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Biomedical subjects

J J Merland

Publications and source records attributed to J J Merland.

At least 217 records · Page 12Linked to original sources
PubMed1980

Place of embolization in the treatment of severe epistaxis.

On the basis of long-term study on embolization for severe epistaxis, the authors show the different indications and results of this relatively new method; and 54 cases are presented including Rendu-Osler diseases, primary and traumatic epistaxis, or those due to vascular malformation and benign or malignant tumors. Embolization can prove a very effective method in most cases.

Carotid Artery, External↗
PubMed1979

[Embolization of the renal arteries or "medical nephrectomy" in amyloidosis nephrotic syndromes. 2 cases (author's transl)].

Some nephrotic syndroms have a very poor prognosis (life threatening) because of the protidic loss, even if the renal fonction is still normal. Only a binephrectomy can prevent this true protidic diabetes. In order, to avoid the inconvenients of surgery which can be a major problem with patients having cicatrization difficulties, a bilateral embolization of the renal arteries was done. This procedure was successfully used in two patients with nephroctic syndrom secondary to a renal amyloïdosis, who where in a cachectic state.

Adult↗
PubMed1979

Moyamoya disease and intracerebral hematoma. Clinical pathological report.

This report concerns a hypertensive woman who suffered a stroke at the age of 51 and recovered from left hemiparesis after 3 to 4 months. During the subsequent 24 years she had four seizures which involved the left arm and face and became generalized, ending with left hemiparesis, from which she recovered after 4 to 5 days. Carotid angiography was performed in 1967, 1973 and 1974 and the characteristic picture of moyamoya disease was demonstrated. She died at the age of 77 with extensive vascular disease. The literature concerning 215 cases of moyamoya disease, in which there were 14 intracerebral hematomas, is reviewed and discussed.

Adult↗
PubMed1979

[The value of embolization in severe epistaxis. Indications and methods (author's transl)].

When performed by a team who are experienced in the use of embolization of the external carotid region, this procedure is nowadays a safe and extremely effective method for treating severe, massive, uncontrolled, recurrent epistaxis. Arteriography shows the site of bleeding, the nature of the lesion, and the arteries affected. When carried out by the femoral or common carotid route, this method was effective in 52 cases of severe epistaxis of various origins: essential epistaxis, or from hypertension, trauma, Rendu Osler's disease, vascular malformations, carotidocavernous fistulae, benign or malignant tumors, hematological affections, or hemostatic disorders. To avoid risk it is essential that a perfect technique be used and a certain number of principles respected. The method is effective in cases were surgical hemostasis is insufficient, and its rapidity of action allows removal of packs immediately after embolization. This clearly underlines the value of constantly available vascular radiology units for treatment in this region as well as in other parts of the body.

Adolescent↗
PubMed1979

[Treatment by a direct surgical approach of a false arterio-venous traumatic aneurysm between the vertebral artery and the internal jugular vein at the level of the atlas (author's transl)].

The authors report a case of traumatic arteriovenous fistula between the vertebral artery and the internal jugular vein at the level of the atlas, treated successfully by a direct surgical approach which permitted exclusion after simple dissection. The relative ease of the surgical approach of the suboccipital segment of the vertebral artery may permit one to extend this technique to other more common indications, in particular due to atheroma.

Adult↗
PubMed1978

[CT scan in Wilson's disease (author's transl)].

We studied nine cases of Wilson's disease on CT scan. In all patients we found cerebral atrophy. In five patients without neurological symptoms we found no specific signs. In the four patients with neurological symptoms we found lenticular caudate nucleus or thalamic areas of hypodensity.

Brain↗