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Biomedical subjects

D Gambacorta

Publications and source records attributed to D Gambacorta.

35 records · Page 2Linked to original sources
PubMedDate not supplied

[Recording methods of intracranial pressure. (author's transl)].

The physiopathology of intracranial pressure and its measuring techniques are briefly discussed. Such measurements may be achieved: 1) At lumbar level (measurement of cerebrospinal fluid): the main limitations of this method are due to impossibility of long term recording and the danger of "cerebral erniation* in patients with increased ICP. 2) At cranial level with: a) ventricular catheter connected to a pressure transducer: its limitations are due to difficulties in entering small and/or displaced ventricules in case of cerebral edema or expanding lesion, danger of infections, and catheter obstruction amongst others. b) pressure transducer in the extradural space connected with external recorder by electric wires: its limitations are due to frequent lack of parallelism with the dural surface and the variability of correlations between extra and intradural pressure; c) subdural pressure transducer; these appear the most reliable both from the literature and from the Authors personal experience. The Authors stress the importance of ICP monitoring in head injuries and after intracranial surgery (mostly for an early detection of complications due to cerebral edema or hemorrhages).

Brain↗
PubMedDate not supplied

[Subarachnoid haemorrhage from an ependymoma of the filum terminale. (author's transl)].

The case of a patient suffering from acute lumbosciatic pain, flaccid paraplegia, bladder retention and subarachnoid hemorrage, is reported. The patient underwent operation for a large ependymoma of the filum terminale. The author underlines the rare association of a spinal cord tumour and subarachnoid hemorrage and the opportunity of a routine mielo-radiculographic examination in case of lumbo-sciatic pain requiring surgical intervention: the patient, in fact, had been operated for "lumbar disc prolapse", in an orthopaedic department, four years before.

Adult↗
PubMedDate not supplied

Traumatic dislocation of the cervical spine without neurological deficit. Eleven cases.

The authors present 11 cases of traumatized patients without neurological deficit in spite of a gross dislocation of the cervical spine. In the effort of explaining this discrepancy various parameters have been taken into account. The vertebral canal has been noted to be abnormally wide in these cases (average 19.8 mm). The authors suggest that the great width of the vertebral canal has in some way prevented the spinal cord of these patients being damaged by the dislocation.

Adult↗