RESUMO
Carotid endarterectomy is useful in the treatment of the uncomplicated pre-stroke patient. Use of the exclusion clamp makes possible a short period of carotid occlusion without the use of either internal or external shunts. Forty-two patients were operated on using this technic.
Assuntos
Artérias Carótidas/cirurgia , Endarterectomia/instrumentação , Instrumentos Cirúrgicos , Adulto , Idoso , Angiografia , Transtornos Cerebrovasculares/prevenção & controle , Transtornos Cerebrovasculares/cirurgia , Endarterectomia/mortalidade , Feminino , Lateralidade Funcional , Humanos , Masculino , Pessoa de Meia-Idade , Técnicas de SuturaAssuntos
Deslocamento do Disco Intervertebral/diagnóstico por imagem , Disco Intervertebral/diagnóstico por imagem , Vértebras Lombares/diagnóstico por imagem , Adulto , Meios de Contraste , Feminino , Humanos , Deslocamento do Disco Intervertebral/cirurgia , Masculino , Métodos , Pessoa de Meia-Idade , Mielografia , Exame Neurológico , DorAssuntos
Angiografia Cerebral , Acetato de Clormadinona/efeitos adversos , Anticoncepcionais Orais/efeitos adversos , Diacetato de Etinodiol/efeitos adversos , Cefaleia/induzido quimicamente , Mestranol/efeitos adversos , Paralisia/induzido quimicamente , Adolescente , Adulto , Afasia/etiologia , Feminino , Hemiplegia , HumanosRESUMO
PIP: Dr. George B. Jacobs, attending neurosurgeon at the Hackensack Hospital in New Jersey, reported an association between cerebral arterial disease and oral contraception in 3 women at the American College of Angiology meeting in New York City. There was no evidence of any previous neurological, vascular, or systemic problems which might have predisposed the women to cerebroarterial disease. All 3 patients began to complain of headaches within a few days or weeks after starting oral contraceptives. In 1 patient, the headaches disappeared after pill discontinuance; but minimal right hemiparesis is still present. In another, who developed right hemiparesis, marked speech difficulties, and expressive and receptive aphasia, the hemiparesis and aphasia have improved very little since pill discontinuance. The neurological disabilities of the third patient have been improving gradually since the pill was discontinued.^ieng
