Jefferson fractures in children

1983 ◽  
Vol 58 (2) ◽  
pp. 277-279 ◽  
Author(s):  
Arthur E. Marlin ◽  
Gayle R. Williams ◽  
J. Fletcher Lee
Keyword(s):  
Computerized Tomography ◽  
Conventional Radiography ◽  
The Other ◽  
Neurological Deficits ◽  
Content Type ◽  
The Poor ◽  
Fractures In Children ◽  
Definition Of ◽  
Fine Print

✓ Jefferson fractures in children are exceedingly rare. A case in a 2-year-old is reported, and the other only case in the literature is reprinted. The mechanism of fracture is probably separation of the lateral masses by a force transmitted from the vertex. Because these fractures are not usually associated with neurological deficits, and because of the poor detail obtained with conventional radiography in a child, these fractures may be overlooked. Computerized tomography provides superb definition of this lesion. The preferred mode of treatment is immobilization.

Progressive neurological deficits with benign intracerebral cysts

1986 ◽  
Vol 65 (5) ◽  
pp. 706-709 ◽  
Author(s):  
Yoko Nakasu ◽  
Jyoji Handa ◽  
Kazuyoshi Watanabe
Keyword(s):  
Histological Examination ◽  
Computerized Tomography ◽  
Cyst Wall ◽  
Benign Lesion ◽  
Ct Scanning ◽  
Neurological Deficits ◽  
Review Of The Literature ◽  
Content Type ◽  
Ct Findings ◽  
Fine Print

✓ Two patients with benign intracerebral cysts are reported and a brief review of the literature is given. Although computerized tomography (CT) scanning is useful in detecting a variety of intracerebral cysts, the CT findings are not specific for any lesion. An exploratory operation with establishment of an adequate route of drainage and a histological examination of the cyst wall are mandatory in the management of patients with a progressive but benign lesion.

Computerized tomographic definition of mesencephalic hematoma with evacuation through pedunculotomy

1978 ◽  
Vol 49 (5) ◽  
pp. 749-752 ◽  
Author(s):  
Robin P. Humphreys
Keyword(s):  
Computerized Tomography ◽  
Hemorrhagic Stroke ◽  
Content Type ◽  
Definition Of ◽  
Fine Print

✓ A 10-year-old boy, who presented with symptoms of a progressive hemorrhagic stroke, had suffered a spontaneous midbrain hematoma. The extent of the clot was detailed by computerized tomography and the lesion was surgically removed through pedunculotomy.

Chronic subdural hematoma in infancy

1990 ◽  
Vol 73 (2) ◽  
pp. 201-205 ◽  
Author(s):  
Nobuhiko Aoki
Keyword(s):  
Computerized Tomography ◽  
Subdural Hematoma ◽  
Treatment Protocol ◽  
Chronic Subdural Hematoma ◽  
Neurological Deficits ◽  
Acute Subdural Hematoma ◽  
Hemorrhagic Diathesis ◽  
Content Type ◽  
Fine Print ◽  
Subdural Tapping

✓ The cases of 30 infants with chronic subdural hematoma treated surgically between 1978 and 1987 (after the introduction of computerized tomography) were reviewed. This series was limited to infants presenting with increased intracranial pressure, neurological deficits, or developmental retardation. Nineteen patients were male and 11 were female, ranging in age from 1 to 14 months (average 6.1 months). The surgical treatment was initiated with percutaneous subdural tapping which was repeated periodically, if indicated, for 2 weeks. If the patients failed to respond to subdural tapping, subdural-peritoneal shunting was installed. The follow-up periods were from 3 months to 9 years 8 months (average 4 years 10 months). Computerized tomography at that time disclosed disappearance or minimal collection of subdural fluid in 28 cases (93%) and a significant collection (> 5 mm) in two (7%). Neurological examination revealed that the patients were “normal” in 17 cases (57%), “mildly or moderately disabled” in nine (30%), and “severely disabled” in four (13%). The majority of disabled patients had lesions secondary to infantile acute subdural hematoma, child abuse, or hemorrhagic diathesis. These results indicate that the treatment protocol in the present series is acceptable for the elimination of subdural hematoma. Together, early diagnosis and treatment of the etiological conditions causing the lesion are indispensable for obtaining a satisfactory neurological outcome.

Nonsurgical treatment of subdural empyema

1985 ◽  
Vol 63 (1) ◽  
pp. 128-130 ◽  
Author(s):  
Henk W. Mauser ◽  
Robert A. P. Ravijst ◽  
Arthur Elderson ◽  
Jan van Gijn ◽  
Cees A. F. Tulleken
Keyword(s):  
Computerized Tomography ◽  
Antibiotic Treatment ◽  
Ct Scanning ◽  
Subdural Empyema ◽  
Nonsurgical Treatment ◽  
Neurological Deficits ◽  
Content Type ◽  
Intracranial Infection ◽  
Fine Print

✓ The nonsurgical treatment of a case of interhemispheric subdural empyema is reported. At the time of diagnosis, the patient had a mild decrease in consciousness and only moderate focal neurological deficits. Computerized tomography (CT) confirmed the limited (interhemispheric) extent of the intracranial infection. After drainage of the nasal sinuses and antibiotic treatment, the patient recovered, although the lesion was initially increased in size on CT scanning.

Spinal cord arteriovenous malformations with significant intramedullary components

1983 ◽  
Vol 59 (3) ◽  
pp. 471-478 ◽  
Author(s):  
Philip Cogen ◽  
Bennett M. Stein
Keyword(s):  
Arteriovenous Malformations ◽  
The Other ◽  
Neurological Deficits ◽  
Content Type ◽  
Postoperative Course ◽  
Microsurgical Techniques ◽  
Spinal Arteriovenous Malformations ◽  
High Degree ◽  
Fine Print

✓ Few neurosurgeons have stressed the occurrence, manifestations, and resectability of intramedullary spinal arteriovenous malformations (AVM's). In six of 17 patients in the authors' series of operable spinal AVM's, the lesions had major intramedullary components. Three of these six patients presented with subarachnoid hemorrhage, and all had catastrophic neurological deficits which gradually improved. The hemorrhages appeared to originate from large venous varices lying adjacent to the intramedullary portion of the AVM. The mechanism explaining the sudden neurological deficit in the other three patients was presumed to be thrombosis within the venous varices associated with their AVM's. The reliability of the various radiographic procedures in identifying the intramedullary components of these AVM's is discussed. These malformations may be removed totally with a high degree of safety using microsurgical techniques. The postoperative course in this series of patients was gratifying in terms of improvement of neurological deficits. Postoperative angiography was not performed on all of these patients. However, the follow-up period averaged 5 years.

Cystic meningioma in a 10-month-old infant

1980 ◽  
Vol 52 (6) ◽  
pp. 829-833 ◽  
Author(s):  
Keiichi Amano ◽  
Naohisa Miura ◽  
Yasuhiko Tajika ◽  
Kuniaki Matsumori ◽  
Osami Kubo ◽  
...  
Keyword(s):  
Computerized Tomography ◽  
World Literature ◽  
The Other ◽  
Intracranial Meningioma ◽  
Content Type ◽  
Cystic Meningioma ◽  
The World ◽  
Fine Print

✓ The authors report a case of cystic meningioma in a 10-month-old boy diagnosed by metrizamide ventriculography and computerized tomography. Intracranial meningioma in infants under 1 year old is extremely rare. This case is only the 16th case reported in the world literature; the other 15 cases are reviewed.

Diagnosis of intraventricular and cisternal cysticercosis by computerized tomography with positive intraventricular contrast medium

1981 ◽  
Vol 55 (6) ◽  
pp. 947-951 ◽  
Author(s):  
Ignacio Madrazo ◽  
Jose A. Garcia Renteria ◽  
Gonzalo Paredes ◽  
Bernardo Olhagaray
Keyword(s):  
Contrast Medium ◽  
Computerized Tomography ◽  
Positive Contrast ◽  
Cerebral Aqueduct ◽  
Content Type ◽  
Contrast Enhanced ◽  
Definition Of ◽  
Fine Print

✓ Computerized tomography (CT) has replaced pneumoencephalography and ventriculography in the diagnosis of intraventricular cysticercosis. The authors present a refinement in the use of CT by introducing a positive contrast medium into the ventricles to increase the definition of plain and contrast-enhanced scans in the diagnosis of intraventricular cysticercosis. Eleven cases of Cysticercus cyst are presented, 10 of which were precisely delineated by CT-iodoventriculography. In the remaining case, lack of definition was due to obstruction of the cerebral aqueduct. Surgical confirmation was obtained in all cases.

Detection of cryptic vascular malformations by computerized tomography

1979 ◽  
Vol 51 (4) ◽  
pp. 546-551 ◽  
Author(s):  
Hideo Terao ◽  
Tomokatsu Hori ◽  
Masao Matsutani ◽  
Riki Okeda
Keyword(s):  
Arteriovenous Malformation ◽  
Computerized Tomography ◽  
Fourth Ventricle ◽  
Vascular Malformations ◽  
Cavernous Angioma ◽  
The Other ◽  
Intracerebral Hematoma ◽  
Content Type ◽  
Subarachnoid Hemorrhages ◽  
Fine Print

✓ Two cases of cryptic vascular malformation that were not demonstrated by cerebral angiography were detected by computerized tomography. One of these patients had a cavernous angioma in the fourth ventricle with recurrent subarachnoid hemorrhages, and the other harbored a small arteriovenous malformation and intracerebral hematoma. The usefulness and limitations of computerized tomography in the identification of cryptic vascular malformations are discussed.

Intradural disc rupture

1981 ◽  
Vol 55 (1) ◽  
pp. 117-120 ◽  
Author(s):  
Richard V. Smith
Keyword(s):  
Cerebrospinal Fluid ◽  
Computerized Tomography ◽  
Microscopic Examination ◽  
Neurological Deficits ◽  
Content Type ◽  
Physical Findings ◽  
Fine Print

✓ Two cases of intradural disc rupture are presented, and 43 cases found in the literature are reviewed. Dandy's original observations concerning this lesion correlate well with contemporary experience. Characteristics of the history and physical findings are uniform enough to suggest a clinically identifiable syndrome. Microscopic examination of the Cytospin cerebrospinal fluid specimen and the use of computerized tomography with metrizamide may suggest the diagnosis preoperatively. Despite significant neurological deficits associated with lumbar lesions, the prognosis following surgery is good.

Observations on 82 patients with extradural hematoma

1981 ◽  
Vol 54 (2) ◽  
pp. 179-186 ◽  
Author(s):  
Francisco Cordobés ◽  
Ramiro D. Lobato ◽  
Juan J. Rivas ◽  
María J. Muñoz ◽  
Diego Chillón ◽  
...  
Keyword(s):  
Computerized Tomography ◽  
Epidural Hematoma ◽  
Ct Scanning ◽  
Accurate Diagnosis ◽  
The Other ◽  
Extradural Hematoma ◽  
Cerebral Lesions ◽  
Content Type ◽  
Fine Print

✓ A consecutive, unselected series of 82 patients with epidural hematoma treated between 1973 and 1980 is presented. Forty-one patients were managed before the advent of computerized tomography (CT) and the other 41 after this neuroradiological method was available. Mortality and disability rates which were 29.2% and 31.7% during the pre-CT period decreased to 12.1% and 19.5%, respectively, with the aid of CT scanning. This technique allowed a more rapid and accurate diagnosis of the hematomas than angiography, and defined better the presence and the evolutional changes of the associated cerebral lesions. As a consequence, surgery has been more effectively planned and executed during the CT era.

Sign in / Sign up

Export Citation Format

Share Document