Biomedical subjects
Publications and source records attributed to G Salamon.
A study has been carried out to determine how different planes of incidence may influence the computed tomographic projection of the different parts of the cerebral cortex. Knowledge of the patterns displayed with the different incidences should help in the identification of the various cortical (as well as high ventricular) structures.
Nuclear scattering radiographs of a portion of a spine and a sphenoid bone have been obtained using a 1 GeV proton beam. The ability of the method to yield three-dimensional representations is illustrated by three series of adjacent pictures corresponding to the three orthogonal planes (elementary volume: 5.2 mm3 and 0.9 mm3). The sensitivity of the method is discussed. Nuclear scattering radiographs are compared with ones obtained by conventional X-ray tomography and computed tomography. Nuclear scattering radiography also may be used to analyze the partition of hydrogen within the tissures. Hydrogen radiographs obtained in this way are shown.
The anatomy of the posterior cerebral artery (PCA) and its branches is described. On the vertebral angiogram, displacement of these vessels is a sign of corresponding displacement of the temporal horn, which in turn is an indication of a mass involving the temporal lobe, diencephalon, or midbrain. Specific angiographic criteria for localization of the temporal horn include (a) the position of the lateral choroid artery (LCA) as it runs within the choroidal fissure; (b) the temporal branches of the PCA as they cross the parahippocampal gyrus and pass into the collateral sulcus; and (c) the crural and ambient segments of the PCA as they pass around the midbrain.
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Ten cases of painful ophthalmoplegia are reported. In all cases pain marked the onset of the disease; the condition was mostly unilateral. Recurrence and dramatic response to steroid therapy were more constant features than angiographic findings which may be completely normal. CAT permitted us to eliminate a tumor of the cavernous sinus in 7 cases, but in one case, which was operated, an aggravation followed surgery. Despite complete investigations of all patients, some questions remain unanswered. Is it an inflammatory or an allergic inflammatory process? (And the presence of antinuclear factor in an only case does not permit it to respond.) Why is the process confined to the superior orbital fissure? Mathew and Chandy tried to find a similarity between this syndrome and Bell's palsy although the 2 syndromes have not been shown to coexist. Is the Tolosa-Hunt syndrome comparable to the pseudotumor of the orbit? Although the dura mater is inserted on the border of the sphenoidal cleft, some patients may altern the 2 syndromes.
The authors study the arterial vascularisation of the retro chiasmatic optic tracts in man by means of total or selective arterial injections on 200 brain specimens. They underline the important vascularisation of the optic tracts, the lateral geniculate body and the first part of the optic radiations contrasting with the precarious vascularization of the latero-ventricular part of the optic radiations. The importance of the Sylvian contribution is noted at the origin of the optic radiations and on the occipital cortex level.
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On the basis of their experience, the autors report the results obtained after 1500 examinations in the study of space occupying hemispheric lesions and in the study of cerebral atrophy.
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The shape, origin, termination and number of the main arteries of the vertebrobasilar system have been analysed in 30 anatomic specimens by dissection of the injected vessels and by radiography. Five projections are described for identifying the different regions of the brain stem and cerebellum through the appearance of the arteries. A technique is proposed for obtaining a 'true' a.p. view of the vessels in vertebral angiography in patients.
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The thalamoperforating arteries are divided into 2 distinct groups, an anterior and a posterior. The PTPAS are retromammillary branches of the precommunicating segments of the posterior cerebral arteries. The PTPAS may be divided into interpeduncular, mesencephalic and thalamic segments and are not directly related to the third ventricle. They are primarily midbrain and thalamic arteries. The main trunk of the PTPA (mesencephalic segment) normally does not undulate, but assumes a characteristically straight configuration. The ATPAS arise from the posterior communicating arteries anterior and lateral to the mamillary bodies. The ATPAS are primarily diencephalic vessels. Interpeduncular, paraventricular (hypothalamic) and thalamic segments may be identified. The major segment of the ATPAS is para third ventricular in location at the level of the massa intermedia.
A review of vertebral and carotid angiograms in 59 cases of third ventricular pathology demonstrated that the anterior thalamoperforating arteries are affected primarily by obstructive dilatation of the third ventricle, dilatation of the third ventricle secondary to atrophy, intra third ventricular tumors, anterior and para third ventricular tumors, and hypothalamic and thalamic tumors. The posterior thalamoperforating arteries are affected primarily by midbrain atrophy, midbrain tumors, and thalamic tumors. The primary and secondary effects have been outlined. Understanding of the anatomy of the thalamoperforating arteries facilitates localization of the site of obstruction in hydrocephalus, helps differentiate obstructive hydrocephalus from ventricular dilatation secondary to atrophy, permits differentiation between tumoral and non-tumoral dilatation of the third ventricle, aids in the diagnosis and differential diagnosis of intra third and para third ventricular masses including their posterior extent, and facilitates the diagnosis of thalamic, hypothalamic, and midbrain tumors.
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