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Bulletin of the Los Angeles neurological societies最新文献

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Ventriculogastrostomy, an alternative means for CSF diversion: a preliminary study. 脑室造口术,脑脊液分流的一种替代方法:初步研究。
M H Weiss, J A Jane, M L Apuzzo, J S Heiden, T Kurze

The feasibility of gastric CSF diversion in the management of hydrocephalus is evaluated in laboratory and clinical settings. A technique for ventriculogastrostomy is described and evaluated initially in 8 mongrel dogs. All distal shunts remained patent to the time of sacrifice. None of the animals exhibited leakage of gastric contents around the tubing. Cultures of the components of the shunting system and gastric mucosa were sterile. Clinical evaluation in a 3 week-old child is discussed. The trial was terminated at 3 weeks postsurgery because of the occurrance of an E. coli ventriculitis which was considered to be secondary to a preoperative conjunctivitis in which the organism was identical. It is concluded that there is good experimental evidence to support the concept of effectiveness of ventriculogastrostomy in the treatment of selected cases of hydrocephalus.

在实验室和临床环境中评估胃CSF分流治疗脑积水的可行性。在8只杂种狗的脑室造口术中描述并初步评估了一种技术。所有远端分流术在牺牲时仍保持专利。没有一只动物在胃管周围出现胃内容物渗漏。分流系统的组成部分和胃粘膜的培养是无菌的。本文讨论1例3周大儿童的临床评价。试验在术后3周终止,因为大肠杆菌脑室炎的发生被认为是继发于术前结膜炎,其中的生物体是相同的。结论:脑室吻合术治疗脑积水的有效性有较好的实验证据支持。
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引用次数: 0
Unusual head injury. 不寻常的头部损伤。
M Feld
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引用次数: 0
Botulism: a case report. 肉毒中毒1例报告。
N P Rosenthal, M Belafsky
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引用次数: 0
Pathogenesis of spike-wave status: a clinical-pathological study implicating cerebellar disturbance. 尖峰波状态的发病机制:涉及小脑障碍的临床病理研究。
R D Farran, H B McIntyre, H H Itabashi

If cerebellar Purkinje cells function in a manner so as to terminate at least some types of seizures or to prevent their clinical development then loss of Purkinje cells should predispose to the prolonged or continuous occurance of these seizures. This study presents clinical data that may document such an instance and cites the supporting experimental data.

如果小脑浦肯野细胞的功能至少可以终止某些类型的癫痫发作或阻止其临床发展,那么浦肯野细胞的丧失应该会导致这些癫痫发作的延长或持续发生。本研究提出的临床数据可能会记录这样一个实例,并引用支持实验数据。
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引用次数: 0
Etiologies of Parkinsonism. 帕金森病的病因。
L E Geiger

A case report is presented of a patient with Parkinsonism. Three contributory etiological factors are considered with the conclusion that craniocerebral trauma may have been the most significant cause of Parkinsonism in this individual.

本文报告1例帕金森病患者。考虑了三种致病因素,结论是颅脑创伤可能是该个体帕金森病的最重要原因。
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引用次数: 0
Utilization of barium-impregnated ferromagnetic silicone in vascular occlusion. 钡浸渍铁磁硅胶在血管闭塞中的应用。
M Snyder, R W Rand
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引用次数: 0
Myelopathy simulating spinal cord tumor. 脊髓病模拟脊髓肿瘤。
S M Wolf, J Keane, J Feigenbaum, A Lu

Three cases of demyelinating or necrotizing myelopathy are presented in which gradual onset of symptoms, slowly progressive course and widened cord shadow on myelography led to the erroneous diagnosis of intramedullary spinal cord neoplasm. Two of the cases also had inconclusive surgical explorations. We would suggest that patients who seem to have even a typical clinical and myelographic picutre of an intrinsic cord neoplasm have a period of further observation before radiotherapy is begun and that a vigorous search be made for evidence of disseminated disease.

本文报告3例脱髓鞘或坏死性脊髓病,其症状逐渐出现,病程进展缓慢,脊髓造影显示脊髓影变宽,导致髓内脊髓肿瘤的错误诊断。其中2例手术探查不确定。我们建议,即使患者似乎有典型的内在脐带肿瘤的临床和脊髓造影图像,在放射治疗开始前都有一段时间的进一步观察,并积极寻找弥散性疾病的证据。
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引用次数: 0
Anterior decompression of the thoracic and thoraco-lumbar spine. 胸椎和胸腰椎前路减压。
M H Weiss, J S Heiden, M L Apuzzo, T Kurze

The authors report their experience with six cases of acute spinal cord compression due to tumor, trauma, and infection in which the thoraco-lumbar spine and cord were most satisfactorily decompressed using an anterior transthoracic approach. Consideration is given to the appropriate pre-operative diagnostic procedures utilized to define those cases that are most amenable to an anterior approach. In addition, a consideration of paravertebral anatomy in the thoraco-lumbar area provides a basis for variance in approaching the ventral aspect of the thoraco-lumbar spine in order to minimize potential vascular complications.

作者报告了6例因肿瘤、创伤和感染引起的急性脊髓压迫的经验,其中胸腰椎和脊髓采用前路经胸入路减压最令人满意。考虑到适当的术前诊断程序,以确定那些最适合前路入路的病例。此外,考虑椎旁解剖在胸腰椎区域提供了一个基础,在接近胸腰椎腹侧的变化,以尽量减少潜在的血管并发症。
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引用次数: 0
Is sociopathy a neurologic disorder? 反社会是一种神经障碍吗?
E Ziskind
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引用次数: 0
Headache associated with discogenic disease of the cervical spine. 颈椎椎间盘源性疾病相关的头痛。
D I Peterson, G M Austin, L A Dayes
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引用次数: 0
期刊
Bulletin of the Los Angeles neurological societies
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