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Biomedical subjects

Z L Deeb

Publications and source records attributed to Z L Deeb.

64 records · Page 4Linked to original sources

MR imaging of heterotopic gray matter.

Heterotopic gray matter nodules have long been recognized by pathologists at autopsies. A case of this cerebral congenital abnormality has been studied by CT and magnetic resonance.

Adult↗

MR imaging in the diagnosis of spontaneous spinal epidural hematomas.

Three patients with spontaneous (idiopathic) spinal epidural hematomas were diagnosed with magnetic resonance (MR) imaging. Magnetic resonance is an accurate, rapid method of localizing and characterizing the hematomas. We believe that MR (where available) should be the primary method of diagnosis in cases in which spinal epidural hematoma is suspected.

Aged↗

MR recognition of posterior lumbar vertebral ring fracture.

Four cases of lumbar vertebral ring fracture, in which magnetic resonance (MR) was used, were reviewed. The MR features included (a) discontinuity and truncation of the posteroinferior vertebral body, (b) displacement of the avulsed low signal fragment, and (c) disk prolapse subjacent to the fragment. Recognition of these findings may eliminate the need for other diagnostic studies.

Adolescent↗

Callosomarginal infarction secondary to transfalcial herniation.

To evaluate the prevalence of anterior cerebral artery infarcts in the context of transfalcial herniation, 1100 cerebral CT scans were reviewed. Three patients had acute intracranial hemorrhages resulting in transfalcial herniation and subsequent focal ipsilateral paracentral lobule or superior frontal gyrus infarcts. The infarcts are presumed to have resulted from compression and compromise of the terminal portions of the callosomarginal artery against the falx. Callosomarginal infarcts are reflective of severe, acute hemispheric insult. As such, they seem to portend a declining clinical condition, and thus may provide another CT indication of a poor clinical outcome.

Aged↗

Extra- to intracranial arterial anastomoses in therapeutic embolization: recognition and role.

Anastomoses from extra- to intracranial vessels have been shown in normal patients and, more commonly, in patients with arteriosclerotic occlusive disease, arteriovenous malformation, and postligation of the carotid artery. These channels may be of clinical importance during therapeutic embolization and probably account for two cases of complication, posterior fossa strokes that occurred after blockage of occipital arteries. By identifying these channels and then monitoring the ever-decreasing vessel acceptance of contrast agent and emboli, patient safety may be enhanced.

Adolescent↗

Computed tomography and myelography of the postoperative lumbar spine.

Postoperative myelographic changes in the thecal sac, epidural tissues, and bony canal, as well as nerve roots, may be difficult to interpret. A series of 32 postoperative patients, all of whom had a metrizamide myelogram and subsequent lumbar computed tomogram, was reviewed to examine the ability of computed tomography to recognize abnormalities when the myelogram is equivocal or uninterpretable. Criteria to distinguish recurrent herniated disk from postoperative changes are presented, including the demonstration of mass densities similar to and in continuity with the intervertebral disk. In 12 reoperated cases, five recurrent herniated disks and two new herniated disks were diagnosed and confirmed. In 20 nonreoperated cases, no recurrent herniated disks were identified, although two new herniated disks were found at levels not believed clinically significant. Computed tomography after metrizamide myelography appears to be a reliable technique for distinguishing abnormalities in the postoperative spine.

Adult↗