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Biomedical subjects

E Zander

Publications and source records attributed to E Zander.

128 records · Page 8Linked to original sources

The syringo-hydromyelia and its surgical treatment.

In this communication, we present a homogeneous series of 12 cases out of 25 patients having undergone a surgical operation on the posterior fossa for troubles of the cranio-rachidian junction, between 1967 and 1973. Each of these 12 cases presented an Arnold Chiari's malformation and either a "syringo-hydromyelia" (6 times), or "bulbie" (6 times) communicating with the IVth cerebral ventricle. Two cases with hydrocephaly and HIC were drained before the operation on the posterior fossa. Two cases had a ventriculo-atrial drainage 4 and 11 years after the operation for a hydrocephaly revealed by cerebral scanning done in 8 out of 12 of our cases, while the axial transversal tomography of the cervical column and the base of the skull showed a large medulla on the 7 examined cases. Two exitus have to be mentioned 3 and 9 years after the operation, respectively after a cardiac infarction and a pulmonary embolism. With a recoil of 6 to 12 years, we can speak of an improvement and a stabilisation of our cases with the technique chosen.

Female↗

[2 criteria for making differential diagnosis between primarily psychogenic and primarily organic body symptomatology easier].

Attation has been drawn to two criteria, which have been found to be helpful in the differentialdiagnosis between primary psychogenic and primary organic symptoms. 1. Psychogenesis is doubtful in cooperative patients from whom an initiating conflict-situation cannot be evaluated, if the time of onset does not relate to onset of symptoms, even if the pattern of symptoms seem to correlate with the structure of personality. 2. If a patient is too readily convinced of an exclusively mental source of his problems, one has to be aware of to deal with mechanisms called "inhibition of bodily threat" or "inhibition of death". These states of mental inhibition may also serve to demonstrate feelings of revenge against the respective individual.

Adult↗