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Biomedical subjects

M Jomin

Publications and source records attributed to M Jomin.

At least 199 records · Page 11Linked to original sources

[Spinal fractures in children. Diagnostic and therapeutic problems. Apropos of 67 cases].

Between 1960 and 1980 the authors have observed 67 cases of spinal traumatism for children under 15 years old. Neurological deficit was present for 25 of these patients. At the first examination for 17 and after for 8. 5 children have total paraplegia without osteoligamentary lesions. The cervical traumatisms were without other injuries and were the result of minor trauma. The thoracolumbar traumatisms were accompanied by other injuries and were the result of violent trauma. Most of these lesions have been reduced by orthopedic method; only 4 children were operated because the dislocation was incoercible. The 15 children who presented total paraplegia had no recovery. For all the others, the recuperation was good.

Adolescent↗

[Fractures of the sacrum with neurologic complications. A case].

The fractures of sacrum are rare and the literature is poor on their etiopathological aspects and possible complications. According to a sacral transverse fracture with neurological complications by epidural hematoma we analyze the different mechanisms to obtain this one.

Fecal Incontinence↗

[Dorsal interapophyseal arthropathy and spinal cord compression in syringomyelia].

A dorsal spinal cord compression by exuberant arthropathy and osteophytes of the articular processes occurred in a 61 years old patient with syringomyelia. The clinical symptoms were related to postero lateral cord involvement and rapidly appeared after syringo-peritoneal shunting. C.T. scan precisely displayed the pathological process and the cord compression. Surgery enabled a definite amelioration of secondary sensory deficits. It was to our knowledge the first description of such an involvement of articular processes in syringomyelia.

Adult↗

[Arachnoid cysts of the cerebellopontile angle].

Ten cases of arachnoid cysts of the ponto-cerebellar angle are presented. In most cases, local arachnoiditis is disclosed during surgery, directing the discussion toward acquired pathology, and perhaps toward local infection. The clinical symptoms are dominated by the cochleo-vestibular deficit, but the involvement of the V and the VII cranial nerves is inconstant and discreet. At the present time, C.T. scan allows a rapid diagnosis but the prognosis must be reserved, in account to the possibility of a local post operatory arachnoiditis .

Adolescent↗

[Value and limitations of isolated ventricular shunt in non-traumatic cerebellar hematomas].

Two cases of cerebellar haemorrhage with hydrocephalus are presented which were successfully treated with isolated ventricular drainage. Both occurred in high risk patients, 77 and 68 years old. The first observation confirms the value of this operative procedure when the volume of the haemorrhage is relatively restricted, whatever may be the importance of the neurologic symptoms and brainstem disfunction. But the second observation also shows the risk of misappreciating the causative lesion (here a single metastasis). The importance of an extended C.T. follow up must be underlined.

Aged↗

[Suprapetrosal approach to the anterosuperior surface of the petrous bone. Its importance for the treatment of rare lesions of the sphenoid bone, trigeminal nerve and internal carotid artery].

The anterior suprapetrosal approach provides access to the anterior part of the middle cerebral fossa and its various openings: small round, oval and large round foramina. Trephination of the floor of the cerebral fossa reveals the Eustachian tube, the intrapetrosal portion of the internal carotid artery, the pterygomaxillary fossa, and possibly a particularly markedly developed recess of the sphenoidal sinus. This new surgical approach can resolve certain rare but classical therapeutic problems, particularly of excision of tumors in this region: neurinomas of V developing anteriorly, meningioma.

Adolescent↗

[Role of surgical decompression by the anterior approach in myeloradiculopathies caused by cervical arthrosis. Apropos of 850 cases].

The authors report their experience of the different clinical aspects of myeloradiculopathy due to cervical arthrosis. From 850 cases with surgical treatment, they describe the radicular, medullar and radiculomedullar features of this condition. The indications for an anterior decompressive procedure are analyzed according to clinical and paraclinical findings and results of the different methods used are compared.

Adult↗

[Subarachnoid spinal metastases. Apropos of 2 cases].

Two cases of spinal subarachnoidal metastases are reported. From data from the literature, the authors review clinical manifestations and diagnostic difficulties. Etiopathological evidence which may explain this localization is discussed.

Aged↗

[Symptomatologic approach to tumors of the pineal region. Apropos of 72 cases].

The semeiology of 72 tumors of the pineal area seen between 1949 and 1982 is analyzed. Manifestations, which are polymorphic and often misleading at onset, subsequently become manifold. Though a given syndrome may result from the mingling of several factors it is possible to establish a correlation between clinical findings and anatomical lesions. Conversely, histo-clinical correlations, which are requisite to institute specific therapy, are still as difficult to ascertain. Stereotaxic biopsy is therefore needed before planning therapy.

Adult↗

[Results of microneurosurgical treatment of 300 intracranial arterial aneurysms].

The authors present the results obtained with the current neurosurgical treatment in an homogeneous of 292 patients totalling 300 intracranial arterial aneurysms. The cure rate was 74% and the death rate 14%; poor results were obtained in 12% of the cases. Analyzed globally, the main prognostic factors were the patient's age and general condition, the site and mode of rupture of the aneurysm and the timing of surgery.

Adolescent↗

Arachnoid cysts and head injury.

A number of hypotheses and much discussion surround the subject of intracranial arachnoid cysts (ICACs). Based on the observation of 7 cases of ICACs which were asymptomatic until aggravated by head injuries, the aetiopathological relationship between head injury and ICAC is discussed. Trauma is not the only origin of ICACs, but even a slight head injury is capable of provoking the rapid decompensation of a previously dormant ICAC.

Adult↗