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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Acta neurochirurgica 121 (1993), S. 109-112 
    ISSN: 0942-0940
    Keywords: Arterial bleeding ; subdural haematoma ; rupture of cortical artery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Fifteen consecutive cases of subdural haematomas (SDHs) of arteriolar origin operated on during the last twenty years in the Neurosurgical Clinic of the University of Genoa are reported. These SDHs are rare and form as a result of a rupture of a cortical arteriolar branch typically on the vicinity of the Sylvian fissure. They are always in a pure form and never associated with parenchymal lesions. Their aetiology is spontaneous, as in the 40% of our series, or more frequently related to minor traumas. These SDHs are often encountered in elderly patients generally presenting with severe clinical conditions (in the 60% of our patients GCS on admission was 〈8). Prompt surgical treatment is required in all cases before further worsening of their neurological condition, even if CT scanning does not reveal parenchymal lesions. The mortality rate is over 50% and mainly relates to the pre-operative GC score. Clinical features, neuroradiological aspects and treatment are discussed and literature reviewed.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 0942-0940
    Keywords: Giant fusiform aneurysm ; middle cerebral artery branch aneurysm ; cerebral arterial ectasia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Giant fusiform aneurysm (2.5 cm in length or more) is an unusual pathological entity typically described involving the main trunks of cerebral arteries and, rarely, cerebral artery branches. We are presenting two cases of middle cerebral artery branch giant fusiform aneurysm, one surgically and the other conservatively treated. We were unable to find in the literature reports of similar aneurysms at the same location. Clinical and pathological aspects, radiological findings, and treatment are discussed.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1262
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé De mars 1960 à décembre 1992, 47 patients porteurs d'un cancer primitif ou d'une récidive d'un cancer du bas rectum ont subi une excision totale du rectum avec une anastomose colo-anale. La résection a été étendue distalement jusqu'à la jonction ano-rectale. Le rétablissement de la continuité a comporté une anastomose coloanale entre un réservoir colique en J et la ligne pectinée. Toutes les lésions siégeaient à moins de 7 cm de la marge anale (moins de 6 cm dans les 33 premiers cas). La radicalité de la résection a été documentée dans tous les cas par l'examen macroscopique et histologique. Six patients ont développé une récidive pelvienne et 1 une récidive para-anastomotique. Une continence parfaite a été observée chez 36 malades et la plupart des patients (72%) présentent 1 ou 2 exonérations par jour. A l'exception d'un patient, tous sont vivants. La survie varie de 6 à 40 mois avec une médiane de 20 mois. Ce nouvel abord représente une alternative satisfaisante et sûre à la traditionnelle amputation du rectum dans le traitement des cancers du rectum les plus bas situés.
    Notes: Abstract From March 1990 to December 1992, 47 patients with primary or recurrent low rectal cancer under-went total rectal resection and a coloendoanal anastomosis. Rectal resection was extended downward to the ano-rectal junction. The restorative technique included a colo-endoanal anastomosis between the dentate line and a J-shaped colic reservoir. All lesions were located within 7 cm of the anal verge (within 6 cm in 33 primary cases). Macroscopic and histological radicality was documented in all cases. Pelvic recurrence occurred in six patients and was para-anastomotic in one case. Post-operative morbidity was low. Perfect continence was documented in 36 patients and 72 of the cases had one or two bowel movements a day. All but four patients are alive at a follow-up ranging from 6 to 40 months (median 20 months). This approach is a safe option to conventional total rectal excision with permanent colostomy for lower third rectal carcinoma.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1432-0800
    Source: Springer Online Journal Archives 1860-2000
    Topics: Energy, Environment Protection, Nuclear Power Engineering , Medicine
    Type of Medium: Electronic Resource
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