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Biomedical subjects

A H Sidani

Publications and source records attributed to A H Sidani.

9 recordsLinked to original sources

Intracranial subdural empyema and its management. A review of the literature with comment.

Intracranial subdural empyema is a rare form of suppuration in Europe and North America, and is a potentially dangerous but treatable disease. The clinician must be aware that this complication requires prompt diagnosis and urgent neurosurgical intervention. The etiology, pathology, bacteriology, clinical features, diagnostic procedures and the different surgical approaches to this disease are reviewed. It seems that there is no single best surgical approach for treating subdural empyema, however, multiple burr holes drainage and craniotomy remain the most frequently used approaches.

Craniotomy↗

Interhemispheric subdural empyema--case report.

We report a case of interhemispheric subdural empyema following a meningoencephalitis. Ten days after the beginning of his illness a CT scan showed a left interhemispheric subdural empyema with a low density collection, a faintly enhancing rim, multiple very small cortical abscesses and brain edema. The empyema was successfully treated by the direct introduction of a catheter into the left interhemispheric subdural space via a single posterior frontal parasagittal burr hole, irrigation with saline, aspiration of the empyema, and removal of the catheter at the end of operation.

Brain Abscess↗

Infected teratoma of lower posterior mediastinum in a six-year-old boy.

A six-year old boy presented with prolonged unexplained fever caused by an infected teratoma of the lower posterior mediastinum. Modern imaging, combining ultrasonography with computed tomography, enabled the correct diagnosis of topography, extension and nature of this rare lesion to be made and explained the clinical features. Follow-up CT showed regression of the abscess after antibiotics thus permitting elective surgery.

Child↗

Tracheal and subglottic lesions following long-standing intubation. A radiological and clinical study.

A 3-year systematic study was made for subglottic and tracheal lesions of patients who had been intubated for more than 10 h (87 patients intubated for time periods ranging from 10 to 1,960 h). The radiological aspect of the lesions was studied and classified as tracheal stenosis, cartilage lesions and granulomas. The radiological analyses were performed by tracheography (14 cases), xerography, xerotomography (87 cases) and CT (2 cases). The incidence of lesions was 34% with 3.4% (3 cases) of severe stenosis; only 1 patient was symptomatic. The cuff, the tip of the endotracheal tube and the suction cannula were found to be responsible for the tracheal sequelae. A statistically significant correlation was found between the duration of the intubation and the severity of the tracheal lesions. The lesions, examined radiologically about a year after the intubation, were found to be stable.

Cartilage Diseases↗

[Mediopatellar plica. A new approach for the radiological diagnosis].

Out 110 patients having undergone a double contrast arthrography followed by a C.T. examination of the femoropatellar joint, 12 medio-patellar plicae were diagnosed: one of which was responsible for all the symptoms. The author concludes on the role of the C.T. scan after negative arthrograms not explaining the internal derangement of the knee.

Humans↗