Biomedical subjects

F Charbel

Publications and source records attributed to F Charbel.

22 records · Page 2Linked to original sources

PubMed1996

Heavy metal: beware.

A 19-year-old Crouzon's syndrome patient with a history of multiple craniofacial procedures presented with severe bilateral temporal and frontal depressions and metal implants protruding through the scalp in multiple locations. Preoperative analysis revealed an extensive cranial defect that had been reconstructed with multiple large metallic mesh implants. The mesh required complete removal with an autograft cranial reconstruction. We present this case to urge that caution and forethought be exercised when contemplating the use of metallic alloplasts for major craniofacial reconstructions.

Adult↗

PubMed1995

Selective deficit of one language in a bilingual patient following surgery in the left perisylvian area.

We report on a right-handed bilingual patient with a left perisylvian arteriovenous malformation that caused a mild naming deficit evident only on formal language testing in both languages. Sodium amytal injected in the left carotid artery (Wada test) before surgery resulted in speech arrest for both languages. Following surgery for removal of the lesion she developed additional deficits in her native language without alteration in her second language. Selective impairment in one language after surgery demonstrates that each language has different anatomical representation within the perisylvian dominant area.

Adult↗

PubMed1994

Monitoring the intracranial aneurysm patient.

The perioperative management of aneurysmal subarachnoidal haemorrhage is challenging and often requires an extensive team work. Unfortunately, there is no uniform system applied for perioperative monitoring of patients with subarachnoid haemorrhage. The new developing technology enhances our monitoring capability with subsequent impact on patient's outcome. This article presents a review of current monitoring modalities applicable to patients with subarachnoid haemorrhage with emphasis on the central nervous system and some of the authors' experience.

Humans↗

PubMed1987

Geriatric neurosurgery.

The "elderly," aged 65 and over, represent a rapidly growing proportion of the American population. Their percentage among the neurosurgical admissions at Henry Ford Hospital increased from 14.4% in 1978 to 22.4% in 1984. Occlusive cerebrovascular disease was the most frequent pathology seen, representing 40% of the population studied. Spinal degenerative myeloradiculopathy represented 14%, tumors 7%, trauma 5.4%, and intracranial hematomas represented 4% of the population. Vascular anomalies represented 3.3% of the patient group, with almost the same number of patients presenting with intracranial hemorrhage. The percentage of patients who were surgically treated was 58%. Mortality was 6.5%, with only 2.5% of the patients requiring special-care-facility placement following release from the hospital. An older group, aged 85 and over, represented 4% of our geriatric population. In the age 85+ group, occlusive cerebrovascular disease was the leading pathology (18% of the population), followed by subdural hematomas (15%), spinal degenerative myeloradiculopathy (11.6%), trigeminal neuralgias (7%), hydrocephalus (4%), vascular anomalies (4%), and tumors (4%). Patients in the age 85+ group were surgically treated in 41% of the cases, with a mortality of less than 10%. In the past, older age (greater than 65 years) was believed to be a contraindication to surgery, however, the increased life expectancy, number, and health of this population made reconsideration of this arbitrary age limit essential. We feel that age alone is not a barrier to proper neurosurgical treatment when other risk factors are adequately managed.

Age Factors↗