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Biomedical subjects

O F Gabriele

Publications and source records attributed to O F Gabriele.

At least 37 records · Page 2Linked to original sources

Case report. Nasopharyngeal mucormycosis.

Successful management of nasopharyngeal mucormycosis in a 58-year-old leukemia patient is reported. High index of suspicion, localizing the disease to the nasopharynx, early diagnosis by biopsy, control of underlying debilitating leukemia, and aggressive therapeutic approach all contributed to the successful outcome. Review of the literature indicates this to be the first reported case of successful outcome of mucormycosis in a patient with acute myelogenous leukemia. Application and findings of computed tomography for evaluation of mucormycosis are discussed.

Female↗

Percutaneous nephrostomy by pigtail catheter in children.

Percutaneous nephrostomy in children with the use of the pigtail catheter is discussed as a useful, noninvasive, rapid technic in cases of pediatric obstructive uropathy or in children in whom immediate surgical intervention would be undesirable. Three cases are presented, as well as technical notes.

Catheterization↗

Traumatic para-mediastinal air cysts.

Two cases of traumatic para-mediastinal air cyst are presented. The air and fluid collection develops between two layers of the pulmonary ligament following trauma to the lung and rupture of alveoli adjacent to the pulmonary ligament.

Adolescent↗

Vessel tortuosity as a cause of posterior fossa cranial nerve syndromes.

Neurologic syndromes may be caused by mechanical vascular compression of cranial nerves in the posterior fossa. The clinical expression is variable and can be divided into two main groups. Isolated cranial nerve involvement is most frequently associated with tortuous, elongated vertebral and basilar arteries as well as redundant loops of the anteroinferior cerebellar artery. Pseudotumoral manifestations of cranial nerve involvement at the level of the cerebellopontine angle are more frequently related to aneurysms of the vertebral and basilar arteries.

Adult↗

Empty sella syndrome secondary to intrasellar cyst in adolescence.

A 15-year-old boy had growth failure and failure of sexual development. The probable onset was at age 10. Endocrine studies showed hypopituitarism with deficiency of growth hormone and follicle-stimulating hormone, an abnormal response to metyrapone, and deficiency of thyroid function. Luteinizing hormone level was in the low-normal range. Posterior pituitary function was normal. Roentgenogram showed a large sella with some destruction of the posterior clinoids. Transsphenoidal exploration was carried out. The sella was empty except for a whitish membrane; no pituitary tissue was seen. The sella was packed with muscle. Recovery was uneventful, and the patient was given replacement therapy. On histologic examination,the cyst wall showed low pseudostratified cuboidal epithelium and occasional squamous metaplasia. Hemosiderin-filled phagocytes and acinar structures were also seen. The diagnosis was probable rupture of an intrasellar epithelial cyst, leading to empty sella syndrome.

Adolescent↗