RESUMO
A patient who sustained closed head injury demonstrated brachial diplegia and intact leg strength, a case of man-in-the-barrel syndrome. Extensive hemorrhagic contusion was seen in the inferior frontal lobes bilaterally. Although aptly descriptive, the syndrome is neither predictive of an exact anatomical substrate nor representative of a specific etiology.
Assuntos
Concussão Encefálica/complicações , Traumatismos Cranianos Fechados/complicações , Paralisia/etiologia , Adulto , Encéfalo/patologia , Concussão Encefálica/diagnóstico , Humanos , Imageamento por Ressonância Magnética , MasculinoRESUMO
Intraoperative ultrasound (US) was used to help locate the bowel, liver, and spleen in dense abdominal adhesions in 30 patients who were undergoing repeated laparotomy and had undergone previous surgery for various conditions. US helped determine the correct location of these organs in 49 abdominal adhesions. The authors conclude that in patients who have undergone previous surgery, intraoperative US can aid the distinction of tissue planes that can then be safely transected from vital abdominal organs.
Assuntos
Abdome , Complicações Pós-Operatórias/diagnóstico , Aderências Teciduais/diagnóstico , Ultrassonografia , Abdome/patologia , Abdome/cirurgia , Humanos , Intestinos/patologiaRESUMO
The results of the initial North American trial of the nonionic, water-soluble contrast medium iopamidol for lumbosacral myelography are reported. The iopamidol was easily visualized by fluoroscopy during introduction, and the radiographic quality of all 12 conventional myelographic examinations was excellent. The diagnoses were herniated nucleus pulposus (seven), traumatic dislocation (one), metastasis (one), and normal (three). One patient had a repeat myelogram with a different hydrosoluble contrast medium 2 months after his iopamidol examination and surgery and showed no radiographic evidence of arachnoiditis. The adverse reactions were all mild and transient: headache (four cases), nausea (two), and leg pain (one). There were no diaphoresis, fever, seizures, hallucinations, agitation, or vital sign changes. Electrocardiography, hematology, and blood chemistries were all normal. In two patients, electroencephalogram changes, three to four bursts of diffuse intermittent rhythmic delta activity with no spiking, were present at 6 hr with return to normal at 24 hr.
