Biomedical subjects
Publications and source records attributed to F Umansky.
A patient who presented with sensory Jacksonian seizures and no other clinical symptoms was found to have a meningioma in the premotor area of the frontal lobe. The possibility that brain oedema caused by the tumour encroached on the supplementary motor area and triggered the seizures via cortico-cortical pathways is discussed.
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The effect on intracranial pressure (ICP) of routine bedside procedures, such as changing the patient's position, suction, rotation, flexion or extension of the head, was investigated in 21 comatose patients with brain edema. Simple maneuvers, which under physiological conditions have no effect on ICP, often led to significant changes in the ICP in these patients. It is suggested that monitoring of ICP and adjustment of body position in accordance with the level of ICP become a standard procedure in neurosurgical wards.
Fine needle aspiration biopsy was performed in two case of infiltrating skull lesions. The role played by this relatively simple procedure in avoiding a major operation is discussed.