[Indications and limitations of chemical radicotomy by subarchnoid phenol in the treatment of cancer pain. Apropos of 180 personal cases].
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Biomedical subjects
Publications and source records attributed to G Caruselli.
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Results obtained with three different CSF ventricular drainage methods (intermittent with no outflow resistance, continuous against a positive pressure, continuous with pre-arranged positive pressure), were evaluated in fifty nine cases of traumatic cerebral lesions and spontaneous intracerebral hematomas with intracranial hypertension. Continuous CSF withdrawal gives better clinical results and is more effective in controlling intracranial pressure than intermittent drainage (50% vs 13% successes respectively). Results obtained with continuous drainage against a steady positive pressure and with a pre-arranged pressure ("tidal drainage") are almost similar. However an outflow resistance 3-5 mmHg higher than diastolic level of ICP represents a rational approach to the problem.
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91 cases with traumatic decerebrated rigidity are reported and compared with age of patients, kind of lesion, time of decerebration. The Authors consider the reversibility of some of these comas with decerebrated rigidity and try to establish some immediate criteria for prognosis, and, in the long term, the quality of the functional recovery achieved.
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