Biomedical subjects
Publications and source records attributed to H E Vitzthum.
Long-lasting, high-degree, degenerative alterations of the vertebral column and the abnormal fixation of the dural sac as pathogenetic factors of a transdural advancing of sequestered lumbar hernia of the intervertebral disks are discussed.
The clinical picture is dealt with on the basis of seven cases of primarily recognised non-Hodgkin's lymphomas in the CNS treated by us. Because of the frequently serious initial situation immediate surgical intervention can on the one hand improve or remove the paralysis and, on the other, it will lead to histological diagnosis. Elderly patients with a lower degree of malignity show a better prognosis.
A specific clinical course of light covered craniocerebral traumas patients, corresponding to 2 per cent of all clinically treated craniocerebral traumata. Twilight states and transient neurological and ophthalmological symptoms characterise the clinical picture. The prompt reversibility of the symptoms indicates a functional damage requiring a differential-diagnostic consideration of morphological sequelae of traumas, for which instrumental diagnostics and, if required, surgical consequences are necessary.
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Part of the rheumatogenic suboccipital subluxations are associated with mainly progressive neurological deficiencies involving the danger of a brain-stem irrigation with a sudden lethal outcome. On the basis of the author's casuistics (three cases), the problem of a surgical treatment is discussed.
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A comprehensive summary is given about the clinical importance of bony dysplasias of occipitocervical region. An informative case history from among the authors cases, in which the extent of the bony craniospinal malformation was 0.38%, is used to show that such disorders are often not recognized at first.
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Sacro-coccygeal chordomas are discussed with respect to particularities of their morphology, clinical aspects, diagnosis and therapy, including two cases treated by the authors. The consideration of almost always ignored or misinterpreted initial lumboischialgia is pointed out. Because of the primary benign growth of these tumours, early diagnosis and immediate radical surgical treatment would possibly increase the survival chance of their carriers or even--so far only a speculation--lead to permanent curing.
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The contribution deals with an intracranial teratoma that seems unusual with regard to the discrepancy between the volume of the tumour and the duration, 56 years, of its clinical latency.
The application of microsurgery is suited to enlarge the indication to operative interventions in lesions of the brachial plexus and to improve the results of their neurosurgical treatment. On the basis of a follow-up study of an adequate clinical material consisting of 16 patients during the last 4 years the results of the treatment report and postulates are formulated concerning the pre-examinations, the indication and the neurosurgical approach.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
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