[Scintigraphy with MMA-I-131 in the diagnosis of neurosurgical cerebral lesions].
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Biomedical subjects
Publications and source records attributed to S Cambria.
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Report on one case of traumatic obliteration of the middle cerebral artery together with a review of the pathogenetic theories published till presently on this subject. Three factors are retained in the case object of the present work: --compression of the arterial wall in the Sylvian fissure, as a consequence of contusion and cerebral edema, --disorders in the platelets aggregation, --high blood pressure.
A case of post-traumatic ossified epidural hematoma associated to epileptic seizures is reported. After surgical treatment complete recovery was obtained.
The Authors report a case of epidermoid in the optical-chiasmatic region associated with a cysticercosis in the suprasellar and prepontal region. The patient was surgically treated with success: a bilobate cystic formation with ramifications adherent to the carotid siphon was found in front of optic nerves. Opening the arachnoid between the left optic nerve and carotid, a dysembriogenetic cystic formation was observed. Adherent to it there was the wall of a second parasitic cystic formation (probably cysticercosis) from which some small cysts slid away. After a review of the literature the Authors point out both the casual association of the two pathologies and the utility of C.T. scan in the diagnostic process of the above mentioned lesions.
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536 patients from 60 to 84 years old, operated on for neurosurgical lesions, are evaluated with reference to post-operative mortality rate related to the type of pathology. 83 deaths (15.6%) occurred in this series. Mortality rate increases progressively with advancing age. It is outlined that the aged patients have lesser chances of surgical success, but the present data induce to consider with greater favour the outcome of these patients.
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A surgically treated case of multiple contiguous brain abscesses at different stages of calcification is reported. The patient, a man 48 years old, had been suffering from epilepsy for 34 years and he was complaining of headaches and fever for 15 days when admitted to our clinic. The post-operative neurological recovery was good.
A case of meningioma located in the median part of the third ventricle and revealed by autoptic examination in a patient who died for meningoencephalitis is reported.
The Authors present six cases of sarcoma of the brain. After doing a short review of the cases described in literature, they discuss the clinical anathomo-pathological and terapeutic aspects of these peculiar tumours.