A Case of Abnormal Atlas and Axis Vertebra.
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This paper describes the main characteristics of a data processing system that is available through the Internet and that is used to process epidemiological and economic data, predominantly from a geographical viewpoint, starting from the hospital discharge abstracts of the Lombardy Region. Technical aspects of the system are briefly reviewed, including epidemiological-statistical aspects (incidence, prevalence, variety of diagnoses, indicators, controlling for statistical variability, etc.) and aspects relating to information systems (hardware platform, software environment, Internet access and security problems, original database, etc). The system introduces several methodological innovations in the processing of hospital discharge abstracts (such as links between data files, evaluation of activity of each individual GP, and analysis of patient mobility), proposes three successive levels of case selection (time, geography, nosology) prior to statistical analysis which is performed starting from the information on each individual discharge abstract. Finally, several examples are given and critical aspects, as well as prospects of the system, are discussed.
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The Authors report the case of a 54 year old man who died suddenly for bulbar paralysis caused by a vertebrobasilar vascular system thrombosis due to compression by an aneurysmal cyst of the first two cervical vertebra. The diagnosis of bony tumour which they reached on the basis of angiography and t.c., has been confirmed and defined by the autopsy.
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