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  • 11
    ISSN: 1432-1920
    Keywords: Key words Aneurysm ; Transcranial colour-coded duplex sonography ; Embolisation ; Subarachnoid haemorrhage
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We examined 72 patients with 89 angiographically confirmed intracranial aneurysms, using transcranial colour-coded duplex sonography (TCCD) to determine the location and size of the aneurysm. The patients were admitted for coil embolisation of their aneurysm following subarachnoid haemorrhage or because of a cranial nerve palsy. Using a 2/2.25 MHz transducer, 42 aneurysms (47 %) were seen satisfactorily through the temporal bone window or foramen magnum. In 24 cases (27 %) image quality was insufficient as a result of a poor bone window, of the aneurysm having a diameter of less than 6 mm or of its being in an unfavourable location. In 23 other cases (26 %) it was not possible to detect the aneurysm. Thrombosed structures could be demonstrated using TCCD in 8 of 12 giant intracavernous or basilar artery aneurysms, and in 15 of 19 aneurysms treated by platinum coil embolisation. TCCD offers a noninvasive method for monitoring progressive intra-aneurysmal thrombosis following coil embolisation and for follow-up of patients with untreatable fusiform aneurysms, should this be required. Detection of small aneurysms is limited by spatial resolution and insonation angles.
    Type of Medium: Electronic Resource
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  • 12
    Electronic Resource
    Electronic Resource
    Springer
    Der Nervenarzt 71 (2000), S. 995-999 
    ISSN: 1433-0407
    Keywords: Schlüsselwörter Intrazerebrales Hämatom ; Chronisch eingekapseltes intrazerebrales Hämatom ; Intrakranielle Blutung ; Zerebrale vaskuläre Malformation ; Kavernom ; Keywords Intracerebral hematoma ; Chronic encapsulated intracerebral hematoma ; Intracranial hemorrhage ; Cerebral vascular malformation ; Cavernoma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary The purpose of this case report is to describe chronic encapsulated intracerebral hematoma (CEIH), a rare and not fully understood brain lesion. The differentiation from chronic cerebral hematoma, cerebral abscess, and intra-axial tumor is based on clinical and imaging criteria. The diagnosis is confirmed by histological analysis. In the English medical literature, we found 39 patients reported with this lesion. The key feature is the formation of a capsule between a hematoma and cerebral parenchyma. The reasons for this formation are not known. In our patient, an arteriovenous malformation was located outside but adjacent to the CEIH.
    Notes: Zusammenfassung Ziel der Arbeit ist es, die seltene Erkrankung des chronisch eingekapselten intrazerebralen Hämatoms (CEIH) zu erläutern, sie vom chronisch intrazerebralen Hämatom (CIH) klinisch und vom zerebralen Abszess und Tumor mittels der bildgebenden Diagnostik abzugrenzen und die histologischen Befunde zu definieren, die die Diagnose bestätigen. In der englischsprachigen Literatur sind 39 Patienten mit dieser Erkrankung beschrieben. Im Unterschied zu den akuten und chronischen intrazerebralen Hämatomen bildet sich beim CEIH aus unbekannten Gründen eine Kapsel. Anhand der Kasuistik einer eigenen Patientin und der vorliegenden Fallmitteilungen werden die charakteristischen Merkmale des CEIH erläutert. Die Besonderheit des eigenen Falles ist der histologische Nachweis der die Blutung verursachenden Gefäßmissbildung außerhalb der Hämatomhöhle.
    Type of Medium: Electronic Resource
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  • 13
    Electronic Resource
    Electronic Resource
    Springer
    Archives of gynecology and obstetrics 199 (1963), S. 107-114 
    ISSN: 1432-0711
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zusammenfassung Das aus Nabelschnurblut gewonnene nicht hämolytische Serum Neugeborener wurde spektrophotometrisch auf seinen Gehalt an freien Nucleotiden untersucht. Bei gesunden Neugeborenen liegen die Werte höher als bei Erwachsenen. Bei verschiedenen Formen der Placentainsuffizienz (Überreife-Syndrom, Gestose der Mutter) konnte eine deutliche Erhöhung der Serum-Nucleotide festgestellt werden. Die Ursachen für das Auftreten erhöhter Nucleotidkonzentrationen im Serum bei Hypoxämie werden diskutiert. Diese Erhöhung scheint ein empfindlicher Gradmesser für die Stoffwechselschädigung bei Placentainsuffizienz zu sein und weist auf eine Erschöpfung der Energiereserven des Organismus hin.
    Type of Medium: Electronic Resource
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  • 14
    Electronic Resource
    Electronic Resource
    Springer
    Acta neurochirurgica 142 (2000), S. 731-738 
    ISSN: 0942-0940
    Keywords: Keywords: Giant aneurysms; bypass surgery; embolisation; extra-intracranial bypass.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary  Objective. Operative clipping is the most effective method in the treatment of cerebral giant aneurysms. But about 50% of all giant aneurysms are treatable this way. We want to report about eight patients with giant cerebral aneurysms, which were in our opinion “unclippable” without causing ischaemia in depending brain areas.  Methods. We describe eight cases of giant aneurysms of the pericallosal artery (n=1), the middle cerebral artery (n=3), the basilar tip (n=3) and of the upper part of the basilar artery (n=1). One patient with an aneurysm of the pericallosal artery was treated with an extra-intracranial saphenous vein bypass saphenous bypass, in three cases of middle cerebral artery aneurysms an extra-intracranial bypass was also done combined with a resection of the aneurysm. The four patients suffering from an aneurysm of the basilar artery got an extra intracranial bypass too followed by an occlusion of the aneurysm with GD-Coils.  Results. There was no peri-operative mortality and no severe peri- or postoperative complication. The neurological symptoms of all patients were unchanged after the operation. An angiographic controll showed a complete obliteration of the aneurysm and a free running bypass in all cases.  Conclusion. Bypass surgery and combined bypass surgery and coil embolisation are effective methods in the treatment of giant cerebral aneurysms, which can not be treated by clipping alone.
    Type of Medium: Electronic Resource
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  • 15
    Electronic Resource
    Electronic Resource
    Springer
    Acta neurochirurgica 59 (1981), S. 87-94 
    ISSN: 0942-0940
    Keywords: Carotid-cavernous sinus fistula ; detactable balloon catheter ; intraluminar vascular occlusion
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary By means of a case report a shortcoming of balloon catheter techniques for intravascular occlusion of CCF is demonstrated: the procedure by which the balloon is detached from the filling catheter is unreliable and may further traumatise the vessel wall. We describe a new technique that allows careful, gentle, and effortless detachment of the balloon by means of a melting-off technic.
    Type of Medium: Electronic Resource
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  • 16
    Electronic Resource
    Electronic Resource
    Springer
    Human genetics 〈Berlin〉 3 (1967), S. 244-263 
    ISSN: 1432-1203
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Abstract Six cases are described in which defects of the femora are associated with deformities of the upper limbs. From the available literature all cases (55) were selected in which femoral defects were associated with upper limb deformities. It became apparent that most if not all of these cases belong to a well defined syndrome. Arm deformities associated with femoral defect do not usually include the most common types, but specific rare types, namely amelia, peromelia ending at the level of the elbow, brachioradial synostosis and ulnar defects. In the syndrome in question sometimes either arm shows a different type of these deformities, which is further evidence that all cases may be considered to represent one category. In the majority of cases there is also a defect of the fibula and the fibular rays. The etiology is unknown. Familial occurrence has not been observed. Parental age does not appear to be a factor. In no case was there a thalidomide history. A history of radiation exposure during pregnancy was present in two previously published cases. Other limb deformities associated with radiation exposure in utero are quoted from the literature. Some of them are similar, but not exactly identical to the syndrome in question. Thalidomide deformities, in which the radial and tibial rays are preferentially affected, are clearly distinct. Similar defects of the femorae and fibulae but not of the arms are occasionally seen in children born to diabetic mothers.
    Type of Medium: Electronic Resource
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  • 17
    Electronic Resource
    Electronic Resource
    Springer
    European radiology 8 (1998), S. 749-755 
    ISSN: 1432-1084
    Keywords: Key words: Leucoencephalopathy ; Heroin ; Cerebellum ; CT ; MRI
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. This is a report of clinical, CT and MRI findings in a patient with toxic spongiform leucoencephalopathy after heroin ingestion. The disease is observed in drug addicts who inhale pre-heated heroin. The clinical onset, which usually occurs some days or even longer after the last heroin consumption, is characterized by a cerebellar syndrome. The cerebellar hemispheres, the cerebellar and cerebral peduncles and the pyramidal tract may be affected. Spongiform demyelination is the morphological substrate of the lesions, which are not contrast enhancing, hypodense on CT and hyperintense on T2-weighted MRI. The frequently perfect symmetry of the affection of functional systems points to a toxic and/or metabolic pathophysiological mechanism.
    Type of Medium: Electronic Resource
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  • 18
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 15 (1985), S. 85-91 
    ISSN: 1432-1998
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Report on experiences with a balloon embolisation method. The balloon was detached from the catheter using a new thermo-electric technique. In five patients between 11 and 18 years seven intracranial fistulas were treated and permanently occluded. All five patients were injured in motor-vehicle accidents.
    Type of Medium: Electronic Resource
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  • 19
    Electronic Resource
    Electronic Resource
    Springer
    Der Radiologe 40 (2000), S. 998-1010 
    ISSN: 1432-2102
    Keywords: Schlüsselwörter Virale Enzephalitis ; MRT ; Herpes-simplex-Virus ; HIV ; Keywords Virus encephalitis ; MRI ; Herpes simplex virus ; HIV
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Abstract The diagnostic procedure in viral encephalitis is based on the synopsis of clinical signs and symptoms, serological data, CSF analysis and diagnostic imaging findings. This article summarizes the findings of those viral encephalitides most frequently encountered in Western Europe. MRI is more sensitive than CT for the detection of inflammatory brain lesions due to the higher contrast resolution. The pattern of parenchymal damage is highly specific in only some viral encephalitides (e. g., the frequently hemorrhagic lesions of structures of the limbic system in herpes simplex virus type I encephalitis; the symmetric and confluent lesions of the frontal white matter of progressive diffuse leukoencephalopathy in AIDS). In the majority of viral encephalitides MRI demonstrates the location and extension of parenchymal damage. The specific diagnosis in terms of the causative agent is based on serological studies.
    Notes: Zusammenfassung Die Diagnostik viraler Enzephalitiden basiert auf der synoptischen Auswertung klinischer, serologischer, liquoranalytischer und bildgebend erhobener Befunde. In der vorliegenden Arbeit werden die entsprechenden Befunde der häufigsten in Westeuropa viral verursachten Enzephalitiden dargestellt. Generell ist bei entzündlichen Läsionen des Hirnparenchyms die Kernspintomographie (MRT) aufgrund ihrer hohen Weichteilkontrastauflösung der Computertomographie (CT) hinsichtlich der Nachweissensitivität überlegen. Bei einigen viralen Enzephalitiden ist das kernspintomographisch erfassbare Schädigungsmuster hochspezifisch. Die gilt z. B. für die häufig hämorrhagischen Läsionen der Strukturen des limbischen Systems bei der Herpes-simplex-Virus-Typ-1-Enzephalitis und für die flächenhaft symmetrischen Marklagerläsionen bei der progressiven diffusen Leukenzephalopathie bei AIDS-Patienten. Bei der Mehrzahl der viralen Enzephalitiden weist die MRT zwar die Lokalisation und Ausdehnung der Parenchymschädigung nach, erlaubt jedoch keine sichere Zuordnung zu einem Erreger.
    Type of Medium: Electronic Resource
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  • 20
    Electronic Resource
    Electronic Resource
    Springer
    Der Radiologe 40 (2000), S. 1064-1076 
    ISSN: 1432-2102
    Keywords: Schlüsselwörter Sarkoidose ; Neurosarkoidose ; Granulom ; MRT ; Keywords Sarcoidosis ; Sarcoidosis complications ; Neurosarcoidosis ; Granuloma ; Brain diseases complications ; Magnetic resonance imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Abstract The central nervous system is frequently affected during the course of sarcoidosis. Many of these lesions remain without clinical correlates. Unenhanced and contrast enhanced CT and MRI play an important role during the diagnostic work-up of patients with sarcoidosis and suspected or proved CNS involvement. This article summarizes the most frequent manifestations of neurosarcoidosis and provides illustrative examples of MRI findings.
    Notes: Zusammenfassung Das Nervensystem ist bei der Sarkoidose häufiger mitbeteiligt als nach klinischen Gesichtspunkten zu vermuten wäre. Den bildgebenden Untersuchungsverfahren kommt eine große Bedeutung beim Nachweis der pathologischen Veränderungen zu. Insbesondere die Kernspintomographie sichert die Diagnosestellung und dient der Verlaufsbeurteilung. In dieser Übersichtsarbeit werden die typischen klinischen und bildgebenden Befunde bei der Neurosarkoidose vorgestellt.
    Type of Medium: Electronic Resource
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