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  • 1
    ISSN: 1365-2044
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Epidural anaesthesia using the loss of resistance to saline technique, without air, was successfully performed in a 65-year-old man scheduled for elective vascular surgery of the right leg. Epidural catheterisation was uneventful. Fifteen minutes after the initial dose of plain 0.5% bupivacaine, the patient experienced severe pain in his lower abdomen and legs which coincided with a supplementary injection of 2 ml bupivacaine and 50 μg fentanyl, and a change from the lateral to the supine position. General anaesthesia was induced and CT and MRI scans were performed showing trapped air in the epidural space at the L4 level causing compression of the thecal sac. After excluding other causes, the spontaneous entry of air through the Tuohy needle was thought to be the most likely explanation for this complication. The patient recovered uneventfully.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Neuroradiology 27 (1985), S. 346-348 
    ISSN: 1432-1920
    Keywords: Lumbar spine ; spinal CT ; sciatica ; synovial cyst ; ganglion ; facet joint
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We report a case of intraspinal synovial cyst with sciatic pain diagnosed by CT, that showed spontaneous resolution and clinical improvement with medical treatment and comment on another two cases of this unusual entity discovered among over 1500 spinal CT explorations.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1920
    Keywords: Ottantitative MRI hippocampal volume analysis ; Postictal SPECT ; Video/EEG ; Refractory epilepsy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The effectiveness of surgery in patients with refractory complex partial seizures depends on accurate localisation of the epileptogenic zone. To assess the correlation between magnetic resonance imaging (MRI) hippocampal volume measurements, Tc 99m-hexamethyl-propyleneamineoxime inter- and postictal single photon emission computed tomography (SPECT) and clinico-electrophysiological (video/EEG) localisation of the epileptogenic zone we prospectively studied 16 consecutive patients with refractory complex partial seizures and no significant abnormality on standard MRI. Each test was interpreted blindly by independent observers. Eight patients (50%) had asymmetrical hippocampal volumes indicative of unilateral atrophy; correlation with the video/EEG and postical SPECT changes was very high (100% with definitive video/EEG localisation, 75% with interictal EEG and 83% with postictal SPECT). Moreover, the left/right hippocampal ratio was able to differentiate temporal from extratemporal video/EEG localisations. Postictal SPECT showed regional lateralised changes in 9 (64%) of 14 technically satisfactory studies. Disagreement between the video/EEG and postictal SPECT was seen with two extratemporal and one bitemporal foci.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Neuroradiology 36 (1994), S. 311-312 
    ISSN: 1432-1920
    Keywords: Ganglioglioma ; Central nervous system ; Computed tomography ; Magnetic resonance imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We describe a ganglioglioma with atypical radiological appearances, in an uncommon location. CT showed a nonenhancing low-density lesion without calcification. On MRI the lesion gave nonspecific low signal on T1-weighted images and high signal on T2-weighted images. The tumour was in the right frontal lobe, producing bulging and thinning of the calvarium.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1432-1920
    Keywords: Target sign ; Tuberculoma ; Computed tomography ; Central nervous system ; Magnetic resonance imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In brain lesions, the target sign has been defined as a central nidus of calcification or central enhancement surrounded by a ring of enhancement. It has been considered a pathognomonic finding of central nervous system (CNS) tuberculoma. The purpose of this report is to demonstrate that the target sign related to central enhancement is a nonspecific finding and may lead to erroneous diagnosis of CNS tuberculoma.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1432-1920
    Keywords: Key words Target sign ; Tuberculoma ; Computed tomography ; Central nervous system ; Magnetic resonance imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In brain lesions, the target sign has been defined as a central nidus of calcification or central enhancement surrounded by a ring of enhancement. It has been considered a pathognomonic finding of central nervous system (CNS) tuberculoma. The purpose of this report is to demonstrate that the target sign related to central enhancement is a nonspecific finding and may lead to erroneous diagnosis of CNS tuberculoma.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    European radiology 3 (1993), S. 123-128 
    ISSN: 1432-1084
    Keywords: Computed tomography ; Intracranial tuberculoma ; Magnetic resonance imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The appearances of intracranial tuberculoma on CT and MRI are described. Eight patients (6 males and 2 females) with intracranial tuberculomas studied over the past 4 years are presented. Four patients had AIDS and among the four non-AIDS patients 1 had undergone hepatic transplantation. All the cases were studied with CT and 6 underwent MRI. Five lesions were infratentorial, and 2 patients had double lesions. In 2 patients obstructive triventricular hydrocephalus was present. No patient had meningeal involvement. The stage of evolution was cerebritis in 1 case, incipient tuberculoma in 3 cases, mature tuberculoma in 1 case and tuberculous abscess in 5 cases. Diagnosis of intracranial tuberculoma was determined histologically in 5 patients and by good response to specific therapy in the remaining patients. Although CT allows differentiation between incipient and mature tuberculoma, MRI allows a better determination of the evolutonary stage. In most cases combined CT and MRI examinations provide an accurate diagnosis of intracranial tuberculoma.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Archives of dermatological research 166 (1932), S. 315-318 
    ISSN: 1432-069X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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