PubMed Health⌕ Search

Biomedical subjects

N J Holland

Publications and source records attributed to N J Holland.

14 recordsLinked to original sources
PubMed1998

A skull base extradural hypoglossal neurilemmoma resected via an extended posterolateral approach.

The case of a 43-year-old man with a right skull base hypoglossal neurilemmoma excised via the extended posterolateral approach is presented. There is only one previous case of hypoglossal neurilemmoma in the literature. The surgical technique described is a new approach to the posterior skull base involving a suboccipital craniectomy, mastoidectomy and the removal of the lateral process of the atlas. It provides an inferior approach to the jugular foramen and hypoglossal canal that allows the lower cranial nerves to be identified as they exit from their skull base foramina. In the discussion we compare this technique to other surgical approaches previously described for access to the region of the jugular foramen.

Adult↗
PubMed1986

International scale for assessment of disability in multiple sclerosis.

The Minimal Record of Disability (MRD) is an assessment tool developed under the auspices of the International Federation of Multiple Sclerosis Societies. It represents a synthesis of several scales designed to assess disability and handicap in patients with multiple sclerosis. This article will define the Minimal Record of Disability and other scales, explain the pertinent components and numerical values of each, and describe the field testing conducted for the MRD. Implications for nursing will also be considered.

Activities of Daily Living↗
PubMed1984

Radioisotope studies of neurogenic bladder in multiple sclerosis.

Urinary dysfunction is a frequent and often serious manifestation of multiple sclerosis. If ignored, urinary tract pathology can cause disabling symptoms and life-threatening complications. Symptomatic relief and preventative measures are available once the underlying neurogenic pathology has been identified. The conceptualization of the categories "Failure to Store," "Failure to Empty," or "Combined" provide practical diagnostic and treatment catagories. One important diagnostic test to help define treatment parameters is the radioisotope renal/residual urine study.

Adult↗
PubMed1979

Chronic foreign body aspiration diagnosed by lung scan.

The case of a two-year-old child with foreign body aspiration is presented. It was complicated by a delay in diagnosis and treatment. Lung scan was helpful in eventually establishing the diagnosis. Key points in the management of patients with foreign body aspiration are reviewed and pathophysiologic mechanisms are discussed.

Bronchoscopy↗
PubMedDate not supplied

The Foley catheter in the management of epistaxis.

The Foley urinary catheter has been used in the management of epistaxis for many years, yet it has never been designed or licensed for this purpose. We performed a telephone questionnaire of senior house officers in 90 ENT departments in England and Wales. The aim was to determine how many departments used the Foley catheter for epistaxis management, whether licensed nasal balloon devices were available and if there had been any complications associated with their use. Eighty-three (92%) ENT departments in the study used the Foley catheter for epistaxis management and 44 (49%) departments had licensed balloon devices available. Only 22% of ENT senior house officers questioned were aware that the Foley catheter was not licensed for use in the nose. Most complications associated with the use of nasal balloon devices appear to be due to Foley catheters.

Catheterization↗