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  • Electronic Resource  (4)
  • Positron emission tomography  (2)
  • Aneurysma  (1)
  • Carotid artery reconstruction  (1)
  • 1
    ISSN: 1432-1459
    Keywords: Benign hereditary chorea ; Positron emission tomography ; Glucose consumption
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Positron emission tomography (PET) with [18F]-2-fluoro-2-deoxy-D-glucose (FDG) was used to investigate the regional cerebral metabolic rate of glucose consumption (rCMRGlc) in two patients with benign hereditary chorea (BHC) and 21 normal subjects. Relative and absolute values of cerebellar, striatal, thalamic, and cortical rCMRGlc were within normal limits for both patients with BHC, indicating that the choreic movement disorder encountered in these two patients was not caused by a decrease of energy metabolism in the striatum such as that found regularly in most patients with other forms of chorea (e.g. Huntington's and Wilson's disease).
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1459
    Keywords: Huntington's disease ; Positron emission tomography ; Regional cerebral glucose consumption
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Controversial data have been reported with regard to the diagnostic value of the positron emission tomographic (PET) measurement of striatal glucose consumption (rCMRGlc) in chorea-free subjects at risk of Huntington's disease (HD). For further clarification of this issue we measured striatal and cerebellar rCMRGlc in 27 chorea-free subjects at risk of HD, 20 patients with manifest HD and 20 control subjects, using PET and18F-fluorodeoxyglucose. In 6 of the at-risk subjects cerebellar ratios of striatal rCMRGlc were decreased below the corresponding 99% confidence limit determined in the controls. This indicates that the PET measurement of rCMRGlc may, indeed, be valuable in establishing the diagnosis of incipient HD in presymptomatic at-risk subjects.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 364 (1984), S. 475-475 
    ISSN: 1435-2451
    Keywords: Skull base surgery ; Carotid artery reconstruction ; Vascular surgery ; Carotischirurgie ; Schädelbasis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung 25 Patienten mit transitorischen Attacken (9), Insult (15) und lokalen Symptomen (5) wiesen in 4 Fällen bilateral und in 21 Fällen unilateral eine Stenose (20) oder ein Aneurysma (9) der Arteria carotis interna (ACI) an der Schädelbasis auf. Je nach Ätiologie kamen verschiedene Methoden zur Anwendung (Veneninterponat 19, Dilatation 4, Desobliteration 4, tangentialer Clip 1, extraintrakranieller Bypass 1). Die ACI wurde in 19 Fällen bis an die Schädelbasis freigelegt, in 2 Fällen erfolgte mit spezieller Technik die Transplantatanastomose im Carotiskanal (Ischämiezeit 62 min). Die hohe Durchgängigkeitsrate (28/29), das geringe neurologische Defizit (1/29) und die bisherige Rückbildung der Halsnervenausfälle (21/29) zeigen entgegen den Angaben in der Literatur, daß auch in diesem Carotisabschnitt der Rekonstruktion der Vorrang vor allen anderen indirekten Maßnahmen einzuräumen ist.
    Notes: Summary In 25 patients presenting with transient attack (9), stroke with good recovery (15) or local symptoms (5), preoperative arteriography identified lesions of the internal carotid artery (ICA), which were located extremely high, bilaterally in four and unilaterally in 21 patients (aneurysm 9, stenosis 20). Treatment varied according to etiology (vein graft 19, dilatation 4, thromboendarterectomy 4, tangential clip 1, extraintracranial bypass 1). Exposure of the skull base was required in 19 cases and in 2 the most distal anastomosis was performed within the bone canal (ischemia time 62 min). In contrast to the literature, the high patency rate (28/29), the low neurological deficit rate (1/29) and sufficient retrogression of cranial nerve damage (21/29) all demonstrated that anatomical reconstruction should be the preferred method, because the flow is restored to normal and the danger of embolism eliminated.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    European archives of oto-rhino-laryngology and head & neck 234 (1982), S. 285-291 
    ISSN: 1434-4726
    Keywords: Internal carotid artery ; Aneurysm ; Reconstructive arterial surgery ; Mycotic aneurysm ; Retropharyngeal abscess ; Arteria carotis interna ; Aneurysma ; Rekonstruktive Arterienchirurgie ; Mykotisches Aneurysma ; Retropharyngealabszeß
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Bei einem 15jährigen Jungen mit jevenilem Diabetes mellitus entwickelte sich im Zusammenhang mit einer rezidivierenden Racheninfektion ein großes schädelnahes Aneurysma im Endabschnitt der extrakraniellen A. carotis interna. Durch Eröffnung des Karotiskanals wurde ein anastomosenfähiges, distales Gefäßende hergestellt und die Strombahn durch ein autologes Veneninterponat rekonstruiert. Der postoperative Verlauf war bis auf eine periphere Faszialisparese ohne Komplikationen, die postoperative Arteriographie zeigte normale Gefäßverhältnisse.
    Notes: Summary A 15-year-old diabetic boy suffering from recurrent peritonsillar infections developed a mycotic aneurysm of the internal carotid artery at the base of the skull. The aneurysm was approached through a cervical and retroauricular incision. The styloid process was burred down at its base. The sternocleidomastoid muscle and the digastric muscle were resected from the mastoid. The internal carotid artery was clamped proximally and blocked with a balloon-catheter distally. The carotid bone canal was opened 10 mm and the carotid artery resected until normal vessel wall was reached. A vein graft was placed end-to-end with single stitches, using 8×0 monofil sutures with a small neddle. The postoperative course was uneventful except for a temporary paresis of the peripheral facial nerve. Postoperative angiography revealed restoration of the vessel to normal, the patient is now free of symptoms.
    Type of Medium: Electronic Resource
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