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Biomedical subjects

R Delfini

Publications and source records attributed to R Delfini.

At least 127 records · Page 7Linked to original sources

Meningiomas of the lateral ventricles. Clinical, neuroradiologic, and surgical considerations in 19 cases.

The clinical and neuroradiologic findings and surgical results in a series of 19 patients with lateral ventricle meningioma, operated on during a 33-year period, are described. This experience is compared with that of previous workers and the following conclusions are drawn: these tumors have no characteristic symptoms; preoperative diagnosis requires both computed tomography scans and carotid and vertebral angiography; the safest surgical approach is through a sagittal or oblique parietooccipital cortical incision to avoid damage to motor, visual, and speech areas of the cortex.

Adolescent↗

Digitalized venous angiography in the investigation of the neck vessels.

An X-ray imaging system, using digital subtraction techniques, has been developed. The authors relate the results of a comparative study in 20 patients, affected by cervical occlusive vascular disease, whose arterial cervical system has been investigated both by conventional angiography and intravenous digital subtraction angiography. Indications, advantages and limitations of this new computerized apparatus are discussed.

Brain Ischemia↗

Lumbar disc hernia secondary to gunshot injury.

The authors present a case of injury to the 4th lumbar root secondary to a gunshot wound. The lesion was not directly related to the traumatic action of the projectile, but was caused by the compressive action of disc material forced into the vertebral canal as a result of the destructive effects of a 7.65 caliber bullet.

Adult↗

[A case of Cysticercus racemosus in man].

The authors refer a new case of Cysticercus racemosus in man. The description of scolex morphology is given and the name C. racemosus, generally accepted for these larval formae, is discussed.

Animals↗

Computed tomography in the diagnosis of thoracic disk protrusions with a technical suggestion.

4 cases of thoracic disk protrusion were studied with spinal CT and with either plain X rays of myelography, until now the only tools for a precise diagnosis. In patients with a thoracic compression syndrome and a calcification within the canal CT alone clinches the diagnosis, as it does in cases in which the calcified material is not detectable but the clinical symptoms point to a precise lesion level. In such cases myelography is unnecessary. It should however be done first when neither the clinical symptoms nor the plain X rays indicate the level of the lesion.

Adult↗

Acrylic prosthesis of the fifth cervical vertebra in cervical chordoma. Case report and review of the literature.

Description of a two-stage surgical treatment of a case of chordoma of the fifth cervical vertebra mainly affecting the vertebral body. In the first stage the cervical column was immobilized employing a posterior approach and a small portion of the tumour in the right lamina was removed. In the second stage the whole of the body of C5 was removed by an anterior route and replaced with an acrylic prosthesis. The advantages of acrylic resin and the literature on vertebral prostheses are discussed.

Acrylic Resins↗

Cranio-orbito-facial injuries: technical suggestions.

Eight per cent of 387 acutely head-injured patients had concomitant orbitofacial injuries. Irrespective of the magnitude of brain injury, the main surgical goals in such cases treated were closure of CSF fistulas, maximizing recovery of eye movement, visual and masticatory function, and esthetic reconstruction. The strictly neurosurgical lesions should be dealt with at once because of the risk of intracranial infection. Antibiotic acrylic and antibiotic wax are valuable in such intervention. In most cases it is advantageous to treat lesions of the upper two thirds of the facial complex in the same operative session. For this reason neurosurgeons who do not have ready access to a maxillofacial specialist should be prepared to cope with the problems presented by orbitofacial injuries.

Adolescent↗