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Biomedical subjects

F Reale

Publications and source records attributed to F Reale.

27 records · Page 2Linked to original sources
PubMed1983

Diagnosis of peritoneal mesothelioma: computed tomography, sonography, and fine-needle aspiration biopsy.

The diagnosis of peritoneal mesothelioma was made prospectively and noninvasively in four patients with the use of sonography, computed tomography, and sonographically guided fine-needle aspiration biopsy. The imaging methods revealed information similar to the operative findings, with clear superiority of computed tomography over sonography. These noninvasive methods may be used as screening tools, especially among groups or in regional areas with a high risk for asbestos exposure. The findings included soft-tissue masses with invariable involvement of the omentum; small intraperitoneal nodules; thickened peritoneum, mesentery, and bowel wall; pleural plaques; and usually minimal, if any, ascites. Since the differential diagnosis from peritoneal carcinomatosis may be difficult, sonographically (or CT) guided aspiration biopsy is needed to produce diagnostic cytologic specimens. The use of this type of biopsy should obviate surgical exploration.

Aged↗
PubMed1982

Glassy cell carcinoma of the cervix: report of three cases.

Glassy cell carcinoma is a poorly differentiated adenosquamous carcinoma of the cervix, hallmarked by aggressive behavior, occurrence in association with pregnancy, and a poor patient survival rate. Three of these very rare cervical, primary malignancies are reported. At the time of this writing, only one patient has survived.

Adenocarcinoma↗
PubMed1978

Congenital stenosis of lumbar spinal canal: comparison of results of surgical treatment for this and other causes of lumbar syndrome.

The operative results in 37 consecutive patients suffering from developmental stenosis of the lumbar spinal canal, compared with those in spondylosis and disc herniations, are discussed. The diagnostic certainty of stenosis, suspected on the bases of clinical and radiographic data, is reached only at the operating table. To judge the usefulness of the operation we have considered not only the patients' verdicts, but also the improvements in neurological signs and the appearance of new deficits. Satisfactory results are around 80%, slightly less good with stenosis than with the other causes of lumbar syndrome. Radiographic study with contrast medium is mandatory. Dimer-X has been used with very clear radiographic findings and very few complications. Operating technique is also described: a wide laminectomy with facetectomy is advised. The great importance of early physiotherapy is emphasized.

Adolescent↗
PubMed1978

An intradiploic meningioma of the orbital roof: case report.

The case of a young man with a 4-year history of increasingly severe exophthalmos and no other symptoms is reported. The radiological investigations showed a space-occupying lesion at the level of the roof and medial wall of the right orbit with involvement of the lesser wing of the sphenoid. A tumor within the diploë of the orbital roof without intracranial or intraocular involvement was removed and, on histological examination, proved to be a meningioma. Possible starting-points are discussed in the light of the literature consulted, but in view of the clinical, X-ray and operating data, it is concluded that the tumor is an intraosseous ectopic meningioma.

Adult↗
PubMedDate not supplied

[Recording methods of intracranial pressure. (author's transl)].

The physiopathology of intracranial pressure and its measuring techniques are briefly discussed. Such measurements may be achieved: 1) At lumbar level (measurement of cerebrospinal fluid): the main limitations of this method are due to impossibility of long term recording and the danger of "cerebral erniation* in patients with increased ICP. 2) At cranial level with: a) ventricular catheter connected to a pressure transducer: its limitations are due to difficulties in entering small and/or displaced ventricules in case of cerebral edema or expanding lesion, danger of infections, and catheter obstruction amongst others. b) pressure transducer in the extradural space connected with external recorder by electric wires: its limitations are due to frequent lack of parallelism with the dural surface and the variability of correlations between extra and intradural pressure; c) subdural pressure transducer; these appear the most reliable both from the literature and from the Authors personal experience. The Authors stress the importance of ICP monitoring in head injuries and after intracranial surgery (mostly for an early detection of complications due to cerebral edema or hemorrhages).

Brain↗
PubMedDate not supplied

Epidural hematomas.

A consecutive unselected series of 66 patients operated on for epidural hematoma between 1974 and 1981 is presented. Several parameters (age, sex, etc.) are analyzed and compared with those of the literature. The outcome is referred and discussed. The mortality rate was 18%. These were the 5 factors that most influence the outcome: (1) patient's age; (2) rate of development of the hematoma; (3) associated brain lesions; (4) neurological status at the time of surgery; (5) interval between injury and surgery. The introduction of Computed Tomography (CT) in neurotraumatological practice, has been followed by improvement of the results also in epidural hematomas.

Adolescent↗
PubMedDate not supplied

Traumatic dislocation of the cervical spine without neurological deficit. Eleven cases.

The authors present 11 cases of traumatized patients without neurological deficit in spite of a gross dislocation of the cervical spine. In the effort of explaining this discrepancy various parameters have been taken into account. The vertebral canal has been noted to be abnormally wide in these cases (average 19.8 mm). The authors suggest that the great width of the vertebral canal has in some way prevented the spinal cord of these patients being damaged by the dislocation.

Adult↗