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Biomedical subjects

F Scharfetter

Publications and source records attributed to F Scharfetter.

6 recordsLinked to original sources

[Subarachnoid hemorrhage].

At first we state here a synopsis of the different kinds and causes of subarachnoid hemorrhage (SA): spontaneous, traumatic, surgical. The most frequent cause of a spontaneous SA is a vascular malformation (an aneurysm or an arterio-venous anomaly). The main part of the paper deals with aneurysm-bleeding: the symptoms and signs, the natural course of the illness, its complications (recurrent hemorrhage, arterial spasm, hydrocephalus) and the diagnostic as well as the therapeutic suggestions. We do not recommend the modern trend of very early operations in the acute state of the hemorrhage except for the few patients with very slight bleeding.

Adult

[Vertigo].

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Hearing Disorders

[Bleeding cerebral aneurysm: indication and timing of angiography and surgery].

Recent experience with cerebral aneurysms suggests that it is unadvisable to abide by the principle that angiography should be delayed for 7-10 days and surgery still longer. There is no hard and fast rule for the timing of angiography and surgery: this must be determined in the light of the clinical condition. The following guideline may prove of help: in cases of slight hemorrhage, angiography with 24 h and operation within the first few days. In suspected intracranial hematoma, emergency angiography and surgery are of course mandatory. Surgical intervention, but not angiography, should be delayed in severe bleeding with lasting disturbance of consciousness, neurologic deficit and markedly bloody cerebrospinal fluid. The prognosis can be improved by rapid diagnosis, proper selection and early operation.

Cerebral Angiography