STA-MCA Anastomosis: 9 Cases

Since 1967 the STA-MCA anastomosis has been popular procedure in neurosurgical operation. The meurosurgical teams at St. Paul's Hospital, Catholic Medical College, recently operated on 8 patients employing 9 times of this technique. The patients were diagnosed as four patients with complete stroke, one with traumatic middle cerebral stenosis, two with moyamoya disease, and one with huge aneurysm at intracavernous portion of ICA. The results were very encouraging of the 8 patients, 7 had favorably improved clinically, and proved by follow-up cerebral angiographies, CT Scanning, EEG or MEP recordings. The remaining one patient had intracerebral and intracerebellar hematoma, two months later after discharge, thus the result was poor. The authors would like to share with you their experiences employing the STA-MCA anastomosis technique, indications the results and the prognosis.

Early Microsurgical Treatment for Hypertensive Intracerebral Hemorrhage

We have reviewed 10 cases of hypertensive intracerebral hematoma operated within 48 hours following apopletic attacks. Computerized tomography permits the choice of the most direct approach to the hematoma. Postoperative CT and Evoked potential studies provides good control of the program of the hematoma removal. In early operation we have noted that intracranial pressure has not yet increased and the cerebral edema is minimal. Microsurgical technique with CO2 laser mes was used for bleeding controls and evacuation of the hematoma. At the three months follow-up study, 8 patients could walk unaided or with a cane, one was confined in bed and are had died.

Early Microsurgical Treatment for Hypertensive Intracerebral Hemorrhage

We have reviewed 10 cases of hypertensive intracerebral hematoma operated within 48 hours following apopletic attacks. Computerized tomography permits the choice of the most direct approach to the hematoma. Postoperative CT and Evoked potential studies provides good control of the program of the hematoma removal. In early operation we have noted that intracranial pressure has not yet increased and the cerebral edema is minimal. Microsurgical technique with CO2 laser mes was used for bleeding controls and evacuation of the hematoma. At the three months follow-up study, 8 patients could walk unaided or with a cane, one was confined in bed and are had died.

Clinical Evaluation of Zomepirac in the Treatment of Chronic Pain

This study demonstrates that the nonnarcotic analgesic Zomepirac sodium administered in repeated doses is well tolerated and effective in 42 patients with mild to severe chronic pain. When the relative incidence of side effects such as gastrointestinal up set and central nervous system disturbances are taken into account, Zomepirac is clearly the preferable therapeutic agent. We therefore, suggest that Zomepirac is an acceptable nonnarcotic agent for the management of chronic pain and that its efficacy and safety profile are consistent with current postsurgical managements including early ambulation.

Transcutaneous Electric Stimulation in Chronic Pain Patients

Painful 203 patients with chronic pain were treated with transcutaneous electrical nerve stimulation in the CNS & Pain Management Institute of St. Paul's Hospital, Catholic Medical College, Seoul, Korea. Each patient was instructed on the method of autostimulation with variations in for an initial observation frequency and intensity. The effect were recorded daily period of about 3 weeks. The patients were evaluated at suitable intervals and asked to grade the relief of pain on a percentage scale. Four categories of pain relief were established : 80% to 100%(A), 60% to 80%(B), 30% to 60%(C), 0% to 30%(D). This procedure with modern, solid state devise has been tried enough that it can be recommended as a potentials treatment for most types of pain about 90% of pain problems can be managed in this way. The mode of action of transcutaneous Electrical nerve stimulation is most simple and can not be explained only by gate control theory.