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  • 1
    Electronic Resource
    Electronic Resource
    Medulloblastoma in children and in adults: a comparative study (1992)
    Springer
    Acta neurochirurgica 119 (1992), S. 62-67 
    Details
    ISSN: 0942-0940
    Keywords: Medulloblastoma ; central nervous system neoplasms ; childhood tumour ; adulthood tumour
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We report on the clinical and pathological characters and factors influencing prognosis in a consecutive series of 20 cases of medulloblastoma presenting in childhood and of 20 cases of the tumour presenting in adulthood. The significant differences which emerged were compared with the findings of the largest published series. Medulloblastoma is more often lateral in site and desmoplastic in histology in adults than in children. On our evidence the age at tumour onset not affect survival.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01541783
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  • 2
    Electronic Resource
    Electronic Resource
    Multiple intracranial aneurysms: Surgical treatment and outcome (1993)
    Springer
    Acta neurochirurgica 124 (1993), S. 66-70 
    Details
    ISSN: 0942-0940
    Keywords: Aneurysm ; multiple aneurysm ; vasospasm
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We report a series of 41 patients with multiple intracranial aneurysms, analyzing them by type of surgical treatment and prognosis. We compare our findings with those of the largest published series and draw conclusions regarding the most appropriate treatment. The upshot would seem to be that morbidity and mortality depend chiefly on whether the aneurysms are bilateral or unilateral and on the patient's pre-operative status.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01401124
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  • 3
    Electronic Resource
    Electronic Resource
    Solitary plasmacytoma of the spine: Relationship of IGM to tumour progression and recurrence (1995)
    Springer
    Acta neurochirurgica 135 (1995), S. 122-125 
    Details
    ISSN: 0942-0940
    Keywords: Plasmacytoma of bone ; spinal tumour ; multiple myeloma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The authors report a retrospective study of 15 patients with solitary vertebral plasmacytoma. 15 patients were considered in this study on the basis of the following characteristics: 1) histologically confirmed plasmacytoma following surgical removal; 2) existence of a single vertebral lesion, documented by skeletal and MRI scan; 3) no signs, at diagnosis of disseminated disease by blood laboratory test, urine analysis, sternal puncture, iliac bone marrow biopsy, a total-body CT scan. The clinical course of the patients has been analysed on the basis of the following factors: age, sex, length of clinical history before diagnosis, site, presence/absence of the M component. The M component is an electrophoretically homogeneous immunoglobin. The most significant factors for predicting development of multiple myeloma proved to be the presence/absence of the M component at diagnosis and, to a lesser degree, the age of the patient. In the light of other reports too, it would seem that the presence of the M component at diagnosis is a reflection of aggressive biological and clinical tumour behaviour.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02187754
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  • 4
    Electronic Resource
    Electronic Resource
    Benign neural sheath tumours of major nerves: Characteristics in 119 surgical cases (1997)
    Springer
    Acta neurochirurgica 139 (1997), S. 1108-1116 
    Details
    ISSN: 0942-0940
    Keywords: Schwannoma ; neurofibroma ; neurofibromatosis ; peripheral nerve tumour
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Peripheral benign nerve sheath tumours are infrequent tumours and affect major nerve trunks. Some authors have indicated a high and prohibitive incidence of neurological injury in resection of these lesions. The authors describe their findings in a retrospective study comprising 119 patients with spontaneous benign nerve sheath tumours of the peripheral nervous system. Seventy-three patients had a schwannoma, 41 had neurofibroma and 5 had plexiform neurofibroma; 25 of the 119 patients suffered from neurofibromatosis. All schwannomas were excised completely and the outcome of patients was 41.0% improved, 6.8% worsened, 52.0% unchanged. Twenty-eight neurofibromas were excised completely and 13 subtotally; the outcome for patients was 19.5% improved, 19.5% worsened and 61% unchanged. All plexiform neurofibromas were removed subtotally and the outcome for patients was 20% improved and 80% unchanged. The best surgical results at average follow-up of 6 years were observed in the patients with schwannoma, the worst in those with plexiform neurofibroma. Our results demonstrated that it is often possible to remove schwannomas as well as neurofibromas with an acceptable risk of injury to the nerve.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01410969
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  • 5
    Electronic Resource
    Electronic Resource
    Synovial cysts: Clinical and neuroradiological aspects (1997)
    Springer
    Acta neurochirurgica 139 (1997), S. 176-181 
    Details
    ISSN: 0942-0940
    Keywords: Synovial cyst ; spinal ; peripheral nerve
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Lumbar and intraneural synovial cysts are uncommon lesions, although their incidence has increased since the introduction of MRI. The authors describe the results of a study comprising 23 patients with synovial cyst (5 lumbar, 19 intraneural). Neuroradiological investigations included CT scan and MRI; however, it was not always possible to diagnose the nature of the lesion. In 18 cases the lesion was removed totally including its capsule; in the other 5 cases it was removed subtotally. Seven of the 23 patients presented a total remission of symptoms/signs, 11 improved and 5 remained unchanged. The importance of treating synovial cysts as radically as possible is discussed together with their most significant clinical and neuroradiological aspects.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01844747
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  • 6
    Electronic Resource
    Electronic Resource
    Gangliogliomas of the cerebral hemispheres. Report of 14 cases with long-term follow-up and review of the literature (1993)
    Springer
    Acta neurochirurgica 125 (1993), S. 52-57 
    Details
    ISSN: 0942-0940
    Keywords: Brain tumours ; cerebral hemispheres ; ganglioglioma ; neuroepithelial tumours
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary This retrospective study focuses on 14 patients with ganglioglioma of the cerebral hemispheres who received surgical treatment in the Neurosciences Department/Neurosurgery of “La Sapienza” University of Rome between 1953 and 1990. The data are analyzed together with those on 98 published cases of ganglioglioma confined to the cerebral hemispheres. These tumours have no sex preference but a decided preference for the young (mean age 18 years). They are characterized by a history of epilepsy often of long standing and sometimes refractory to drugs. The most frequent site is the temporal lobe (61%). At operation the tumour proved to be solid in 52% of cases and the satellite cyst at the tumour wall in 48%. Removal was total in 65% of cases. Even after subtotal removal, the prognosis is good in terms both of survival and of seizure control. Radiotherapy seems to have no role in the treatment of these tumours.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01401828
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  • 7
    Electronic Resource
    Electronic Resource
    Isolated haemangioblastoma of spinal cord: Report of 18 cases and a review of the literature (1993)
    Springer
    Acta neurochirurgica 122 (1993), S. 236-239 
    Details
    ISSN: 0942-0940
    Keywords: Haemangioblastoma ; spinal tumours
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Eighteen cases of isolated spinal haemangioblastoma are presented. 13 patients were male and 5 female; average age was 34 years. The site of the tumour was bulbo-cervical in 1 case, cervical in 6, cervico-thoracic in 2, thoracic in 7, thoraco-lumbar in 2. Surgical excision of the tumour was total in all cases and peri-operative mortality was 5%. At average follow-up of 11 years, 8 patients had died (4 from neurological causes and 4 from non-neurological disease), and 9 survived; symptoms and signs improved in 11 cases, and were not improved in 6. The biological and pathological characteristics of this tumour are reported in the light of the present 18 cases and those reported in the literature.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01405535
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  • 8
    Electronic Resource
    Electronic Resource
    Bifid median nerve: Report of two cases (1995)
    Springer
    Acta neurochirurgica 136 (1995), S. 160-162 
    Details
    ISSN: 0942-0940
    Keywords: Median nerve ; anomalous innervation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The median nerve divides into its terminal branches at or proximal to the distal edge of the flexor retinaculum. An anatomy of the median nerve within the carpal tunnel is reported in two separate cases. Emphasis has been given to the value of direct vision when incising the flexor retinaculum in order to avoid injure of the median nerve.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01410619
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  • 9
    Electronic Resource
    Electronic Resource
    Development of intracranial meningiomas at the site of cranial fractures remarks on 15 cases (1995)
    Springer
    Acta neurochirurgica 136 (1995), S. 132-134 
    Details
    ISSN: 0942-0940
    Keywords: Meningioma ; trauma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The authors present a retrospective study of 15 patients with post-traumatic intracranial meningioma. The 15 cases were selected according to the criteria specified in the relevant literature. Assessment of clinical characteristics in these patients seems to confirm that in some cases head trauma may be a factor contributing to the development of meningioma.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01410614
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  • 10
    Electronic Resource
    Electronic Resource
    Solitary cerebral metastases from intestinal carcinoma (1995)
    Springer
    Acta neurochirurgica 133 (1995), S. 181-183 
    Details
    ISSN: 0942-0940
    Keywords: Brain ; single metastasis ; colon cancer ; small intestine cancer ; treatment
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The authors report 34 cases of solitary cerebral metastases from intestinal cancer. In 24 cases the tumour was localized in the colonrectum and in 10 in the small intestine. In 8 patients (23%) neurological symptoms were the first clinical sign of systemic spread of the tumour; in 26 cases (77%) there was a long interval between treatment of the primary and appearance of the cerebral metastasis (average 24 months). Average survival was 10 months and was influenced solely by staging of the primary. Interestingly, the prognostic value of radiotherapy was minimal and none of the patients operated by the “no touch technique” presented with a recurrence.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01420071
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