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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Acta neurochirurgica 107 (1990), S. 152-160 
    ISSN: 0942-0940
    Keywords: Chiari malformation ; magnetic resonance image ; syringomyelia ; syringo-subarachnoid shunt
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The authors report the surgical results of 28 patients with syringomyelia associated with Chiari malformation (type 1). 28 patients underwent 34 operative procedures. Syringo-subarachnoid shunt was performed in 28 patients, foramen magnum decompression with syringo-subarachnoid shunt in three, ventriculo-peritoneal shunt in one, terminal syringostomy in one, and foramen magnum decompression with terminal syringostomy in one. In an average postoperative follow-up period of 3 years and 9 months ranging from one year to 7 years and one month, neurological symptoms and signs improved in 24 out of 28 patients (82%). Some improvement was noted in sensory deficit and motor weakness. In 3 patients, the symptoms did not change. In 3 patients whose symptoms were unchanged, preoperative studies demonstrated atrophy of the spinal cord, in which irreversible changes were shown. The symptoms deteriorated in one patient. In one patient whose symptoms increased 3 months after syringo-subarachnoid shunt, shunt insufficiency due to postoperative adhesive arachnoiditis was responsible for neurological deterioration. The authors propose that syringo-subarachnoid shunt is effective as a surgical procedure for syringomyelia associated with Chiari malformation (type 1) if the patient does not have symptoms due to Chiari malformation or has only mild signs and symptoms which do not require foramen magnum decompression, such as nystagmus or atrophy of sternocleidomastoid muscle.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    International journal of legal medicine 107 (1994), S. 21-24 
    ISSN: 1437-1596
    Keywords: Barbiturates ; Serum analysis ; GUMS (EI-SIM) ; Secobarbital therapy ; Barbiturate ; Serum-Analyse ; GC/MS (EI-SIM) ; Secobarbital-Therapie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Law
    Description / Table of Contents: Zusammenfassung Eine einfache und schnelle Methode zur Analyse von Barbituraten im Serum wurde entwickelt. Zur Probenaufarbeitung wurde eine Säulenextraktion mit Hilfe von Extrelut und Florisil angesetzt. Das Eluat wurde direkt analysiert mit Hilfe der GC/MS (EI-SIM). Als Ionen wurden die „base peaks” von 10 verschiedenen Barbituraten ausgewählt. Als interner Standard wurde Allobarbital oder Secobarbital verwendet. Innerhalb eines Bereiches von 0,5–5 ng wies die Eichkurve einen linearen Verlauf auf. Bei der Extraktion von gespeikten Serumproben, welche 20 μ1,5 ml und 5 μ1,5 ml enthielten, konnte eine Wiederfindungsrate von 87,2–105,2% und 81,6–104,6% gefunden werden. Phenobarbital stellt mit einer Wiederfindungsrate von 151,9% bzw. 172,1% eine Ausnahme dar. Die Secobarbital-Gehalte von 13 Patienten-Seren nach intravenöser Gabe von Secobarbital wurden analysiert. In 3 von 10 Fällen konnten Secobarbital-Spiegel von mehr als 1 μg/ml bei mehr als 72 Stunden zurückliegender Secobarbital-Gabe nachgewiesen werden. Die Methode scheint eine Möglichkeit zur klinischen Barbiturat-Spiegel-Bestimmung zu bieten.
    Notes: Abstract A simple and rapid method for analysis of barbiturates in serum has been developed. In order to extract and clean barbiturates in serum, a separation column packed with Extrelut and Florisil was used, and the eluate was directly analyzed by means of electron impact selected ion monitoring (EI-SIM). Selected ions used were base peak ions of 10 barbituartes, and the internal standard used was allobarbital or secobarbital. The calibration curves were linear over the range 0.5–5 ng. Extraction of replicate serum samples containing 20 μg/1.5 ml and 5 μg/1.5 ml resulted in a recovery of 87.2–105.2% and 81.6–104.6%, respectively, with the exception of phenobarbital, which was 151.9% and 172.1%, respectively. Secobarbital was also analyzed in the serum of 13 patients who had been given secobarbital intravenously. In 3 out of 10 cases, Secobarbital levels greater than 1 μg/ml were detected more than 72 h after administration. This method seems to have possibilities for clinical use.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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