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Biomedical subjects

E Galassi

Publications and source records attributed to E Galassi.

47 records · Page 3Linked to original sources

[Neuroblastoma metastatic to the skull. Radiologic aspects and therapeutic problems].

Clinical-radiological findings, treatment and prognosis of cranial involvement in 19 cases of neuroblastoma stage IV have been considered. The most frequent clinical features were periorbital ecchymosis and intracranial hypertension. The radiographic aspects, graduated according to the type of the lesion, showed a close correlation with clinical findings and sometimes preceded them. Computerized tomography, carried out in 12 cases, was more reliable than plain films in identifying the site and extent of cranial lesions and the presence of cerebral extensions, as occurred in 2 patients. The presence of cranial involvement at diagnosis was an unfavorable prognostic sign. The 19 children were treated in various ways so that firm conclusions cannot be drawn, but cranial radiotherapy in combination with chemotherapy appeared to be more efficacious than chemotherapy alone.

Combined Modality Therapy↗

Multiple recurrences of meningiomas.

The authors report a case of a patient with a right sphenoid wing and a right parasagittal fronto parietal meningioma diagnosed 25 years after a right sphenoid wing meningioma had been removed. There was no evidence of Von Recklinghausen disease. The two tumors were benign. The problems concerning multiple meningiomas and recurrences of meningioma are briefly discussed.

Female↗

Pineal germinoma with massive supratentorial extension. Case report.

An uncommon case of huge pineal germinoma without associated ventricular enlargement is presented. The tumor extended supratentorially in dumb-bell form to affect both cerebral hemispheres, simulating a glioma at neuroradiological examinations. Subtotal removal through a bilateral parieto-occipital approach plus radiation therapy were followed by relief of symptoms for over one year since surgery. The misleading patterns of the tumor and the delayed onset of symptoms in our case are outlined.

Adolescent↗

[Persistence of the median artery: possible cause of the carpal tunnel syndrome].

A case of Carpal Tunnel Syndrome (S.T.S.) in a patient with Persistence of the Median Artery is reported. The Authors consider this rare-condition as a possible cause of C.T.S. The persisting vessel may cause a damage to the Median Nerve in two difeent ways: 1) Compression and 2) Ischemia. The latter pathogenesis is expecially advocated when anastomotic connection between the Median Artery and the Radial and Ulnar Arteries as well as the Superficial Palmar Arch are poor. Two different clinical pictures are possible: an acute onset, after a thrombosis, or a chronic impairment when the vessel is previous. As treatment, the Authors always recommend the decompression of the Carpal Tunnel and the dissection of the Persisting Artery; on the other side, they consider the excision of the vessel possible only when a sufficient anastomotic blood-supply is ensured.

Acute Disease↗

[Selective percutaneous thermorhizotomy in the surgical treatment of facial pain: personal considerations in light of 180 patients treated].

The purpose of this paper is to report the experience of the authors regarding the treatment of the primitive and secondary facial pains by Percutaneous Selective Thermorhizotomy (P.S.T.), 180 patients having been treated in the period of two years. The immediate postoperative control has obtained 156 good results (86,6%), 10 medium results (5,5%) and 14 (7,7%) unsuccessful. The failure of the P.S.T. in the treatment of the post-zosterian neuralgias, in the atypical and in the vascular pains is stated. The P.S.T. appears resolutive in the "tic doloreux" and secondary painful syndromes. A far follow up was performed (4 months-2 years) on 94 patients and a good result was kept at 64,2% among all of them. The shortage of the postoperative not expected collateral effect is also stated. The causes of unsuccessful and poor results (mistaking in the choice of the patient or tecnical mistaking) are discussed. It is finally suggested a careful personal value of the patient candidated to operation, in order to reduce the poor results and therefore improve the successful ones.

Autonomic Nervous System Diseases↗