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J Fernández-Villa

Publications and source records attributed to J Fernández-Villa.

4 recordsLinked to original sources

[Simultaneous bilateral epidural haematomas].

INTRODUCTION: Epidural haematomas are one of the most common complications of closed head injuries. Bilateral extradural haematomas are rare, usually acute, and generally associated with severe trauma and a high mortality. OBJECTIVE: The purpose of this paper is to present six cases of bilateral extradural haematomas seen at our service during the last 24 years and found an incidence of 2.5% of all cases of extradural haematomas surgically treated. RESULTS: There were 5 males and 1 female with a mean age of 32.6 years (range 16-55). In 3 cases haematoma was across the midline and in the other 3 cases haematomas was found at different locations on either side. Skull fracture was present in all cases. Surgical approach was the primary treatment in all cases. Mortality in our series was 50%. CONCLUSIONS: Bilateral extradural haematomas is a rare condition and the prognosis is mainly dependent of the pre-operative neurological state.

Adolescent↗

[Cemento-ossifying fibroma of the skull].

Cemento-ossifying fibroma (cementoma) is benign fibro-osseous lesion of bone that generally is first seen during childhood or young adulthood as asymptomatic or painful intraosseous mass that commonly involved the maxilla. This paper describes the case of a young boy with a cemento-ossifying fibroma of the skull.

Adolescent↗

Mutism after posterior fossa surgery. Review of the literature.

Mutism is an infrequent and transitory complication observed following posterior fossa surgery. Patients become mute in the immediate postoperative period, with restoration of speech within a few weeks. A review of the literature disclosed 157 patients with this condition. The anatomical structures thought to be involved are the connections between the cerebella dentate nucleous, the ventrolateral nucleous of the contalateral thalamus and the supplementary motor area. We reviewed 157 of cerebellar mutism; however several reports did not give sufficient information about the patients and 134 cases were selected for this study. The ages of the patients ranged from 2 to 61 years and the vermisat was the site of the tumour in 89% of the cases. All tumours were considered to be large or very large. The mutism lasted from 4 days to 52 months and was transient in all cases.

Adolescent↗