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Biomedical subjects

J P Jimenez

Publications and source records attributed to J P Jimenez.

At least 19 recordsLinked to original sources

Arteriovenous haemangioma of the pterygoid process. Report of a case.

Arteriovenous haemangioma is a benign tumor which in ear, nose and throat practice is generally found in the soft tissues of the oral cavity. Bone involvement is very uncommon. These lesions typically manifest themselves in infancy, with a tendency towards spontaneous resolution. The management options comprise simple observation, embolization or surgical removal--depending on the location of the tumour and its symptoms. A correct diagnosis is essential to ensure the adoption of adequate measures during surgery. The present case describes an exceptional location of arteriovenous hemangioma of the pterygoid process, and discusses the associated diagnostic and treatment problems.

Adult↗

Late infection after total knee arthroplasty caused by Pasteurella multocida.

The authors report a case of Pasteurella multocida infection in a total knee arthroplasty as a result of a dog bite. The patient was treated with one-stage reimplantation of a new prosthesis and with intravenous antibiotics, resulting in complete relief of symptoms with no evidence of recurrence of infection after 24 months.

Aged↗

A fundamental dilemma of psychoanalytic technique: reflections on the analysis of a perverse paranoid patient.

The work refers to the general topic of the traumatic effects of transference in the analytic situation. The author defines the fundamental dilemma of interpretive technique as the technical difficulty, sometimes insurmountable, faced by the therapist in the treatment of severely ill patients, particularly in the case of narcissistic, self-centred disorders, where the interpretive action itself often produces negative side effects that are not countered by the curative effect of the insight achieved through interpretation. In a brief theoretical introduction, this dilemma is described as a longstanding problem in psychoanalysis that has been systematically concealed by the protracted discussion on the subject of 'analysability' and which has still not been resolved by the theory of technique. Clinical case material on a perverse patient is then presented to illustrate the dilemma described and to demonstrate some general strategies by which it may be overcome.

Adult↗

Comparison of gray-scale ultrasonography and computed tomography in the evaluation of macrocrania in infants.

Head scans in 27 infants were done to compare the value of ultrasonography and computed tomography (CT) in the evaluation of macrocrania and encephalocele. Ultrasonography and CT correlated well with regard to anatomical information, especially in the assessment of the lateral and third ventricles. However, unlike CT, ultrasonography uses no ionizing radiation, is less expensive, eliminates sedation, and reduces artifacts due to motion and metal clips. In conjunction with an initial CT examination, ultrasonography is useful for serial evaluation of the lateral and third ventricles. It can also be helpful in assessing extraventricular fluid collections and suspected encephaloceles.

Cerebral Ventricles↗

Computed tomography and skull radiography in the diagnosis of calcified brain tumor.

Among 104 consecutive patients with verified brain tumor, 13 (12.5%) had histologic evidence for calcification. Skull radiographs and CT scans of those cases revealed that in most instances calcification detected by CT was also present on skull radiographs. In cases with a high density lesion present on CT and normal skull radiography, the maximum density on CT was below that which characterizes calcification. The study suggests a complementary role of the two modalities in investigating intracranial calcification.

Adenoma↗

The effect of contrast media on patient motion during cerebral angiography.

Conray, Renografin-60, and Reno-M-60 were compared in 40 patients undergoing cerebral angiography. Pain during injection, as evidenced by head motion, was documented using subtraction. Conray produced less had head motion and therefore a superior subtraction study than either Renografin-60 or Reno-M-60 and was also subjectively the least painful of the three.

Aged↗