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Biomedical subjects

L Bruno

Publications and source records attributed to L Bruno.

At least 73 records · Page 4Linked to original sources
PubMed1978

Computed tomography of cerebellar astrocytoma.

Analysis of CT scans of 25 patients with cerebellar astrocytoma indicates that a typical spectrum of findings exists for the cerebellar astrocytomas. CT is highly accurate in delineation and characterization of new and recurrent tumors. Recurrences may be demonstrated long before symptoms occur. The density of the fluid in the tumor cyst is twice that of cerebrospinal fluid. Thus differentiation from nonneoplastic cystic lesions and postoperative defects is possible. CT findings of solid or cystic tumor frequently correlate with histologic categorization, and in such cases prognostic information can be derived from the CT appearance.

Adolescent↗
PubMed1978

Vertebrobasilar spasm: a significant cause of neurological deficit in head injury.

Cerebral vasospasm in the anterior circulation has been recognized as a significant factor in the sequelae of head injury; however, vertebrobasilar spasm resulting from trauma has received much less attention. In the past year we have observed six patients where spasm in the major vessels of the posterior circulation was primarily or in part responsible for the neurological deficit. In such cases, the neurological examination may suggest a supratentorial mass with herniation and, in three of our cases, burr holes or carotid angiography were performed first. However, in every instance neurological signs present on admission indicated primary brain-stem dysfunction. In each of the six cases vertebral angiography demonstrated significant spasm in either the vertebral or basilar arteries. Intracranial pressure was monitored in each of the six patients and did not exceed 25 mm Hg in any. In cases of head injury where the neurological examination indicates brain-stem dysfunction inconsistent with or after a supratentorial mass has been excluded, vertebral angiography may aid in the diagnosis and subsequent management of such patients.

Adolescent↗
PubMed1976

Methodology for intraventricular and subarachnoid continuous recording of intracranial pressure in clinical practice.

The methodology for continuous monitoring intracranial pressure (ICP) being presently employed in the Neurosurgery Service of the University of Pennsylvania is presented. The methods are intraventricular recording of ICP (IVP) and subarachnoid recording of ICP (SaP). The indications for employing either method are briefly presented. IVP is favored in those situations in which the lateral ventricles are enlarged and SaP is preferred in the cases of brain swelling or other situations in which there is a small ventricular system.

Cerebral Ventricles↗
PubMed1975

[Unstable angina: observtions on 187 patients of whom 84 were operated on for aorto-coronary bypass (author's transl)].

Clinical data, EKG and coronary angiography of 187 patients with unstable angina are given. The patients are divided into 4 groups: spontancous angina, spontaneous angina Prinzmetal's variant, "in crescendo" agina, intermediate syndrome. 103 patients were treated with pharmacological therapy only and 84 underwent aortocoronary bypass; 2 of them were operated on for acute myocardial infarction. The clinical and pathologic peculiarities of two groups are not similar and therefore the results are not comparable. There was a mortality rate of 10.3% of patients with pharmacological treatment and the incidence of non fatal myocardial infarction was 10.4%. The mortality during operation was 14.2% and the incidence of non fatal myocardial infarction was 13.1%. The spontaneous angina and Prinzmetal's variant often had normal rest EKG and a very similar coronary angiographic pattern, with obstructive lesions often localized in the proximal part of a single vessel. In 9% of cases coronary arteries were normal. The incidence of serious arrhythmias was higher in Prinzmetal's variant than in other types of unstable angina. The mortality in patients with Prinzmetal's angina was particularly high during the first period of experience (1970-1973) when the operation was performed after a few days of unsatisfactory results with pharmacological treatment; it decreased after patients underwent operation in an attenuate phase of the disease. The rest EKG of "in crescendo" angina was almost always pathologic; these cases presented obstructive lesions of 2 or 3 coronary arteries, functional impairment of left ventricle, collateral circulation. The mortality in patients treated with pharmacological therapy was higher than in other types of unstable angina. The mortality during operation, fairly high in the first period of experience, decreased in this group of patients as well, during the second period of experience.

Adult↗
PubMed1975

Intracranial subarachnoid pressure monitoring in children.

A technique for subarachnoid monitoring of intracranial pressure in children is presented. This is based on a subarachnoid bolt that can be inserted under local anesthesia. The advantages of continuous recording of intracranial pressure in certain conditions such as encephalitis, diffuse encephalopaties, and Reye's syndrome are discussed.

Brain Diseases↗
PubMed1975

Elevation of left ventricular end-diastolic pressure due to decreased myocardial compliance during angina pectoris.

The etiology for the increased left ventricular end-diastolic pressure (LVEDP), which is frequently seen during angina pectoris, remains controversial. Although left ventricular failure may be present, recent evidence suggests that a decrease in myocardial compliance may be involved. The patient reported here developed a rise in LVEDP when angina was precipitated by atrial pacing. Hemodynamic data during and after pacing showed normal left ventricular function and indicates that a decrease in myocardial compliance should have occurred.

Angina Pectoris↗