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Biomedical subjects

C Arseni

Publications and source records attributed to C Arseni.

At least 181 records · Page 10Linked to original sources

Cranial and orbital epidermoid tumours.

This paper reports on 14 cases of cranial and orbital epidermoid tumours, of which 2 epicranial, 4 extradural intracranial, 4 fronto-orbital-sinusal, 2 orbital and 2 orbito-nasal cases. Referring to these cases and data published in the specialised literature, the authors show that this type of tumour is more frequent in males, and is generally of embryologic but very rarely of mechanical origin. The main symptom is tumefaction in cranial tumours and exophthalmos in orbital tumours. There is very rarely association with a space-occupying process (tumour, cerebral abscess). Evolution is slow and progressive; the only treatment is surgical. After total ablation there were no recurrences and the postoperative course was very satisfactory.

Adolescent↗

[Odontoid fractures].

The authors present some basic considerations on the fundamental problems raised by odontoid fractures. The necessity is stressed of a correct diagnosis as well as for careful evaluation of the evolution, this lesion being characteristically unstable and precariously consolidated. This is why the authors suggest an early surgical procedure in such cases.

Axis, Cervical Vertebra↗

[Current management of anesthesia and intensive therapy of expansive processes with intracranial hypertension].

The transitive cerebral distension which is necessary for the neuro-surgeon during interventions is obtained by moderate controlled hyperventilation, deliberate arterial hypotension, application of the anti-sludge therapy for the cerebral microcirculation. Only the initial mannitol dose applied is useful for the subject with intra-cranial hypertension. Mannitol is not active in cases with cerebral oedema due to severe cerebral contusion. In such cases corticoids are the major therapeutic indication. The anti-sludge effects of mega-doses of thiamine in cases with severe disturbances in the microcirculation of basal nuclei and profound comatose conditions, makes possible to apply therapeutic dehydration and is associated with an increase in the resistance of the cerebral tissue to hypoxia. Volatile anesthetic agents increase the intra-cranial pressure in patients with expanding intra-cranial processes. Thiamine neuroleptanalgesia and synaptanalgesia, with or without xylocaine potentiation, have resulted in a satisfactory cerebral distension. Controlled hypotension and increased pressure are, for the time being, just a prospective field.

Anesthesia↗