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Biomedical subjects

G Gutmann

Publications and source records attributed to G Gutmann.

13 recordsLinked to original sources
PubMed1979

The subforaminal stenosis headache.

The clinical picture of the so-called subforaminal stenosis headache (Gutmann) and its surgical treatment (Roesner) have been presented. We have analyzed our findings in 119 patients and 55 operations. The clinical picture is characterized by increasing pain in the upper cervical and occipital region which in later stages may be accompanied also by other symptoms like disturbances of concentration, memory, libido, and potency, as well in some cases by symptoms similar to those of a secondary chronic myelopathy. The syndrome is caused by a subforaminal stenosis of the dural sac which regularly is compressed by the posterior atlas arch in connection with either morphological variations of the base of the skull or by static-functional deviations of the cranio-cervical region. The compression of the dural sac of the cranio-cervical region results in an impairment of its air chamber function, and additionally may disturb the connections between the intracranial and intraspinal venous plexus. By both factors the physiologically important smoothing function of the CSF space of the cranio-cervical region concerning intracranial pressure changes is disturbed. Treatment of choice is a laminectomy of the dorsal arch of the atlas and an osteoclastic dilatation of the foramen magnum but without opening of the dura. The results of this procedure are excellent.

Adult↗
PubMed1975

[The biomechanical pathogenesis and differentiated therapy of cervical headache (author's transl)].

Dysfunction in the upper region of the cervical vertebral column is largely to be regarded as the primary disorder from which secondary anatomical substrates, especially degenerative manifestations, develop. We must shift our attention from pathomorphology to function. There are two main types of disordered vertebral function which may lead to headache in many cases: 1. hypomobility (blocking) 2. hypermobility. Suggestions are made for selective methods of examination which help the detection of disturbed function. Cinematography can be used for substantiation. Diagnostic differentiation indicates possibilities for special manipulative, physical, surgical and orthopedic treatment.

Biomechanical Phenomena↗
PubMed1971

[Cervical headache].

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Brachial Plexus Neuritis↗