Biomedical subjects
Publications and source records attributed to I Reider-Groswasser.
A 10-month-old girl presented with visual loss in the right eye associated with bilateral optic atrophy. The suggestive clinical diagnosis was an optic nerve glioma. The computerized tomographic findings were unusual in that symmetric bilateral involvement of the anterior visual pathways were present. The radiological diagnosis of an optic glioma was histologically confirmed.
In 190 of 7000 brain CT studies performed between April 1978 and September 1984, abnormalities of the posterior fossa were found. Of these, 51.5% were primary tumors, 15.3% metastases, 12.1% vascular lesions and 5.8% congenital or developmental lesions. Frequencies, age and sex distribution and radiologic characteristics of the various posterior fossa pathologies are reviewed and discussed.
The CT scans of three patients whose eyes were lacerated by trauma failed to demonstrate the lens. A slit-lamp examination of those eyes clearly indicated that the lenses were present behind the iris but that they were swollen and opaque (intumescent cataract). Apparently, a shift of water into the injured lens had reduced the expected hyperdense CT image of the lens to a level that it was no longer discernible.
Communicative hydrocephalus (CH) is considered as one of the late sequelae of severe craniocerebral injury. However, as most of the series of patients with CH described in the literature deal with the results of various shunting procedures, the incidence of post-traumatic communicative hydrocephalus is not documented. We have found that almost 3.9% of 335 severe craniocerebral-injured patients develop communicative hydrocephalus. These patients were unconscious for various periods of time, therefore the triad described by Hakim and Adams cannot by itself lead the clinician to suspect possible development of communicative hydrocephalus. It is suggested that in prolonged coma, or in the presence of arrest in clinical progress in conscious craniocerebral-injured patients, communicative hydrocephalus should be suspected.
Between the years 1984 to 1989, 624 urgent brain CT examinations were performed for head-trauma patients in the Tel-Aviv Medical Center. In 19 patients, epidural haematomas were diagnosed. Different radiological parameters were discussed such as homogeneity of the haematoma, midline shift, ventricular collapse, obliteration of the peri-mesencephalic cistern and the presence of additional brain damage.
The posterior fossa (PF) is a common site of lesions in the brain during childhood and infancy. Sixty pediatric patients with PF lesions shown on CT scans are presented. The most common lesions (48.4%) were intra-axial tumors, such as astrocytomas, medulloblastomas, and ependymomas. The tumors were relatively large at the time of diagnosis. The largest were medulloblastomas (mean maximal diameter 45.6 +/- 9.7 mm). Other abnormal findings of the PF were congenital anomalies, vascular lesions, hypoplasia and atrophy. A common approach to PF lesions is offered, emphasizing the variability, the incidence, and the different CT features of the lesions.