[The diagnosis in facial pains].
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Biomedical subjects
Publications and source records attributed to B Danz.
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Of 31 boys 10 to 16 years old referred for treatment of a left grade II or III varicocele 28 underwent percutaneous sclerotherapy. Due to anatomical and technical obstacles sclerotherapy was not possible in 3 boys. At follow-up 1 of 16 boys (6.2 per cent) had a mild recurrence detected by Doppler sonography of the spermatic cord. Percutaneous sclerotherapy had no serious side effects, and proved to be an efficient and convenient treatment of left varicocele in childhood.
The coincidence of a lumbar disk herniation L4-5 and a neurinoma at the L5 nerve root in a 52-year-old male is reported. The clinical course revealed typical signs of a herniated disk, whereas the tumour was accidentally found by myelography initially performed for the suspected prolapse. Both lesions were removed without complications. The clinical and neuroradiologic aspects of this rare condition are discussed, with special regard to the problems of differential diagnosis. A review of the literature is added.
A case of segmental priapism in a 24-year-old man with congenital spherocytosis is presented. Preoperative cavernosography and computer tomography clearly revealed thrombosis of the left proximal corpus cavernosum. Because the lesion had already been in existence for 5 weeks irrigation to flush out the thrombosis was no longer possible.
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Sonographic visualization of the meniscus as well as the detection and evaluation of its lesions presupposes use of the 7.5 MHz transducer of a sector scan. All lesions applied by means of a scalpel to cadaver knees could be pictured and evaluated in this way. In a clinical study, there was agreement between sonographic and surgical findings in 86 out of 91 patients (94%). The arthrography carried out in addition in 50 of these patients had a lower precision (88%) than sonography (98%). Agreement between the results of sonography and arthrography was found in 87 out of 98 patients (89%). The complete freedom from risk and high precision support the application of sonography in diagnosis of meniscus lesions. It can thus replace arthrography in this indication.
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