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Biomedical subjects

I Papo

Publications and source records attributed to I Papo.

At least 73 records · Page 4Linked to original sources

Aneurysm of the superior cerebellar artery.

A case of aneurysm of the superior cerebellar artery with subarachnoid hemorrhage is reported. The saccular aneurysm located in the tegmental region, with a clear-cut neck, was successfully clipped by an occipital transtentorial approach.

Adult↗

Giant spinal extradural cyst.

A case of giant extradural cyst in a 13-year-old girl is described. The cyst was formed by the arachnoid membrane which extruded through a wide lumbar dural defect. It extended from the midthoracic region down to the sacral canal. At operation a large portion of the cystic wall was removed, but the dural defect was not repaired. Two spino-peritoneal shunts were left in place to drain both the intradural and the extradural spaces. The treatment has proved successful during the 20 months that the patient has been observed.

Adolescent↗

High cervical commissural myelotomy in the treatment of pain.

High cervical myelotomy was carried out on 10 patients. Commissurotomy was performed at the C1-3 level by a combined procedure of deep electrocogulation and sharp splitting of the posterior columns. The immediate results were excellent in all patients, but relapse of pain took place shortly in six of them; there was apparently no relation with the location of pain. No long-term favourable results were observed in this series. Only three patients exhibited a well-defined band of mild hypalgesia from C2 to T 10 dermatome, but it lasted for only three to four weeks. Transient lower or four limb ataxia was observed in seven patients. Different pain conducting systems seem to be affected by commissural myelotomy, but not to a sufficient extent to give permanent or long-lasting relief of pain. The indications for high cervical myelotomy are very limited: this procedure should be considered only in patients with unilateral or bilateral arm and/or upper chest pain, respiratory impairment, and short life expectancy.

Adult↗