[Spheno-cavernous metastasis of prostatic cancer].
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Biomedical subjects
Publications and source records attributed to K Niezabitowski.
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The authors present three cases of atypical pancreatic pseudocysts, occurring in the course of chronic pancreatitis: intrasplenic pseudocyst, pseudocyst in the hilus of spleen and bleeding into the pseudocyst of the tail of pancreas. Such cysts are extremely difficult, or even impossible to be recognized by conventional clinical and radiological methods. Located in the parenchyma or in the hilus of spleen, they are formed by means of fistulization along the lienorenal ligament. In every case when the chronic pancreatitis coexists with the splenic cyst, the intrasplenic localization of the pancreatic speudocyst should be taken into consideration. The cyst in the hilus of spleen may imitate intraperitoneal mass and its relation with the pancreas may be recorded angiographically only. Angiography is also the basic diagnostic method in the haemorrhage into the pseudocyst. Bleeding into the pseudocyst has a form of vascular blush appearing during arteriography. The blush increases its intensity and persists after an examination. Early diagnosis in atypical pseudocyst is vital for the patient's fate.
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The authors first of all mentioned four characteristic features that are indispensable to the diagnosis of cerebral palsy. The deformations of the skull which are quite frequently found in these cases were examined by means of a craniometric method of measurement and divided into five groups. The majority of the patients examined showed pathological electroencephalograms characterized by diffuse, generalized variations, lateralization, and variations in attacks. The x-ray examination did not show an adhesion of cranial sutures, which is in contradiction to the views held heretofore. In the majority of cases the pneumoencephalography yielded pathological results which were divided into groups: uni- and bilateral cerebral atrophies, bilateral cortical atrophy, and generalized cerebral and cortical atrophy. Cerebral angiography could not contribute any essential data to the pneumoencephalographically established diagnosis.
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Late internal hydrocephalus has been diagnosed in 68 (44%) out of 154 patients treated for the ruptured cerebral aneurysms, and in 37 (31%) out of 120 patients, who underwent cranio-cerebral trauma. To establish the indications for shunts, CT scans of the skull, tomoventriculography, and infusion tests have been carried out in 38 patients. It has been found, that increased transparency of the areas below cerebral ependyma, the lack of cerebral cortex sulci, and imaging of the temporal horns together with internal hydrocephalus in CT scans indicate an active process and are indications to shunting. If there are no signs of active process in CT scans despite of the presence of hydrocephalus, tomoventriculography should be performed to establish more fully the indications to shunting.