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Biomedical subjects

G D Silverberg

Publications and source records attributed to G D Silverberg.

59 records · Page 4Linked to original sources
PubMedDate not supplied

Giant aneurysms: surgical treatment.

We have reviewed our experience with the surgical management of giant aneurysms of the cerebral circulation. Patients with aneurysms at the base of the skull, below the subarachnoid space, were treated by proximal ligation and arterial bypass with trapping intracranially if necessary. Patients harboring giant aneurysms located on arteries within the subarachnoid space were treated by direct attack on the aneurysm aided by hypothermia and elective circulatory arrest. Elective circulatory arrest allows the surgeon more control in dissecting out and obliterating giant aneurysms. We were able to exclude these lesions from the circulation without sacrificing the parent artery. There was no mortality and morbidity seems acceptably low.

Adult↗
PubMedDate not supplied

Saccular aneurysm of infancy and early childhood.

A case of intracranial saccular aneurysm occurring in early childhood and presenting with sudden dysphasia and hemiplegia is reported. A review of the literature emphasizes the rarity of this lesion. Despite a significant preoperative neurological deficit, the patient tolerated aneurysm clipping and recovered well. The majority of reported cases involve males under 2 years old. Aneurysms in infants have a distribution different from that seen in adults. Microscopic examination of these lesions fails to show any evidence of inflammation or atherosclerosis. The data suggest that the pathogenesis of these rare childhool lesions differs from that of adult saccular aneurysms.

Cerebral Angiography↗
PubMedDate not supplied

Intraoperative sonography through a burr hole: guide for brain biopsy.

Sonographic imaging of the brain was accomplished through a burr hole using a small, real-time, 5 MHz transducer in five patients. Brain tumors were accurately imaged, corresponding closely in morphology to the computed tomographic scan. Intraoperative sonography through a burr hole allows flexibility in technique and greatly facilitates brain biopsy procedures.

Biopsy↗