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  • 1
    Electronic Resource
    Electronic Resource
    Cervical cord compression and severe hydrocephalus in a child with Saudi variant of multiple sulfatase deficiency (1994)
    Springer
    Acta neurochirurgica 131 (1994), S. 160-163 
    Details
    ISSN: 0942-0940
    Keywords: Cord compression ; severe hydrocephalus ; cervicomedullary junction ; Austin's disease ; multiple sulfatase deficiency
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We report a 2.5-year-old boy with Saudi variant of multiple sulfatase deficiency (MSD or Austin's disease). He presented with the features of cervical cord compression and a severe form of hydrocephalus. The former was due to a thickened posterior arch of the atlas and the latter from a narrow foramen magnum and meningeal thickening. Decompression of the cord was achieved by removal of the posterior margin of the foramen magnum and posterior arch of the atlas, and followed by a duroplasty. At a later date, ventricular decompression was achieved by insertion of a ventricular-peritoneal shunt. NMR did not demonstrate white matter changes in the brain. In this regard the reported case differs from the earlier description of the Saudi Variant of MSD.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01401468
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Penetrating craniocerebral shrapnel injuries during “Operation Desert Storm”: Early results of a conservative surgical treatment (1994)
    Springer
    Acta neurochirurgica 126 (1994), S. 120-123 
    Details
    ISSN: 0942-0940
    Keywords: Head injury ; penetrating wound ; craniocerebral injury ; shrapnel fragment ; outcome
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A follow-up study is presented of the initial neurosurgical treatment of 20 patients who sustained penetrating eraniocerebral injuries during “Operation Desert Storm”. Fifteen of these patients had received intracranial debridement through a craniectomy and five patients had received care of scalp wounds only. Following treatment and stabilisation in a frontline hospital, these patients were transferred to the Riyadh Armed Forces Hospital for further evaluation and management. On admission, all the patients received a computerised tomographic scan which revealed shrapnel fragments inside their brain. No attempt had been made to remove the metal fragments. A patient with an infected scalp wound was treated with a course of appropriate antibiotics and the wound dressed. Dexamethasone was not used. Anticonvulsants were used only in one patient who had been treated for a presumed cerebral abscess. The neurological status of the patients improved along with the reduction of oedema and the swelling of the brain as shown in the follow-up CT scans. No patient died or developed a seizure disorder. These results suggest that re-operation for removal of retained fragments is unnecessary. It is concluded that the initial treatment of shrapnel wounds of the brain should be to preserve maximal cerebral tissue and function either by limiting the wound debridement performed through a craniectomy or by care of scalp wounds only.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01476420
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Enhanced catheter propagation with hypercapnia during superselective cerebral catherisation (1998)
    Springer
    Neuroradiology 40 (1998), S. 466-468 
    Details
    ISSN: 1432-1920
    Keywords: Key words Carbon dioxide ; Embolisation ; Anaesthesia ; Malformation ; arteriovenous
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract During arterial catherisation of a cerebral arteriovenous malformation it may be difficult or impossible to access the nidus of the malformation through its small, tortuous feeding vessels due to microcatheter impaction. Carbon dioxide, a most potent cerebral vasodilator, was temporarily added to the inspired gases of two anaesthetised patients undergoing superselective embolisation of an arteriovenous malformation, when the microcatheter had been impacted for a considerable time. Successful propagation of the microcatheter into the malformation was achieved in both patients after a relatively short period of hypercapnia.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002340050626
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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