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Biomedical subjects

J Bories

Publications and source records attributed to J Bories.

At least 73 records · Page 4Linked to original sources

Narrowing and occlusion of arteries by intracranial tumors. Review of the literature and report of 25 cases.

The intracranial arterial obstructions (narrowing or occlusion) found with intracranial tumors are rarely reported. Our 25 cases and those of the literature enable us to draw a statistical view of these facts. Meningiomas and gliomas are often concerned, and they principally involve the main arteries at the base of the brain. The practical interest in such pathology concerns: the risk of a fall in blood pressure during general anesthesia which may result in occlusion of a narrowed artery; the need to estimate the pathological state of one or several arteries passing by a tumor which must be removed; and the possibility of providing an extra-intracranial arterial bypass if necessary.

Arterial Occlusive Diseases↗

The intra-arterial injection of Iskedyl for hyperselective vascular exploration.

The development of spasm with the introduction of catheters into very small calibered arteries has tended to interfere with routine superselective catheterization. To overcome this problem the vasodilating drug Iskedyl, which containes raubasine 6.25 mg and dihydroergosistine 0.3125 mg in an ampule of 2.5 ml, has been injected into the artery being manipulated. The study was conducted on 112 patients undergoing hyperselective explorations of intracranial, thoracic, abdominal and peripheral arteries of small caliber and the results have been most gratifying and encouraging.

Angiography↗

[Contribution of superselective arteriography and embolization in maxillofacial surgery. Apropos of 2 cases].

After describing the technique of embolisation and its therapeutic indications,the authors present two cases of different indications:--embolisation as the sole treatment,--pre-operative embolisation of a haemorrhagec tumour. These two cases illustrate two applications of the technique of embolisation:--Medical therapeutic value: making possible the reduction or stabilisation of the size of a vascular tumour difficult to excise surgically, in addition to eliminating the complications (haemorrhage, local trophic disturbance, pain);--Surgical interest: elective lesional embolisation such as is carried out at present greatly facilitates the surgical procedure in operations which may be associated with severe bleeding. Problems of healing are avoided. The procedure is carried out at the same time as selective arteriography. When in the hands of a skilled team, scarcely any risk is involved.

Aged↗

[Attempted treatment of a voluminous tympano-jugular and retropharyngeal glomus tumor by embolization].

The authors report a case of glomus tumor effectively treated by embolisation. The very large size of this tumor, the age and very poor general condition of the patient due to swallowing difficulties represented a contraindication to classical methods of treatment. Elective devascularisation was carried out by embolisation of the tumour itself using non-resorbable inert material by way of selective catheterisation of the vessels supplying it, almost all of which arose from the external carotid. Rapid and durable disappearance of part of the left cranial nerve involvement, in particular swallowing difficulties, reflected the effectiveness of the method. 18 months after this attempt at palliative treatment, the patient's condition remains satisfactory, with no detectable evidence of any recurrence or progression of the tumour.

Deafness↗

[Cervical localization of a primary meningeal melanoblastoma].

The authors present a case of primary meningeal melanoblastoma localized in the cervical region, in a 47 year old woman. The intra and extradural, extramedullary tumor presented clinically and radiologically as a neuroma with central calcification. This case thus widens the possible causes of an intraspinal tumoral syndrome with radiological calcification.

Female↗

[Meningeal arterio-venous fistulas with cortical venous drainage].

Pure dural arteriovenous fistulas are still not properly understood, and pose problems wich are far from being resolved. Among these, dural fistulas with cortical venous drainage represent a very special entity since they alone are expressed clinically by a neurological brain syndrome. Diagnosis is difficult and mistakes can be made as it is only by means of hyperselective arteriography of the branches of the external carotid that an accurate diagnosis can be made. However, their diagnosis assumes considerable importance since surgical or radiological treatment of hese fistulas brings about complete disappearance of clinical symptoms.

Adult↗

[Arteriovenous fistulae of the dura mater. Clinical and radiological study of 13 cases].

The authors studied 13 new cases of fistulae of the dura mater. With reference to these 13 cases, and to the literature, they propose a classification according to the type of drainage of the fistula: direct, into a dura mater lake, into a cortical vein. This clasification enables a better clinical and radiological approach to these anomalies.

Dura Mater↗