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Biomedical subjects

M Rusu

Publications and source records attributed to M Rusu.

At least 127 records · Page 7Linked to original sources
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Association of autonomous thyroid adenoma with chronic thyroiditis.

Coexistence of an autonomous thyroid adenoma (ATA) with chronic thyroiditis suggests a complex pathogeny pointing to the autonomous character of the nodule and to the presence of immunitary disorders. The rarity of this association and the paucity of data prompted us to present 4 cases of a series of 71 thyroidectomized ATA cases. The rarity of ATA associated with chronic thyroiditis, accumulation of radioiodine under the conditions of euthyroidism only at the adenoma level as well as the possibility for the disease to occur in hypopituitarism, all support the hypothesis of an initial thyreotropic deficiency, with subsequent hyperplasia "of necessity". Later on there is an autonomous hyperfunction increasing pituitary depression, with total extinction of the thyroid tissue outside the adenoma. When the two lesions are associated, we consider that initially there was the TSH-dependent thyroiditis that developed during which, by accidental depression of TSH secretion a local hyperplasia occurs which later becomes autonomous.

Adenoma↗
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[Subdural empyema].

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Adolescent↗
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[Value of contrastography as a diagnostic means in paranasal sinus diseases].

The authors report on their investigations in contrast phase radiography of the paranasal sinuses, insisting to a greater extent on the data furnished by lipoiodine used as a contrast medium than on the technical aspects. A description is given of the views with a therapeutical indication, but also of the possible diagnostic errors. Particular attention is drawn to the advisability of introducing in current practice the displacement method used for contrast phase radiography of the posterior sinuses, showing their diagnostic and therapeutical advantages.

Contrast Media↗
PubMedDate not supplied

[Superacute extradural hematoma].

After a survey of data in the literature the authors have used four criteria for the identification of the supraacute extradural hematoma:--an interval of maximum two hours between the occurence of the trauma and the performance of the intervention or exitus;--a severe cerebral syndrome with primary brutal coma, or coma that has developed in the above-mentioned interval;--the discovery during intervention of a "developing" hematoma, mostly as fluid, and the identification of the source of haemorrhage;--persistent cerebro-ventricular collapse after evacuation of the hematoma, that makes necessary the application of operative procedures for achieving recovery. Two of the 5 observations of the authors are presented, both in males, aged 22 and 73 years respectively, in whom surgery was performed in an interval of less than two hours. All the patients were comatose when the intervention was carried out, and 3 of them had a temporal fracture. The diagnosis was made by angiography. During surgery a fluid extradural hematoma was found, and the source of the haemorrhage was identified in three of them as a major branch of the median meningeal artery. One death was recorded due to recidive of extra-dural hematoma, associated with cerebral contusion and cerebral edema. In all the five patients the authors found cerebro-ventricular collapse that was recovered by introduction of physiologic saline and air through the lumbar route during the intervention.

Acute Disease↗