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Biomedical subjects

J Lenelle

Publications and source records attributed to J Lenelle.

22 records · Page 2Linked to original sources
PubMed1982

[Practical assessment of brain dysfunction in severe head trauma (author's transl)].

Assessment of brain dysfunction in head injured patients is important as an index of severity of brain damage and forms the basis of monitoring. . The Glasgow Coma scale (G.C.S.) is a practical scale for nurses. The Liege Coma scale contains the three variables of the G.C.S. and provides informations concerning the brain stem reflexes. In a series of 60 head-injured patients, recovery rates were calculated on the basis of either Glasgow scores or Liege scores. The Liege Coma scale provides a more sensitive index of clinical course and a better prognosis.

Adolescent↗
PubMed1981

[Total venous autograft of the superior longitudinal sinus. Experimental study in the dog (author's transl)].

The authors describe an original technique for the total replacement of a segment of the superior sagittal sinus in the dog. The graft, by its venous structure lined with a dural wall and by its triangular shape ensured through a certain tension, is close to the anatomical aspect. The authors use an autogenous vein graft. The latter is kept open by a wide suture to a fragment of dura which is fastened to the falx and to the dura of the vault. This fragment forms a "V" gutter in which lies the venous graft, thus protected from post-operative brain oedema. After suturing, a first sinusography is done, and a second one between the 7th and the 15th post-operative day. A study is thus made of the permeability of the graft. This permeability depends on the quality of the sutures and on the reconstruction of the dural wall of the sinus. Twenty operations have been carried out using various techniques. With the technique described, there were 11 permeable sinuses for 11 operations shown by the first sinusography. On second sinusography, 8 sinuses in 11 remained permeable.

Animals↗
PubMedDate not supplied

[Facio-craniostenosis].

Facio-craniostenosis. Facio-craniostenosis is associated with premature stenosis of one or several cranial sutures. The clinical variety is defined by the affected suture. In the complex forms, major disturbances of the anterior fossa of the cranial base are observed. Intracranial hypertension sometimes observed may lead to impairment of the function of the brain or the eyes. The authors have observed 73 children with craniostenosis and have operated upon 49 of them. Three types of methods have been used. The stress is made on the latest one combining advancement of the orbito-frontal "bandeau" and the regularization of the vault. Operating early is essential for prevention of functional sequellae. The optimal age for surgical treatment seems to be between 3 and 6 months. Complications have been remarkable benign.

Age Factors↗