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Biomedical subjects

A Kuhner

Publications and source records attributed to A Kuhner.

16 recordsLinked to original sources
PubMed1981

[Percutaneous cordotomy. Actual situation in pain surgery (author's transl)].

A personal experience with 138 percutaneous cordotomies is presented. The results and complications are compared to those of 49 open cordotomies at C1-C2 level. It is concluded that the percutaneous technique has better results and less complications. Nevertheless the percutaneous cordotomy is sometimes hazardous and presents some inconvenience. For this reason the author prefers in certain cases open cordotomy in a modified microsurgical technique which is described. It is outlined that in the authors opinion cordotomy should be restricted to cancer pain.

Cordotomy↗
PubMed1976

[The role of diastematomyelia in the differential diagnosis and treatment of kyphoscoliotic paraplegia].

By its frequent association with malformative scoliosis and neurological symptoms diastematomyelia has an important place in the diagnostic and treatment of cyphoscoliotic neurological syndromes. In all these cases and even in cases without neurological deficits the diagnosis of disatematomyelia should be done by routine myelography. The indication for operation is often curative in cases with neurological signs and prophylactic in those without.

Adolescent↗
PubMedDate not supplied

[Value of rhizotomy in the treatment of pelvic pain syndromes].

In 18 Patients with symptomatic coccygodynia due to malignant diseases 7 sacral rhizotomies and 11 intrathecal injections of Phenol had been effected. The high percentage of good results and the low rate of complications indicates in the opinion of the author that these methods are worth a trial in such cases, where otherwise only bilateral cordotomy with a much higher incidence of complications may be able to obtain pain relief.

Humans↗
PubMedDate not supplied

[Percutaneous cervical chordotomy].

On the base of 52 percutaneous and 25 open cervical cordotomies, the technique, results and complications of the former are described in detail. The comparaisons of the results and complications shows that both methods are equals. 92,5% of excellent and good early results by percutaneous and 96% by open cordotomy were obtained. The longterm results of about 60% of good results for both methods are concordant to the litterature. Percutaneous cordotomy seems to give more stable analgesic levels. The complications and their mechanisms are discussed in detail and the dangers of high cervical cordotomies, even unilaterals, are outlined. The special risks of bilateral operations in which mortality is twice as high are shown. It is concluded that percutaneous cordotomy is as effective and secure as the open procedures but less aggressive. By this method even poor-risk patients can be treated. The fact that one is limited to a high cervical level represents a real disadvantage, so that classic techniques still have their indications.

Cordotomy↗