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Biomedical subjects

G Ciucci

Publications and source records attributed to G Ciucci.

29 records · Page 2Linked to original sources

Skull fracture as a risk factor of intracranial complications in minor head injuries: a prospective CT study in a series of 98 adult patients.

Ninety eight patients admitted to hospital after a minor head injury were studied by CT. Forty seven patients had a skull fracture and 51 did not. Significantly more intracranial lesions were found in those with a fracture (16) that those without (3) (p less than 0.01). Nine of the patients with a skull fracture and positive CT were transferred to a neurosurgical department, where six underwent operation. Operation was not required in patients without a skull fracture. Head injured patients with a skull fracture should undergo CT scanning to enable early detection of an intracranial haematoma.

Adolescent↗

Congenital muscular dystrophy with central nervous system involvement: case report.

A case of a mediterranean boy with congenital muscular dystrophy (CMD) and central nervous system (CNS) involvement with mild intellectual impairment and seizures is reported. Muscular dystrophy involved both skeletal and mimic muscles, and histological findings were consistent with a congenital dystrophy. EEG recordings showed generalized and localized paroxysmal activities. CT scan demonstrated low-density periventricular areas. Ophthalmoplegia was also observed. A literature review disclosed that in some western cases of CMD plus CNS involvement, cranial muscles other than mimic muscles may be involved.

Adolescent↗

The acid-base balance and the electroencephalographic pattern in patients on biofiltration treatment.

Electroencephalogram (EEG) monitoring and arterial blood gases was performed during biofiltration (BF) treatment and during conventional acetate hemodialysis (HDA). Biofiltration is an ultrashort hemodiafiltration with 3 liters of substitution fluid (Na+ 145 mEq/l, HCO-3 100 mEq/l). Our data show a better correction of acid-base balance during BF than during HDA. Moreover, we observe a lower incidence of EEG disturbancies on BF, that suggests a better neurological tolerance of this treatment.

Acetates↗

Isolated sixth nerve palsy due to intracavernous carotid aneurysm in a young woman.

A large intracavernous carotid aneurysm was angiographically demonstrated in a 29 years old woman suffering from a persistent isolated abducens nerve palsy. CT brain scan failed to reveal the lesion. The usefulness of performing angiography in the cases of isolated abducens palsy of undetermined nature, is stressed.

Abducens Nerve↗

[Cranial traumas in the city of Ravenna: a prospective study of patients who recovered].

A prospective study of head injury patients was carried out in the city of Ravenna in 1984. A complete record was completed for all patients admitted for hospital care. More than 50 clinical and diagnostic variables were evaluated to investigate risk factors on patients admitted to a Non-Neurosurgical Unit with CT facilities. Our report deals with 578 cases and shows some interesting findings: The mortality in the entire trauma-group was 42 cases; 35 (83%) of these died immediately after the accident or while being transported to the hospital. The number of patients hospitalized (42%) was much higher than that in previous reports concerning hospital admission of head injury patients. 9 cases were sent from the First Aid to Regional Neurosurgical Centre (Bellaria Hospital, Bologna). Among the other patients admitted to the Non-Neurosurgical Centre, 12 showed cerebral lesions on the CT (1 extradural haematoma). Risk factors were evaluated by comparing EEG, skull fractures and poor clinical condition with the presence of cerebral lesions. Our data show a peculiar situation here in Italy: a large number of hospital admissions for minor head injuries, of whom relatively few patients are at risk of intracranial post-traumatic haematoma.

Adolescent↗