Search PubMed⌕ Search

Biomedical subjects

M Galanski

Publications and source records attributed to M Galanski.

180 records · Page 10Linked to original sources

[Plain-x-ray diagnosis of midfacial lesions (author's transl)].

The basic radiologic features of disorders of the orbit and the paranasal sinuses are described and with characteristic cases illustrated. A critical evaluation of the radiologic signs and a brief summary of the normal roentgen anatomy are included. Emphasis is placed to less well known symptoms and differential diagnosis.

Bone Resorption↗

[Multiple vascular stenoses in neurofibromatosis (author's transl)].

Vascular lesions due to neurofibromatosis have been predominantly reported in the renal arteries as cause of arterial hypertension, but they can occur everywhere. The angiography shows a smoothly bordered stenosis at the origin of the artery with an elongated funnel shaped poststenotic deformity. Collateral vessels are often present. Reconstructive arterial surgery is in a high percentage successful. The main differential diagnosis includes fibromuscular dysplasia. Arterial hypertension in a young person with neurofibromatosis should suggest the presence of pheochromocytoma or renovascular disease.

Arterial Occlusive Diseases↗

[The effects of mechanical disturbances caused by additional body section roentgenographic equipment on the tomogram (author's transl)].

Attention was called to the false images which can appear if additional body section roentgenographic equipment is improperly operated. In practice, the alterations on the tomogram, however, are usually so slight that they are barely noticeable and, for this reason, the disturbances can be overlooked. Additional body section roentgenographic equipment should, therefore, be constructed in such a way that operational errors are basically impossible.

Diagnostic Errors↗

[Results of the treatment of diaphragmatic lesions (author's transl)].

During the period of 1959 to 1975 34 patients were operated at the Chirurgische Universitatsklinik Koln-Lindenthal because of lesions of the diaphragm. From the survivors 20 patients were examined again 2 to 15 years after operation. 15 patients (75%) stated subjective complaints. On these patients cicatrizations in the sinus phrenicocostalis, higher position of the diaphragm, axial hernia of the hiatus, restricted flexibility of the diaphragm, flattened diaphragm and paralysis of the diaphragm were found. More than 50% of the patients showed a significantly restricted total and vital capacity. Most important was the fact that in 25% of the reexamined patients there existed an axial hernia of the hiatus caused by the trauma.

Adolescent↗

[Congenital bowing of the tibia in neurofibromatosis von Recklinghausen (author's transl)].

There is a close, but not constant, relationship between congenital bowing of the tibia or infantile pseudo-arthrosis of the tibia and von Recklinghausen's neurofibromatosis. In about 40% it is possible to confirm the diagnosis by examining relatives, but the radiological findings and the course of the disease, as well as by histological examination. Anterior bowing with dysplastic-sclerotic bone changes results in the "high risk tibia". This may lead to a pathological fracture. Treatment depends on the clinical findings and radiological changes. It should be aimed at preventing pathological fractures and pseudarthrosis.

Adolescent↗

[Pheochromocytoma with scalloping of the ureter (author's transl)].

A case is described in which ureteral vascular impressions called "notching" or "scalloping sign" are caused by an ureteral artery supplying a pheochromocytoma. Vascular impressions on the ureter are recognized in different conditions. Most of them are due to collateral circulation following renal artery obstruction. The differential diagnosis is discussed.

Aorta, Abdominal↗

[Comparison of angiographic and bioptic findings in transplanted kidneys (author's transl)].

Comparison of angiographic, clinical and bioptic findings after kidney transplantation permits the following statements: Angiography is indicated with the appearance of a hypertony after transplantation and in clinically unclear reduction of function; it is the method of choice for proof or exclusion of a vascular complication. Recognizable vascular alterations and an extended arterial wash-out time during previous crises tend to indicate severe damage which affects the whole organ. On the other hand, the same alterations in chronic rejection do not permit a conclusive evaluation of the ability of the transplant to function. Isolated cortical ischemia in regard to rejection occurs relatively early and is prognostically an unfavourable sign. Differentiation of low grade rejection: tubular necrosis is hardly possible on the basis of the angiogram. As a result, the value of angiography for the diagnosis of rejection in the clinically important, but less pronounced, stages is limited. The most important of the informative diagnostic measures is renal sequence scintigraphy. This technique not only makes an early diagnosis possible but also an observation of the course of the reaction.

Adolescent↗

[Computerized tomography and nuclear magnetic resonance tomography in adrenal gland diseases].

Currently, the morphology of the adrenal glands can be demonstrated by different tomographic techniques: CT, MRI and ultrasound (US). The choice of the imaging modality and the examination procedure mainly depend on the suspected disease. In general, CT and MRI are superior to US due to the excellent visualization of the adrenals in nearly all circumstances, whereas sonography is strongly dependent upon the experience of the radiologist. Up to now CT is the procedure of choice in the evaluation of adrenal diseases with only minimal morphological disturbance, for example Conn's syndrome and hyperplasia. MRI and CT are nearly equivalent in the detection of adrenal masses larger than 2 cm in diameter, such as in Cushing's adenoma or pheochromocytoma. MRI has advantages compared with CT in the capability of tissue characterization, multiplanar imaging and in the visualization of blood vessels. For this reason MRI seems to be suitable for the distinction between adenomas and adrenal metastases.

Adrenal Gland Diseases↗

Clinical trial of iotrol for lumbar myelography.

Iotrol, a new nonionic, water-soluble, hexiodinated dimeric contrast medium for myelography, was used in clinical trials in 29 patients. The purpose of the study was to acquire information on local and general tolerance, distribution and excretion, and image quality. Preliminary results show that iotrol is well suited for lumbar and thoracolumbar myelography. Side effects observed with the use of iotrol were fewer and less severe than those reported with metrizamide. Iotrol is cleared from the cerebrospinal fluid and excreted by glomerular filtration within the same time range as other water-soluble contrast media.

Adult↗