Biomedical subjects
Publications and source records attributed to M Boccardo.
The Authors present a case report on a spinal hemangiopericytoma histologically confirmed. The patient's first complaint was pain in the right upper limb. Myelography showed signs of an extradural cervical tumour. Spinal hemangiopericytoma is quite a rare affection, only 30 cases are described in literature (included the one presented in this paper).
Intracranial tuberculomas have become uncommon in industrial nations, while they still have a high incidence in underdeveloped countries. Four cases of intracerebral supratentorial tuberculomas are reported in this paper. Clinical findings suggestive of tuberculosis were present in only one case. The other cases were thought to be gliomas or metastases and the diagnosis was made only after surgery. The CT scan provided a good image of the lesions whose characteristics, however, were diagnostically confusing. When a tuberculoma is suspected, medical therapy alone should be administered initially. Surgery should be resorted to in cases of markedly increased intracranial pressure.
A case of intracranial multiple aneurysms associated with a giant arteriovenous malformation is reported. Three aneurysms were found arising from the arteries feeding the malformation. The patient could not be operated because of his age, neurological condition and the size of the arteriovenous malformation. Previously reported cases of cerebral aneurysms associated with arteriovenous malformation are reviewed. Our case well illustrates the possible role of hemodynamic stresses induced by the malformation on the development of the aneurysms.
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The Authors present a case of bilateral internal carotid artery thrombosis (BICAT) with a minimal symptomatology and whose neurological examination was consistently negative. The angiographic investigation revealed that the major supratentorial vessels were bilaterally filled via the vertebro-basilar system. Although it is now generally accepted that there are occasional cases where bilateral occlusion may be compatible with adequate vital functions, the Authors think that it is extremely rare to find a case as neurologically intact as theirs.