Biomedical subjects

C C James

Publications and source records attributed to C C James.

10 recordsLinked to original sources

PubMed1979

Spina bifida occulta.

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Female↗

PubMed1977

Meningocoele manqué is a congenital anomaly relating to the spinal cord, cauda equina and the filum terminale commonly found on exploration of the spinal cord in cases of spina bifida occulta. The anomalies consist of fibrous bands, aberrant nerve roots and adhesions within the theca which may tether or press on the neural structures so interfering with nerve conduction and causing increasing neurological deficit. Treatment is to free the neural structures from these bands and adhesions surgically. An account is given of 45 cases with a discussion of their similarity to cases of meningocoele, thus justifying the naming of a previously undescribed clinical entity. Meningocoele manqué demonstrates the relation of spina bifida occulta to spina bifida cystica as having a similar origin differing only in degree of severity. All the cases discussed are drawn from a personal series of 200 cases of spina bifida occulta which have had surgical exploration of the spinal cord.

Diastema↗

PubMed1971

Spina bifida cystica. An orthopaedic criterion for the early closure of myelomeningocoeles.

There is an urgent need for criteria upon which to base the decision to close a myelomeningocoele soon after birth. Orthopaedic experience advises that early closure of the spinal lesion should not be done unless there is active flexion power at both hips. This criterion is offered with the knowledge that there may occasionally be other exceptional factors to contradict it, but it is based on experience of 96 personal cases aged between 18 months and 7 years. These cases are analysed and discussed. A further possible criterion for not closing the spinal lesion early is the presence of a gross lumbosacral kyphosis.

Age Factors↗

PubMed1970