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Biomedical subjects

M Jomin

Publications and source records attributed to M Jomin.

At least 55 records · Page 3Linked to original sources
PubMed1988

[Post-traumatic intracavernous aneurysms. 2 cases].

The authors describe two cases of post-traumatic aneurysms of the intracavernous carotid artery. They analyze the difficulties they have encountered during direct approach. Direct cure was impossible for the first patient because of the arterial wall dilaceration. In the second case, the aneurysm has been treated upon by stitching. A second operation with injection of biological glue into the cavernous sinus was required because of the secondary formation of a carotido-cavernous fistula in front of a second metal fragment.

Adolescent↗
PubMed1988

[Percutaneous surgery of the dorsolumbar disks].

The authors report a new technique for percutaneous surgery of thoraco-lumbar discs. It allows nucleotomy or intersomatic grafting. This extra-articular posterolateral approach is performed under fluoroscopic monitoring by using a Kirschner's wire and some specific co-axial tubes. Scanographic polar coordinates are most suitable for valuable locating of thoracic discs and performing of technique. Indications and limits of the method are discussed with preliminary results obtained with the first 19 cases.

Adult↗
PubMed1987

[Percutaneous surgery of the lumbar disk].

Percutaneous discectomy is performed with an equipment which has proved reliable in urological surgery, namely dilators and optic fibers. Carried out under local anaesthesia, it empties the intervertebral disc by an extra-spinal route, thus reducing the risk of fibrosis which is almost constant when the interlaminar route is used. Its indications must be discussed with those of chemonucleolysis.

Adult↗
PubMed1987

[Surgical prognosis of unruptured intracranial arterial aneurysms. 50 cases].

The authors have reviewed a series of 53 patients with unruptured intracranial arterial aneurysm. Out of 50 patients operated upon, 2 died post-operatively, 5 remained with neural deficits that were present before surgery, and 43 were cured without subsequent cerebral or meningeal haemorrhage. None of the 3 unoperated patients developed cerebral vascular accidents. In 25 cases the aneurysm was asymptomatic and was discovered accidentally during angiography; it varied in size from 3 to 6 mm. In 28 cases, the aneurysm gave rise to various symptoms, including headache or facial pain (9 cases), ischaemic vascular accident (7 cases), ocular symptoms (8 cases), seizures (4 cases); its size ranged from 7 to 10 mm. The clinical and post-mortem series available in the literature show the usefulness of surgery in patients presenting with factors that increase the risk of rupture, i.e.: age comprised between 40 and 65 years, history of arterial hypertension, aneurysm located on the anterior segment of Willis' circle and about 10 cm in diameter, which is the critical size for rupture.

Adult↗
PubMed1987

Bilateral spontaneous dissection of extracranial vertebral arteries.

A previously healthy 35-year-old man suddenly developed vertebrobasilar ischaemia while playing tennis. Cerebral arteriography revealed a dissecting aneurysm of the cervical portion of both vertebral arteries. The neurological deficit and the angiographic features resolved with anticoagulant treatment alone. Only 15 patients with non-traumatic extracranial vertebral artery dissection have been previously reported. It is necessary to recognize the condition very quickly, because the authors consider that anticoagulation is required as an emergency.

Adult↗
PubMed1987

Surgical prognosis of unruptured intracranial arterial aneurysms. Report of 50 cases.

The authors analyze a series of 53 patients who presented with unruptured intracranial aneurysms. Fifty were operated upon, 2 died during the post-operative period, 5 were left with their pre-operative neurological deficit, 43 were cured and have not subsequently presented with any cerebral or meningeal haemorrhages. None of the 3 patients who were not operated upon has since presented with a cerebro-vascular accident. Twenty-five aneurysms were asymptomatic, discovered fortuitously during angiographic examination, and their size was generally between 3 and 6 mm. Twenty-eight aneurysms presented with various neurological signs and symptoms (headaches, facial pain on 9 occasions, ischaemic vascular accidents on 7 occasions, ocular signs on 8 occasions and generalized epilepsy on 4 occasions), with a range in size from 7 to 10 mm. The clinical and autopsy series published in the literature show the usefulness of surgery when certain factors come together and increase the risk of rupture: middle-aged patients (between 40 and 65), arterial hypertension, aneurysm located on the anterior part of the circle of Willis and with a diameter close to the critical size (10 mm) for rupture.

Adolescent↗
PubMed1987

Operative treatment of thoraco-lumbar metastases, using methylmetacrylate and Kempf's rods for vertebral replacement and stabilization. Report of 15 cases.

The authors report their experience in the treatment of 15 cases in thoracolumbar metastases with spinal cord compression. A decompressive laminectomy was routinely performed and followed by a transversoarthropediculectomy. Most part of the neoplastic tissue was removed from the epidural space, vertebral body and retroperitoneal or retro-pleural areas. Complete decompression of the nervous elements was always achieved. Stabilization was obtained by replacement of the neoplastic vertebral body with a methylmetacrylate prothesis and eventually by Kempf's compression instrumentation. The surgical treatment was completed in a single stage operation, by a classical posterolateral approach. Orthopaedic, neurologic and oncologic advantages of this treatment are discussed.

Female↗
PubMed1987

The midline supra-orbital approach, using a large single free bone flap. Technical note.

Surgical access to the anterior frontal region of the skull base is facilitated by the removal of a fronto-orbital bone flap. This technique was first described as a two-step procedure by Cophignon. We recently devised a simplified one-step approach in which a single bifrontal supra-orbital bone flap is removed. This report is a technical description and resume of our experiences.

Bone Wires↗
PubMed1987

Direct microsurgical approach to intracavernous tumors.

Tumors that are strictly intracavernous remain rare and their management is a subject of controversy. The authors describe the direct surgical approach to these lesions and consider this approach necessary to determine the exact nature of the intracavernous process. The subsequent treatment, radiotherapy in particular, will depend on this assessment.

Adult↗
PubMed1987

Transcervical approach and screw fixation for upper cervical spine pathology.

The authors report on the use of transcervical approach and screw fixation for upper cervical spine pathology. They describe the direct osteosynthesis for odontoid fractures and atlantoaxial fixation using a screw fixation of the articular processes. The surgical technique is described and its advantages and disadvantages are discussed as are its indications.

Bone Screws↗
PubMed1987

Thoracic disk herniation and Scheuermann's disease.

The authors report 6 cases of thoracic disk herniations in patients with Scheuermann's disease. They underline the relationship between the neurological symptomatology and Scheuermann's disease by the herniation and evolution in their treatment by a new surgical approach.

Adult↗