Acta neurologica latinoamericana最新文献

[Surgical treatment of giant cerebral arteriovenous malformations]. 巨大脑动静脉畸形的外科治疗。

Acta neurologica latinoamericana Pub Date : 1981-01-01

G M Malik, C E Codas, J I Aussman, M Dujovny

{"title":"[Surgical treatment of giant cerebral arteriovenous malformations].","authors":"G M Malik, C E Codas, J I Aussman, M Dujovny","doi":"","DOIUrl":"","url":null,"abstract":"Despite advances in the surgical management of cerebral arteriovenous malformations (AVMs), giant (AVMs (greater than 5 cm] are still considered unsuitable for direct surgical resection by most neurosurgeons. Some of the lesions are being treated with embolization, or embolization followed by surgical excision. Embolization alone is not curative and carries potential risks of neurological deficit as well involves multiple procedures. Fourteen patients with giant AVMs underwent surgical resection without prior embolization. Four of the AVMs were located primarily in the frontal lobe, two in the temporal lobe, one each in the parietal and occipital lobes, while six AVMs were localized to two lobes (temporal-occipital or parietal-occipital). Four patients had associated aneurysms with the arteriovenous malformation. Eight patients presented primarily with seizures. One of these had multiple subarachnoid hemorrhages while another had symptoms suggestive of transient vertebrobasilar ischemia. Two patients had one or more subarachnoid hemorrhages. The primary complaint in the remaining four patients was headache with other associated symptoms. The patients with AVMs involving the optic radiation have had varying degrees of visual field deficit not interfering with their function. There were no deaths and only three patients had deterioration of neurological function. One of these three had an intra cerebral hemorrhage secondary to an associated aneurysm rupture. We feel that the majority of these giant AVMs are amenable to direct surgical excision. It is difficult to asses, from the literature, the benefit of embolization prior to surgical excision in cases of giant AVMs. At least in one report dealing with combined treatment of seven giant AVMs, some authors stressed that preoperative embolization did not significantly alter the blood flow and, hence, potential of bleeding at the time of operation. Blood loss has not been a significant problem in our experience. When there is an associated aneurysm, it should be treated prior to or at the time of excision of the malformation.","PeriodicalId":75394,"journal":{"name":"Acta neurologica latinoamericana","volume":"27 3-4","pages":"207-24"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18014276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Jugular chemodectoma with Garcin syndrome]. 颈静脉化疗性肿瘤伴Garcin综合征。

Acta neurologica latinoamericana Pub Date : 1981-01-01

C Chouza, A Navarro, J A Purriel, G Pou, A de Tenyi, A Wozniak, J Touyá

{"title":"[Jugular chemodectoma with Garcin syndrome].","authors":"C Chouza, A Navarro, J A Purriel, G Pou, A de Tenyi, A Wozniak, J Touyá","doi":"","DOIUrl":"","url":null,"abstract":"The authors present an exceptional case of chemodectoma jugulare with important invasion of the skull base involving all the cranial nerves on one side and conforming Garcin's syndrome. Practically all the possible ways of spreading were followed by the tumor, with involvement of the posterior, middle and anterior fossas of the skull base and also orbit, middle ear and neck. The clinical and histopathological difficulties in the diagnosis, especially when the chemodectoma has only neurological signs, are stressed. The association of otologic symptoms makes the diagnosis easier. The patient had an early onset of the symptoms and a rapid evolution considering this type of tumors. The appearance of goitre in this patient is a sign of endocrine disturbance, which is occasionally associated with these tumors. Apparently this chemodectoma was not a secreting tumor, since the blood pressure values were normal. No signs of multicentricity or metastatic growths were detected. The radiological studies, and especially computerized tomography scanning, gave precise information about the spreading of the tumor. The authors consider that the knowledge of this entity is important in order to arrive at a correct diagnosis.","PeriodicalId":75394,"journal":{"name":"Acta neurologica latinoamericana","volume":"27 3-4","pages":"155-66"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17167620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Pathology of cerebral edema. I. Concept, etiopathogenesis and classification]. 脑水肿病理学。[1]概念、病因及分类。

Acta neurologica latinoamericana Pub Date : 1981-01-01

H J Manz, R F de Estable-Puig, J F Estable-Puig

引用次数: 0

Prognosis of epilepsy. Remission of seizures and relapse in 808 adult patients. 癫痫的预后。808例成人患者癫痫发作缓解及复发。

Acta neurologica latinoamericana Pub Date : 1981-01-01

E Gerstle de Pasquet, S Bonnevaux de Toma, J A Bainy, E Bonfils, V Carvalho, E Espíndola, J Gaudiano

{"title":"Prognosis of epilepsy. Remission of seizures and relapse in 808 adult patients.","authors":"E Gerstle de Pasquet, S Bonnevaux de Toma, J A Bainy, E Bonfils, V Carvalho, E Espíndola, J Gaudiano","doi":"","DOIUrl":"","url":null,"abstract":"In a retrospective study of 808 adult epileptic patients undertaken at the Neurological Institute of Montevideo, Uruguay, the rate of remission of seizures (three seizure-free years) was 32%, and that of relapse 39%. Remission occurred mostly during the first years after onset, and relapse during the first years after remission. Patients with generalized or partial seizures alone had a better prognosis than when both types coexisted. Patients with Petit Mal absences persisting after 14 years of age, had the lowest rate of remission. Mental status, abnormal neurological examination and age of onset showed no significant prognosis value. Remission and relapse was similar in cryptogenetic and symptomatic epilepsy. Genetic predisposition did not change the prognosis. Withdrawal of drugs after a minimal seizure-free period of three years produced a higher rate of relapse than when medication was continued. In the first EEG, only the existence of a slow background rhythm had an unfavorable prognosis. These results are compared with those of other series. It is concluded that the differing results can be attributed to a different selection of population and different methods of study. Anyway, several factors showed a similar influence on prognosis in the different series. As to indication for method of drug withdrawal after remission, and its influence on relapse, no definite conclusion can be drawn and a large, multicentric, methodical study on this topic is suggested.","PeriodicalId":75394,"journal":{"name":"Acta neurologica latinoamericana","volume":"27 3-4","pages":"167-76"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18014430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Charcot-Marie-Tooth's disease with severe trophic and sensory disorders. Study of a case following along a half a century with anatomical studies. 伴有严重营养和感觉障碍的沙克-玛丽-图斯病。对一个病例进行了半个世纪的解剖学研究。

Acta neurologica latinoamericana Pub Date : 1981-01-01

L Barraquer-Bordas, C Navarro, P Salisachs

引用次数: 0

Saccadic eye movements in frontal lesion and posthemispherectomy in humans. An electro-oculographic study. 人类额叶病变和脑半球切除术后的跳跃性眼球运动。眼电学研究

Acta neurologica latinoamericana Pub Date : 1981-01-01

J Bogacz, M D Bottinelli, M Pebet, A Bogacz

引用次数: 0

[Report of a new case of Cobb syndrome. Meningo-spinal cutaneous angiomatosis]. 科布综合征1例新病例报告。脑膜-脊髓皮肤血管瘤病]。

Acta neurologica latinoamericana Pub Date : 1981-01-01

S Gordon-Firing, J A Purriel, D Pereyra, I Brodbek