Prolonged neurological sequelae after combination treatment with lithium and antipsychotic drugs.
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Biomedical subjects
Publications and source records attributed to J Mani.
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Standard anatomy textbooks describe the mandibular canal as having a consistent, standard path. The fact that variations in its path exist in a significant percentage of the population is of extreme importance for the surgeon who is performing procedures in close proximity to the mandibular canal. A rare, radiographically detectable variation of the standard anatomy of the mandibular canal is reported.
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Lingual paresthesia following the surgical placement of implants does not occur frequently. When it does occur, a serious problem may result for the practitioner, especially if the patient has not been informed of the risk before surgery. This report emphasizes the importance of practitioner experience and competence. It also addresses the need for knowledge of the course of the lingual nerve and preoperative planning of implant placement in the mandible.
Opsoclonus is a rare and dramatic ocular sign. A case of opsoclonus is reported here with an unusually located CNS lesion.
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This study evaluates the comparative efficacy of MRI and CT in evaluating facial tumors. MRI, with its excellent contrast on T2 weighted and post-gadolinium sequences, is superior to CT for delineating tumor extension, the information essential for appropriate surgical intervention. Both modalities can sometimes be helpful for tumor characterisation.
A case of postnephrectomy arteriovenous fistula of the right renal pedicle is reported here. The diagnosis was confirmed by angiography, and successful treatment was achieved using detachable balloon.
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The authors report three new cases of anterior ethmoidal dural fistulae: a pure pial and two dural and pial fistulae which presented in the form of rupture. The emphasise the computed tomographic features, revealing a unilateral frontopolar haematoma and the need for angiographic assessment including study of the internal and external carotid arteries. Carotid angiography of the fistula defines the therapeutic modalities which are generally surgical.
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Forty-six patients with defective erection of venous origin were treated by embolization of deep dorsal vein at the Santorini plexus level. Embolization was by insertion of disposable balloons after surgical approach to deep dorsal vein of penis. Follow up showed that 57% of patients had recovered satisfactory, normal sexual activity and 15% a fairly satisfactory sexual activity.
A case report concerning a left primary maxillary meningioma is presented. Clinical, conventional radiographic and CT signs are presented. The diagnosis was made after histologic examination of the specimen. The pathogenesis is discussed.
Twenty-one patients with hepatic metastases were treated by chemoembolization over a 2-year period, the technique consisting of selective injection of a mixture of Spongel powder and Adriamycin plus 5-FU into the hepatic artery. Indications and results are discussed as a function of clinical, biologic and radiologic criteria.
The authors report 25 cases of pre-operative embolisation of tumours of bone or muscle. The aim of this technique is to improve surgical safety by diminishing hemorrhage at operation and to preserve vessels in the region of the tumour especially if secondary intra-arterial chemotherapy is required.
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On computerized tomography the intracranial meningiomas are surrounded by a more or less extensive peritumoral oedema. Twenty patients presenting with a supratentorial meningioma have been studied by angiography and computerized tomography. A constant correlation between the presence of oedema and the type of vascular supply of the tumor has been demonstrated. When there is no oedema, the whole vascular supply of the tumor is provided by the meningeal branches of the external or the internal carotid arteries. When there is a peritumoral oedema, the vascular supply of the portion of the tumor adjacent to the oedema is provided by leptomeningeal branches of the internal carotid. No constant correlation has been demonstrated by the authors between the presence of oedema and the other factors previously described in the literature.