[On the use of a rapidly hardening (Biobond) in emergency operations for intracerebral hematoma caused by rupture of an intracranial aneurysm].
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Biomedical subjects
Publications and source records attributed to C Cecotto.
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The Authors emphasize the importance of C.T. in the study of subarachnoid hemorrhages. By means of this new radiological investigation they are able to exclude a vascular or tumoral etiology in those patients who had no aneurysms detectable by cerebral angiography, and suggest the problem of the so-called spontaneous subarachnoid hemorrhages. They discuss the degenerative nature of the endocranial aneurysms. Several interesting case-reports stress the importance of the primitive lesions of the arterial wall vessel in the degenerative origin of endocranial aneurysms.
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Urinary excretion of cAMP was closely monitored for several days in 74 patients with subarachnoid hemorrhages. A rise in urinary cAMP up to 45 microM/24h was observed (normal values being 1 to 5 microM/24h). Patients with associated metabolic disorders were excluded from this study. We have found a correlation between the severity of the clinical conditions, recovery from acute disorder and cAMP excretion, thus suggesting that an increase of urinary cAMP level is related to the extent and the evolution of the acute cerebral damage.
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Nine cases of hemifacial spasm have been treated, in our department until 1979, by posterior fossa microsurgical decompression, as described by Jannetta, without mortality or significant postoperative complications. A blood vessel was found crossing or looping the facial nerve in 8 cases. The relief of hemifacial spasm was immediate and complete in 7 cases, and partial in 1 case. This technique seems to be an effective and safe treatment, in this particular disease.