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Download Acute Non-Traumatic Intracranial Bleedings. Posterior Fossa by H.-P. Jensen (auth.), Prof. Dr. Hans-Peter Jensen, Prof. Dr. PDF

By H.-P. Jensen (auth.), Prof. Dr. Hans-Peter Jensen, Prof. Dr. Mario Brock, Priv.-Doz. Dr. Margareta Klinger (eds.)

This quantity of ADVANCES IN NEUROSURGERY provides the unique texts of 60 papers introduced on the thirty third annual assembly of the German Neuro­ surgical Society held in Kiel from may well sixteenth to twentieth, 1982. those papers symbolize a variety from a few 162 papers submitted and ninety six really given. the choice was once made via the society's programme committee, of which Professor W. J. BOCK, Professor H. DIETZ and Professor W. GROTE also are contributors. i need to take this chance to precise my honest due to them for his or her untiring cooperation. The clinical programme handled 3 major issues: 1. Acute, non-traumatic intracranial hemorrhages, a subject matter that has constantly been of value for neurological surgeons because the ana­ tomist Giovanni Battista MORGAGNI in 1791 first defined intimately the medical photo and the pathological and anatomical motives of a mind hemorrhage he had saw in his servant. certainly, at our thirty first annual assembly in Erlangen in 1980 "Timing difficulties in Sub­ arachnoid Hemorrhages" was once one of many major issues of dialogue. For this year's assembly a cooperative examine during which 27 collage and sanatorium departments of neurosurgery participated enabled us to seem into the explanations and the diagnostic and healing measures all in favour of loads of situations of intracranial hemorrhage.

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The location of the detected aneurysms is presented in the Table 1. The smallest one had a size of 3 mm (Fig. 2). In all cases the diagnosis was confirmed angiographically and in the positive cases also surgically. e. 5 ml/sec) and thus densities of 120 - 160 Hounsfield Units could be achieved in the main blood vessels; densities, which lay far above the density -of blood clot. Representative cases in correlation to the angiogram are demonstrated in the Fig. 1 - 4. Discussion Multi-plane dynamic CT cannot be used for evaluation of the time course of enhancement patterns.

Respectively, was very low. Further findings from the angiography in relation to elimination of the source of bleeding and arterial occlusion are to be found in Table 8. The complications after operations for aneurysm and angioma listed in Table 9 differ in many respects. Follow-up The follow-up results of the patients operated on show an interesting difference when compared to the follow-up results of patients not operated on. Where the period of observation was between one month and four years the mortality rate in cases of aneurysmal hemorrhage not operated on was 53%.

Surgical results in 132 angiomas. Classification of grading see text Grade Admission % No Operation No. % Grade Discharge No. % I 15 28 42 32 14 1 28 31 39 18 13 3 Excellent Good Fair Poor Dead 66 42 7 1 16 II III IV V VI 11 21 32 24 11 1 21 23 30 14 10 2 50 32 5 1 12 and at the time of discharge 50% of the angioma patients operated on showed only slight or no sequelae and were fully able to work. The operative mortality rate was 12% here compared with a mortality rate of 19% in the group not operated on and 24% in the group with ventricular hemorrhage of whom one third or 32% nevertheless were in excellent condition on discharge.

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