Biomedical subjects
Publications and source records attributed to H L Finney.
Chronic indolent shunt infection can lead to intermittent transient bacteremia and secondary deposition of immune complexes in the kidney. The infective organism is usually one of low virulence, resulting in vague symptoms and a delay in diagnosis. Resolution of the infection usually results in return of renal function to normal.
A patient is presented who had neck pain and transient episodes of visual-field defect followed by unconsciousness when he hyperextended his neck. Radiographic examination revealed atlantooccipital instability on flexion and extension views. Treatment by fusion of the occiput to C-2 resulted in relief of symptoms.
A case of focal seizure disorder secondary to multiple ventricular shunt revision is presented. The literature reviewed indicates this complication of shunting is probably due to low grade infections or bleeding at the puncture site at the time of shunt revisions.
The purpose of this report is twofold. First, to discuss fibrous dysplasia of bone as it relates to the neurosurgeon, and second to present a case of fibrous dysplasia of the skull with progressive involvement of the optic and trigeminal nerves. Of special interest in this case is the progression of the disease after puberty and the technical problems of decompression of the involved nerves. A combined approach to the lesion with otolaryngological assistance was undertaken.
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