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Biomedical subjects

L M Bobroff

Publications and source records attributed to L M Bobroff.

10 recordsLinked to original sources
PubMed1999

Low incidence of delayed intracerebral hemorrhage secondary to ventriculoperitoneal shunt insertion.

OBJECT: Bleeding into the brain parenchyma or ventricles is an infrequently reported complication in adults who undergo insertion of a ventriculoperitoneal (VP) shunt. The purpose of this study was to establish the incidence of delayed intracerebral hemorrhage secondary to ventricular cannulation during shunting procedures. METHODS: Over a 24-year period, in a series of 125 adult patients with hydrocephalus, postoperative computerized tomography scans were obtained in every case within 48 hours of shunt surgery performed by the same neurosurgeon. The rate of delayed intracerebral hematoma or intraventricular hemorrhage after VP shunt placement was documented by routine neuroradiological follow up to be 4%. CONCLUSIONS: In adult patients with no coagulopathy or occult vascular lesions, the rate of bleeding after VP shunt insertion may be low if the procedure is uncomplicated by multiple attempts at perforation, puncture of the choroid plexus, or improper placement of the tubing within the parenchyma of the brain.

Adult↗
PubMed1976

Abdominal aortic aneurysm and renal hamartoma in an infant with tuberous sclerosis.

A case is presented of an infant with tuberous sclerosis admitted with status epilepticus. When the seizures were controlled, it was found that the child was hypertensive. A large renal tumor and an abdominal aortic aneurysm was found during the hypertensive evaluation. She underwent abdominal aortic aneurysm resection and radical nephrectomy, and vascular continuity was re-established sucessfully with a Dacron prosthesis. The technique is illustrated. The reconstruction is patent one year following reconstruction. The etiology of the aneurysm is discussed.

Aorta, Abdominal↗
PubMed1975

Selective caliceal catheterization for stone manipulation.

While an operation is rarely indicated for a small intrarenal calculi their presence can result in the loss of an individual's career in selected occupations. Because of this problem in military aviators the technique of intrarenal manipulation of these calculi with vascular catheters and guide wires was devised. With this method 2 young fliers were freed of calculi and allowed to resume their chosen career. Additional experience with the procedure is indicated to further delineate its limitations and applications.

Aerospace Medicine↗
PubMed1975

Lipoplastic lymphadenopathy simulating malignant lymphoma and pelvic lipomatosis: Report of a case and review of the literature.

The second known cases of pelvic lipoplastic lymphadenopathy is presented. Roentgenographic studies including lymphangiography were instrumental in the diagnostic evaluation but a histopathologic diagnosis was essential to exclude a neoplastic process. The etiology and natural history of this disease are indeterminant but seemed to pursue a benign 17-year course in our patient. A retroperitoneal lymph node dissection is not indicated unless encroachment on adjacent pelvic viscera causes mechanical obstruction.

Diagnosis, Differential↗