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  • 1
    ISSN: 1432-1920
    Keywords: Key words Spine ; Intervertebral discs ; Magnetic resonance imaging ; Spinal surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Our aim was to establish the normal range of MRI findings after successful lumbar discectomy. We prospectively examined 34 consecutive patients with an excellent clinical outcome by MRI 6 weeks and 6 months after surgery. All examinations included sagittal and axial spin-echo (SE) T1-weighted images before and after intravenous gadolinium-DTPA and fast SE T2-weighted images. Contrast enhancement along the surgical tract was seen in all patients 6 weeks and 6 months after surgery. After 6 months minimal or no mass effect on the dural sac by epidural scar was seen. In 20 % of patients there was recurrent disc herniation, with mass effect. Enhancing nerve roots were seen in 20 % of patients 6 weeks postoperatively, and half of these were associated with recurrent disc herniation at the same side. None of these patients still showed nerve root enhancement 6 months after surgery. Postoperative MRI studies must be interpreted with great care since the features described in the failed back surgery syndrome are also found, to some extent, in asymptomatic postoperative patients.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1920
    Keywords: Spine ; Intervertebral discs ; Magnetic resonance imaging ; Spinal surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Our aim was to establish the normal range of MRI findings after successful lumbar discectomy. We prospectively examined 34 consecutive patients with an excellent clinical outcome by MRI 6 weeks and 6 months after surgery. All examinations included sagittal and axial spin-echo (SE) T1-weighted images before and after intravenous gadolinium-DTPA and fast SE T2-weighted images. Contrast enhancement along the surgical tract was seen in all patients 6 weeks and 6 months after surgery. After 6 months minimal or no mass effect on the dural sac by epidural scar was seen. In 20% of patients there was recurrent disc herniation, with mass effect. Enhancing nerve roots were seen in 20% of patients 6 weeks postoperatively, and half of these were associated with recurrent disc herniation at the same side. None of these patients still showed nerve root enhancement 6 months after surgery. Postoperative MRI studies must be interpreted with great care since the features described in the failed back surgery syndrome are also found, to some extent, in asymptomatic postoperative patients.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 66 (1988), S. 1116-1120 
    ISSN: 1432-1440
    Keywords: Gastro-intestinal tract ; Foreign bodies ; Cocaine-, heroin-, marihuana intoxication ; Body-packing
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Cocaine drug packets were found in the gastro-intestinal tract of seven persons, charged with and arrested for presumed drug smuggling. Plain abdominal roentgenograms were positive in 4, while computer tomography of the abdomen (CT-scan) was necessary in 3 others to make the diagnosis. There were no signs of acute intoxication or bowel obstruction. All patients were treated with enemas and/or laxatives in order to evacuate the hidden packets; no complications occurred. A clinical description of the seven cases is followed by a short review of the literature, mainly focused on the possible complications of ingested drug packets and possible methods of removal.
    Type of Medium: Electronic Resource
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