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  • 1995-1999  (2)
  • 1970-1974
  • Stomach, cystic hamartomatous polyp  (1)
  • Syringosubarachnoid shunt  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Syringobulbia Caused by Delayed Postoperative Tethering of the Cervical Spinal Cord – Delayed Complication of Foramen Magnum Decompression for Chiari Malformation (1999)
    Springer
    Acta neurochirurgica 141 (1999), S. 969-973 
    Details
    ISSN: 0942-0940
    Keywords: Keywords: Chiari malformation ; Syringobulbia ; Foramen magnum decompression ; Syringosubarachnoid shunt
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary  Postoperative tethering of the high cervical spinal cord is a rare cause of neurological deterioration after foramen magnum decompression (FMD) with duraplasty for Chiari type I malformation. A review of the literature revealed that only 5 cases have been reported. This entity is not widely known to occur as a complication of the common surgical procedure for Chiari type I malformation. A 17-year-old boy experienced rapidly progressive neurological deterioration over a 3-month period. FMD and duraplasty with lyophilized cadaver dura had been performed 8 years previously. Follow-up MR images showed that the cerebrospinal fluid (CSF) space dorsal to the cord was gradually disappearing and that syringobulbia had developed. Opening the dura mater of the posterior fossa revealed dense fibrous scarring, arachnoid thickening over the cervicomedullary area, and tethering the cord to the dura from the medulla to C2. The adhesions were dissected free, and the tethering was released. A syringosubarachnoid (SS) shunt was inserted and duraplasty was performed with an expended polytetrafluoroethylene sheet (Gore-Tex). Postoperative MR images demonstrated that the syringobulbia had completely collapsed and that a dorsal CSF space was present. Follow-up MR images provided significant information on the cervical spinal cord tethering after FMD with duraplasty for Chiari malformation. We encourage sharp surgical detethering and duraplasty with Gore-Tex to avoid retethering. Early recognition and treatment of this unusual but important complication are emphasized.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s007010050403
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Clinical evaluation of gastric fundic gland polyps without familial polyposis coli (1995)
    Springer
    Abdominal imaging 20 (1995), S. 101-105 
    Details
    ISSN: 1432-0509
    Keywords: Stomach, polyposis ; Stomach, fundic gland polyp ; Stomach, cystic hamartomatous polyp ; X-ray examination, endoscopy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Assessments were made of 63 cases of fundic gland polyposis (FGP) unassociated with adenomatosis coli. These cases were evaluated by radiological examination over 2 years follow-up. All polyps were pathologically confirmed by endoscopic biopsies. Methods: Most cases were asymptomatic when diagnosed during mass radiological surveys of the upper gastrointestinal tract. The majority of patients ranged in age from 40–60 years, and the polyps numbered fewer than 20 in 55 cases (87.3%). Polyps were detected in the fundic glands using the congo red test and by biopsies. Results: All serum gastrin values were within the normal range. During the course of this study, the polyps of 13 cases (20.6%) increased and those of three cases (4.8%) decreased or resolved completely. Conclusion: From these findings it is considered that FGP are observed in stomachs with less atrophy, and that polyps follow courses in which they increase, decrease, disappear, along with atrophy.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00201512
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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