedID: 8505485[No abstract available

EVOLUTION OF THROMBOSIS OF THE VEIN OF GALEN IN SICKLE-CELL DISEASE

WOS: A1993LB79000017PubMed ID: 8505485

UNILATERAL HYDROCEPHALUS RESULTING FROM OCCLUSION OF FORAMEN OF MONRO - A NEW PROCEDURE IN THE TREATMENT - STEREOTAXIC FENESTRATION OF THE SEPTUM-PELLUCIDUM

WOS: A1993KU28300007PubMed ID: 8351622Obstruction at the foramen of Monro resulting in unilateral hydrocephalus is an uncommon entity that may be caused by a wide range of lesions including tumors, vascular malformations, and inflammatory conditions. A case of unilateral hydrocephalus secondary to congenital atresia of the foramen of Monro treated with stereotactic fenestration of the septum pellucidum is presented

Traumatic giant aneurysm of the intracavernous internal carotid artery causing fatal epistaxis: Case report

PubMedID: 8158721A patient with a giant intracavernous carotid aneurysm usually has symptoms and signs of a space-occupying lesion, producing one of a variety of types of cavernous sinus syndromes. Epistaxis is an unusual feature in these patients. A patient who noted the onset of repeated arterial epistaxis 2 years after a severe head injury was found to have a traumatic aneurysm of the cavernous portion of internal carotid artery. After angiography, he suddenly developed profuse, pulsatile, arterial epistaxis and had a cardiopulmonary arrest. This case and a review of previously reported cases emphasize the importance of early cerebral angiography in patients with posttraumatic recurrent epistaxis. © 1994 by Williams & Wilkins

Arachnoid cyst with traumatic intracystic hemorrhage unassociated with subdural hematoma

PubMedID: 7838404Arachnoid cysts of the middle cranial fossa may manifest themselves in several different ways. Most often they remain asymptomatic and are only diagnosed incidentally on computed tomography or at autopsy. When they are symptomatic, headache, nausea, vomiting and seizures are most common in the patients with increased intracranial pressure. Increased intracranial pressure is caused by the ball-valve mechanism of the cyst's membrane which is in communication with the general subarachnoid space or arachnoid cells which contain specialized membranes and enzymes which have secretory activity. A significant number of middle cranial fossa arachnoid cysts are associated with subdural hematoma which may, in turn, be associated with intracystic hemorrhage. We report an unusual case with posttraumatic, isolated intracystic hemorrhage of the arachnoid cyst in the sylvian area without subdural hematoma. © 1994 Walter de Gruyter & Co

Prognosis and prognostic factors in nonaneurysmal perimesencephalic hemorrhage a follow-up study in 29 patients

WOS: 000175779500008PubMed ID: 12009538BACKGROUND Perimesencephalic nonaneurysmal hemorrhage is a benign form of subarachnoid hemorrhage with a low risk of rebleeding. The authors conducted a retrospective study to investigate the prognosis, possible prognostic factors, and long-term natural history in perimesencephalic nonaneurysmal subarachnoid hemorrhage (PNSH). METHODS This report contains a retrospective analysis of 29 patients with PNSH who were followed from I month to 8 years with an average follow-up period of 5.4 years. We evaluated computed tomography (CT) scan features; clinical grade; loss of consciousness during hemorrhage; ventricular ratio; angiographic spasm; complications such as ischemic complications, early rebleeding, late rebleeding, epilepsy, hydrocephalus, and fixed ischemic deficit; and outcome. RESULTS There were 7 men and 22 women, and the ages ranged from 22 to 69 years (mean 49.5 years). In the group with PNSH 93% of the patients were in grade I-II, as compared to 70.8% of patients with non-PNSH according to the Hunt and Hess system. Loss of consciousness during hemorrhage was detected in 9 patients (31%). We observed acute hydrocephalus in 4 patients (13.7%). The first cerebral four-vessel angiograms disclosed vasospasm in 3 patients (10.3%). Patients with PNSH have the best outcome according to the activities of daily living (ADL) grading system when compared with other groups of patients with negative angiogram (aneurysmal pattern and invisible blood). CONCLUSION This study provides evidence that patients with PNSH have an uncomplicated course and a particularly favorable outcome. (C) 2002 by Elsevier Science Inc

An unusual complication of the ventriculo-peritoneal shunt: Migration of the distal end into the scrotum through the inguinal canal

[No abstract available