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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Rheumatology international 11 (1991), S. 183-186 
    ISSN: 1437-160X
    Keywords: MRI ; Rheumatoid arthritis ; Spondyl-arthropathy ; Gonarthritis ; Arthritis ; Radiography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The knees of fifty-two patients suffering from rheumatoid arthritis (RA), 22 patients with seronegative spondylarthopathies (SA) as well as of 20 healthy volunteers were examined by magnetic resonance imaging (MRI). Osseous erosions (RA 52%-SA 18%; P〈0.005), Baker cysts (RA 56%-SA 12%; P〈0.005), pannus formation (RA 67%-SA 36%; P〈0.05), and cartilage thinning with narrowing of the joint space (RA 46%-SA 18%; P〈0.05) proved to be more frequent MRI findings in patients with RA. Additionally, in patients with RA erosions were more extensive. Follow-up MRI examinations of 19 patients revealed an improvment in MRI changes in SA within an average interval of 6 months. No substantial changes were noted in 7 of 13 RA patients. Quantitative and qualitative MRI findings of knee arthritis differ in patients with RA and SA and this was statistically significant. However, as there is considerable overlap of the MRI and radiographic changes in both groups the discriminating diagnostic value in the individual case was limited.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Der Unfallchirurg 103 (2000), S. 64-67 
    ISSN: 1433-044X
    Keywords: Schlüsselwörter Karotischirurgie • Stichverletzungen ; Key words Carotid artery • Stab wounds
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary The case of a 25 year old male with a stab wound of common carotid artery and the internal jugular vein is reported. He was admitted in severe hemorrhagic shock and immediatly treated succesfully by arterial reconstruction by means of a venous patch. Mild, declining neurological deficits correlated in magnetic resonance imaging with disturbances in the perfusion area of the medial cerebral artery. A survey of the literature shows that the fast repair of the carotid artery is clearly to be given preference to ligature. First can be executed successfully in exceptional emergency cases also by non-carotid surgeons, if basic vascular-surgical techniques are controlled.
    Notes: Zusammenfassung Berichtet wird über Stichverletzungen der A. carotis communis und V. jugularis interna bei einem 25 jährigen, die notfallmäßig in schwerem hämorrhagischen Schock durch einen Venenpatch erfolgreich versorgt wurden. Milde, rückläufige neurologische Defizite korrelierten in der Magnetresonanztomographie mit Perfusionsstörungen im Stromgebiet der A. cerebri media. Eine Literaturübersicht zeigt, daß der schnellen Rekonstruktion der Strohmbahn gegenüber der Ligatur eindeutig der Vorzug zu geben ist. Ersteres kann in Ausnahmesituationen auch erfolgreich von Chirurgen durchgeführt werden, die nicht routinemäßig Karotischirurgie betreiben, wenn grundsätzliche gefäßchirurgische Techniken beherrscht werden.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1920
    Keywords: AIDS ; Encephalopathy ; Computed tomography ; Magnetic resonance imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary To determine the prognostic value of CT and MRI in AIDS we studied the survival of patients with neurological involvement, in relation to the initial imaging results. Twenty-six initial CT and 15 MRI examinations of 41 patients were reviewed for the presence of cerebral atrophy and/or focal lesions. The mean survival time of patients with initially normal imaging was longer (700±89 days) than that of patients with isolated cerebral atrophy (326±65) or isolated focal lesions (202±97). The shortest survival (78±44 days) was found in patients with both cerebral atrophy and focal lesions. The risk of death in patients with focal lesions alone 6.4 times higher, and in patients with both changes 19.3 times higher than in patients with initially normal imaging. Cerebral imaging with CT and/or MRI thus allows identification of AIDS-related cerebral changes and may contribute to assessment of prognosis.
    Type of Medium: Electronic Resource
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