ABSTRACT
The Authors report about the case of one patient with stroke picture of aphasia and right pyramidal deficiency hemisyndrome evidencing at the CT a picture of multiple bilateral malacic areas associated with a picture of bilateral megadolichosiphon. The later tomographic controls evidenced the occurrence of a right latero-supra-sellar expansive injury compatible with a picture of giant aneurysm of the homolateral carotidal siphon. The Authors analyze the clinical, neuroradiological and anatomopathologic findings in the light of the present publications in the recent literature.
Subject(s)
Intracranial Aneurysm/diagnostic imaging , Cerebral Angiography , Humans , Intracranial Aneurysm/pathology , Male , Middle Aged , Tomography, X-Ray ComputedABSTRACT
A case of median nerve entrapment at the elbow between the supracondyloid process and the anomalous origin of the pronator teres on it is presented. The anatomical variant and the histological background of this syndrome are outlined. The pathophysiology of the neuralgia is discussed. A relatively simple surgical procedure afforded complete relief of symptoms.
Subject(s)
Humerus/abnormalities , Median Nerve , Muscles/abnormalities , Nerve Compression Syndromes/etiology , Neuralgia/etiology , Arm/abnormalities , Female , Humans , Middle Aged , Neuralgia/surgeryABSTRACT
The Authors, after few historical remarks, discuss the indications and the contra-indications for cranioplasty. Although, in the last 30 years, various materials and techniques have been investigated and proposed, the Authors suggest, as method of choice, the reimplantation to each patient of his own volet, when possible, to repair skulls defects. This technique in fact permits to restore an almost normal physiological condition of the cranial vault functions. In the light of the recent researches on the "bone induction principle" and on the possibility of storing at a temperature of -30 degrees C in a freezer the bone flap in ideal condition before the reimplantation, this method is proposed again. The Authors report their experience on 15 patients, 13 of whom have been successful; a perfect aseptic storage, a rational choice of the patients who should be treated and a correct surgical approach are underlined as mandatory for the successful use of the technique. The mean follow up for the 13 successful patients is 15 months. In the paper the 2 unfavourable cases are discussed too: the hypothetical causes which lead to reject of the reimplants are suggested and debated.
