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  • 1
    Electronic Resource
    Electronic Resource
    Posterior fossa meningiomas (1975)
    Springer
    Acta neurochirurgica 32 (1975), S. 219-233 
    Details
    ISSN: 0942-0940
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The clinical symptoms of thirty patients with surgically treated posterior fossa meningiomas were reviewed. These included 16 cerebellopontine (CPA), 7 cerebellar, 4 carrefour-falco-tentorial (CFT), 2 foramen magnum, and 1 clivus meningiomas. Careful attention to clinical findings is necessary in diagnosing these tumors. With rare exception they have an insidious onset and even after having reached considerable size, the ensuing neurological abnormalities might not be revealing. On occasion there are false localizing neurological findings. Neuroradiological localization is essential to obtain accurate diagnosis and to plan the best operative approach. Radioactive brain scanning offers the best screening method. Although air studies remain useful, angiography of vessels of the posterior fossa is assuming a dominant role in diagnosis and surgical planning.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01405455
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Demonstration of transventricular CSF absorption by computerized tomography (1977)
    Springer
    Acta neurochirurgica 39 (1977), S. 151-157 
    Details
    ISSN: 0942-0940
    Keywords: CSF circulation ; CT scan ; Cerebral edema ; Hydrocephalus
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Four cases are presented of marked periventricular oedema associated with hydrocephalus on CT scan. In one of the patients oedema, as well as the hydrocephalus, subsided after successful re-establishment of CSF absorption. The most likely explanation of the periventricular oedema is increased absorption of CSF by periventricular brain tissue.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01406724
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Unusual intracranial foreign bodies (1977)
    Springer
    Acta neurochirurgica 39 (1977), S. 219-231 
    Details
    ISSN: 0942-0940
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Five patients surgically treated for unusual intracranial foreign bodies are presented. They include representative cases of the three most commonly encountered types of these injuries: industrial accidents, suicidal attempts and the result of criminal assault. Immediate radiological examination is mandatory because the deceptively small entrance wound is usually in no way commensurate with the large size of the foreign body the presence of which is frequently not suspected. The surgical removal of these foreign bodies requires careful pre-operative assessment to avoid hemorrhages and undue injury to the surrounding normal brain tissue.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01406732
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    Paper (German National Licenses)
    Fulltext
  • 4
    Electronic Resource
    Electronic Resource
    Stereotactic neurosurgical biopsy is an underutilized modality (1999)
    Springer
    Neurosurgical review 22 (1999), S. 117-120 
    Details
    ISSN: 1437-2320
    Keywords: Key words  Stereotactic biopsy ; Empiric therapy ; Intracranial mass
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  The objective of this study was to ascertain if stereotactic neurosurgical biopsy (SNB) optimizes the therapy of undefined CNS masses. The design was of retrospective treatment and outcome analysis and the setting was a large general hospital. We studied a total of 141 patients with undefined, space-occupying CNS lesions detected between 1991–1997, with whom we used SNB to define the lesions. We sought to correlate empiric and histological diagnostics and their impact on medical management. The stereotactic biopsy produced a diagnostic yield for each patient. Management was altered in 57 cases (40%) due to histology and, of these, malignancy was found in 39. Morbidity was ten asymptomatic hemorrhages on post-biopsy CT scans and two cases of clinical deterioraton. Our conclusions were that SNB produces high yield with low morbidity. In the community setting, a wide variety of diagnoses can be made with improvements in medical management. SNB should be employed to guide therapy of CNS lesions where complete excision is not possible or when diagnostic questions arise.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s101430050043
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    Paper (German National Licenses)
    Fulltext
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