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Biomedical subjects

H Feuer

Publications and source records attributed to H Feuer.

11 recordsLinked to original sources

Premonitory neurologic signs in a patient with an acute vertex epidural hematoma.

A case of an acute vertex epidural hematoma with delayed neurologic deterioration is presented. Prior to the onset of signs of midbrain compression, the patient developed an excrutiating headache, a movement disorder, and upper motor neuron signs. A review of the literature and this case suggest that the presence of a severe, unrelenting headache and upper motor neuron signs in a victim of head trauma may be secondary to compression of the parasagittal brain region by a vertex hematoma.

Adult

Management of acute spine and spinal cord injuries. Old and new concepts.

The modern, positive approach to treatment of injuries of the cervical spine and spinal cord has produced excellent long-term survival, but less progress has been made in reversal of the neurologic defect. Injuries to the spinal column are of four types: flexion-dislocation, hyperextension, vertical compression, and rotation. Those to the spinal cord also involve four categories: morphologic damage, hemorrhage and vascular damage, structural changes, and biochemical response. Experimental work has explored new adjuncts to conservative treatment, such as norepinephrine antagonists, other drugs, and hypothermia. These results, and those of surgery on the experimental lesions, have been hopeful, but not definitive. Controversy surrounds the surgical vs nonsurgical treatment of clinical spinal cord injury. Operation is indicated for roentgenographic evidence of bone fragments in the spinal canal, for worsening neurological symptoms, and, possibly, if experimental evidence is to be followed, for surgical decompression in the very early minutes or hours after injury.

Acute Disease

[The clinical significance of abnormalities of bronchial anatomy (author's transl)].

Abnormalities of the bronchi were found in 0.7-1.4% in patients examined by bronchoscopy or thoracotomy. In most cases there are no clinical symptoms. Anatomical abnormalities of the bronchi are the favoured localization for deformities, chronic inflammations and bronchial neoplasms. The altered topography must be considered if surgery is necessary. Case studies of 12 patients, 1 with bronchus trachealis, 7 with deformities of the lobus superior and 4 of the lobus inferior were analyzed and selected cases are described.

Adult