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Biomedical subjects

M Sarrias

Publications and source records attributed to M Sarrias.

6 recordsLinked to original sources

The Guttmann Institute of Barcelona.

The Guttmann Institute is a hospital specialised in the comprehensive rehabilitation and medical/surgical treatment of persons suffering from spinal cord injury or from other severe physical disabilities. It opened in Barcelona in 1965 and was the first hospital in Spain dedicated to the treatment of paraplegic and tetraplegic patients, and the one which introduced into Spain the comprehensive approach to spinal cord injury developed by Sir Ludwig Guttmann at the Stoke Mandeville Hospital in the UK. The Guttmann Institute Foundation is a non-profit-making foundation and its hospital, the Guttmann Institute, forms part of the Public Service Hospital Network. The Guttmann Institute has a wide-ranging, multi-disciplinary group of staff made up of specialised professionals; and it has the appropriate resources for the provision of thorough medical attention from a technical, scientific and human point of view.

Hospital Units↗

Spinal cysticercosis. Case report and review.

Cysticercosis is the commonest parasitic disease to affect the central nervous system (CNS). According to the World Health Organisation (1988), more than 2.5 million people worldwide are infected. Neurocysticercosis (NCC) is caused by the encysted larval form (porcine tapeworm) of Taenia solium (Cysticerus cellulosae). The ways in which the eggs of T Solium penetrate the CNS are illustrated in Table I. Involvement of the spinal cord in NCC varies between 1% and 5%. The isolated medullary form is very rare, only 50 cases having been reported up to 1988. The appearance of a spinal cord compression syndrome (SCCS) is unusual and late, according to reported series, the largest being that of Sotelo with 753 cases of NCC, including 10 causing SCCS, corresponding to 1.4%; also the classic Dixon and Lipscomb series of 450 NCC with only one patient with SCCS.

Adult↗

An analysis of the diverse factors concerned with the development of pressure sores in spinal cord injured patients.

Patients with spinal cord injuries (SCI) admitted to the Institut Guttmann, Barcelona, from the years 1985 to 1988 with pressure sores (PS) are reviewed. Demographic, pathological and psychological factors are analysed in an attempt to identify organic and/or behavioural patterns which might imply an added risk for the development of pressure sores in the spinal cord injured. About 30% of 884 SCI patients admitted during this period had one or more PS (mean 1.5), most of these were localised to the ischial, trochanteric and sacral regions, and about 70% were grade 3 or 4 (Enis and Sarmiento classification). The study supports the generally acknowledged view that a precarious state of health and certain psycho-social conditions are contributing factors to a higher risk in the development and severity of PS in SCI patients.

Adult↗

[Postoperative spinal cord ischemia in thoracoabdominal aneurysms].

At the present article, 12 cases of paraplegia secondary to the surgical treatment of thoracoabdominal aneurysms are presented. Study includes patients admitted between 1973-1987 for treatment and rehabilitation of its medular injury. Factors of risk, surgical technics practiced, peroperative complications and type of medular injury are analyzed. The most common medular injury was an anterior medular syndrome (rather than 60%). In the same way, preventive methods are analyzed and somatosensory evoked potentials (SEP) and motor evoked potentials (MEP), both in developing phase at the present moment, are recommended as the most viable method for detecting changes during the surgical procedure.

Aortic Dissection↗