[Tumour picture in Dimer-X myelogram (author's transl)].
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Biomedical subjects
Publications and source records attributed to H Assmann.
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By means of 50 cases of brain tumours the diagnostic rank of angiography, brain scintigraphy and pneumencephalography was determined. With combined inset of angiography and scintigraphy it was possible to reach a pretherapeutical correct diagnosis in 94% of the cases. The pneumencephalography was made additionally in 23 patients and useful additional informations about processes near by the ventricles were reached.
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Report of a boy aged 17 years and review of the literature on the neoplasias of CAS. The cause of examination was a psychic maldevelopment. Cranial arteriography exhibited extreme wide Carotis communis and CT temporal meningioma right and septum pellucidum cyste. A psychic frontal lobe syndrome and cosmetic impairment by skull changes of the CAS are discussed being partial causes of the psychic maldevelopment. Atypical there were retardation of calcification and dentition, bilateral coarctation of the auditory passage with resulting hearing loss. Till now only J. Frankel and coworkers have published the case of a 50 year old Pakistani with the combination of CAS and Meningioma as a complication of fibrous dysplasia of the skull. We suppose relations between CAS and neurofibromatosis and its blastomatous tendency to meningioma.
The significance of the complex clinical-radiological diagnosis is demonstrated in three cases of the Kümmel-Verneuil syndrome, the bone scintigraphy allows the demonstration and localisation of the bone process, but in respect to the differential diagnosis the results are unspecific. The CT allows an early and sure demonstration of the intravertebral vacuum phenomenon. In patients with nonspecific vertebral fractures the quantitative determination of the mineral content of the vertebral bones is indicated. The therapeutic decision is determined by the necessity of the biomechanical stabilisation.