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  • 1
    Electronic Resource
    Electronic Resource
    Successful removal of metalic foreign body from brain and internal carotid artery with a platinum-Cobalt magnet alloy (1972)
    Springer
    Surgery today 2 (1972), S. 166-170 
    Details
    ISSN: 1436-2813
    Keywords: Metalic foreign body ; Pt-Co magnet ; brain ; internal carotid artery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Two successful removals of metalic foreign body with a platinum-Cobalt magnet alloy (Pt-Co magnet) which has a size of 4×4 mm and is capable of lifting 120 g of weight were reported, one a metal fragment from the brain via a inlet track, and the other a needle from the internal carotid artery. A metal piece of motorcycle was accidentally flew in which was demonstrated by X-ray examination of the skull. Pt-Co magnet was inserted into the entrance hole on the right eyebrow under fluoroscopic control. The metal fragment of 20×4×1 mm size was pulled out with minimal damage to the surrounding brain tissues. The other was the accidental breakage of a needle tip during carotid angiography. A needle tip remained in the internal carotid artery at cranial base was successfully removed with a Pt-Co magnet inserted through the previous injection site.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02470403
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Early operation for the ruptured intracranial aneurysm (1973)
    Springer
    Surgery today 3 (1973), S. 149-156 
    Details
    ISSN: 1436-2813
    Keywords: subarachnoid hemorrhage ; intracranial aneurysm ; early surgical treatment ; timing of surgery ; cerebral vasospasm ; consciousness of patient
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract It has been commonly accepted that the intracranial direct surgery, especially of aneurysmal neck occlusion, is the most desirable treatment for the intracranial aneurysm. However its timing is still controversial. In this report, early operation for the ruptured intracranial aneurysm was advocated based on the analysis of cases, encountered until the end of December, 1970, in which direct operation was performed within 3 weeks from the last subarachnoid hemorrhage, with special reference to the causes of death. The most reliable clinical parameter in deciding the timing of intracranial direct surgery seems to be the course of patient's consciousness. Age, blood pressure, site of aneurysm, motor disturbance, cranial nerve disorder and preoperative vasospasm were less related to the surgical results. The meningeal irritation and frequency of the past subarachnoid hemorrhage were related to the surgical results to some extent only. Therefore direct operation should be performed for the ruptured intracranial aneurysm even within one week after the last attack, providing the patient is neither in a state of coma nor in a down hill course of consciousness.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02468947
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    The new transinsular approach to the hypertensive intracerebral hematoma (1972)
    Springer
    Surgery today 2 (1972), S. 47-52 
    Details
    ISSN: 1436-2813
    Keywords: cerebral hemorrhage ; hemiplegia ; hypertension ; intracerebral hematoma ; transinsular approach ; operative technique
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A new operative procedure for intracerebral hematoma through the Sylvian fissure and the insula is described, which was used in six cases of hypertensive intracerebral hematoma. The advantage it offers and indication for the use of this procedure are compared with those of the traditional operative methods such as burr hole aspiration and large craniotomy followed by cortex incision.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02468906
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Prognostic correlation with the cerebral vasospasm and the direct operation for the intracranial aneurysm (1971)
    Springer
    Surgery today 1 (1971), S. 210-215 
    Details
    ISSN: 1436-2813
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary and conclusion 1) Direct operations were performed on 218 cases out of 254 cases of intracranial aneurysms experienced by us until the end of March, 1969. The follow-up study ranging from 6 months to 9 years after the operation showed that 19 patients died during hospitalization, 3 patients died within 6 months (the cause of death in 2 of them was unrelated to direct operation), 3 cases died in more than 6 months later, and 192 cases survived beyond 6 months. 2) Including non-operative cases, 44 cases of vasospasm were found before the operation. The incidence of vasospasm was 17.3 per cent. 3) As for vasospasm cases, there was no death case within 6 months after discharge, and only 2 cases died during hospitalization out of 37 operated cases, the mortality rate being 5.4 per cent. In non-vasospasm cases the mortality rate within 6 months after operation was 10.2 per cent. Comparing these two groups, the result was not worse in the vasospasm group and its mortality rate was better than that of non-vasospasm cases. 4) The study brought us to reconsider to some extent the view previously held that in severe vasospasm cases direct operation should not be performed. We are of the opinion that in vasospasm cases, unless they are in coma or on a down hill course, direct operation should be performed thus avoiding any damage to brain.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02468910
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    Paper (German National Licenses)
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