Biomedical subjects
Publications and source records attributed to J D Geissinger.
An adolescent male with a typical cushingoid appearance presented to his physician with failure of linear growth and sexual development. Although his neuroradiologic workup was negative, his endocrinologic assessment pointed to the pituitary gland as the diseased organ. Selective transsphenoidal adenomectomy has thus far resulted in normalization of cortisol and growth hormone levels and furthered linear and sexual growth.
Three cases of arachnoid cysts of the middle cranial fossa are presented. CT imaging before and after peritoneal shunting of these cysts demonstrates the therapeutic value of this cerebrospinal fluid diversionary procedure. Many important facets of this disease such as cyst genesis, histology, natural history and other forms of therapy as reported by various authors in the recent literature are discussed.
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In summary, the young neurosurgeon entering private practice will find he will have to make many non-medical decisions for which he has had little or no preparation during the course of his lengthy training. Just as one spends time planning a careful curriculum in leading to the specialty of neurological surgery, he must also dedicate many hours to establishing a private practice in that specialty. The time spent in investigating these problems in advance will minimize the frustrations in attaining the goal which we are all striving to achieve-personal satisfaction in the delivery of excellent health care.
A case of total vertebral artery occlusion by a cervical `hour-glass' or `dumb-bell' neurofibroma is reported. To the author's knowledge this is the first reported case in the English literature. A causal relationship between the arterial occlusion and the patient's symptoms has been postulated. The angiographic study of these patients is further emphasized to enhance safer and more effectual removal of these lesions.
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Explore the source record for details and available documents.