[The first decades of Iaşi radiology as reflected in the pages of the Revista Medico-Chirurgicală].
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Biomedical subjects
Publications and source records attributed to M R Găleşanu.
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This paper presents 7 cases of patients suffering of lateral homonymous hemianopia. This diagnosis was established taking into account both the clinical exam as well as the visual field, into the context of a vascular suffering of hemiparesis type. I worked with a Bioscript BST 2100 apparatus foreseen with flash and with its help there could have been recorded the visual evoked potentials (VEPs) with electrodes occipitally placed. The analysis of VEPs was made in the correlations with the premises and the extend of the cerebral lesion. The imaging exploration stood out lesions with the following localisations: stretched hemispherically, internal capsule, thalamus, occipitally. The VEPs recordings showed: the small N1 + leveling, the leveling of the whole tract, bifid N1 + leveling, invertit N1 + leveling, diminished N1. The study of the correlation between the lesion premises and the aspect of VEPs led to the idea that waves N1 and P1 represent different functions of the process of the visual stimulations rather than activities in distinct cortical areas.
The work presents two cases of Paget disease with a complex neurological description. The first case, a woman of 59 years, presents a spastic paraparesis with multiple syndrome of cranial nerves. The second case, a woman of 60 years, presents a spastic tetraparesis with myoclonus. The cranial radiography stood out to both patients the thickness of the bones of the skull in the context of the existence of some grown titres of the alkaline phosphate. The examination CT to the second patient indicates an important cerebral atrophy. Auditory evoked potentials (AEPs) show to the first patient the increasing in time of the latency of the first wave and to the second patient the inequality of latency from the right to left a wave I and the growing latency of the interval I-III to the left. Visual evoked potentials (VEPs) to the second patient indicate the delay of all the component parts. If the radiological examination asserts the diagnosis, the electrophysiological probings diagnose the complications and the evolution of the disease.
UNLABELLED: To determine by QCT-BMD the normal osteodensitometric levels in the population of both sexes (18-80 years) from Moldavia districts. MATERIAL AND METHOD: The study used the BMD (bone mineral density) option of CT PACE GE-CGR (QCT) device which compares the CT levels in the area of interest restricted to the trabecular area of L1-L4 vertebrae with the values of a phantom with different hydroxyapatite concentrations. In order to develop a regional standard, an average of 10 both sexes subjects free of osteoporosis-generating diseases were investigated per each 5-year age group, age range 18 to 80 years, selected at random from the 8 districts of Moldavia. In both genders, data were plotted against age and were analysed with linear regression tests and the evolution curve (age-related) for each gender was drawn. RESULTS: The levels of score Z in both sexes were obtained. The obtained standard may be used as a reference database for the QCT investigation of the spine both in the male and female Romanian population.
Thirty-five cases of upper urinary tract tumors treated by the authors in an interval of 10 years (1979-1988) are presented. After a detailed analysis of the cases some general considerations on the anatomopathologic forms of upper urinary tract tumors, stage classification, symptoms and clinical and laboratory diagnosis, therapeutical indications are made.
Between 1984 and 1988, 827 patients with cervical cancer, most of them with stage T2 (46%) and T3 (45%) of disease, were irradiated. Postoperative radiotherapy was performed in 276 patients, most of them with stage T2 cervical cancer, with 40-60 Gy. Preoperative irradiation with 20-40 Gy was done in 6% of the cases in stages T1b and T1a. Most of the patients (60%) were treated only with telecobalt 50-60 Gy. The over all survival rate in the 161 patients followed up for 5 years, irrespective of the stage, was of 40%.
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The study is based on 35 cases of thyroid cancer treated by external radiotherapy. The analysis of these cases and especially their grouping on clinical stages according to the recent TNM classification reveal the prognostic importance of such factors as the patients' age, histopathological form and the loco-regional and at distance spread.
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