Biomedical subjects
Publications and source records attributed to D Fiume.
The authors report a new simplified technique of cranioplasty in order to repair wide losses of bony substance, particularly useful after wide craniectomies or decompressive craniectomies. They also underline the aesthetic result of such technique which is analogous to the same repair carried out with the patient's bony strip.
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The authors discuss on technique and results of percutaneous microcompression of the trigeminal ganglion in patients complaining trigeminal neuralgia.
The authors report the observation of 53 cases of supratentorial Chronic Epidural Hematomas submitted to surgical operation. After discussing their physiopathology, the authors, dwell upon some characteristics of these traumatic lesions: their high incidence among young people, the association between fracture lesions of the vault and the poverty of symptomatology. Lastly, they underline the great importance of the TAC in this kind of pathology.
The association of sub-arachnoidal hemorrhage and benignant tumors of the pontocerebellar angle represent a rare event. The authors describe a case of neurinoma of the acoustic nerve which revealed itself with a sub-arachnoidal hemorrhage. After recalling the other only observation reported in literature, the authors discuss both its clinic and etiopathogenesis.
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The authors report the case of a patient submitted to an operation of spinal tumors with multiple localization which, beside enriching the rare observations existing in literature, presents and hypertensive hypertension hydrocephalus with non common pathogenesis and points out considerable difficulties of interpretation of the histologic picture. After examining literature and describing the case in detail, the authors discuss the etiopathogenesis of hydrocephalus and examine the histologic aspect of extirpated tumors.
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The authors present a case of syndrome of the orbital apex subsequent to a fibrous dysplasia in malignant evolution; they underline the usefulness of T.A.C. in the case, generally extremely rare, of such transformation.
The extradural lumbosacral localization represents for ependymomas an exceptional event full of interest both from an etiopathogenetic point of view and from a clinical one. Extradural ependymomas develop in two characteristic sites: with an anterior or presacral expression in the retro-rectal pelvic area; posterior in the intergluteal space below the lumbo-sacral fascia. The possibilities of a correct diagnosis are based essentially on radiographical examinations and CAT which supply useful factors, but not peculiar to the lesion. The Authors describe a case of posterior "extradural lumbo-sacral ependymomas" which is added to the 36 already reported.
The authors deal with a case, they have observed, of aneurysm of the anterior communicating artery whose clinical picture opened with an endocranial hypertension syndrome, associated with paresis of both sursumvergence and convergence (Parinaud's syndrome). Carefully analyzing literature, the authors didn't find other cases of aneurysms of intracranial anterior circulus associated with the above mentioned syndrome. They lastly propose pathogenic hypotheses justifying this association.