The authors observed 88 patients (18 women and 70 men) aged 16 to 61 years with lack of lumbar vertebral arch fusion (spina bifid occulta without spinal cord involvement). In 63 cases the clinical symptom complex was that of sciatic pains, in the remaining 25 cases no neurological defect was found. In 63 cases operation was done and 45 of them intervertebral disc prolapse was found. The decision to operate was based on the refractoriness and intensity of pain, presence of neurological defect and radiculography performed in 36 cases. It is stressed that such high proportion (51%) of cases with spina bifida coexistent with lumbar disc prolapse calls for a careful analysis of the cause of pain in patients with spina bifida.

Adolescent↗

PubMedDate not supplied

[Ultrastructure of the skeletal muscles in myotonia congenita].

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Adult↗

PubMedDate not supplied

[Case of pineal body tumor].

A case of epiphyseal tumour diagnosed by means of positive-contrast ventriculography in a male patient is reported. Treatment included ventriculoatriostomy and radiotherapy. In the clinical picture of the disease signs of intracranial hypertension prevailed together with hypothalamic endocrine disturbances, and in view of absent pathognomonic signs of lamina quadrigemina lesion considerable difficulties were encountered and craniopharyngioma was suspected. In the light of the pertinent literature and the present observations the possibility of early diagnosis of epiphyseal tumours based on disturbances of vertical optokinetic nystagmus and changes in auditory tests deserves attention.

Adult↗