Computerized tomography in intracranial manifestations of malignant blood diseases.
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Biomedical subjects
Publications and source records attributed to S Bracard.
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Authors point out three observations of spontaneous dissection of cervical internal carotid artery (I.C.A.) with various evolution. They emphasize on evolutivity of residual aneurysms and necessity to purpose a preventive treatment of secondary projections.
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At the foetal age, there is an arterial ring around the optic nerve inside the orbit. This ring, partially supplied by the ophthalmic artery, is transitory. A persistence at the adult age is absolutely exceptional. The case described in this paper is the second to be published. It has been found during a microdissection of the arteries of the orbit muscles. The authors discuss the variations of the origin and the course of the ophthalmic artery, according to the three embryologic origins of the orbital arterial vascularization: dorsal and ventral ophthalmic arteries, hyoïd artery. This multiple origin explains the formation of the ring and its persistence.
Diagnostic criteria of intracranial epidermoid cysts were established from the observation of 15 cases, confirmed by pathology, seen during the last 5 years. Tumors could be divided into four groups: posterior fossa, supratentorial spaces, transtentorial and extradural. Regions of hypodensity associated with the irregular nature of the outlines of the lesion are generally sufficient to suggest the diagnosis in a pre-operative scan, but certain tumors may be isodense or, more exceptionally, spontaneously hyperdense. Contrast images are extremely rare, and are seen only at the periphery of the lesions. The "mass-effect" is remarkably discrete when compared with the tumor size, sometimes of very large proportions.
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The authors report two cases of aneurysms originating at a fenestration of the basilar artery treated by endovascular placement of a balloon inside the aneurysm with preservation of the patent vessel.