ABSTRACT
Three cases of middle cerebral artery occlusion in children are reported. The origin of M1 was the site of occlusion in two cases, while occlusion 1 cm after the origin of M1 was found in the third. The possible etiological diagnosis was infectious arteritis in the first two cases, cranial trauma in the third. In no case were serious contralateral motor deficits detected in follow-up examinations. Follow-up digital subtraction angiography showed complete regression of arterial lesions in the second case. The authors conclude that middle cerebral artery occlusion may have a benign clinical course in children; surgical revascularization is indicated only in highly selected cases.
Subject(s)
Cerebral Arterial Diseases/etiology , Cerebral Infarction/etiology , Arteritis/diagnosis , Arteritis/etiology , Cerebral Angiography , Cerebral Arterial Diseases/diagnosis , Cerebral Infarction/diagnosis , Child , Diagnosis, Differential , Head Injuries, Closed/complications , Head Injuries, Closed/diagnosis , Humans , Magnetic Resonance Imaging , Male , Tomography, X-Ray ComputedABSTRACT
The authors report a case of brachial vein epithelioid hemangioendothelioma resembling a median nerve neoplasm clinically and radiologically. It was found as a mass closely attached to median nerve and arising from one of two brachial veins. Simple resection, requiring sacrifice of the vein, allowed nerve median sparing but recurrence occurred one year later. Hemangioendothelioma should be also considered in differential diagnosis and in the planning surgery of arm median nerve masses. Wide local excision is surgical treatment recommended in those cases when regional lymph nodes or systemic metastasis have not been recognized. Regional lymph nodes resection and adjunctive radiation and chemo-therapy should be considered only for "malignant" or metastatic hemangioendothelioma.
Subject(s)
Hemangioendothelioma/diagnosis , Median Nerve , Peripheral Nervous System Neoplasms/diagnosis , Diagnosis, Differential , Hemangioendothelioma/pathology , Hemangioendothelioma/physiopathology , Hemangioendothelioma/surgery , Humans , Male , Median Nerve/physiopathology , Middle Aged , Neural Conduction , Peripheral Nervous System Neoplasms/pathology , Peripheral Nervous System Neoplasms/physiopathology , Peripheral Nervous System Neoplasms/surgery , Ulnar Nerve/physiopathologySubject(s)
Carcinoma/complications , Hematoma, Subdural/complications , Stomach Neoplasms/complications , Adolescent , Adult , Aged , Female , Humans , Male , Middle AgedABSTRACT
The Authors report 8 cases of Failed Lumbar Disk Syndrome (FLDS), on 210 patients operated for slipped disk. Risk factors and the concept that an abnormality involving either neurons in the substantia gelatinosa or internucial fibers in Lissauer's tract is responsible for pain in patients with FLDS are discussed. Since iatrogenic deafferentation pain response to almost all current forms of therapy is generally poor, the most rational approach remains prevention.
