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Biomedical subjects

J Ruscalleda

Publications and source records attributed to J Ruscalleda.

29 records · Page 2Linked to original sources
PubMed1980

Dynamic study of arachnoid cysts with metrizamide.

Intracranial arachnoid cyst do not usually present diagnostic problems when studied by CT, since they appear as low density images similar to those produced by CSF, do not change on intravenous contrast perfusion, and are located extraparenchymatously. Sometimes, however, their diagnosis can become difficult or doubtful mainly in cases of deep, basal or paramedian cysts [12, 18, 22, 24]. On the other hand, the functional or dynamic aspects of these structures remain unknown when the study is limited to simple CT. Computed cisternography with metrizamide (CCM) and time control will not only show the relationship between these structures and the arachnoid space but also their dynamic aspect, which may determine the surgical treatment.

Arachnoid↗
PubMed1979

CT for the follow-up of cranial trauma.

The author's experience in diagnosing lesions of cerebral trauma with the CT scanner are outlined. The study is divided into acute and chronic lesions. Special attention is drawn to the morphology of subdural and intracerebral haematomas, which is dependent upon their duration.

Brain Edema↗
PubMed1978

Clinical symptomatology and computerized tomography in brain metastasis.

In 50 patients with a diagnosis of brain metastasis, a study was made commencing with the appearance of the first neurological symptom. Severe headaches were observed in 48% of the patients, followed by a change in character in 11% and motor disorders in 11%. The search for initial neurological signs will help dictate the precise moment of using the scanner to confirm the diagnosis, thus hopefully allowing for a quicker treatment and improving the survival rates of these patients.

Adolescent↗
PubMed1976

Etiology of moya moya disease acquired or congenital.

Nine cases of Moya Moya disease collected since 1968 are presented. The absence of inflammatory signs and the high percentage of congenital malformations is emphasized. However, despite the post-mortem findings in one of the cases, no etiologic factor has been conclusively demonstrated.

Adolescent↗
PubMed1975

Some aspects of the spinal cord circulation in cervical myelopathy.

Under usual technical conditions, it is possible, in a great percentage of cases, to visualize angiographically the afferent radiculospinal artery feeding the anterior cervical spinal axis, coming from the vertebral arteries. The level of its emergence is varied, predominating at C5--C6. This radiculospinal artery can be directly affected by a spondylotic lesion at the foraminal level and is one of the causes of the ischemic syndrome observed in the cerival myelopathies resulting from this process.

Angiography↗
PubMedDate not supplied

Thalamic hemorrhage. A study of 23 patients with diagnosis by computed tomography.

A series of 23 patients with thalamic hemorrhage with computed tomography confirmation is reported. Nine of these died, all had hematomas larger than 3.3 cm. The value of the syndrome of downward and convergent ocular deviation is stressed, and its possible mechanisms are analyzed. The characteristics and mechanisms of the pupillary abnormalities are reported, as well as the speech abnormalities observed in patients with lesions of the dominant hemisphere. Prognostic conclusions are drawn.

Adult↗
PubMedDate not supplied

Preoperative embolization of intracranial meningiomas.

The goal of preoperative embolization of intracranial meningiomas is to facilitate their surgical removal by reducing tumor vascularity and decreasing blood loss during surgery. This study is based on personal experience with about 100 embolized meningiomas and on the experience of others. Embolization is performed during the same session as diagnostic angiography. The appropriate embolic materials (absorbable or nonabsorbable) are chosen according to the location of the tumor, the size of the feeding arteries, the blood flow, and the presence of any potentially dangerous vessels (dangerous anastomoses between external carotid artery and internal carotid or vertebral arteries, arteries supplying the cranial nerves). Preoperative embolization appeared to be very useful in large tumors with pure or predominant external carotid artery supply (convexity meningiomas), in skull-base meningiomas, and in middle fossa and paracavernous meningiomas. It was also useful in falx and parasagittal meningiomas receiving blood supply from the opposite side and in posterior fossa meningiomas. CT low densities demonstrated after embolization did not always correlate with necrosis on microscopic examination, and large areas of infarction could be found despite normal CT. Embolic material was found on pathologic examination in 10%-30% of cases; fresh or recent ischemic and/or hemorrhagic necrosis consistent with technically successful embolization was demonstrated in 40%-60% of cases. With careful technique complications are rare.

Embolization, Therapeutic↗